HomeMy WebLinkAbout06080196 Application
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City of Carmell Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
,
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) I
Permit #: f)(~O~ Ofl0
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
h. t!-l/",,.,,.,..-od'>
NAME:
J-v/~e:.~S
STREET ADDRESS:
1 V
PHONE: FAX:
..? -.S.Nt; ~/) -71~-&t?CJ7
CnY: STATE: ZIP:
~ "
BEST METliOO OF CONTACT: -
"- r~~L oA. S-O)--1"..J/
PHONE: FAX:
BUILDER
OF
RECORD:
NAME:
m I /t..e e VIV.'1I ,.,..h; JI.J,
STREET ADDRESS:
oJ g L.I vR.
c -
CnY:
STATE:
ZIP:
LOCATION
&. PROJECT
INFO:
SUITE #: (If Applicable)
STATE COMMEROAL
DESIGN RELEASE #:
3~(J<l11
SCOPE(S) OF 0 FDN J{ STR
RELEASE: )< ELEC 0 SPKLR
SEWER UTIlrTY
PROVIDER: L l..-fo/
8-2,
ARCH tr; MECH ~ PLUM
OTHER(S): I/o OJ)
7/ CJl,L?l>OOOY,,::?ot>
SQUARE 1"7 A ? /
FOOTAGE: & ~ <:;-9 f {./ r Co
I
WATER UTIlrTY
PROVIDER: {J,A/4fh e::I
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING lAND VALUE) 7S'(J <VD
PLAN COMMISSION / aZA I BPW DOCKET NUMBERS; AND/OR
(CUNTI WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Roars: ?. _ Elevator or Uft: 0 YES Q NO BLDG. CONSTRUrnON TYPE: OCCUPANCY CLASSIFICATION:
. TYPE OF CONSTRUCTION: TYPE OF IM~~VEMENT: PROJECT INFORMATION:
.,.( COMMERCIAL _ n~S-q:J,UN~\STRUCTURE Early Release '- ..
/'\J (Plivatelyowne.l!~ltals~OOn\edlCl!l OreADDn:tOW Permit: _Y ~
o~_~are-Comme'(c1,al) ce yJlth a'l ;:J 0 Room(s) _Y _l_:l
o IN~%.Lo cornp"~" oe3' Codes Q P,D@ Lot Split: "-"
OStlftjn'itrpa~f\'R'!!,.Bldg,d L '\1'1' SEF~',C!:-!~",~e or Deck
o School F COMN\\JN ~O ',RFt-\QDEIIJ' FLOOD
o IE!\" 0 EL lev NEW TENANT FINISH
o MULTI- }\f cNiM ^ ,,' p.. ACCESSORY BUILDING
Num~\ nllS. _ 11'10\1""'" 0 DETACHED GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all which 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLITlON
o POST&_BEAM _PIER 0 BASEMENT (WALKOlIT:_Y_N)
Manufactured
Trusses:
Sump Pump:
_Y ---KN
_Y$N
PLUMBING CONTRACTOR:
R. tR- PL "'#It3/,u~
Plumber's Indiana State License #:
t!B Boo/:s ~
I
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 beginnirig 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.c. 36,7 et seq, General Assembly of the State of Indiana, and aU 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 Certjficate of Occup;mcy or Substantial Completion has been
issuedbytheDep"tmentofCommunitySe . es.Carmel,lnd'",.. ~/~~I (tJ..VrV/V/NG~ .t'/~".6ic,
Print Date i
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQ~"'. ~ /:1},. Filing Fees: L& ~ 7. ~.pl
Upper Footing Lower Footin UnderSla0 evil Base Inspections: '3&0 ,00
II;orCert,ofOccupanq: /07, {}O
At1 TOl: 03 . tflf
DO'" tf il-tJv
Date
Reviewed/ Ap
S:Permits/fonnslIl