HomeMy WebLinkAbout07010114 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: D?O 10//1
I
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
NAME:
PHONE:
FAX:
STREET ADDRESS:
CITY:
STATE:
ZIP:
ADDRESS OF CONSTRUCTION:
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
ZONING:
STATE COMMERCIAL
DESIGN RELEASE #:
o MECH
l.P5fJ
2D C([)
ScOPE(S) OF ?,FDN \.d"'" STR 0 ARCH
RELEASE: 0 ElEe 0 SPKlR OTHER(S):
5fi
WATER lfTIUTY
PROVIDER: ~-A
SEWER UTIlITY
PROVIDER: N
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WEll ANDjOR SEPTIC PERMIT #'5 (If Applicable):
TYPE F CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 Room(s)
o IN~L 0 Porch
Q,Ub;riiC~~I~l!>,.., 0 MezzaOlneorDeck
0' S<ll<!QIto Co >., "JOf,J<::.Q REMODEL
o ChurCBt~, 'rnpiIAnc" ,'. ",~~'l'I/;F\:~~NT FINISH
o M~~UL'( 0.ate 8'ld L IIll ~ ~]rA<:t,ESSoo.y BUILDING
errr.Qf u'",1f: i'n,," DCa! Co.:y;;J-"'kl~A'ffiIlD GARAGE
UFr:.,,:-: '>l1U.'~!17Y '?;S. ATTACHED GARAGE
FOUNDATION TYPE: \Che~ ~!l whl"~" ~ i:t1\(t~~WER (New)
apply for the new constru~l~n ~iea),_", Y J \SD." >C~i;1OWER CO-LOCATE
> '~SLAB 0 CRAQi!SpkiE 0' V'dl!l>ltlUl'PION
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
# of Floors:
Elevator or Lift: Q YES Q NO
BLDG. CONSTRUcnON TYPE:
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release /
Permit: Y N
Lot Split: Y'/N
Manufactured
Trusses:
Sump pump:
Y~
-yVN'
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
~,~
Plumber's~i7~te License #:
Class 1 structure permits are subjecr to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
!, the undersigned. agree that any construction, reconstruction, enlargemem, 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 "Zoning ordinance of Carmel Indiana - 1993" (Z- 289) and amendments,
adopted nnder authority of 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 sanitary sew further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
'"u,d t~'D'pa"m'ntur u mu 'ty ,n>i",.Cumd.Iudian~ . _1- (!J7
.;:lJ2pil(oce nate Z
Signa
OFFICE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: ~ Filing Fees: ..6/.0. () d-..
Upper Footing" \1}\ Base Inspections: I-{ 0 \9 . (l) 0
~r Cert.ofOccupancy: le" 00
TOTAL: . 0 ;A.l. Dd-.
Date