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HomeMy WebLinkAbout14060021 Application CITY OF CARMEL / CLAY TOWNSHIP 1'ERMIT # ,�y06o0Z� COMMERCIAL/INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION � �xo� For New Structures,Additions,Tenant Finishes,Remodcls,and Accessorv Struclures BUILDER I NAME . PHONE FAX �F ( erso� C efc,w� G�ow 7- - �'DU 3 i)- �' �- 3�'O/ RECORD sraee aooaessI cm SfA7E `/ uv / IS3v ltnef�G�n U)a, sw e a� Greenw�o �✓�/ �D���J E-MAIL ADDRE55 1p BEST METHOD OF WS G�(j PYSO� CQ�MQ�C�L. i�pM CONTACT �M�. l�l F�LUMBING NAME STATE OF INDIANA //� � (:ONTRACTOR � LICENSE NUMBER l� / v PROPERTY NAME PHONE FAX -J OWNER SLVC G /lCf S ' .3 3S'��jII JI7' S�S -o�S��O STREET ADDRESS CITY � STATE � ZIP�� �� 303 bn e ���nw � �,- PRO]ECT PRO]ECT OR TENANT COMPLEX AN IL N NUMBER OF FLOORS ELEVATOR LOCATION Se✓�+ CorneJ 5 ❑ ves � No SfREET ADORE55,INCLUDING SUITE�MOB`ER ��f� STATE �� ZIP� D� �� Con resso��- � ✓ � � HAMI/LTON COUN ARCELNUMBER ZONING FLOODZONE/5 ry -�1 �` I �f '07 -60 - 0 lOTSCLIT SEWERUTI�7Y WATERUT SEWER/WATER ❑ YES O NO J�� UTILiTIES El(CAVATOR TYPE OF ,T�Y/PE OF CONSTRUCTION Number of Unitr PERMIT ��-OMMERCIAL 0 MSTITU ONAL-❑MUnicipal/Public Building �School ❑Church ❑ MULTI-FAMILY EARLV RELEASE TYPE OFIMPROVEMENT (� ❑ vE5 ❑ NO � NEW STRUCTURE S�r `�1��'��y�}'�q7TqCHED GARAGE ❑ACCESSORY BUILDNG ❑ CELL 70WER ❑ADDITION-❑ROOm/s❑POrch L�17����@� ��� DETACHED GARA6E ❑DEMOLtTION ❑ CO-LOCATE PRO]ECT P�N COMMISSION/BZA ��AN ESTIMATED COST SQUARE POOTAGE TAC DATE/5 ��� COMMUNITy S O�C UD NG U1NDN 7 UO �- � � � W�'� PDi PLANS TYPE OF FOUNDATION ��a'� AV TOWNS �"SSES URED MP PUMP PORCH [] CC� ❑ E-MAIL � SLAB ❑ BASEMENT-❑W.�� d ❑ CRAWLSPACE ❑ POST&BEAM PIER ❑ YES dN0 ❑ YES L�YNO ❑ YES NO STATE OF �DR NUMBER RELEASE DATE CONSTRURION TYVE OCCUPANCY CLA55 INDIANA V CDR SCOPE Oi RELEASE ❑ HOOD TYPE OF RELEASE ❑ FDN� STR� ARCH❑ ELEC❑ MECH❑ PWM O SPKLR ❑ OTHER Class [structure Nermits are subjeci to the State of Indiana Genexal Adminisiratice Rules(CAR 675 IAC 12) regarding ca��i�ation time frames for be�+innin�.and comvletin�construction. I.IIi¢undersi�.ned,a�rec that an�annstrucNon,mmnetrnclioq enlar�ement,rdoia[im�.ural[eration ofa s[ru<'t�ve,or an�ohan�.<�in the use ofland or a�rurture.reyue�LLVl b�'thix application.��ill cumply wi�h and c-onlorm to all applirablr laws ufthe5tate uf Indiana and thv"(onin�.prdinanreul Carmrl India —1993"(7-28Y)and a �Jm ts,aJupinl underauthority ol'LC 36-7 et sey.Grnrral Assembl��uf tlie S[a[e nf Indiana,anJ all Actsamrndaturc �hrrrta 1' rlhercer[i(v[hl nh-k` �hrn.bath.andlloordrainsareconneiYni[uthesanitarrx ver. Ifurthereer[il\'tha[fhecons�ruotiun�villnutbr � �r oi' upivd until a C ficale .f Ucn�panar or niSuFslanlial Cumpletion has br<•n issu b�I`Ihe Ucparlmeul ofCummunih�Serviceti.Carmel.Indian.i. ` SesS �o�pefSO✓� / Sign e of Owner or puthorii tl Agent Printetl Name Dat� .. .. .....................................................................y ,............... ............ ...... ............................................. .............. .., REQLIIRED BASE INSPECTIONS * '• '• pERMIT FEES * Additiunal ins �ons may bcl�yuired. : Filin� / Reaic�+� Z�•7o Re-Review No vw7.� : s,sti„s�>«c���,. 1�9.00 i ❑ I,o�ccr Foutin� Rou � Pire : Cert. ofOccupanc:c 2 •00 Olher : ❑ Upper Footing ❑ Mctcr Basc ❑ Forestry �. � P.RJ.P. � ❑ Underslab ,�Pinal ❑ Sitc TOTAL 7 � 70 „ .�� �,�_— � s iq- �Ic�,� pg r H��� cJ/It noJ Uc�mrtmrmolC�,ininm�iicc.r�eo U,m � I��, k ��i U����.�ri�i�.ni,�it��,.�,�ii�iiu >.i�i... I�.n� :......................................................................................: v..............................................................................................i u i�uGPOimzWpplleuhunr�Rt.id.qnlulAII V AppllaiionC01(W] ly.i I'P�bItJ IlllIII:I: