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HomeMy WebLinkAbout06020118 Application City of Carmel/Clay Township permit~:(P():2 () !IZ COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings STREET ADDRESS PHONE FAX BUILDER of RECORD: NAME L..e.~ CITY STATE BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT: PROPERTY OWNER: FAX .:t.s3-8o STATE ZIP &22-0 LOCATION 8< PROJECT INFO: BUILDING, PROJECT, OR TENANT NAME: (o",+ou P-> ~lcL>'\. STATE COMMERCIAL DESIGN RELEASE #: SCOPE(S) DF 0 FDN I\(' $fR rYARCH 0 MECH 0 RELEASE: 0 ELEC if SPKLR lITHER(S): ZONING: 871::,8 WATER lITlLTIY SEWER lITlLTIY PROVIDER:.:f \1\ PROVIDERC PLAN COMMISSION / B / BPW DOCKET NUMBERS; AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Roors: Elevator or Uft: c;:I YES '1( NO BLDG. CON$fRUcnON TIPE: OCCUPANCY CLASSIFICATION: B TYPE F UCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: l;lQ CO ~SEO FOR CONSn:;qcl\lffl?TRUCTURE Early Release Manufactured ( WOWhed(l>9sl>!\a.ls'1riCo ",'.' . ,.. 'E1 AOOIllON Permit: Y~ Trusses: _Y.)L..N and medicaI8fF1,te:SJce~t,~~" ' - ..Iu1 c:;iii r&IJu!n"l(Q)1sRoom{s) \.... ~rC!a!t)'~~: ,-I, ,u LCc.al , .";, 0 Porch Lot Split: _Y N Sump Pump: _Y ~N o ICN MTv ~l~ CL!r/i.i.~/U;'" :/fY ~''''.~E.9c\II'-''P..... Mezzanine or Deck Does any part of the property lie within a special Flood .... r~I~Y~'WIhc,~I:d9 , \ :.)Kr'REMODEL '.. \/ o School V/~..I CLA ( I.Glii'!'@VIjTENANTFINISH deSignation area. _Y....l:LN o Church INDIANA 0 'ACCESSORY BUILDING PLUMBING CONTRACTOR: FOUNDATION TYPE: (Chec~ all which 0 DETACHED GARAGE ~ A ~ ::1 h I .I " apply for the new construction area) 0 ATTACHED GARAGE ,V E~- f' ._~ "5 ~ a- py; ,,6-v \.!:=-- ~ SLAB 0 CRAWL SPACE 0 CELL TOWER (New) ~mis Indiana State License #: o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE O.~. ..... (or POST & PIER) WALKOUT:_Y_N 0 DEMOLITION -'l!!!" . ~. ' a 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, eruaJ::gement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application will comply witK and conform to, all ap~' cable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~ 289) and amendments, adopted under aut:hOrity of LC. 36,7 et seq, Gene I Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, an oor drains are connec;ted to the sanitary sewer. I er certify that the construction will not be used or occupied until a Certificate of Occ 'Ya S . omp/edon'has ~n i~sued by the Depar1ent of Community Services, Carmel, Indiana. / I V d ~/ l TY\()Jtho- -r;.:fqSk :( }) 1.0 (p thorized Agent ) \ ~ J- Y Print Date .. / OFFICE USE ONLY: ***** *******-"******************************************************** INSPEcnONS REQUIRED: ~j Filing Fees: I q "3 B . q ^ Base Inspections: . / q A , 5' 0 {Cert. of Occupa cy: / f) 3 , (J 0 \ .If' ,'6'12 L/"! . TOTAL.: / ~R;pJJj~:::: Upper Footing Lower Footing Under Slab ~ Meter Base ~ Site ~~~\~~(\J\~ 1~ ReviewedYApproved: Dept. of Community Services ~.\ S:PermIts/Foi'ms/ILP COMMERQAL # Charged Re- Reviews Additional Fees .1A"J.('((" (Date) Fee Received by: