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HomeMy WebLinkAbout06020114-Application I City of Carmel! Clay Township Permit #: 0 (p 0 -:J.. 0 Utf COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings BUILDER of RECORD: NAME (I L' ;1 , PHONE Q rnQ{lM-G LOYJ'iltLu'.j1fu 31/-7/0.-S'101 FAX 317 - 7310 - VO 17 STREET ADDRESS O'6r 3 f~ . 3S7J fJ BUILDER'S EMAIL ADDRESS ((ca. mOIL/US) i'Y\ O(UU .s. (l J).-V) PROPERTY OWNER: NAME - rJ I' ~ 'Ke.41 +- l:1eCM- 3gA~~+L V}\u.'Ldliw $.f €.cL :/JJ(J D ' LOCATION &. PROJECT INFO: Address of Shell BuildIng (If different than Address of Construction) '-S WATER UTIUTY PROVIDER: SCOPE(S) OF 0 FDN 0 STI< RELEASE: >'J ELEC 0 SPKLR SEWER UTIUTY PROVIDER: PLAN COMMISSION ZA / BPW DOCKET NUMBERS; AND/OR COUNn' WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Roars: Elevator or Lift: Q YES j:ItJ NO BLDG, CONSTI<UcnON TYPE: TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: 'K'C. &<j)f'tlM.f'{l.Q.II!. 0 NEW STRUCTURE ~s ....~~iA!ly:;;Wn~d(iibsliOONSTRUCTD.I\DDmON ubJ8Illt'1'~~,~~s!cen.ters " IUN 0 Room(s) are Wfl1~!:qa~),:I,"i:!~~e With all roguJations 0 Porch COENSTIl'tmONAL,:.,ld Lc'cel Corjp" - 0 Mezzanine or Deck PffJOiiUnltiPA't~,~~tq.B!1~y 0[/ ~REMODEL CIlY -. r,. - \ 'J..RVI NEW TENANT FINISH ~ ~~vlEl / CU, ( TOW I.rIlCCESSORY BUILDING FOUNDATION TYPE: (l:;Ij~II'W'J}"(hich 0 DETACHED GARAGE apply for the new construction area) 0 ATTACHED GARAGE ~ SLAB 0 CRAWL SPACE 0 CELL TOWER (New) /0 POST & BEAM 0 BASEMENT 0 CELL TOWER CO'LOCATE (or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON OTY . rt:c./. ;....'UJ/U STATE ..rxJ ZIP Lib! .3 / BEST METHOD OF CONTAcr: /10-5901 ~L. PHONE S/'l--$ DO FAX 'S' -~o5" OTY .:pJ STATE JYW ZIP 4fP ;W t.~ Cl)r~ f>l SU!fE # (If Applicable) 7/"v't .. Lot # and Subdivision (If Applicable) TAX MAP PARCEL #: /A ?v4 t) () CJ OCCUPANCY CLASSIFICATION: PROJECT INFORMATION: Early Release if Permit: _Y.6,LN Lot Split: _Y)t;.N Sump Pump: _Y KN Does any part of the property lie within a special Flood designation area: _Y Lf.~ PLUMBING CONTRACTOR~ efl-l _ _ .,UO Plumber's Indiana State License #: p ~~ 2!?'7/~(, Manufactured \/ Trusses: _ Y .5...N Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~ 289) and amendments, adopted under authority of LC. 36~ 7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Oc~if~cy or Substanti'" Coo:f{ction has been issued by the Depar~nt of Community Setvic~ Cannel, Indiana. I::!f:Y::. ~ ~ ..JJ.11U1.e...IA. A J-J!!. u-r- L. -2.2 -0 ~ Signature of OWner or Authorized Agent Print Date OFFICEUSEONLY:************************************************************************ INSPECTIONS REQUIRED: Filing Fees: '5' 06 .. 5'(; J a '? r-o # Charged Re. Upper Footing Lower Footing Under Slab Base Inspections: I f"- . -J Reviews ~ Meter Base e Site Cert. of Occupan / tJ "3.. 0 CJ ~ - tQl TOtAL-".~ , 11lT1\.J) (lK\r~~ ,-=P~. P'r. 200(, /~~-dt2Y~d~ ' Revlewed/~pproved: Dept. of Community Servlces (Dale) Fee ~ecelved by' .v S:PermIt:s/FonnS/UP COMMERCIAL . Additional Fees