HomeMy WebLinkAbout06100174 Application
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" . C't .I'r IIC" 'T' h' Permlt#: 0l.u1oo/71
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! . . i COMMERCIAL/INSTITUTIONAL/MULTI-FAMILYIMPROVEMENTLOCATIONPERMIT
\"/~D:;'" / APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) :
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BUILDER
OF
RECORD:
NAME;
PHONE:
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FAX:
g 1"1-9
CITY:
STATE:
L~
ZIP:
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2-
BEST METHOD OF CONTACT:
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FAX:
PROPERTY
OWNER:
2.6
CITY:
STATE:
9vJ
LOCATION
& PROJECT
INFO:
ZONING:
.r
STATE COMMERCIAL
DESIGN RELEASE #;
3211.. ~
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SCOPE(S) OF 0 FDN 0 STR ~ ARCH
RELEASE: 'A ELEC 0 SPKLR OTHER(S):
SEWER UTIliTY /l) /J
PROVIDER: U~-.-Y
<l!i. MECH
WATER lfTILJT"tI'}
PROVIDER: . "
ESTIMATED cosr OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ~
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or lift: J( YES q NO
BLDG. CONSTRUCTION TYPE:
CCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
.......,
i& COMMERCIAL .~-roIjPnNEW STRUCTURE
(Privately owned hosPltals.a,nd.rnedicafi-\ O\,.,'ADOmON
offices/c~Qt:ersf'T.{.cimmerdal1:Vn :~_""-: ,'-',0.- 0 Room(s)
o IN~ONA~_~, ',:),:-(,D \. ~\ (',',. ';0. ~CJ"'" Porch
t'\ !~:r ~~~~Jcipal/Pu~liC,~lqg"':"\ ,"~ c ,-'r;\i\lg::> Mezzanine or Deck
S'[9leScho~I.S',(~~"; <.\'.' "\L~,n'-"'( ">0 \,REMODEL
o c~ufc.~~ CO\'J\~h\J\ "i f:~[ ~\iiilf~>JNEWTENANT FINISH
o MY~T!;,FAMIlY~ ' ~'2-L I C~> tf ACCESSORY BUILDING
Number '6yni~J,?N :>\!\MJ\ 0 DETACHED GARAGE
('.\1 '< \\'lv . 0 ATTACHED GARAGE
FOUNDATION TYPE: (Check all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
J8l: SLAB 0 CRAWL SPACE 0 DEMOLITION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
PROJECT FORMATION:
Early Release /' Manufactured
Permit: Y N Trusses:
Lot Split: Y ~sump Pump:
Y~ .
- yL. ~
FLOOD ZONE AREA DESIGNATION
lJ-ffi- ;5
P~~BIN~R: ~
t:=)c (e M\lCr.I'
I
Plumber's Indiana State license #:
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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 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 Carmel 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 funher certify that the construction will not be used or occupied until a Certificate of Occupancy or Subst1ll1tial Completion has been
i ar nt Com n Se . ces, Carmel, Indiana.
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p,}i rYIf} ftty U &vw;
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Site
Base Inspections:
Cert. of Occupancy:
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TOa 1
Feeve ~~ 'r,
************
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\ ~o [&V Date
10-1
OFFICE USE ONLY: ********************************** ************************
Filing Fees:
INSPECTIONS REQUIRED:
Upper Footing
Lower Footing
Under Slab
Reviewed/ A
S:Permits/Form