HomeMy WebLinkAbout06030083 Application
\ CityofCarme/lClay Township Permit#: t)&0300~3
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8< Accessory Buildings
BUILDER of NAME PHONE FAX
RECORD: eASe.. ;vtA ,v
STREET ADDRESS CITY STATE
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BUILDER'S EMAlL ADDRESS BEST METHOD OF CONTACT:
PROPERTY NAME PHONE FAX
OWNER: 27-3~?-1
STATE
Drz. :r:,J
LOCATION SUITE # (If Applicable)
S. PROJECT ~ .3,t:u ~
INFO: Address of Shell Building (If different than Address of Construction) Lot # and Subdivision (If Applicable)
---- -
BUILDING, PROJECT, OR TENANT NAME:
0'
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A~
STATE COMMEROAL
DESIGN RELEASE #: -
SCOPE(S) OF 0 FDN 0 SfR 0 ARCH
REUEASE: 0 EUEC 0 SPKLR UTHER(S):
o MECH
o PLUM
SQUARE
FOOTAGE:
zs:.- 1(" .- 0
. '-'8Cl
/1A~A
tJ ':.r
"
Early Release Manufactured V
Permit: _Y ~N Trusses: ---;;cY ~N
Lot Split: _Y ~N Sump Pump: -c::y<-::~,
Does any part of the property lie Within:aj;~ia~~\ ~i.d\
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designation area: _Y ~N ~~, \y \0~~\
PLUMBING CONTRACTOR:;:;i!";, ~~/ :\\J \
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Plumber's Indiana ~~~j:i\lll>nse\\-~ ...../. /
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dass I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) ~g expiratio e frames for
beginning and completing construction. ~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any chan in t se 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 Ordin fof Carmel Indiana -1993" (Z~
289) and amendments, adopted under authority of I.C 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
Occupancy or S rial Completion has been issued by the Department of Commumty SelVlces, Cannel, Indiana.
. ~, ,!-hULJ;r: ~~
of Owner or Autho . eel Print r
/------------,
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OFFICE USE ONLY: ******* * ******/~/****** *********\'** ** ********* ******** **** ****************
INSPECTIONS REQUIRED: / II YI { / Filing Fees: "I '3/. fA -;;t,
o 0 I V ..11 I L7 617'\
Upper Footing Lower Footing Undl'r Slab I'J- ItO Base Inspections: / 7'" v
~( . !1v / . D
Meter Base~. Site -/{cywl P.r <J1t. ,Of o~ccupanCY : /03, 0
U'" ~ TOTAt.-:-:7
. . .I'ffi /~;?;V
ReView Approved: Dept. of Community Services (Date) / Fee Received by'
S:Permits/Fo sJILP COMMERCIAL .
SEWER UTIUTY
PROVIDER: C~~
\.lC't\O',\
# of Floors: I NQ;O "': . ~
E OF STRUCTION' \..€.p..S ~\';l\'PiPE'o~.IMi>'R~y~iG. u\?
COMMEROAL . eel. \0 C~l3o\.e o:r6.\-~~sVi.'~lrni~S~'
(Plivatelyowned h~~\ 0\ s. 000\VAPQiiiiI'N'\'0"
and medical offices/centers -<' Ot- C <o\..1 leY. Room(s)
are commerdal) O€.? \ p..?,.N1<- rU'IIp.""rch
o INSTITUTIONAL ."r"J_ Ot- C ~\'tJ Mezzanine or Deck
o MunicipaI/Pub(!!;'I'IU!J REMODEL
o School 0 NEW TENANT FINISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
ri SJB~ ~. CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO.LOCATE
(or POST & PIER) WALKOUT: Y N 0 DEMOUlJON
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
WATER UTIUTY
PROVIDER: Gf.k!..M~-
ESTIMATED COST OF CONSfRUCIlON:
(EXCLUDING LAND VALUE)
11, t'J 0 0
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
:g ~d };/r
Dati I
# Charged Re-
Reviews
Additional Fees