HomeMy WebLinkAbout06120065 Application
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C't .FC IIC" 'T' h~ Permit #: ot.al?,J)~
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COMMERCIAL/INSTlTUTlONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
~ro p",A;e--:, LLG
PHONE:
FAX:
BUILDER
OF
RECORD:
NAME:
0. ""-fer,,, it
~17-5'lt-o(" 17
STREET ADDRESS:
CITY:
Is.,
STATE:
IN
ZIP: ft; )S (,
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME:
PHONE:
FAX:
SOv'^"'-'
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
8< PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
1-340 vJ. '1(P-f.'~ s+
SUITE #: (If Applicable)
oS
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
O\'.~\G
SCOPE(S) OF 0 FDN
RELEASE: !II" ELEC
ZONING:
i - (
~MECH
]- 07-Uoooo
')
STATE COMMEROAL 3 '"\2'7 A J
DESIGN RELEASE #: .t- T
o STR cYARCH
o SPKLR OTHER(S):
300 ~,f=:
o
o
I;
WATER UTILITY
PROVIDER: Cr.,,,,,,,,1 U+J.+'~J
SEWER lJTIUTY
PROVIDER: c:. T P- vJ {J
ESITMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
(" 000
.!.::..
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR 5Emc PERMIT #'5 (If Applicable):
# of Floors: Elevator or Uft: Q YES !i"NO BLDG. CONSTRUCTION TYPE:.5't-/ CYST OCCUPANCY CLASSIFICATION: .e~~M
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
ey( COMMERCIAL 0 NEW STRUCTURE
(Pnvately owned ~iff~ and medical 0 ADOmON
officeS/centers a~-<~C1al) 0 Room(s)
o IN8!~L ~(!l ~'1 0 Porch
o ,~/Publl1:',Bldg)\. 0 Mezzanine or Deck
o Sc ~ 0 'C',_, \~) 0 -REMODEL
o ChuncID, 0 "0: -q,~ 0' NEW TENANT FINIS
o MULll-FAMILY"'O ^' '(~ ~"'. C?~ 0 ACCESSORV BUlL N
Number of units: ~." "'~ .,,~ . Q 0 DETACHED GA E
, '~''1,. n C'" ~ATTACHED GA GE
FOUNOATION TYPE: (Che~~! Yft'ICI:rO '.:, CELL TOWER ( w)
applvor the new constr~6il~e~L 0",,/ <'5 'XELL TOWER CO.
6Zf SLAB 0 ~1(Sl?ACe, C6 ?'~MOUTION
o POST & BEAM ~ \..:t;J!~~~O~LKOUT:
/~ '.. ~~~rQ
Class I structute permits are subject to the ci'~r;rftdminis@tive Rules of the State of Indiana (See 675 lAC 12) regarding expi~ti~iitiine f[am~!lJc begi~nirig ~d \\
I, the undersigned, agree that any construction, rec~k;~I::~n, enlargemen~,or~~~:~~~~,c;n:l~~~~~:~f a structure, or any Ch~~.;;;';\\~~'~;~;;;d o;;~ctures requ''''db~. \\\\,\
this application will comply with, and conform to, all ap hie laws SJ:he State of-Indian!!J.. and the ~Zoning Ordinance of Carmel,r:n9i~a - 1993~ (Z-289) and ~~~ents, i '\ 11
adopted under authority ofLc. 36-7 et seq, General Assemb y oftheState of Indiana, and all s amendatory thereto. I further certifY th<1f only ki~~n. ~at~anB'.fl&r draiD.S.are)
connected to the sanit sewer. I f er certify that thecoJ;"struction will not ~ed 0 ccupied until a Certificate of Occ~~g, or Su~iihtiaJ tompJetion has ~if~ ,
i",u,d by tho D,p...tID<nyo~~ 5<""0<8, C.fun'.I. Indiana. I.J.,' /) _ /' \ \ \ \ \ \.'. .. ,-_of i
~-&- 'J (JJ 0~~I1)1OJk (5tv1-(}V\ \\1 \yc/ ,,'r;!tl1!JJ--b--J
Signature of r or Authorized Agent Print \ ~ __~t:e--~-- .
OFFICE USE ONLY: *************************************************l"-()*******>f************
F"I' F ~'7 · 0 V
INSPECTIONS REQUIRED: ling ees:
Upper Footing Lower Footing Base Inspections: At> () . 0,0
~"'".of,,",,~.' /07.00
OTAL" ~
Reviewed/Appr ved: Dept. of Community Services (Date)
S:PermitsjformS/ILP MMERCIAL Fee Received by:
Early Release j
Permit: y ~DI.
Lot Split: _V ~N
Manufactured
Trusses:
Sump Pump:
_V/N
_VLN
FOR THIS PROPERTY:
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V
Date