HomeMy WebLinkAbout06030192 Application
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City of Carmel! Clay Township Permit #: [) re 0 .?:o (j A
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
NAME V
I~e-
~-.r;.,o.
PHONE
~1'1-::>-'t'l- 1'71"(
FAX
r; 7 <{-.2 "Ii - 37 'f'f
PROPERTY
OWNER:
STREET AODRESS
004"" us. .$( :;.v
BUILDER'S EMAlL AD~RESS
blILM @ Vl~ ~ D,",-a,ll~.=__
NAME
$'1<1-'" &'TLoup
OTY
SoLiT)./ '/!,l5rJb
STATE
7lJ
ZIP
" l f-
BEST METHOD OF CONTACT:
PIh:>..rF
PHONE FAX
BUILDING, PROJECT, OR TENANT NAME:
~o
STATE COMMERCIAL
DESIGN RELEASE #:
-:r/f/tJ/;WM~~~;/Yf:;''!,'j,6i'" '"
SCOPE(S) OF 0 FDN 0 STR '1'1. ARCH l' MECH )l<, PLUM SQUARE
RELEASE: ~ ELEC 0 SPKLR 6THER(S): FOOTAGE: g / ;r]; 0
SEWER UTILITY /<' ESTIMATED COST OF CONSTRUCTION:$'
PROVIDER: . (EXCLUDING LAND VALUE) { t!) 0 I o-1J '"
,~,----J
STATE
IN
ZIP
1-b::Lolf--
LOCATION
& PROJECT
INFO:
STREET ADDRESS
{f .s-
ADDRESS OF CONSTRUCTION I If5'=( W c.J.
Address of Shell Building (If different than Address of Construction)
WATER UTILITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIFlCATION:}n IC. ~
TYPE OF CONSTRUcTIoN:' ,c,~; n' 'c.'/rYPE:OFIMPROVEMENT:
p{ CO~~v~~~~~e11~;:;;~~.,,,.~~,.-~g=111~~~~CTURE
and medl~,I(qif!~centers ! OJ \ Roomes)
are commerd., al),'\ \ MAR 2 8 2006~ i Porch
o INSTTIUTlO~L \ 1 ~ Mezzanine or Deck
o MuniFlPal/.P~bIiC Bldg EMO EL
o School - J5<f NEW NANT FINISH
o Chu'fh ORY BUILDING
DATIONTYP ,i ,., ,.." !"r?0;DETA€IJIW\t;iA.RAGE
applyforthenew . n'afea)A. ,-",,1'0' ATIActiEtl'GARAGE
~ ~~ & BEA~lr~iw~I~';:L'~~;~I:I~~:g~~':~~~~~~TEr'~~;~~~;~:~~;~:7lff
(0' POST & PIE~EIW1i,w"tJl8Gf\,Yrv1L'Nmr;a ::1?.EMQtmQlS ~
dass I struc s J:) ~ !rd-'tMe b'eil'~M AWnid'i ~ es of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
I N DIANA begllming 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 Cannel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.G 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and flQQ~ drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
ancyor Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
ignatu,re of :wner or Autho . Agent p~!Z-1 A-N I.A H.-P....A...y
PROJECT INFORMATION:
Early Release Manufactured
Permit: ~y _N Trusses: _Y K N
Lot Split: _Y l(.N Sump Pump: _Y v:: N
Does any part of the property lie within a special Flood
designation area: _Y_N
PLUMBING CONTRACTOR:
-::r M':f- M.cctl-A-N, CA- L-
i3tt I~~
~. ,..... ,..
i
3 /:2.l' / ~{,
.
Date
OFFICEUSEONLY:********************************************************!1**************
INSPECTIONS REQUIRED: Filing Fees: / (J () t-f, 6' u .
, / Ci' -, :PI # Char{Jed Re.
Upper Footing Lower Footing Under Slab Base Inspections: '/ " . -5 U Reviews
Meter Base ~ Site Cert, of Occupancy: / /J -3 t t:) 0
300. 00
{Approved: Dept. of Community Services
S/ILP COMMERaAl
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