HomeMy WebLinkAboutRise - Improvement Location Permit Application. ��S'� � �4�.. \
''�'_$`"'� C�TY OF CARMEL / CLAY TQWNSHIP PERMIT #
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COMMERCIAL/INSTITLITIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
��� _�,�oi�,wo, .� For [Yew 3truetures, Additions, Tenant Finishes, Remodels, and Accessory Structures
BUILDER NAM PHONE FpX
o� ' 1?- 91- 3 7-99 '
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R�CORD EET ADDRESS C �A�E �P
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E-MAIL ADDR�SS BEST lNETHOD OF
L'�- d ACC�I GN"'� �GU�`� CONTAC{ �pm�! �
PLUMBINC�r NAME S7ATf OF IFlDIqNA
CON�1'RACTOR %i ��� GfYY7 [.1 Yi LfGErISE kUMB�R �G ) n %�
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PROPERTY NAME PHOPIE FAX
OWNER �i1C ro rf'r�s LL C _ -��3p
STRE�T ADDRE55 CiTY STAF� �p
�Z�1 /V. r�r3sc IvGn��a �-, �'-f� 0� �i'j��anu l�s N �-/�o? �
PRO��CT ��a]�CT OR TENANi COMPLEX APif]/OR BUILDING MBEit QF FLC?ORS ELEVATOR
LOCATION � 0 � ��Q
STRE pU�RESS, INCLUDING SIlIiE NUMBER CTTY STATE up
ct' /`Y1 ,^i 1� r� �: �[ rvnP � 1 N a
HAMILTON COUN7Y PARCEL NUMBER ZONIIYG FLOpp 70NE/S
- �a� --o�-l�a-oo5. o00
LOT 5PLIT SEWER UFILITY WATER k1TILITY SEWE1tJWATER ��J'C�' �.,3 (3 ��,,, �r ! i�s
� Y�S �Nd UTif.iTIES FJCCAVATO
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1
'�P� 0� TY� OF CdNSTRUC7ION Number of Units
PERMTT �COMMERCEAL ❑ INSfiTi1110NAL-❑Municipal / Public Suilding � School ❑Church � MULFI-pAMILY
EARLX iZELEASE E OF IMPIiOVEMENT
0�S ��d �NEW 57RlJCRJRE C� NEW TENqNT �lNLSH C3 ATFACHEq GARAGE ❑ ACCESSORY B3IILDA[G ❑ CELL TOWER
CI AD�ffION - ORoom�s �orch Opeck ❑ REMO�EL CE DETACHE� GARAGE C7 DEMOLIEIQN ❑ CO-LpCATE
PRO.�ECT P�N COMMIS5IpN � BZA / BpW DOCKET NUMSER�S AN�/OIZ ESTIMA7�p CDST SQUAItE FOOTAGE
TAC pATE/5 OF CONSTRUCTIOAI, �
�xC��DI�� u��� /, 540� OOO.00 � dD C�
PDF PLANS �OF FOUl�IDATION NlANttFACTURED SE1MP pi1MP PORCH
� CD � E-MAIL LI SLAB ❑ BASEMEM -� WALK-OUT TRUSSES ,.,,� ,�,/
❑ CRAWLSPACE � PO$T & BEAM ❑ POST & PIER ❑ YES NO � YES L�i NO �] Y�S l.� NO
Si'AT� QF CDR NUMBER RELEASE DATE CONSFRUCFION TYPE OCCUPAN£Y CLA55
INDIANA ] O i I~,� SPK -02
CDR SC,�O�PE OF RELEAS�E/' � HpOQ TYPE OF REL �
IYJ FDN �STR L�J ARCFf �EEC C�MECH �UM SPKLR ❑ OTHER s f'a ��Q r�
Class I structure permits are subject Yo the State of Indiax�a Genera� Administrative Rules (GAR 675 IAC l 2) re�arding
ex�iration time frames for beginning and comPletin� construction.
I, the undersigned, agxee t�tat any construction, reconstruction, enlargement, relocation, or alteration o£a sCruciure, or any change in the use of land or
structures re��ested by this appiication will comply with and conform to all applicable laws of'the State of ►ndiana and the Carxuel [Ini6ed Development
Ordinance (Z-62;-17) ��d amendments, adopEed under authority oFLC. 3Cr-7 eE seq, General Assembly oF the State of Indiaaa, a�d all Acts amendatory
thereto. I further [eMefy Yhat p y kitchen, batk�, and floor drains are coanected to the sanitary sewer. I further [ertify Yhat the consYruction will not be
used or occupied unti cctt�ancy or oFSubstantial Com�ledon has heen issued by the De�artment o!'Comnnunety Services, Carme[, Indiana.
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Signature er or orized Agent � Prsnted Name Dake
�. _ � ---------��-..---�---�-----� -...---•----- � ----�- -....--�----------� =
= REQuIRED BASE INSPECTIONS * -= PERMIT FEES =
* Additional inspections may be rec�uired. ' Filin� / Review Re-Review
: Base InsPections
" � Lower Footing ❑ Rough-In ❑ pir�
; Cert. of Occupancy Other
0 Cipper Footing 0 Meter Base ❑ Forestry
= P.R.I.F.
❑ Underslah ❑ Final ❑ Site
TOTA�.
e Revicwed / Releascd - DePariment of Community Serrices Date Fee Receivcd_ bepartment of Community Services Datc
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: erm:tslFarsnslAppl2ca[ion5lResidentvaiVl.PAppliwtionl2018
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I.ast Updated 17J2017