HomeMy WebLinkAbout06030227 Application
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'City of Cannell Clay Township Permit #: f)~ 0302'17
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
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BUILDER of
RECORD:
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PHONE
FAX
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STATE
ZIP
ST METHOO OF CONTACT:
2....<f I - l'a ,'l
PROPERTY
OWNER:
FAX
-C5 / /
STATE
ZIP
V?:o
LOCATION
8r. PROJECT
INFO:
STATE COMMERCIAL
DESIGN RELEASE #:
3D
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SCOPE(S) OF 0 FDN
RELEASE: ~ ELEC
o STR SI. ARCH d.... MECH
o SPKLR OTl1ER(S):
~
SQUARE
FOOTAGE:
2-'-140
BUILDING, PROJECT, OR TENANT NAME:
TAX MAP PARCEL #:
WATER UTILITY
PROVIDER: C~W\EL
SEWER UTILITY
PROVIDER: ~~L
EsnMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) II
PLAN COMMISSION ( BZA ( BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
BLDG, CONSTRUCTION TYPE:
# of Roars: /
Elevator or Uft: 0 YES ~ NO
OCCUPANCY CLASSIFICATION: )3, fl6rVJ
PROJECT INFORMATION:
Early Release " Manufactured
Permit: _Y ~N Trusses: _Y ~N
Lot Split: _Y '-""1'l' Sump Pump: _Y...J<::::N
Does any part of the property lie within a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
;t..-.~1cA fJ'/col1,w,J S(l'v/C....~ :JNc
I
Plumber's Indiana State License #:
-PC \02 <96.3'6
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
)>>s O'Ic:~n' 'CT" \P,I
CO SF'D FOR C \' v I "8 NE\'iSIRUCTURE
_~~d !!9:~PJ~I~i;)'1;':O 'N\th s\\ r13JuIADDmoN
ana~toffltes;cenlers",'. _ _' ., "-If'" 0 Room(,)
arecommerc~1) ~,tat[; ~J;'i':j d--,C,,;! t.JU'-"~' g~cPorch
o INCTrn,"~N"i' ." ..,1'" C"ci'!V'I-"
"d)uw("". r~'I-"r;: ('r}t\;~I'Jl,,-.)~'.,11 'I "')'-- . ',' 0- ~nineorDeck
l'I nlcipal/PUti1ic Bldg I r' ' Y -I D' \REMJ:JDEt
8\1S(:t@>F CARMl:L \AA 't8/ NEW TENANT FINISH
o Church Ir1DIAN,~ t5 ACCESSORY BUILDING
FOUNDATION TYPE: (Check al which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
)::::l. SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION
Class I structure pennits 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 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 Certi/icate of
OccuFII"cy ~L'iJlI;;:;:;;:j;"=tion h~been i"ued by the Department of Community Se";',/" Carmel. Indiana,
~ ./ ~ , 73/ZAD &ABL~ ~-3/-et:.
Signature of Owner or Authorized Agent Print Date
Reviewed/ prove Dept. of Community Service
S:PermIts/Fonns/ILP COMMERaAl
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OFFICEUSEONLY'*********************************************************
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INSPECTIONS REQUIRED: tJ Filing Fees:
Lower Footing Under Slab ~\~ \Oll Base Inspections:
Meter Base ~ Site Cert. of Occupancy:
# Charged Re-
Reviews
o Additional Fees