HomeMy WebLinkAbout06090096 Application
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. lie" . permit#:~lo
CIty of Car me fay TownshIp
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
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PHONE;
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F/>:X:
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CITY:
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STATE:
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BEST METHOD OF CONTACT:
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ZIP:
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STREET ADDRESS:
BUILDER'S EMAIL ADDRESS:
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PROPERTY
OWNER:
NAME:
S
Il-.)"T (
PHONE:
\'\4-<;15
F/>:X:
LOCATION
& PROJECT
INFO:
"""-'<T~ ~ CITY:
,,'\Sc.,VIO L",,\"u
STATE:
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ZIP:
'l~"Z. "1
E:.
STATE CDMMERQAL
DESIGN RELEASE #:
SCOPE(S) OF 0 FDN 0 STR 0 ARCH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL It:
I" - \<.) - ~\-oo -00 - ,,~, .000
o PLUM SQUARE
FOOTAGE:
BUILDING, PROJECT, OR TENANT NAME:
n '3 AN"'C"4SN A -ra C')l;.f~("t...,.c-.- .,....w
o MECH
WATER UTIlITY
PROVIDER:
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCT10N: &Z 5, O<::.lc::.l ;-
(EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA! BPW DOCKET NUMBERS; AND/OR
CCUNlY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable): r: _ _ ~ ~ --.
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# of Floors: Elevator or Lift: Q YES c;J NO BLDG. CONSTRUCTION TYPE:
~t:f1L Ie...., J'Y\~
OCCUPANCY CLASSIFICATION:
,~~
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TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
'1s COMMER<:lAL 0 NEW STRUCTURE
( v,~,i ~''''-'""'-., d~' "
Pnva~J.ownea...:nl?SP)~a,s'!I}.. ::p1r;uI,C.uJ\! (:'l=J..... I "1D.l;>rnQN
offi~~!~Q~~r:s~0ecommer!~ial} \_'''-''.' ~011'-iU(01[R'o~(S)
o INsrmmO.N~~~ ,~~~pllance witn ail re~JllIl.ti<H?f5h
o ~~~lpal/~uJjllc;Bldgj Loc!}1 COd os. 0 Mezzanine or Deck
O'JSchooIOi- COMMUNITY Dc:,I}~~9P'E~
ISlICI1urch, . ,,_ O--'NEW-TENANT FINISH
o Mutn-FAMILY CA/1Mi.:l / CI,A YCDQAC\OESSORY.:BUILDING
Number of units: -----U>JDIAf'JA 0 DETACHED'GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Che~ all whIch 0 CELL TOWER (New)
~PPIY the new construction area) "8 CELL TOWER CO-LOCATE
LAB 0 CRAWL SPACE 0 DEMOLITlON
o POST & BEAM PIER 0 BASEMENT (WALKOUT: Y N)
PROJECT INFORMATION: /l
::~~i~:elea~Y$ ~r~~:~~ured _Y ~~
Lot Split: _Y Sump Pump: _Y #N",
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FLOOD ZONE AREA DESIGNATIONrSl FOR THIS'PROPERTY:~"
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ber's Indiana State Lice~~;(#: c..13-:/ //
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class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiratio~'~~e fr~es for begi~ning 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 landtll; stru..)XUres 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 - 1993ft (Z- 2lil9"; and amendments,
adopted under authority of I.e. 36-7 et seq, General Assembl 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 t e cons tion will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued by the Departm f Community Se . es, Carmel. Indian
L \-\olE;\..
~-"Z<t\-<:t <
Date
Upper Footing
Lower Footing Under Slab
FinalG)
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'~ gCf. 00
?-fJ~ 400
,OV
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Filing Fees:
Cola
Fee Received by:
Date