HomeMy WebLinkAbout14060082 Application ...�.
CITY OF CARMEL / CLAY TOWNSHIP PERMIT # /y0(, 008?�
COMMERCIAL/INS1'ITLITIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
,NOipNa For Nc�c Struciures,Additions,Tenant Finis6es,Rcmodels,and Acccssorv Siructures
BUILDER NAME PHONE FAX
oF r�M a.�sS �� ;r7—�(- r1�4` 3l - �3 oi ', �
RECORD STREETADDRESS ��CITV STATE ZIP �
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E-MAI ADDRE55 � � EST METHOD OFr_`
���e �� CON7ACT _ .. /
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PLUMBING NAME STATEOFiNDIANA
CONTRACTOR LICENSE NUMBER
PROPERTY NAME , PHONE FAX
OWNER � i �C��-wiP
S7REET A RE55 CITY STATE ZIP
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PROJECT ECT OR TENANT COMPLEX AND/OR BUILDING NUMBER OF FLOORS ELEVATOR
LOCATION ��b��� ❑ YES ❑ rvo
STREET ADDRESS�INCLUDING SUITE N MBER CITY STATE ZIP
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HAMILTON COUNTVPAR LNUMBER ' Z�NING FLOOD ZONE/5 �
� l� — d `I- ?S ' (J 't— )s-ODl�. UL — �
LOTSPLIT SEWERUT WATERUTIL SEWER/WA ER �
❑ YES ❑ NO UTILITIES EXCAVATOR � /
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7'YPE OF TYPE F ONSTRURION �� NumberafUnits
PERMIT COMMERCIAL ❑ MSTITUTIONAL-❑MUniapal I I �c c ❑ MULTI-FAMRY
EARLY RELEASE TYPEOFIMPROVEMENT
❑ YES ❑ NO � NEW STRUQURE ❑ NEW TENAM RNISH ❑ ATTACHED GARAGE ❑ACCESSORY BUILDNG ❑ CELL TOWER
❑ ADDITION-❑ROOm/s�orch ODeCk ❑ REMODEL ❑ DETACHED GARAGE ❑DEMOLIT[ON -LOLqTE
PRO]ECT P�N COM $ ON/82A/BPW DOCKET NUMBER/S AND/OR ESTIMATED COST SQUARE FOOTAGE
TACDATE (�Apc OFCONSTRUCTION, 2� �)D ,�
�$�,�j,uV4Q E7(CLUDINGLAND �/ v` — l� S
PDPPLANS TVPEO�FOUNbA � /�^� MANUFACTURED SUMPPUMP PORCH
❑ CD ❑ FMAI� � SLP,B/.`� ot ��eiSt�� our rnusses
❑ $���C' gf�5 ��E,�I � T&PIER �� -� ����_ `I 5� �9 ❑ YES ❑ NO ❑ YES ❑ NO
STATE OF �DR N E �S R I N VE UPANCY CLASS
INDIANA �ARM�.MV �ry
CDR SCOPE OF RELEA D/ Y pn E'p ❑�Y� .�� ,� I ,. OF RELEASE
❑ FDN❑ STR❑ A i�] ELEC J❑ PLUM ❑ 5 R ❑ OTNER
Class I structure��ermi[s are subject to the State of Indiana Ge mrmstrative Rides(GAR 675 IAC 12)regardin�
es�>iration timc frames for be�inning and com��leling constraction.
I.Ihe w�dersigned,agree Niat am'cunstruniou.rrcum�tructiuq enlargemeN,relocatiun,or altera[ion u!a struc�ure.or anr chnnKe in the use of land or
.tructures r-yuesta�d b�'this applii-a�ion w�ill cumPlv�vith and conform tu all a����lica6lv la�vs o(Ihe State ofLidiana and the"loning Ordinance oCCarmcl
InJiana-1993^(Z-LR9)an<ia ndments.ado�rtedunderautliori[��o(LC.36-0et xy.GeneralAssemblvoClheSlateoflndiana.andallActiamendaton-
therelo. I fivthrr certifc that onh kitchen,ba[h,and Iloor drains are wnnrol vl tu thesanitarv sea'er. I further cerlilj�iha�thc ronxtruo�ion a�ill no�be
rced or occupicd until a Cer[iliiatc u(Uccupancy or olSubvtantial Comhletion+�a,v been issued�c t6e IJ`���artment ofCommunih'Srrrices,Carmel,Indiana.
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Si e of or aetl Rg t Pfi e Date
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REQUIRED BASE INSPECTIONS * '• PERMIT FEES
*Additional ins�ections mav be mc�uired. c Filing / Review �_L29�O Rc-Revicw
i Base Inspections � 00
i ❑ l.o�ver Footing ❑ Rough-In ❑ Fire
� Ccrt.of Ocwpancy � •�� Other
' ❑ Upper Footing ❑ Metcr I3asc ❑ Forestry� ��
\�(- ' P.R.I.F.
� ❑ Underslab ❑ iinal �q Sitc /, %Z6 �s�
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LOCATIONS & ENTITIES V9 . 0 PAGE NUMBER: 1
DATE: 06/17/2014 Client Name MODULE : libNotes
TIME: 10 :56 : 57 Permitting Notes
SELECTION CRITERIA: Permit Number = 14060082
Note Date/Time Date of Record Operator Note Code Reminder Date
2014-06-17 10 : 56 :47 06/17/2014 nmishler
CONTRACTOR IS AWARE THAT PERMIT ONLY VALID FOR WORK ON
JUNE 21 & JUNE 22 . ALSO, NO UNDERGROUND WORK IS TO BE
DONE AT THIS TIME, ONLY CASINET REPLACEMENT.
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SIGNATURE