HomeMy WebLinkAbout06120043 Application
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Permit #: [)~/'?-. O0f3
City of Carmell Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
L-\..L.-
ECT OR TENANT NAME: r!J
C ~- ;Z...r9
SCOPE(S) OF 0 FDN 0 STR
RELEASE: JIi ELEC 0 SPKLR
WATER lJT1LfTY f\ SEWER UTILITY
PROVIDER: \....A.'f' PROVIDER:
PlAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
(A",
Elevator or Lift: ')Cl YES Q NO
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
'Iii:1 COMMERCIAL 0 NEW STRUCTURE
(pnvately owned hospitalS and medical 0 ADD maN
offices/centers are commer~aIJ..TRUCT\ON 0 Room(s)
o IN~~{llQR GO, ,It; ,0 Porch
fje.:.,b\0\~hfc~~WIW8~.~~j\la\l regu1a\IOnSO Mezzanine or Deck
~ubiea \cS<OO6l1P la :,," I Codes. 0 REMODEL
,"'1';":1 0 o(:t!\trtte and Loca ' R~8f&w TENANT FINISH
O.w!I,TI~tsv~,AMUN\TY Sf. "C1S6rnliSSORY BUILDING
Dl:N\:i'n\ber~ ul)llS:. -' 'CLAY TO'J~ bE'tACHED GARAGE
(",TV nF L,AKMCL. I. 0 ATTACHED GARAGE
FouNOAn01'lTYPE: (C~!lIUW/lich 0 CELL TOWER (New)
apply for the new consa'IJctron area) 0 CELL TOWER CO.LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLTTlON
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
~ PHONE:
BEST METHOD OF CONTACT:
"'-'-
FAX:
STATE:
ZIP:
SUITE #: (If Applicable)
2-CD
Lot # and Subdivision: (If Applicable)
c-~
1lll ARCH
OTHER(S):
SQUARE
FOOTAGE: l50:?
EST1MATED COST OF CONSTRUCTION: Ar ,2, " n~
(EXCLUDING LAND VALUE) tIJ "v VVV
iT
o MECH
o PLUM
PROJECT INFORMATION:
Early Release 'v1.
Permit: _Y ~
Lot Split: _Y ~
Manufactured
Trusses: Y ~
Sump Pump: _Y --U!>
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
)d - U--Yl S h ;:7(1 ec(
PLUMBING CONTRACTOR:
----.Nr> ?10W\h'::t
Plumber's Indiana State icense #:
~
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 co~ply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 1993" (Z- 289) and amendments,
adopted under autliority'9f 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 sanit'!IY sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
is>ue b theD '>;',nt om nitySmim,Catmel,ludian~ t' 1(((()fO
s' p,Ji"~Dfhy iT ~ oa~ J
OFFICEUSEONLY:************************************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
Site
Reviewed/Ap roved: ept. of Community Services
S:Pefmits/FofmsjI P COMMEROAL
TOTAL:
Date