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HomeMy WebLinkAbout06100063 Application r~" ifc IIC" '1' h" permit#:~3 i ""~V 0 arme ray .I. owns tp \.' JMMERCIAL/INSTITUTIONAL/MVLTI-FAMIL Y IMPROVEMENT LOCATION PERMIT .U'PLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings) .ORD: OTY: ~()f ItrVAF'o<-l5 STATE: I'd ..:R NAME: LAvrH hl\J.sr.eu IoN Uc.. STREET ADDRESS: ;. I?s fA- PHONE: 17~ BEST METHOD OF CONTACT: {5n 7/0--58"7!' Ceu- PROPERTY OWNER: Il<.JO LL-C- FAX: LOCATION &. PROJECT INFO: V AYvI Address of Shell Building: (If different than Address of Construction) /3/7 OTY: :];;NDI ^"'1tR:><-I So STATE: BUILDING, PROJECT, OR TENANT NAME: Fi &8 AI..- SQUARE FOOTAGE: '13 GS-O STATE COMMERCIAL DESIGN RELEASE #: 32 WATER UTILITY /l PROVIDER: ~€Z- SEWER UTILITY PROVIDER: t::Ai:Z.m t:;'"7..- ESTIMATED COST OF CONSTRUCTION: (EXCLUDING lAND VALUE) /, PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable): # of Floors: 2-- Elevator or Uft: 0 YES BLDG. CONSTRUCTION TYPE: Exsr OCCUPANCY CLASSIFICATION: 13 PE CONSTRUCTION: TYPE OF IMPROVEMENbN PROJECT INFORMATION: COMMERCIAL 0 ~ 8'T1\1JCn\6R1 ~ "s Early Release /' (Privately owned hospitals and med!,a1c:Cg CAobipQN r8\".ju\2..I.\O Permit: _Y -L-N offices/centers are CO!!lQ1~lIllbt.U r.- @\\ Room{s) /. o INSTTTUTIONAL 0\::.\..1:'1"' o'"\i\l~,,,,,ce Q' \P&th~- \CC:S Lot Split: _Y L-N Sump Pump: {1. ~.. to C --\ \ CIP.:.h\ ,-.,,-o..',J '- o MunIClpaI/P~i<t-/lld9-' Slale 8(11.) - OTMezzanlne or DeCkrl\? o School 01 COg;!~EM6DELJ -i"'.J~ \,,;:> FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY: o Church PI Or: ~LNEW,TENANT'FINISH V c fA ,I ,~ o MULTI-FAMILY Or:. F C~?\(0-\;ACCE5SQRY BUILDING /', (k 01 -:J r \ {b.OAi\-- Number of umts: 0'1"( 0 [\1'< W!!rACHED GARAGE . '. 0 ATTACHED GARAGE PLUMBING CONTRACTOR: , FOUNDATION TYPE: (Check all whIch 0 CELL TOWER (New) 6--"" n_ -I 'l IA/J . f /' /? apply]orthe new construct. ion area) 0 CELL TOWER CO-LOCATE ,v,ClZ-nc.,S;Z- CI/:z/IZ./LA-t.-. rl'/c'Z-1'r <....V_ ;zf SLAB 0 "CRAWL SPACE 0 DEMOLlTlON Plumber's Indiana State License #: o POST &_BEAM PIER 0 BASEMENT (WALKOUT:_Y_N) CP 30 30tQD /9 Manufactured Trusses: Y~ -vA 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 Cannel Indiana - 1993ft (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 further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substanrial Completion has been i"U,~;;:~~t'nt:7=mices.c"md,[ndian," 'ERtU::. Lu5"wO .((/~/t& Signature of Owner or Authorized Agent Print OFFICE USE ONLY: ************************************************************************ INSPECTIONS REQUIRED: Filing Fees: 'if ..5'.s 7. ~ D ~OO~OO o'1.()O 'gS(Ptf.SO I -;?~J Base Inspections: Cert. of Occupancy: RevlewedjApp oved: Dept. of Community Services S:PermitsfForms/I COMMERCIAL , .\0 Z-OOr.. (Date) Date