HomeMy WebLinkAbout06110086 Application
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;'. \ City of Carmel/Clay Township Permit #: (Jr.e I(OO~
\ .) COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
\,.~::;"../ APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings) ~
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BUILDER
OF
RECORD:
le/n hoYl V
OOW
PHONE:
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STATE:
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PROPERTY NAME: PHONE: FAX:
OWNER:
(c,: STJfV
,
LOCATION
& PROJECT
INFO:
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SCOPE(S) OF 0 FDN 0 STR )€ MECH ~ PLUM SQUARE J'foO
RELEASE: )e7ELEC 0 SPKlR FOOTAGE:
WATER UTILITY SEWER lJTILITY ESTIMATED COST OF CONSTRUcrrON: f<J5,000
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WElL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or Lift: c;l YES
BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~COMMERCJAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADOmON
officeS/centers are commercial) 0 Room(s)
o INSTITUTlONAL 0 Porch
o Municipal/Public Bldg 0 Mezzanine or Deck
o School .,: 0 REMODEL
O,\QlUi;ctiil. ' nil'/l\/U" FINISH
o MULTI,~~SED FOR CO ~YBUILDlNG
NumbeSllibi*st1QJ;QI!'!pliance wit~1I r~ IRffiARAGE
FOUNDATION TYPE: ~RJli~i~%,i Local QldlmACHED GA:~E
apply )ef"the n~JD5?,T~.GG;Wa~~UNrr~S~Vf~ ( )
(J;( SLAB CIlY CQF ca~8Pkt CLAJ3 T~~~&m!i WLOCATE
o POST &_BEAM _PIE~NElA~MENT (WALKOUT:_Y_N)
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OCCUPANCY CLASSIFICATION:
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I
Y XIN
- y)<1 N
,
:
PROJECT INFORMATION:
Early Release \~
Permit: _Y ~N
Lot Split: _Y~N
Manufactured
Trusses:
Sump Pump:
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
Y - u-n.sry/l('J cd
~C:OR: ~ '- P[ { ,
,104(~ .{JU VI "i 11fl1tJ{~
Plumber's Indiana State License .,/
~, : tt~$ T "J'Ii (J{)007J h
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, d conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 1993ft (Z-289) and amendments,
adopte under authority of LC 3 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
co t d to the sanit sewer. further certify that the construction will not be used or occupied until a Cert1/ica.te of Occupancy or Subsuntial Completion h been
i ,d Y th, D m t of mmunity S,tvim, Cw:md, Indimo. L.tt Yi / S U
Print
Upper Footing Lower Footing
~ Site
TOTAL:
/
NO
Reviewed pprove-d: Dept. of Community Services
S:Permits/FormS/IlP COMMERCIAL
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.. Date