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HomeMy WebLinkAbout14060069 Application S � ��"":`'�` CITY OF CARMEL / CLAY TOWNS'HIP PERMIT # I`J'D6 Qo6 9 COMMGRCIAL/INSTITLITIONAL IMPROVGMLNT LOCAT[ON PERMIT APPLICATION �xmex� For Ne�r Structures,Additions,"1'enant Finisl5es,�Remudels,and Aceessorr Struclures BUILDER NAME PNONE FA% oF l�c C �- ° a->> 3 -tr�. l�) 3-80 RECORD �REEf ADDRESS CITV STATE ZIV �'p\ • IO �-� � �� '� � '�i � �C[i � E-MAIL AD(�DR�E55\. ^ BEST METHOD O l ch�� °N-1\1�F�1'�S�\�L,LU(�'\ CONTACT C�i��'�Q11 I PLUMBING NAME STATE OF INDIANA CONTRAGTOR � 'rn(��'�i1��` C� �CENSENUMBER ����� � � �p� PROPERTY NAME� �.�G�'Y� C�/��(\CY��eS� `7(\L,' PHONE ���\ FAX ��� OWNER k- ' \ � fZ � -C �{� ln'J - • . ST T ADDRE55 CITY STA E ZIP �J � '�} �JI�1L��'1 � U . 1 �� `�l!/�7"'C PROIECT PROJECT OR TENANT COMPLEX A D/OR BUILDING NUMBER OF FLOORS ELEVATOR LOCATION � '�,�� 1 C.1 nQ... �- 9_res �d No STREEfADDRE55�iNCLUDING SUITE NUMBER CITV STATE • - '- \' �1� (�'�4r� C��o �-E M4- � � �-1�`D HAMILTON COUNTY PARCEDNUMBER ZONING L ZONE/S __���_p 2014 J LOTSPLIf SEWERUTILITY WATERUTILIfY SEWER/WATER O YES O NO C� � �� .f'� I t �\� " UTILITIES EXCAVATOR w W TYPE OF T�'PE OF CO RUCTION By er or un�rs PERMIT �COMMERCIAL ❑ INSTITU710NAL-❑MUnicipal/Public Building ❑School OChurch ULTi-FAMILY EARLY RELEASE TYPE OFIMVROVEMENT ❑ YES ❑ NO � NEW STRUCTURE ❑ NEW TENANT PINISH O ATTACHED GARAGE ❑ACCESSORY BUILDNG ❑ CELL TOWER ❑ADDITION-❑Room/s�❑POrch❑Deck � REMODEL ❑ DEiACHED GARAGE ❑DEMOL[IION ❑ CO-LOCATE PRO�ECT P�N COMMISSION/BZA/BPW DOCKET�NUMBER/S AN � ESTIMATED COST SQUARE FOOTAGE TAC DATE/5 fG6l - CO D NG LANDN `-� � ) ��� '� PDFPLANS TYPE OFFOUNDATION ^ A URED SUMVPUMP PORCH � ❑CD ❑ E-MAIL ��SLAB �BASEMENT�WALK-OUl'�IL �0 � T� ,u ❑ CRAWLSPACE� ❑ POST&BEAM ❑ POST� }�Q! F dfB � �'0 . NO ❑ YES �NO ❑ YES lfJ NO STATE OF CDR NUMBER RELEASE DATE � �O OCCUPANCY CLA55 INDIANA � � ��/ ��`b'e���a� �0 CDR SCOPE OF RELEASE O/ ��Q TYPE OF RELEASE ❑ FDN❑ STR❑ ARCH❑ ELEC O MECH O PLUM ❑ SPKL O "��_ U Class 1 sirueture�crmits are.ubject to Uie State of Indinna General Administratice Rules(GAR 675 IAC 12)reparding e���iretion.time 14ames for bebinnina and com�>letinb construction. � I,the w�der%ibued.a�ree i6at any conslructiun,remnstruc�ion,enlai�emeut.relocalion,nrallera[iun ol'�strueturu,or anc chnnge in�he use ul'I.iuJ or .vtructures rc��ucslcd bv Ihi>applicatiun o�ill com�il���rilh anJ<unlorm tu nll applicaMlc Inms u(thv Sta�e n(Indiana and�hu"Zonin�UrJinancc ol'Grmcl Indiana-I'P)i"(%-289)and amendmenl.�.aduptrd under authuritc of LC SG-7 et se<�.Grnrral Auemblr u(the S�a[e ul'1 ndiana,anJ all Acls amendalurv Ihereto. 1 furtlier certifr thal unh'kitrhen,bath.and Ilour drain.a are cunnecleJ to Ihe.w ni�an�se�rer. 1 Por�her cerlil'v that thc ron�vuc[ion will nu�be used or 'ru�n� til a� lilicate o(Occu��nnc��ur oftiubslantial G�m��letiui has 6een insued bc Ihe Ue��artment ufCummunitr tierrices,Carnml.Im iana. �.�iJ ��-" ��.,� � l.� _��/ Sign Owner Aufhorize Vrinted Name Date :......................................................................................y ,..............................................................................................� REQLIIRED I3ASE INSPECTIONS * '• PERM[T FEES *Additional ins��ections mav be�rec�uired. : Filinb / Reric��� . �5.� Ro-Reric�v E sasc �nspcor;ons Z3$. dc7 E ❑ Lo�vcrFootin� �Rouah-In �Pirc : CerL ufOccuNnncy �'8' 0O Othcr � ❑ U����cr Footin� ❑ Mctcr Basc ❑ Forestry � ; P.R.I.P. � ❑ Undcrrlab � Pinal ❑ Sitc n T07'AL ,1� '-$O '•. _ ��am.ck�a�'�/ (b��z�14 ; --L.n'L� 06����— . � E �i ; Re.�ic�.eJ/Ielou�YL-Deparunentnl'CommuniirSeni Datr . : FceR� ci��vd-Depaztinent�d'Cummm:it'Si.'� ice. Uate : ................ ......................................................................: r...................................... ............................................� amiu\fnrm�Wpplicu�ii�ns\RC.1dm�iaNLP ApplicoiionL01fFU1 Imi Uplu¢d 01/IIVU