HomeMy WebLinkAbout06090062 Application
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City of Carmel/Clay Township Permit #: Qfo 01 OOlf2
I
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 NAME -r-MD~;/e.
RECORD:
BUILDER'S EMAIL ADDRESS
J 0 M
NAME vJ' I
I,.Cl5 Y
STREET ADDRESS 22/
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LOCATIONV
&. PROJECT
INFO:
PROPERTY
OWNER:
Re.jfeAt UL
FDv.Ah Sf. (Ste 2
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
1=M
U ~/6u-J~
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STATE COMMEROAL IV
DESIGN RELEASE #:
WATER UTIll1Y I
PROVIDER: N Pr
SCOPE(S) OF 0 FDN 0 STR
RELEASE: 0 ELEC 0 SPKLR
SEWER UTIll1Y
PROVIDER: N
PI.AN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUN1Y WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Lift: 0 YES lj. NO
TYPE OF CONSTRUCTION: '3 J\l.{p~~ OF IMPROVEMENT:
~ COMMEROAl -fo(1--f.\"tr NEWSTRUcnJRE
(Plivalely owned hospttals 0 ADDmON
and medical officeS/centers 11-'- 0 Room(s)
are commerdal) _ . J 5 f(.!) J 0 Porch
o INSllTUTlONAl \I' ; -! I ~ 0 Mezzanine or Deck
o MUnlopal/Publlc Bldg I ':-.l..~ REMODEL
o School (VI~:' 0 NEWTENANTFINISH
o Church. . '^ , 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all whichlJ'l"'" 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
lItl SLAB 0 CRAWL SPACE 0 , CEll TOWER (New)
D POST & BEAM 0 BASEMENT ~ CEll TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION
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FAX
STATE
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ZIP
452..02
SUITE # (If Applicable)
Lot # an~bdMslon (If Applicable)
ZONING: R-4
o MOt 0 MECH
OTHER(S):
ESTIMATED COST OF CONSTRucnOtj/f:SO
(EXCLUDING LAND VALUE) Jt
() 0 6 ..JU!--
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release V Manufactured
Permit: _Y -A-N Trusses: _y.i-N
lot Split: _Y LN Sump Pump: _Y X-N
Does any part of the property lie within a special Flood
designation area: _Y LN
PLUMBING CONTRACTOR:
N/A-
Plumber's Indiana State license #:
N/Pr
.
dass 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 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 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
Occupancy a tantia! mpJetion has been issued by the Department of Conununity Services, Cannel, Indiana.
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Print./7 Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: e-.l Filing Fees: :3 '8' q . 00
11 I ~ () 0 # Char{Jed Re-
Upper Footing lower Footing Under Slab -I Base Inspections: / 0" 0 Reviews
Rough In Meter Base Final~) Cert.ofOccupancy: /01,00
~ Also 1- 00 Additional Fees
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Fee Received by:
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~Yie\.'ied
mnlts/Fo
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pproved: Dept. of Community Services
ILP COMMERCIAL