HomeMy WebLinkAbout14070076 Application �,,4� .ivLYf.�F� 1
�� �W�'�° � CITY OF CARMEL / CLAY TOWNSHIP PERMIT # �'y�70o7t'S �
1\ COMMERCIAL/INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
\�xoinea� For New Strueturts, Adilitions,'fenant finishes, Remodcls,and�Aceessory Struc[irces
BUILDER """'E PHONE FAX
oF S . � :'� � � � -4�.91-o i
RECORD� :STREE ,ADDRESS .CITY, S7A7E ZIP
'n (' vec� P r KS 2 i
E-MAIL ADDRES 'BEST METHOD�OF�
. . C� f\ �1 .�C� �� CONTACT .G'MQ.� I
PLUMBING NAME 5TATE OP'3NDIANA
CONTRACTOR LICENSE'NUMBER
PROPERTY NAME PHONE FAX
OWNER f1 O�S�'�
STREETADDRESS �CITY STATE ZID
� . 4 +�' S+. s z o z ` I� ►N 2 0
PRO]ECT PROJECTORTENANT COMPIEXAND/ORBUILDING NUMBEROFFLOORS ELEVATOR
LOCATION rJ t'i�1+ j fJ — ❑ res ❑ rvo
ST EET ADDRESS,INCLUDINGSUITENU E I � STATE ZIP
y , •2 +h �} r ?I �l c.o 03'Z
HAMILTON COUNTV PARCEL NUMBER II II�+Q � ZONI � O D ON
J\JLT� IY
, Ibio 27on O000 80. �p
LOTSPLIT SEWERUTILITY �WATER.UT ITY SEWER/ 1 Y LU
❑ YES ❑ NO � By, UTILIfIE EXCAVATOR
TYPE OF T�'PE OF{ONSTRUCTION B Number of Unitr
PERMIT COMMERCIAL ❑ MSTITUTIONAL-❑MUNCipal/Pu61ic Building ❑School - ILV
EARLY RELEASE TYPEOPIMPROVEMENT
❑ YES ❑ NO � NEW STRUCTURE ❑ NEW TENANT FINISH ❑ ATTACHED 6ARAGE ❑'ACCESSORY BUILDNG ❑ CELL TOWER
�ADDITION-❑ROOm/s❑POrch❑Deck 0 REMODEL ❑DETACHED GARAGE ❑DEMOLiTION ❑ CO-LOCATE
PRO]EC'f P�N COMMISSION/BZA/BPW.DOCKET NUMBER/S AND/OR ESfIMATED C05T SQUARE FOOTAGE
TAC DATE/5 OFCONSTRUCTION,
RELEASED FOR CONSTRUCTION E%CLUDING LAND � I� 000 :�t
PDF'PLANS TYPE OF FOUNIE9't�1N�CORIPIIdOCB�WItII dII.l8g0I8fI0f15� MANUFARURED SUMP PUMP PORCH
❑ SLAB -[�l -OUT TRUSSES
❑CD ❑ EMAIL � CR4WLSP f � kR'�� pOSI'&PIER ❑ YES O NO � YES ❑ NO ❑ YES ❑ NO
STATE OF CDR NUMBE A CONSTRUCTION TYPE OCCUPANCY CU15S
INDIANA ��n OF CARMEL/CLAY TOWNSHIP
CDR SCOPE OFRELEASE ❑ HOOD TYPE OF RELEASE
❑ fDN❑ STR❑ ARCH❑ ELEC O MECH O PLUM.O SPKCR ❑ OTHER
Class I structure permits.aresubject to thc5tate oClndiana General Adminisiraticc Rules(GAR fi75 IAC 12) re�ardin�+
espiratiun tiine fra�ues fon b-e�inning and cum�letin�wnatruction.
1,lhe unJersi�.nrd,a�ree t6at an��cunstruc[ion,reconsvuction.enlar�ement,re.localion,or nl[cralion nfa structure,ur anc chan�e in Ihe uve.ul'land ur
structures�rci�ur��i•d bc Ihi�a�i�ilicaliiin acill cu�nplr wilh and i'unfurm lo all ap�ilicaGle laws uflGeStale oflndiuna and t6e"Zoning.Ordinance ofCannel
Indiana—19Y3°(7-2R9)and a�nendment.r,adu��ICJ.unJer aulhnrih�of LC.3G-7 et se��,General Assem6l���of tlie State of Indiana,and all Acis a�nendu�or�.
tl r to. Lfurt6er cm�dp tha�n ih S Id� �.I�tl ind lloo I '"arc io i t I lo4h -i ulan 8e��r. 1 furLhir�i�rt�A that t6 .�rostruutiun w ill not Lc
sc r oh.0 c.. iti C tih�iti ul i npanu or ofSub tan[�al Complctio i has bei. nu.i bvlh .Deparfineni ofCommun h Scnices.UrmrJ.InJ�nua.
�„ ���m -r�pm�t �, ��el1e Nolswoc-�h i i
Signa[ure of Owner or Authorized Agen[' Prmted Nam¢ Date
.. . . . . .. ......................................................� ,.............................................................,................................,,
REQUIRED BASE INSPECTIONS * '• � PERMIT FEES ��-(�j���jQ
*A'dditional inspeclions�ma��be.re9uired. i Piling / Revicav ' Re-Rcvie.+�
i Basc Ins�cctions _ ���'•00
: ❑ LowccPooting ❑ Rough-In, ❑ Firc
: Cert. of Occu��ancy� �� 2�� 0 Othcr
. : ❑ LlpNer Pooting ❑ Mctcr Rasc .❑ Foresiry � .
;�P:R.I.P.
� ❑ ❑nd rslab ❑ Final �Sitc� ; �
; � TO'CAL • a `U :
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