HomeMy WebLinkAbout06030094 Application
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City of Carmel/Clay Township Permit #: tv ,
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, s.. Accessory Buildings
BUILDER of
RECORD:
U/
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STRE.-JJ ADDRESS
.J-8 0 E
FM
01Y
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STATE
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ZIP
BUILDER'S EMAIL ADDRESS
BEST MffiiOD OF CONTACT: /'
V 7 -7 ?-/ p
8/,b 77 8
PROPERTY
OWNER:
PHONE
@ ,,<<elt ItJ//tArlbu&? 5 U C
STREET ADDRESS CITY
!t.1 t/.Yc tJLo55 Ikt-J
ADDRESS OF CONSTRUCTION ;e l?
~O/ IV !05
Bo
NAME LJ
'rI
LOCATION
&. PROJECT
INFO:
Address of Shell Building (If different than Address of Construction)
Lot # and Subdivision (If Applicable)
o ARCH
OTHER(S):
MECH
SQUARE
FOOTAGE:
ZONING: TJ
SS:&<:i /::J-/
WATER UTILITY
PROVIDER: / we
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
ESTIMATED COST OF CONSTRUCTION' ,
(EXCLUDING LAND VALUE)
~
# of Roars:
Elevator or Un:: YES 0 NO
BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
rst' COMMEROAL 0 NEW STRUCTURE
~~~:~~M~ CONSTRCTdP~~~om(s)
o IN;i;~l:\;~'~~J~~;hc~~~~:~~~~:nlne or Deck
l':1 Sc/Jobl'r ll'jM!\iJU~}lrY SEBlJINfMlfuNANT FINISH
OIJYc6JIRtCARMEL~~'UN T(liil!~q.~~RY BUILDING
FOUNDATION TYPE: (Check,a)l,lIlI . 0 Dl:'tACHED GARAGE
apply for the new constructioWltri . A 0 ATTACHED GARAGE
'Kf SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
/0 POST & BEAM 0 BASEMENT tlJAI 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y~N 0 DEMOLmON 0
dass I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) r . ~pii:ili'Oi' e !f~2foi\~ \)
beginning and completing construction. <;fa,/.'" I 1-""
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or~, gdn the use of la structu
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning:<(~ ce of C~I ana - I " (Z' /'
289) and am, endments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amt;:.~\l~.t there'+-'<l'further Bfy that
kitchen, bath, and floor drai are connected to the sanitary sewer. I further certify that the construction will not he used'~ . d until a . Ocate a
Occu c S bs . pJetion has been issued by the Department of Community Services, Carmel, Indiana. ~
.., S7U;?/c/ /l. , ,cr?...e '/3 - tl ~
. na ure of er" A thorized Agent //--- Piint,,\
I \
OFFICEUSEONLY:****************~**********\********************************************
INSPECTIONS REQUIRED: I t ~ . 3/1 ( Filing Fees: /5 Off. 00
. . \...Y' 7 J 0"" ~O # Charged Re.
Upper Footing Lower Footing Under Slab {J :UcJ Base Inspections: /./ ^ 'vI ReVlews
Meter Base @ Site J!.;/ Cert, of OCCUP/cy: 11 Lfa~' ~~ Additional Fees
TOT~$~ ('fJ]"7.7 /L
Reviewed/ proved: Dept. of Community Services ;.:;: 2-/~ i' ~
Fee ReceIved by:
S:PermIts/For S/IlP COMMERCIAL
ROJECT INFORMATION:
Early Release 7' Manufactured~'
Permit: Y N, Trusses: Y N
Lot Split: Y:::;;;; Sump Pump: _Y ......,.,
Does any part of the property I~thin a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
/) L. Ct9t?/,e:-fi?
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