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HomeMy WebLinkAbout14070074 Application �'��q�ei i� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # 1yo70o�`1 COMMGRCIAL/INSTITUTIONAL IMPROVGMEN'C LOCATION PGRMIT APPLICAl70N �xm.x� For Nc���Struclures, Additions,'I�cnant Pinishcs;Remodcls,and Acccssorc Structures BUILDER NAME , PHONE FAX oF Ri� so� � l 3��- 31�-�y�,�5 RECORD STREET ADDRE55 , CIfY S7A7E ZIP ts3b Fr ott�� w faR.�n a��0 �� �Il,��-l�3 E-MAII ADDRE55 BEST METHOD OF ; � A 1�c SCrl Com n1 e.�G�v � . Ca NL CONTAR .��-�, 3 i S' -7 � �(� PLUMBING AME STpTEOFINDIANA CONTRACTOR GX �Z�� LICENSE NUMBER '�� ` �(�a O Z PROPERTY NAME PHONE FA% OWNER H 1 ✓� �i?- �S6 -Z a0U STREET ADORE55 CITY STATE ZIP o � � ��h� ���w;q �-� �, �,.� ��� ��zaa PRO]ECT PROJECT OR TENANT COMPLE%AND/OR BUI DING NUMBER OF FLOORS ELE�VATO LOCATION 1�� E2 ,j � YES ❑ No STREET ADDRE?�5,INCLUDING SUITE NUMBER �'�� CITY STATE ZIP 0 Z b 1 `'l f'Q n,.s �y Q K t a {�c �L c"' �"-�.'�-�I `��1 `Y lP Z O � HAMILTON COUNTV PARCEL NUMBER ZONING� FLOOD ZONE/5 LOTSPLIT SEWERUTILTfY WATE0.UTILITY SEWER/W � �C ❑ YES ❑ NO UTILIRES O 'TYPEOF TrPEOFCONSTRUCfIO�bJgG�fOGORlp�l2lICCwIlfl2�IfCell�3�1005 ��� NumberafUnits PERMIT �ERCIAL ❑ MSTITUTffiA8t81C�teLQllt��SPUbIi[Building ❑Sehool hureh ❑ MULTI-FAM LY EARLY RELEASE TYPE OFIMPROVEM �^ °'" � YES ❑ NO � NEW STRURURF��7�/q�� /��g�,�C'IYI {�F�f�T��1(y{$�i ❑ AT-fACHE ARAGE ❑ACCESSORY BUILD � CELL TOWER � ❑ADDITION-ORbrJmiyUlPtlr�RlLlllDFAC Of�ll'���Jf71I" ❑ DEfACH MM ❑ CO-LOCATE PROJECT P�N COMMISSION /BZA/BPW D BER(5 AND/OR ESTIMATED COST SQUARE FOOTAGE TAC DATE/S OF CONSTRUCTION, EXCLUDING U1ND 9 7 a d o 3 3 Ql7 PDF PLANS TYPE OF FOUNDATION MANUFARURED SU P VUMP PO CH O CD ❑ E-MAIL � SLAB ❑ BASEMENT-❑WALK-OUT TRUSSES ❑ CR4WLSPACE ❑ POST&BEAM ❑ POST&PIER ❑ YES O NO ❑ YES O NO ❑ YES ❑ NO STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLA55 INDIANA �]2 �CD -7 Q� �y l/-� SP(� � c� CDR SCOPE OF RELEASE ,,_// ❑ HOOD TVP OF RELEASE ❑ FDN❑ STR O ARCH�C LI MECM PLUM ❑ SPKLR ❑ OTHER S�/ri..l DW'�Z� Class 1 structure permits are subject to the State ol'Indiana General Adminisirative Rides(GAR G75 IAC 12) regardin� c��>iretiun timc. frnmc+for bcbinnin�and com�ilctinb consiructiun. I.�he.under>i�ned,agree Ihat am�conslructiun.rrcouslructiun,enlar�emenl.rclocalion.��ralleration ul'a ntrucWre,or anv chan�.e in�ho usr nllanJ or strueLUres re��ue.e�ed ba ihi.n��plii7tiun will c�m�h'�vi�L nnJ cunform in all appli zLlc law.�ul'16c 1r.ilr ul'Indiann and Ihu"Zonin�Ordinance ofCanncl Indiana-14i 1"(%-289)anJ amenJmcuu,adu�rted unJv.r aulhuritc ol'LC. ih-7 et eey.Genrral Assembl�'ul'Ihe Slate of InJiana,and all Ac1.amendaturv Ihereto. I ILrlher eerliPo thal unlr kilchen.bat6.and Iluur drains are comiecled[o t6e ainitarv xwer. I further cer�i(v ihal the construcliun will nol 6e uu�d c iivd until a CeI/licate o(Ucai�ianc��ur u(Sub.lanlial Cu�n�ile�i�n has been is{s�ueJ br U�e De�iartment ofC�mm�unih'Sen�iae..Grmcl.InJi�nn. i�--� v{MV -/ t`�I�! ti. l' �� S ?'��" �`� Signahre o wner or Authorixetl Agen[ prinled Name. Oate :......................................................................................y ,..............................................................................................-. REQUIRED BASE INSPECTIONS * '• PERMIT FEES *Additional inspcction�ms�� bc rcc�uircJ. : filin� / Rcvic��� � ' '�� Rc-Revicw [ Basc Ins��eclions 7i3 .�� t ❑ Loas'cr foolin�* � Rou�h-In ,� firc � Ccrt. ofOccu��ancy �$.Ob pther : ❑ U����cr Puotin� ❑ Mctcr 6asc ❑ I�orestr�� �� ' P.R.I.P. � ❑ Undcrslab � I�inal o s��, �13'l6 •Su � TOTAL � : $��,�,�7��5 ►a� ,�u -�—a 5--�� ; ii � . � iiiii..: i o.�..�.... � i'�.........n�s. ...:................o��,• i-.�i�. �y,�„i�n� ��„ ���_ � :... ,........ .......................... ................................................ .nid�+�r'mnn�npplicm4�naec,Iacnuan�Lr npprcid�n�couun Lni u�nLiirl u�nW V