HomeMy WebLinkAbout14060055 Application .. `V M C.1q6E \
��'"'"`"`"�` CITY OF CARMEL / CLAY TOWNSHIP PERMIT # (`I o600Ss
COMMGRCIAL/INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
ixm;x> For Nc�v Structures,AddiCiuns,'I�cnant Pinishes, Remodcls,and Acccssorr Struclures
BUILDER NAME PHONE FAX
OF C.RG S eD5o1J3, U..f� 'LS�j_`�OO 31'1 �
RECORD S7REE7ADDRE55 CITV STATE ZIV
805 C�y Cen�er Dr S+e�l�o Car►,eL I,.1 4�0092
E-MAIL ADDRESS BEST METHOD OF
3t�v�debarfel5@crUrurotr��al..ack �ONTACT 31'1 515•9'l00
PLUMBING NAME STATE OF INDIANA
CONTRACTOR LICENSE NUMBER
PROPERTY NAME PHONE FAX
OWNER Se�soNs of CarMeL LI�C ��� BV�S 4 i'1 I
STREEf ADDRESS - CITY STATE ZIP
3-►55 �• SZ"'� st ��, �ps in� ��z�o
PRO]ECT PROJERORTENANT COMPLE%AND/ORBUILDING NUMBEROFFLOORS ELEVATOR
LOCATION SGDSons o� Carr,EL D L 3 dves o No
STREET ADDRE55�INCLUDING SUIfE STATE ZIP
48t5 �.1. WeSf'f�c tve '(.ar It�1
HAMILTON COUNTY PARCEL NUMBEH Z FLOOD ZONE/5
Y/� y8t5_Se _I,JI��d'=f�-2014 p
LOTSPLIf SEWERUTILI7Y } W�sATE UTILITY SEWE /WATER
❑ YES ❑ N0� �CTRWD C"y V\ � g ��yL�IQS UTIL ESE%CAVATOR WQ1L� (�_N�
Il LA
TYPE OF TYPE OF CONSTRUCTION c U Number of Units
PERMIT � COMMERCIAL O INS71iUTIONAL-❑MUnlcipal/PUbf[ ' ��'4[�ool`�urch �MULTI-FAMILY _�Q_�_
EARLY RELEASE �TYpy,COFIMPROVEMENT ��p�yWl
❑ YES ❑ NO '�""W STRUCiURE ��f�I�ORIPSI51�` ,.6�4�A ({A E ❑ACCESSORY BUILDNG ❑ CELL TOWER
❑ADDI710N-❑Room/s Q�orch ODeck ❑ RE91�15@C S�g�e HP �j,}� ❑DEMOL[TION ❑ CO-LOG4TE
PROJECT P�N COMMISSION/BZA/BPW DOCKET NUMBER SQUARE FOOTAGE
TACDATE/5 1z�2oo�s �wtS �EP��� RME RUCTION, _I�Q7V)0�� �7,48�f
DING LAND
PDFPlANS TYPE OFFOUNDATION UFACTURED SUMPPUMP PORCH
' �CD ❑ E-MAR � SLAB ❑ BASEMENT-❑WALK-OUT TRUSSES�/
❑ CRAWLSPACE ❑ POST&BEAM ❑ POST&PIER L�i YES � NO ❑ YES �NO �YES ❑ NO
STATE OF �DR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCV CLA55
INDIANA 370"/7! `f�li�l'� V-A SPK
CDR SCOCE OF RELEAS�E/ ,�/ ❑ HOOD TYPEyOF RELEASE•
❑ FDN�STR L7'ARCH LI ELEC C�MECH C�PLUM ❑ SPKLR ❑ OTHER SI D
� �
Class I structure��ermifs are subjecl Lo thr.Slate ofindiana Cc:neral Administralive Rules(GAR G75 IAC 12) re�pardin�
es�>iration time frames for beginnin�and com�Ieting conslruction.
1.[he undersigned,ayrM�hal anv cmistrncliun,recm�struclinn,onlar�.omenl.relorntion,oraltera�iun nl'a sVUaure,or anr eLanKe in the use ul'I�nd or
+Iruc�ures reyuealed bc thi.a applicatiun�rill cum�ek�vilhand conlixm to all applieihle laics u(the S�ale uf InJiana an<I lhe"%unin�Ordinanee.uf Carmcl
Indiana-1993"('/.-2NY)and amcnJmcn�s,aduptcJ imdrrauthnrily of I.C.3G-7 c1 sry�Gcncral Asscmbh�nftl�e Statc of Indiana,anJ aIl�Acu amcndalorv
lherelo. 1 fur�her ce i(r Ihat unlr kilcheq ba[h.anJ(loor drain>are connected lo the sani�arr se�cer. I further certifv Ihat the construction w�ill nol be
uned ur -ni ' I I a Ce ' �i:�te ofOccu��nncy or ol'$ubvtantial Completin �hav liuen issued b�'�6e Depart�nent nl'Communilc Sercicer.Grmel,Indiana.
�'�F4 A� L.+,,vm�.�.��etr�c..s ato o� ig
' vat repf wnera�A -rzeAAgent PrintedNam Date
�............................:....'....................................................., ;.............................................................................................,,
RCQUI�RED BASE INSPECTIONS � '• PERMIT FEES p
*Additional in"s�>cctiuns mac bc rcquircd. : Pili'ngJ Rcricw 'f'r 3?,$OD.fd Ro-Rcvic�v
t Ba9c InS��cClionS �� /•0�
: ❑ LowcrFoolin3 � RouSh-In � Pirc : Ccri. ufOccupancy p60y.00 Othcr
: � U���cr Footin� ILX Mctcr Bisc � Porestr��
� P.R.I.F. P�-�5tPgRAZ�
� � Undcrslab I� Final Site
� TOTAL y6 �l$, 0
�,vm�� �,� G-�.4-!4- '}�i : . . r
i.R: 1 Rcica;.i..l).part.n..nt.dCommunihli.rkes Datc : : IccRc � 1 Dcpartmcm��ICommu..t.1...�..................................Dat.....,
................. .............................................. �.................................
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