HomeMy WebLinkAbout06070092 Application
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City of Carmel/Clay Township Permit #:O!a{) 100 ~ ~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory 'Buildings
STATE
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FAX8
17-036;1,
ZIP
o g;;(
BUILDER of
RECORD:
~- COf\J5T4LlC
PHONE
0",1 LLC
-03/:'0
ZIP
03;;2
LOCATION
S. PROJECT
INFO:
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SUITE # (If Applicable) :300
Lot # and Subdivision (If Applicable)
TAX MAP PARCEL #:
ROJECT OR TENANT NAME:
,',- 'v "1i V
STATE COMMEROAL /}j I'} 7
DESIGN RELEASE #:..:J ..<
WATER lITllITY C
PROVIDER:
r
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; I\Nl1/~J .. O(\s
COUI'ITY WELL AND/OR SEPTIC PERMIT #'S (If ~~,,~): '0'0'0\0"
# of Floors: Elevator o,~ ,j\\:, _~Q.e~.' ~~~ UmON TYPE: OCCUPANCY Q.ASSIFICATION:
TYPE OF CON :;:,((\?\:"O \_OCP\~~~~PRaVEMENT: PROJECT INFORMATION:
)lli COMME ''00\\0, <0;:0,\'0 \;JI\;JIIj1;-\C~G:j ~EW STRUCTURE Early Release Manufactured
(P11val<1i' ed hdSP~IsCO ,\ ADDmON PermIt: _Y _N Trusses: _Y ~N
and medical offlceslc2nte" ~\2..\- ~ 0 Room(s) ,J
arecomm~J(\ ~ Cl>-?>' ~\)\!>' _-,,-O-Eorm Lot Split: _Y.1LN Sump Pump: _Y ~N
o IN~~~<;ltc Bldg '\ r ~~u'J ~~~~ITI o.~~ ~s an~ part of the property lie within a special Flood
o sd"lllr '1I~lr~'''~ ~_'oo_, _'i.
o Church '[ ACCESSORY BUILDING PING C NTRACTOR: l20N I4NDI:.t2sl.ltV
FOUNDATION TYPE: (Check all which 'DETM~EllI~9i1II16 ., ~ 1\
apply for the new construction area) d:i ATf7..'thEDIGA'AAG~v eeL l-I/~( c. L. '1f"JL.
;8i SLAB 0 CRAWL SPACE ctl, CELL TOWER (New) ~ ber's I iana State License #:
o POST & BEAM 0 BASEMENT 0 rTOWElfCO'l'OCATE I 0 / ' I
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLITlON l:;1
SCOPE(S) OF 0 FDN 0 STR ~ ARCH ~ MECH
RELEASE: 'iii ELEC 0 SPKlR OTHER(S):
SQUARE
FOOTAGE:
/L/3Lf
ESTIMATED COST OF CONSTRUCI10N: <;( 1'1 / .1
(EXCLUDING LAND VALUE) r 10< Co O{S
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, 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 - 199r (Z~
289) and amendments, adopted under authority of I.e. 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
Dc u c Substantial Completion has been issued by the Department of Conununity Services, Carmel, Indiana.
IlO) trIrCN/k:l. (:). C'[)e"f} 7- i/J-Ob
Signature of Owner or Authorized Agent Print Date
Site
Filing Fees:
Base Inspections:
Cert, of Occupancy:
TOTAL:
Jtl>f., - J.. .
/) Fee Recelv~~h
# Charged Re-
Reviews
OFFICEUSEONLY:***************************************************************
INSPECTlONS REQUIRED:
Upper Footing Lower Footing
~
Under Slab
Additional Fees
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