HomeMy WebLinkAbout06120059 Application
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City of Carmel! Clay Township Permit #: () It 11, ODSCj
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
8r. PROJECT
INFO:
BEST METHOD OF CONTACT:
AVR.. Lau&: C
~ON~
Ft:"t:fl.lftg U.(... (''7171715 - 2/(;;4-
() CITY:
q 7 5; I...J U 1t....N>Iti.., 15:.
NAME:
t'1AS
;~
"1/
bt,1l-:l ~J[~ C01 /J.PC,
STREET ADDRESS:
p,,, 61 7C;t'S
BUILDER'S EMAlL ADf:\'ESS:
Hlkilt'IiH It (Clo{, [",-",
NAME:
S1lATf7Jt0
STREET ADDRESS:
'11 tvtt'lJUf{~ C(ll<.'Lfi
G~/N;) n I ~ 1~"'T7
F
(.7;0
cm:
1..-& '/>>J o.J
STATE:
10
,? c.;-
t,7~- tlZ/J.-.-
ZIP:
4~>o~2
(m) L? cg, -Il1~7
FAX:
(~/?)
STATE:
oj
10'" Z./~4'
ZIP:
4::;..-ZM-
Address of Shell Building: (If different than Address of Construction)
IUDING, PROJE<;T, OR TENANT NAME:
_l{L <;j1At{1 r/.L-/1 /;.J51./4\.1.:1[
STATE COMMERCIAL ae-'" 0 FDN 0 STR
DESIGN RELEASE #: ~ 0 ELEC 0 SPKlR.
xr
o
o
SUITE #: (If Applicable)
.~ ,?>O
Lot # and Subdivision: (If Applicable)
ZONING:
SQUARE
FOOTAGE:
~-1
TAX MAP PARCEL #;
o ARCH
OTHER(S):
o MECH
ESTIMATED COST OF CONSTRUCTION: r:t
(EXCLUDING LAND VALUE) f ?~7. C)~~:7 . </7
BLDG. CONSTRUcnON TYPE: \~'
PE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
J3 NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEM0LIT10N
BASEMENT (WALKOUT:_Y_N)
FOUNDATION TYPE: (Check all which
apply for the new construction area)
~ SLAB 0 CRAWL SPACE
o POST & _BEAM _PIER 0
OCCUPANCY ClASSIFICATION:
PROJECT INFORMATION:
Early Release \ 1'\
Permit: Y J'-N
Lot Split: Y ~
Manufactured
Trusses:
Sump Pump:
_Y~N
_y.x;:N
FLOO~ONE AREA DESIGNATION~il.R THIS PROPERTY:
'~UA\-SYlt! A
,
PLUMBING ~ONT~;;: ~ '- I h
~JIJI'JZ ({ -e, ~
Plumber's Indiana State License #: -
7 ~'b<6o/13
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 confonn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993W (Z-289) and amendments,
adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I funher certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used Ot occupied until a Certificate of Occupancy or Subst;mtiaJ Completion has been
'dl:::::Zrnt 01 ommu~ty S""icts, Catmtl,lodian.. j) --..J > /--OW e / ;t/! c:; /!J b
Signature of 0Wnef' or Orized Agent Print Date
INSPECTIONS REQ
Upper Footing
~ReViewed/AP ;oved: pt. 01 Community Services
l \S:Permits/Forms/I P COMMERQAL
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Rough In
Meter Base
Site
2.00"
Date
(Date)
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