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HomeMy WebLinkAbout06120067 Application 'J City of Carmel/Clay Township COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings) Permit #: Vf.e l~b~7 BUILDER OF RECORD: NAME:b STREET ADDRESS: 00 [ FAX: g-08"'- &, Odo 21 +-?-cJJ' - &, 9-9 ? l( < c; Go 1;:, STATE: "7yJ ZIP: PROPERTY OWNER: BUILDER'S EMAIL ADDRESS: L-e0: NA~ jJv..~<:. BEST METHOD OF CONTACT: f.I".". .] If.- o o F- FAX:.3I"+ -f:'Oli' - & ?:-9 +- ZIP: '-66 ~y 0 (If ~pllcable) -1P -S-O PHONE: STATE: if.oi>.. LOCATION 8r. PROJECT INFO: ADDRESS OF CONSTRUCTION: L- C" ';)0 L. '[p'1), Address of Shell Building: (If different than Address of Construction l!;~-() SCOPE(S) OF FDN 0 STR RELEASE: fi\ ELEC 0 SPKlR SEWER UTIlITY PROVIDER: llirmd ZON~: Iif( AROi OTHER(S): ll("MEOi 0 TAX MAP PARCEL #: It" -/3'//-o'l-/7-oo/.o0} ~. SQUARE FOOTAGE:S. .J 3 WATER UTIlITY PROVIDER: ESTIMATED COST OF CONSTRUCTlON: (EXCLUDING LAND VALUE) .!t 00 00 PLAN COMMISSION / BZA I BPW DOCK NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable): # of Floors: Elevator or lift: 0 YES Q NO BLDG. CONSTRUCTION TYPE: \ \ -'6 OCCUPANCY ClASSIFICATION: \3 TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: ?l COMMERCIAL ' 0 NEW STRUCTURE (Privately owned hospitals and medical 0 ADDmON offices/centers are commel'"Slal) ,.".. " _Q Room(s) o ~ 1;;0R r:ONSTRUCTIl.t!:'l Porch ~Le,':...~I~~!h';Wi~'h~~!V.'ith "all (ag0atidiil; Mezzanine or Deck U"",v.>a1OOf , " ,." '!"I'Cd ~ REMODEL o cllllr&ate, a,~d, LOca,. '0 .,e D: )iFY!/. TENANT FINISH o M~~~PCQM,MUN" '.IT'{SE!t!J'I'-AEtE'sSORY BUILDING 'Num \l(1its:., '-L '('LAYTr./i;llIl~EDGARAGE CI1Y l;AtiIVIC I.~ -0 ATTACHED GARAGE FOUNDATION TYPE: (Che~leYi}"(N9l! 0 CELL TOWER (New) apply for the new constru&on area) . 0 CELL TOWER CO-LOCATE 9\ SLAB 0 CRAWL SPACE 0 DEMOUTION o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) PROJECT INFORMATION: Early Release ill Permit: _Y ~N Lot Split: _ Y A-N Manufactured Trusses: Sump Pump: _Y~N _Y~N FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY: PLUMBING CONTRACTOR: Plumber's Indiana State License #: Class I structure permits are subject to the General Administrative Rules of the Srate of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and complering 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 - 1993M (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 cenify that only kitchen, bath. and floor drains are connected to the sanitary sewer. I fu her certify that the construction will not be used or occupied until a Certilica.u of Occupancy or Substantial Completion has been issued by the Department of Com nity Services, Carmel, Indiana. ~.fIi'in Print ~ rrJ.. ;fII(.,.. {d. -{ t;"-oCo Do.. OFFICE USE ONLY: ***************************************************~****************** INSPECTIONS REQUIRED: Filing Fees: I A. q . I, 1/ Base Inspections: ;;(,0 f) lOb Upper Footing Lower Footing Under Slab - Meter Base ~~Slte 007J () 0 /' Reviewed/ Ap oved: Dept of Community Services S:Permits/formslIL? COMMEROAL