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HomeMy WebLinkAbout06080080 Application CityofCarmel/ca Township . Permit#: fJ(p 01$00<00 COMMERCIAL or ~STITUTIONAL IMPROVEMENT mCATION PERMIT APPLICATION For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings I FAX SCOPE(S) OF 0 FDN 0 STR ARCH 0 MECH RELEASE: """ ELEC 0 SPKLR OTHER(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 Carmel Indiana ~ 1993" (Z' 289) and amendments, adopted under authority of LC. 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 at nected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancyor Su . etion has been issued by the Department of Community Services, Cannel, Indiana. ~4/ OFFICEUSEONLY:************************************************************************ INSPECTIONS REQUIRED: ~ Filing Fees: 1,;2 '3 80 . . # Charged Re- Upper Footing Lower Footing Under Slab ~ ?-"> Base Inspections: r). CJ 0 . 0 0 Reviews C;-U9h..;7 Meter Base ~ Site Cert. of Occupancy: / 0 1 CJ 0 o SO BUILDER of RECORD: OeLdcvc>x 0"" "v .:U.. BUILDER'S EMAlL ADDRESS PROPERTY OWNER: STREET ADDRESS LOCATION &. PROJECT INFO: ADDRESS OF CONSTRUCTION ~ f Address of Shell Building (If different than Address of Construction) BUILDING PROJECT, OR TENANT NAME: -t. ,.... ~ d'.<; STATE COMMERCIAL DESIGN RELEASE #:3 '20//'Y WATER UTIlllY PROVIDER: c:;:!pv"pt/i- SEWER UTIlllY PROVIDER: c!4P" /t::-- ptAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable): # of Floors: / BLDG. CONSTRUCTION TYPE: Elevator or Lift: 0 YES TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: I3"COMME~ t:c 0 NEW STRUCTURE ~~~~~~,~'" 0 AD~m~~om(s) are commeraal) h ('Orr \.',; 0_ 0 Porch O IN9NA'''I' ')'" ~"'\/~ 0 ... ,...;r; LJ~ L.) f.. ~ ,. 2' ^ '.: I It"'I Mezzanine or Deck /lSIr\/~nicil!"l!Pu!'1'~BJd9,! ,ce; 'V'I, ~;,D!$l:MOl1EL n'~ql \ r'U/11J'/ -1'C:!/0q'~NEWTENJ\NTFINISH o Churchc'.;,'~,; ,.,,1, U!\it .\:('CJGf ACCESS\lRY BUILDING FOUNDATION TYPE: (Check'/II':irvhifh ,j , .'~'Q DETACHEDGAAAGE apply for the new construct:f9!'e~~.))-A i' ;::::OV'II\VAC;HED GARAGE GY'SLAB 0 CRAWL SPACE L.LPi,CELLTOWER (New) o POST & BEAM 0 BASEMENT 0 eEll!;TOWER CO-lOCATE (or POST & PIER) WAlKOUT:_Y_N 0 DEMOLmON g~ Print PHONE - cm STATE ZIP ~Uc., BEST METHOD OF CONTACT: , -Zz. <?9 PHONE FAX -- CITY STATE ZIP SUITE # (If Applfcable) ZONING: TAX MAP PARCEL #: SQUARE 2'::?7A FOOTAGE: ~ '"" ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) 61 OCCUPANCYCLASSIFICATlON: 8. 6_ PROJECT INFORMATION: Early Releas_e ~ Manufactured ..--- Permit: Y"""-N Trusses: _Y _N lot Split: _Y...L::N Sump Pump: _Y ~ Does any part of the property lie within a special Flood designation area: _ Y ..L:N . PLUMBING CONTRACTOR: --:'f3~1.i.f?J9,:~ ~- Plumber:s.Indiana State License #: l ~.~. ."4t I "-.! ~::.,j :ff~11 Jy6 Date Additional Fees TOTAL: Review Approved: Dept. of Community S S:Perm1t!ifForms/ILP COMMERCIAl