HomeMy WebLinkAbout06100157 Application
_J( \ \ City of Carmel/Clay Township Permit #: tJ0/00/S7
I, i COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
\'/~D:~~~' // APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: A If [~ns/~v~lio,., LLC S .3 T-~1~r;-
OF
RECORD: STREET ADDRESS: r1 ~"d,' & STATE: ZIP:
b'-t6/ 11/. -I. ]:11/ /.17
BUILDER'S EMAIL ADDRESS: BEST METliOD OF CONTACT: ~
S"e-fJ._v - /O~ eSbc I" /.,,~I c e Ph""",
PROPERTY
OWNER:
PHONE:
+ fre/...t...G 3/
CITY:
Sf-. /tJ. -# ').,0
-rb 5-r .
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STREET ADDRESS:
LOCATION
& PROJECT
INFO:
FAX: .
[$'757:s-?1<
STATE:
J:J\J
ZIP:
o/(p2/pO
(If Applicable)
lot # and Subdivision: (If Applicable)
ZONING:
TAX MAP PARCEL #:
13-~
STATE COMMERCIAL <. ") J6 "7Cf
DESIGN RELEASE #: ..J Ol / - (
SCOPE(S) OF 0 FDN 0 STR 0i:L ARCH c..r: MECH ~ PLUM
RELEASE: <6- ELEC 0 SPKLR OTHER(S):
SQUARE J 0 G{)
FOOTAGE: 0<:
PLUMBING CONTRACTOR: /
B /"
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Plumber's Indiana State Ucense.#:' r_
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Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) ~~af~iig~piratiOf....'l; frames)ofbeginnjn{and
. .. completing construc~on. \\\..J \ \. ~ // _.//
I. the underSigned. agree that any conStructIOn. reconstructIOn, enlargement. relocation, or atteranon of a structure, or any change,m.tbe...uS,e of land or structuresJequested by
this application will comply with, and conform to, all applicable laws of the State of Indiana. and the ~Zoning Ordinance of CanneJ-.In'di~'~'1993" (Z~89) and alnendme~ts,
adopted under authority of r.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certifY. that'oI.uy)dtchen, b3-th~ 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 Occup;;;cy.or Substantial Completion has been
issued byt epatt ut of Commu itySe<Vim, Catme!, Indiana S~ f h ~ I r ~/ ItJ ~11.:.o b
Signa Print Date
WATER UTILITY /' ! I A~' J.. SEWER UTILITY /' T D
PROVIDER: Larlht V.~,..I" PROVIDER: L-- '" WI.
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: J Elevator or Lift: Q YES ~ NO BLDG. CONSTRUcnON TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDFT10NJN
officesjcenters are commercial) n~'S1\-::0-"'" Room(s)
o INSTITUTIONAL _ ~DI'OBC-,', iO;J'P6rCh"
o MuniCiP~I/'p6bfic'Bld9 \',; :,CC \,},,\J\r- ,,0,. Mezzanine or Deck
o Sc]??feCl \.0 r"',nir:.~"';:.; LrJC'0~'~~r~lop~~CES _
o Churth\ C< ::/,0.'-" ',_ ".j8l-i NEW_~N~('l!"F.j('l.ISH
o MULTI-FAMILY 0'= C~;\" ,'cq,AC~ESS0RY'BUlLDING
Number of B'~;>~ ,-, I . "..[3 . DETACHED GARAGE
_ . ne CI"":'" ~0'\ ATTACHED GARAGE
FOUNDATION TYPE;\CCIi~ all whlc~~O\"'D CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
ag( SLAB 0 CRAWL SPACE 0 DEMOLITION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
ESTIMATED COST OF CONSTRumON:J
(EXCLUDING LAND VALUE) 110(/ (/ (J (J
Early Release . /. Manufactured ~
Permit: Y ~N Trusses: Y
Lot Split: Y 7N Sump Pump: - Y I N
FLOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
X - V 115 ),qdcd
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OFFICEUSEONLY:****************************~~********************'1:*******************
INSPECUONS REQUIRED: (b b FIling Fees: ~ 1 /o..}O
Upper Footing , Lower Footing ~r ~ 10 \ 1 Base Inspections: 00 , tJO '
~ Cert. of Occupan I () 7, 80
.~(~ Meter Base Site 0 ~ , tfo
<4 . (p Toii~ : 0J
(Dat; .200 ~ -~ ~~'
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