HomeMy WebLinkAbout06120042 Application
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C't .I'r> IIC" 'T' h' Permit#: Of.,,.., ",N,/:>
ty OJ "arme .ay ..owns tp ~
COMMERCIAL/INSTITUTIONAL/MUL TI.F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
DuKe..
STREET ADDRESS:
C,
LP.
PHONE:
~/1-
VJYpJ:5
STATE:
PRO~ERiY.
OWNER:
BUILDER'S EMAIL ADDRESS: ,
:r erctn . Sma.,..-r
E:
HONE:
!:)/1-
BEST METHOD OF CONTACf:
. tDJ1. f!f. J.1AII-.
FAX:
~(1'
STATE:
/J..J
LOCATION
So. PROJECT
INFO:
WATER lJT1LITY
PROVIDER: ~J'2~~ /
SEWER lJT1UTY /I
PROVIDER: ~~~
ESTIMATED COST OF CONSTRum~j!).o. "."""
(EXCLUDING LAND VALUE) Vu l..<..,.L.../
1-3- 001
SqCJQ
5~JECf, OR TE~nAME:
STATE COMMERCIAL
DESIGN RELEASE #:
r~,~5R ~I ZONING:..r0
SCOPE(S) OF 0 FDN 0 STR Ii!'" ARCH ,.("MECH 0
RELEASE: ~LEC 0 SPKLR OTHER(S):
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: 6 ElevatororUft: q YES q N BLDG.CONSTRUmONTYPE: \\-'0 ~fi?L. OCCUPANCYCLASSIFICATION:~ ~e,,,,,
TYPE OF CONSTRUCTION: C,"\<(>\ '" PROVEMENT: PROJECT INFORMATION:
M COMMERCIAL 'rO~::> \\ \e~ ~EW RUCTURE Early Release ~
(Pnvately owned.tll@i?;.l~ndJll\\aIt.1 oelD, I Oll Permit: _ Y
offices/c~@re co~f8aljra\ GO :E...?"\J ~Vom(s)
o IN~j0'? 6 \..0" :\\'1 S r'c."l Porch Lot Split: _Y
~~,i5';v.~'~1~~'" ~~.'J 0 Mezzanine or Deck
"""_ }~hoo" ",0""" \ c.\..r' REMODEL FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
o MU~;,~t~G~?-~~~Q\t>-\~ 0 ~~E~;~~~~~~i~G X /,Lf15 ft ~ d(Z 0{
NumMW 'e"': ~\~ Vt\ 0 DETACHED GARAGE
rn' . 0 ATTACHED GARAGE
FOUNDATIOl'l'tYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
o SLAB 0 CRAWL SPACE 0 DEMOLffiON
~ POST&_BEAM --,--PIER 0 BASEMENT (WALKOUT:_Y_N)
Manufactured
Trusses:
Sump Pump:
_Y~N
_y~
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 Carmel Indiana - 1993" (Z- 289) and amendments,
adopted under authority of LC. 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 Occupa.ncy or Substantial Completion has been
i"u byth,O,p tm,,",olC munitySmiets,C,u <i,Indiana. ~5'E~i_ '1::ur-Aro1 JitIJ/Ot.,e.
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ****************************~.******************7*tfb*t:1*:*~*********
INSPECTIONS REQUIRED: ~ ,.,.'Y FIling Fees:
oting Lower Footing Under Slab ,~ Base Inspections: -;2..{!) () " 0'0
---PJ Cert. of Occupancy: / () '7, {) 0
MeterBase~ Site . 00
Reviewed/ pprov : Dept. of Community Services
S:Permits/For-mS/IlP COMMERCIAL
(Date)
Date