HomeMy WebLinkAbout06110126 Application
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C't ifc IIC" '7' h' permit#:~
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COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
> I--({r, '/10
NAME:
UL
F '
5J'(-tj/frf rtl ~Sf')OH
TAl ~6~l{O
F CONTACT:
PROPERTY
OWNER:
SJL/-73'33
~
CITY:
ZIP:
o
LOCATION
8r. PROJECT
INFO:
Address of Shell Building: (If different than Address of Construction)
SCOPE(S) OF 0 FDN 0 STR
RELEASE: CSt-ELEC 0 SPKLR
ZONING:I5_ 3
(fit ARCH &1<' MECH
OTHER(S):
TAX MAP PARCEL #:
5 5v"bs
STATE COMMERCIAL <"] -1' 7
DESIGN RELEASE #: .J:J..... / I
WATER UTILITY I
PROVIDER: Co.rn~ ~r
oS- PLUM
SQUARE I Lf 1J
FOOTAGE: I 0
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRumON: IAn 0710
(EXCLUDING LAND VALUE) VV1 V
PLAN COMMISSION / BZA I BPW DOCKer NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or Uft: Q YES ~O BLDG. CONSTRUCTION TYPE: II V -B ElJ) OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMERCIAL ..,. . ,(l';:\\Ofu NEW STRUCTURE Early Release A/
(Privately owned hom~~ica~\Or.~ ADOmON Permit: _ Y ~N
~fficeSfc:Q.tfl>S~ h1er~aj>';'9~'<l;., 0 Room(s) Lot Split: _Y O'--N
o I OOAL Vi\\'n" '5, 0 Porch
~E.\..E.p.: o~~g\>!~!lIdlP':ot\.\}\Cf.S aD Mezzanine or Deck
'ect toY ~1i,\,!hO - \ -r-I '310- ,_,,$\\REMODEL
Sl.Ib\ ~1i':l1llr~!:l\\'J\\Jt'.\ ,( \O\;^.\''i'!i!J-- NEW TENANT FINISH
o W~~:"-\..I cV' 0 ACCESSORY BUILDING
Of.? ,Qr. etl-?/{'j~~ , g ~~:~~~g :~g~
F N TYPE: l""n'l!'c~ all whIch 0 CELL TOWER (New)
ap y for the new constructIon area) 0 CELL TOWER CO-LOCATE
~SlAB 0 CRAWL SPACE 0 DEMOUTION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
-( p~,...,
Manufactured
Trusses:
Sump Pump:
_yiX. N
_Y P"-N
FLOOD ZONE AREA DESIGNATlONCSl FOR THIS PROPERTY:
b< - l/(IflwJ~j
PLUMBING CONTRACTOR:
fN-W
Plumber's Indiana State License #:
jOO OJ 1f<6
Class I structure permits are subject to tbe 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 KZoning Ordinance of Carmel Indiana - 199J" (Z- 289) and amendments,
adopted under authority of I.C J6-7 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 funher certify that the construction will not be used or occupied until a Certificare of Occupancy or Substantial Completion has been
issued by the art nt of Community Services, Carmel. Indiana.
5efi1 41f-
Print
11-~7t%
Signature 0 Owner or Authorized Agent
00"
OFFICEUSEONLY:*****************~*l***~*********************** **********************
~11,;l.1 I F'I' F S1 <90
INSPECTIONS REQUIRED: ling ees: .
Upper Footing Lo Under Slab ~ Base Inspections: {)O , 0 0
1~1l Cert, of Occupancy: - () 0
Site 5""6- DP
~
o '!!XX,
(Date)
Date
Reviewed/Appr ved: Dept. of Community Services
S:Permits/Forms/ILP OMMEROAl