HomeMy WebLinkAbout07010051 Application
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'. "< . . Permit #:
( . \ CIty of Carmel! Clay TownshIp .
\ . ! COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
\"~ND;'~~~'/ APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
CATAL sr CON6
PHONE: FAX:
/\.J <3/7,0'99-/,555 J/7-<SP1-/..
"
STREET ADDRESS:
6' /S? E. (.,S1l.. uT.
CITY:
ErvOPL'b _
STATE:
pv.
ZIP:
r.,XZQ
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
rAVV\o..."'+,,^
NAME:
Wc.S
. c oVV\.
BEST METHOD OF CONTACT:
CEUA
PHONE:
FAX:
~
<., -/0"
STREET ADDRESS:
oZ.<3 7 00 \A 6(fiSS
CnY:
STATE:
ZIP:
to (,,1
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
o 'Iol. S CC/"'V"\ c It~ c: OIlZ:V €
Address of Shell Building: (If different than Address of Construction)
€
BUILDING, PROJECT, OR TENANT NAME:
DII-. "v6w/"'\./rN .t OIL. bf:>LCI1C;N
-
~
ZONING:
:; ... ~
STATE COMMERCIAL
DESIGN RELEASE #: J rl..J... 7 ~ ,5
WATER UTILnY C)l-,.(.n8-..
PROVIDER: W i'EV\..
SCOPE(S) OF 0 FDN 0 STR ~ ARCH ~ MECH
RELEASE: 'Ii. ELEC 0 SPKLR 6THER(S):
SEWER UTILnY CM-rl a.
PROVIDER: \,.,.J
<tJ 'I Y
"/Sc.. / God J. 00
# of Floors: Elevator or Uft: Q YES )( NO BLDG. CONSTRUCTION TYPE: ~ OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMEROAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADOmON
offices/centers are commercial) 0 Room(s)
o INSTITUTIONAL 0 Porch
o Municipal/Public Bldg 0 Mezzanine or Deck
~1i1!SED FOR CONS~lI&lPQ~~
. urIIl .' NEW~NTFINISH
o MUL -;I; VO complla1].c~ .with a gAdJrtiSllORY BUILDING
Number of unll:!:St8!e anQJ,iJcal CoEfi}s.DETACHED GARAGE
FOUNDAT pI C(fhfcr..1li~~W~J fTV ~ RAIifA~ GARAGE
CT.> ' - ""G'-~ LJ eEL't'mwER (New)
apply for on.\:i;i<.cti""''''L~r>CLA y Oll~ CO-LOCATE
~ SLAB O. C~OlIJl}fi:fA 0 DEMOLmON
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
PLAN COMMISSION / aZA / BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
->h
Early Release M Manufactured
Permit: _Y ~N Trusses: X.v _N
Lot Split: _Y~N Sump Pump: _Y $,N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
Me... t.v..1L D'( /"\. t crf /tAJ'DAL
Plumber's Indiana State License #:
PL ~ /0.57'10 €L>
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 conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - I993M (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 Certificate of Occupancy or Substantial Completion has been
issued by the Department of Community Services, Cannel, Indiana.
~ ~:::-
Signature of OWner or Authorized Agent
Print
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/"\ A 1lrz;:.r0
I /S /07
Dati '
OFFICE USE ONLY: ****************************~.*********************%********************
INSPECTIONS REQUIRED: (;I Filing Fees: I/O ,:5 ~
Upper Footing Lower Footing Under Slab I J~ 4 Base Inspections: r;iZJfJ tI ' cYEJ
I Cert. of Occupancy: , 00
fa
Site
ReviewedjApp Dved: Dept. of Community Servic 5
S:Permits/FormS/l COMMERCIAL
Fee Received by:
Date