HomeMy WebLinkAbout06100017 Application
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CityofCarmel/C/ay Township permit#:~/O()O/ 7
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, llt Accessory Buildings
BUILDER of
RECORD:
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
-
3.
BEST METHOD OF CONTACT:
90 "'^
FAX
'2
LOCATION
8r. PROJECT
INFO:
STREET ADDRESS
/.Vel.:> 0 ~
ADDRESS OF CONSTRUCTION
Address of Shell Building (If different than Address of Construction)
^ ~ ~/4^-, 00
BUILDING, PROJECT, OR TENANT NAME:
ZONING:
..--..
o STR 0 ARCH
o SPKLR OTHER(S):
E
-
r
WATER UTlUlY
PROVIDER:
E5nMATED COST OF CONSTRUCTION:
(EXCLUDING LAN~ VALUE) I .
PLAN COMMISSION / BZA / BPW OOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
--
# of F1oors:.3 Elevator or Uft:: BlDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~OMMEROALDr' ~. ~ ~EW STRUCTURE
(Privately owned hospitals ED F"'.? crO ADDmON
and medlcalfoffices/centers \. 'I ....)! \; S ! tD _ J (Rooiri(S)\!
are commerCIal>'"')..;.....t 10 COr~lr ,,2ncC "l'i"l ....110 'PorCh
O IN~mONAL of ~t-. _ I,ll L.J;.~L,c.;;.L~)nS
~111UI.l v",,"t.o end I ('r'~1 r' .q Mezzanine or Deck
o MuniaiiaJ/P~bllc)~ld9;r- C, 'f. 'U- ":'tJ~,rREMODEL
o School ~'...",i11 I\I~"''''''- ,
v' ,-Y OF .". 'F'" 'r-, "'" NEWTENANTJ:lNISH
o ChurCh l-f'l 1 ," L L / C~GV ACCESSORY, BUIlDING
FOUNDATION TYPE: (Check all which ." r ^ ~ d' DETACHED1:;AAAGE
apply for the new construction area)'" ~ "." JIb ATTACHED GARAGE
eJSLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CD-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON
Early Release
Permit: _Y _N
Lot Split: _Y _N Sump Pump: _Y_N
Does any part of the property lie within a special Flood
designation area: Y ~ 1
PLUMBING CONTRACToR: ~ 4)<<M'j
u'~N' f;<..-- ~'t7'-ir rL.~rN
Plumber's Indiana State Ucense #:
C p e/f20 '> I 'U--(
Manufactured
Trusses: _y--LN
Class 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 [0, 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. 3&.7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. I furthercenUy that only
kitchen, bath, and floor drains art connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cert:i!icate of
cy or Substantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
J) /?AJ G,4.5:: d/;, /{)-3' 0
Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: V !/?-,Filing Fees: 4 t &., CJ 0 :
. 0 A;ro ,...., # Charge? Re-
Upper Footing Lower Footing Under Slab \ Base Inspections: ? 1/1/ I () l./ Reviews
Meter Base (~ Site Cert'~f occu. panC'l' ' .; tYtJ
.tlO Additional Fees
TOT L: ,1/
Fee Received by: