HomeMy WebLinkAbout06110089 Application
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City of Carmel/Gay Township Permit #: ote I(m't/f
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCA nON PERMIT APPLICA nON
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
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BUILDER of
RECORD:
NAME
I2EI
CM5T€tlCT/f//!/
PROPERTY
OWNER:
FAX
317-.571
STATE
1M
ZIP
il-'o 331
LOCATION
8r. PROJECT
INFO:
l16012-
8--2.
STATE COMMEROAl '2 2' tat 1-
DESIGN RELEASE #: ;;> -, lU
SCOPE(S) OF J>'.. FDN ~ STR )l( ARCH )( MECH
RELEASE: JliI. ElfC )i:r SPKLR OTHER(S):
# of Roars: ~
Elevator or Un:: 0 YES X NO
ESI1MATED COST OF CONSTRUCTI'lWY t:1~" ~
(EXCLUDING UlND VALUE) 'f -, oJf./, "V '-'
(t)C
(5 b tJ (? 0003 - /J.J)
OCCUPANCY CLASSIFICATION: 13
PROJECT INFORMATION:
Early Release , rJ Manufactured
Permit: Y TN Trusses: 1( Y _N
Lot Split: Y IN Sump Pump: _Y XN
Does any part of the property lie within a special Flood
designation area: _Y -XN'
PLUMBING CONTRACTOR:
kirK Aoff
Plumbl\l"'s Indiana State License #:
-# 3S(..sq 0'7 (I
80
WATER UTIlITY SEWER UTIlITY
PROVIDER: ~11i2It/EL WAI~ PROVIDER: (!. T I2.W D
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
BLDG. CONSTRUCTION lYPE:
TYPE OF CONSTRUCTION: TYP~.l!~~ROVEMENT:
I'<ll -nl.\;,J \
>"\. COMMEROAL ONS \ P""" N~UcruRE
(prlvatelyowned_"PlPil!l[S)R C- '., . P.\' (ug,JI,i\I)DmoN
i\!nd ;!!:l/cenlers nce .",,\f _ deS. 0 ~oom(s)
a '1:, co(N'\'o LOcal GO c c (I\J\Ot:.%~
o IN @.NA~, <,'o,t8 "r,d 'JI'\I'1 "'.::. : ,Q::.\,\~nlne or Deck
unrapa11PilbllCc3l~.f!:.r; , :-I CD.:;-RWiOtiEL
osgm. Of C \...1 C'J>-: 0 NEW TENANT FINISH
o {D1llJf~ r.II..?Nlt:. ~p. 0 ACCESSORY BUILOING
FOUNDATIO!!ldiYf!l:\(.llnlld< all "'I11lliil\f>; 0 OETACHEO GARAGE
apply for the MW eonstruction area) 0 ATTACH EO GARAGE
.l1!l. SLAB . 0 CRAWL SPACE 0 CEll TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOlIT:_Y_N 0 OEMOLmON
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.
It the undersigned, agree that any construction, re1:onstruction, enlargement, relocation. or alteration of a structure, or any change in the use of land or structures
requested by 's application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993~ (Z~
289) and am eots, adopted under authority of Le. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, ba d floor drains art nnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc 'I' ubstan. C etion has issued by the Department of Community Services, Carmel, Indiana.
57E I/O"';,E. 4~;I2i) Y
Print
/()/ 30/CJ~
Date '
OFFlCEUSEONLY:************************************************************************
CTIONS REQUIRED: Filing Fees:J- 771 . ;(()
- /" rY"l CO # Charged Re-
Lower Footing Under Slab Base Inspections: ~ LA/' Reviews
Cert. of Occupancy: '0 7 ' () 0
TOTAL: ~ ~ G?-42-~AdditiOnal Fees
:,-:; /J-:A~
mmunity Services Fee ReCeIVed by.