HomeMy WebLinkAbout06110122 Application
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City of Carmel/Clay Township Permit #: DCe-'~O r~~
COMMERCIAL/INSTlTUTlONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
FAX:
\CD
~
PROPERTY
OWNER:
q Z:t>S
FAX:
$1'b M1--
ZIP:
LOCATION
& PROJECT
INFO:
\
STATE COMMERGAL
DESIGN RELEASE #:
SCOPE(S) OF 0 FON 0 STR 0 ARCH 0 MECH 0 PLUM
RELEASE: 0 ELEe 0 SPKLR OTHER(S):
WATER UTILITY
PROVIDER: C.i;
SEWER. UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
.0<>
PLAN COMMISSION / aZA 7 BPW DOCKET NUMBERS; AND/OR . ,
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable): (VtJ
# of Floors: 2 Elevator or Uft: Q YES Q NO
TYPE OF CONSTRUCTION: TYP. ROVEMENT:
)tf COMMERCIAL ,,('\~S\P; ~~mUCTURE
(Pnvately ow fI'(~~ ~~'li.\11 I ADDmON
o ''oIe\:o~\'lJ.I'\t'lQl)'/l\ 1 eocleS. Qgoom(s)
o I 1;0('(19 ~c\.\-oGa. <'E.t\\!\'e:Y. rl1!Jh
. ,\Mil'n p,~\l.qllI;a:'B1CI90\,\1"f{ :';dtll,NIll$m!zzanlne or Deck
Scho81 'GO~\W\ \'p-~"~~MODEL
~i:f.~I';,:,; . €,\J C g NEW TENANTFINISH
o MU~~'C~t>.~\'\O\p..\,\{>. 0 ACCESSORY BUILDING
N'C",. ~ ts: .. 0 DETACHED GARAGE
, . 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new constructIon area) 0 CELL TOWER CO-LOCATE
)!f'SLAB 0 CRAWL SPACE 0 DEMOLmON
o POST & BEAM PIER 0 BASEMENT (WALKOUT:
PROJECT INFORMATION:
Early Release ,,,
Permit: Y ~
Lot Split: _Y_N
Manufactured
Trusses:
Sump Pump:
-y~
_Y -XN
FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
f ",.J-. (;- Y.....:;\ u ~ ,ie,." lor"
ING CONTRACTOR: lb __ - I c; <,<; , -)
/,~:-:;:;:-:,:-~ ::. \~\">.:~i \'.: <..\\ '\'\\
ber's Indiana State \:.i~~~~~~:: - ,". \\ \ \\
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class I structure permits are subject to the General Administrative Rules of the Stare f Indiana (See 675 lAC 12) regardirii e*piration time frames for l:le~ning and ,-;
',' l' -". ---
. co ng construction. \ \ \ \, _ \ ,~. ~- .- __--..-/~
I. the undersigned. agree that any construction, reconstruction, enlarge ,relocation, or alteration of a st cture, or any change ip. the use of hind or structu~ requested by
this application will comply with, and conform to, all applicable laws e State of Indiana, and the uZoning inance of Carmel Indiana - 1993~ (Z- 289) and amendments,
adopted under authority of l.c. 36-7 et seq. General Assembly of the ate of Indiana, and all Ac}S amendatory ereto. I further cenify that only. kitcheD": bath. and floor drains are
connected to the sanitary sewer. I further certify that rhe cons ction will not be uid ~pied untO Certificate of Occupancy orSubstMJtial Completion has been
issued by the Department of Community Services. C I. I~ iana. /1 ( \ \ l
.\~ .....1-\ ~
Signature of Owner or Authot1Zed Agent Date
a.
**********************************************~~
Filing Fees: r-J3.5",OO lJor~.{S~)
Base Inspections: ?o [) · 00 ~ s.pv.j ~
Cert. of Occupancy: / ()"1 , tJOw/o /?-e""i/...4
TOTA~Y/_l 7?- j'l G.5:
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Fee Received by:
Y
N)
OFFICE USE ONLY: **************
INSPEcnONS REQUIRED:
Lower Footing Under Slab
eter Base L9 Site
(Date)
Date