HomeMy WebLinkAbout06110008 Application
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City of Cannel/Clay Township Permit #: (;X.gIJODrJ<:6
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
J-,P.
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
~ITE # (If Applicable)
Lot # and Subdivision (If Applicable)
.y ARCH
OTHER(S):
,.vMECH
BUILDING PR~J 0
STATE COMMERCIAl. .2.
OESIGN RELEASE#: ;"Jdl t3q
WATER lITIlTIY
PROVIDER:
ZONING:
Ej(,
SEWER lITIlTIY
PROVIDER:
C.LIl
E511MATED COST OF CONSTRU
(EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Aoors: .5
Elevator or Un:: 0 YES 0 NO BLDG. CONSTRUCTION n'PE: \\~~ S'V'f... OCCUPANCY CLASSIFICATION: \3. ~em
TYPE OF IMPROVEMENT: PROJECT INFORMATION:
o NEW STRUCTURE Early Release ~ Manufactured \r
o ADDmON Permit: Y N Trusses: _ Y LN
o Room(s) . - c..i. l,;,
o Porch Lot Split: _Y N Sump Pump: _Y ~N
o Mezzanine or Deck Does any part of the property lie within a special Flood
'ii!L REMODEL . ')(J.
o NEW TENANT FINISH designation area: _y~,
o ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE tL r> V I 'Or:r::
apply for the new construction area) 0 ATTACHED GARAGE 0 llc::....1'- rr ,..-
nCLt:A<:F=n r-~_ 0
.CJ SLAB Suh O-CRAW~SPACE1\I"TF' CE._.LL TOWER (New) Plumbe"slndianaStateLicense#: ,.
~ POST & BEA~ct G G(BASEMENT . - ,I, ~ ..:>" lD ~<;~~J:r9WER CO-LOCATE I ~ . . ;:,:, -/ ~,\, \ \\
(or POST & PIER) O;WALKOUT:"' ~'-y" :~N'\J"'.~w.~@~~\;!TION O(...SOd- ~'/.";: ", ". _ ,,-;::,.:--, \\ " \
11f':""I'"'l...... ~ _._~,~H...~,r _ _",c; -,-,I{ ,.-; \:..._~ \\\ \\,\
Class'I'~~nire~nnitt ari: JJri6j~'~~,~~'~~ Gel}eriai Adnpmstrative Rules of the State of Indiana (See 675 lAC 12) ;~d~~piration time..fram~\fo~\ \ \
-. '-U!-"~,~, ,,, U_J" V I (J..!;;,:'..,_ d'" . ],"'\'0 "","
-;\ ~J,,,vf)!;.,n.1Elrj/(\!~\.~~"O-.J;"...0.~"J..Lugan compeungconstrucnon. .\\ '\ \j\J \\'::.J \
I, the under~l~M, ~.ree. ~nat ~>:.,~~.~~c.. ~on: r:eco,n~.IJJ;~l~~J<<;w~~e.ment, relocation, or alteration of a structure, or ~y .c~.~e i!l.~tus&Of lin or structu~s \
requested)y.this appl\c~tl.qn willcompJy..~t.~;.and co~fo~.~~~l.apphcable laws of the State of Indiana, and the "Zonll{g Cf:dmancWdl!:armel Ind~;.:.1993" (Z~ \
289) and amendments, aQop[~NJ?deraut~ority Qf LF_36-7 et seq, General Assembly of the State of Indiana, and all Acts ~~~tory thereto. I further certify that only-
kitchen, bath, and-floO'rdrairis are connected to the sanitary sewer. I further certify that the construction will not be Used or Occupied until a Certilicate,of--
OccupancyorSubst8.ntialCompiedon has been issued by the Department of Community Services, C el, In 'ana.\',~ \. \....../ ~./"._--
:.;,~"O' ,... "',"Ip.."'" bbL""B \ ...-//.....r
Signature of Owner or Autho Print \-..-- Da
TYPE OF CONSTRUCTION:
\l!l. COMMERCIAL
(Privately owned hospItals
and medical offices/centers
. are commercial)
o INSTITUTIONAL
o Munidpal/Public Bldg
o School
o Church
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: iJ 11 Filing Fees: l' () ff-' Ij 1
.. \' "0 '1 0 0 # Charged Re-
Upper Footing Lower FootIng Under Slab I .\ Base Inspections: "..0. Reviews
Meter Base ~ Site Cert. of Occupancy: 0 0
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