HomeMy WebLinkAbout06120094 Application
City of Carmel! Clay Township Permit #: o~ J A OO'7f
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
PROPERTY
OWNER:
-
BUILDER
OF
RECORD:
NAME:
-t2(P-O'
STREET ADDRESS:
5220 E.
ZIP:
4" 22.0
BUILDER'S EMAIL ADDRESS:
~~i
FAX:
STATE:
ZIP:
" '2,.20
LOCATION
& PROJECT
INFO:
TAX MAP PARCEL #:
-OOO(J 0 ole>>
ESTIMATED COST OF CONSTRUCTlON: .Jc
(EXCLUDING LAND VALUE) '2 580 00 D .
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or lift: c;I YES ~O BLDG. CONSTRUCTION TYPE: ::rr A sP I( OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
o COMMERCIAL ~ NEW STRUCTURE Early Release
(Privately owned hospitals and medical 0 ADOmON Permit: _Y...k:-N
~ offices/centers are commerdal) / 0 Room(s)
~ INSTITUTIONAL 0 Porch Lot Split: ..~Y ~N
o Municipal/Public Bldg 0 Mezzanine or Deck
o School . 0 REMOD~ ,..,
~ Church ED FOR CQN!NEW1fENAfir-iWrsH
o MULTHAMIRELEAS .....' Q;tr!\~c;E~Y!.lioILDING
Number of UelUbjAf" to complianceO DETJll:"ED GARAGE
S 't and LCC5'! ':IT ,.~,
FOUNDATION TYPE: (Che~ ~11),~d.rliMUGrf~E&t~~~
apply for the new coli);l&li'ctiOria~Y '5l ,(>ei.qTOW~NanlRATE
~ SLAB CltrY (QfA1G~~EL / dLf'~EM0m10N
o POST&_BEAM _PIER' dNR~~ (WALKOUT:_Y_N)
A-- 3
Manufactured
Trusses:
Sump Pump:
~_N
_Y~
FLOOD ZONE AREA DESIGNATIONfSJ FOR THIS PROPERTY:
~ x-unshBJ.<?q
PLUMBING CONTRACTOR:
j4r..vYY\lY>'l 1?: -'- ~ J ~ '
Plumber's Indiana State License #:
c.p iOOoo i 0 I
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 co, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana -199r (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 Cert1fica.te of Occupancy or Substantial Completion has been
issued by the Department of Community Services, Carmel, Indiana.
:fDhn
Print
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Date ·
Base Inspections:
Cert, of Occupancy:
Fe