HomeMy WebLinkAbout06100203 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
Permit #: oro I () ()d-.03
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMll, Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
NAME:
PHONE:
FAX:
~.
cm:
~Eu.J~
STATE:
-TN
00 OF CONTACT:
ZIP:
:t \ S;-O
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BEST M
~. Co
PHONE:
LLc... C-
em:
......
FAX:
\\<=."'\ '\l
ZIP:
G..
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STATE:
~
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SUITE #:
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ADDRESS OF CONSTRUCTION:
,,^-,
Address of Shell Building: (If different tha
STATE COMMERCIAL SCOPE(S) OF 0 FDN
DESIGN RELEASE #: 2>"L \ \ ~ RELEASE: v-tLEC
WATER UTILm C,~'\ 0>; SEWER UTILITYC.\"",\ \0'-.)..)...."....:"
PROVIDER:,", _ __.\. . _ PROVIDER:-;-, _' ~ \
~~ \ ~ ~,~
PLAN COMMISSION / BZA I 8PW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~OMMERCIAL Q,~~RE
(Privately oy!ned hosP,tcUs,i(l~rf}NS(!j ~q~QHtIO~S
Offi~l>~~~n\!,J.4lii' -, Wlt\'\ all "' 0 Room(,)
o IN~M ,"l1lpliance I codeSD ~'1'3'1!:
o Sl!\I!\ilJij>BflPJi!(IS\Ii;l!clIlrcl I_OCa'_c'.7'O" M@(n!ll.eorDeck
o School 01 -' ';'hJ c)\;\ I ~ REMQ~bl-l\\"
o fh~i:t>r Of COI I, I CL.IO -\~'i'ENANT FINISH
o MULT1-iIJiIIIlty\ C Ci\RMSL I 0 ACCESSORY BUILDING
NUmbC\,p'l'lIfSl,---- \~O\i\~P6 DETACHED GARAGE
'. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~~JI whIch 0 CELL TOWER (New)
apply for the new construction,area) 0 CELL TOWER CO. LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLITION
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
# of Floors: L
G- "",""",':::0
/'!
I'>.~ t:>
- C-C~~lO =..
~
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE) ~ '57...<;;
Cl
Elevator or Uft:
Q NO
-p.
OCCUPANCY CLASSIFICATION:
BLDG, CONSTRUCTION lYPE:
YES
-po.
PROJECT INFORMATION:
Early Release
Permit: _Y J.<dii
Lot Split: _Y VN
Manufactured
Trusses:
_YVN
_Y~N
Sump Pump:
FLOOD ZONE AREA DESIGNATI~ZTHIS PROPERTY:
, )C -- tA~V\f5 ~ '
PLUMBING CONTRACTOR: B..'({ 1Z1)1J~
Plumber's Indiana state License #:
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 MZoning 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 cerrify 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 or Substantial Completion has been
issued by the Department of Community Services, Carmel, Indiana.
~_ ~.' ~ ~ ..-:0.
Signature of Owner or Authorized Ag t
~u',.--, ~,~"^~ '
Print
\o\~\ \ 0<'0
Date \ \
OFFICE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: e Filing Fees: ~ ~ 3'. ~ .:<
Upper Footing Lower Footing Under Slab II) 8 Base Inspections: ;r&O , CJ (;)
~ Cert. of Occupancy: V I () 0
~Site
~O~;~J.:::~o/~f ~91u~~ "
Fee Rect4ved tlv: '"
ReviewedjA proved: Dept. of Community Services
S:PermitsjFor ILP COMMEROAL
Date