HomeMy WebLinkAbout07010052 Application
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BUILDER
OF
RECORD:
PROPERlY
OWNER:
LOCATION
S. PROJECT
INFO:
,
Permit #: 870 I D05,;?
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, llr. Accessory Buildings)
NAME:
PHONE:
FAX:
J7 7- '13/
ZIP: of" ,-I'/,
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CITY:
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STATE:
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BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
..r'I-'/1 7 'Z-
NAME:
BID
PHONE:
FAX:
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CITY:
STATE:
ZIP:
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ADDRESS OF CONSTRUcnON:
2. 5 c:.ul'-'t::. ~
SUITE #: (If Applicable)
7-D/
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
STOJ O,;;,.JT1 rr~
STATE COMMERCIAL J SCOPE(S) OF Q FDN 0 STR
DESIGN RElEASE #: 3:l3/q 7 RElEASE: """-ELEC 0 SplQR
ZONING:
Co -I
~ARCH 0 MECH
OTHER(S):
TAX MAP PARCEL #:
-t:JI)-Dtl-OO
SQUARE ,1/99
FOOTAGE: "1J cP ()
......PLUM
WATER UTlllTY
PROVIDER: C4 e.;vr c. L.-
SEWER lITlLITY .
PROVIDER: c,4,e,.-re:t--
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 1/4 DO, DD 0 . 00
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'2 (If Applicable):
# of Flooo;: , Elevator or un: 0 YES ~NO BLDG. CONSTRUCTION TYPE: E')( 57" Sp. OCCUPANCY ClASSIFICATION:
TY~F CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
COMMERCIAL 0 NEW STRUCTURE Early Release Manufactured
(Plivatelyo\ll{1l"1,hps~t~or><(rtl8dKah r@".Af)f)fl;JRf'/TION Permit: _Y~1If Trusses:
officeS/cen~~tCoh\merdat) rC;H ,-,ul',;:-j-ei'Y'::'R'OOm(sj
o INSTITUTIOlSllilject iO cornp:18=1Ce WI1h_EEf8liOrcH-Llbns Lot Split: _Y _N Sump Pump:
o MunidpaIfPubIiE.Blq[b:e an(j Local C@'OOMezzanlneorDeck
o 5ch1l9lEPT CF C"'''I'''UQTREMOOEhflr[-<::
o Chur~'U''''I!VI. ii;;j-'NEW.TENANt:FiNiSl;l
o MULTI-FAI(!}NY OF CAR~.'iEl.! f:jJ'ACCESSOR'hilll[oING
Numberofunitsl_ IN. ,nl ',OADETACHEDGARAGE
. U Ird ATTACHED GARAGE
FOUNDATI TYPE: (Check all whIch 0 CELL TOWER (New)
apply the new construction area) 0 CELL TOWER CO-LOCATE
e:J SLAB 0 CRAWL SPACE 0 DEMOUTlON
o POST & BEAM _PIER 0 BASEMENT (WALKOUTI_Y_N)
B 1U"'1
Y vN
-Y..0
FLOOD ZONE AREA DESIGNATION/51 FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
fNvJ P[..L.(".-f8/p(P
Plumber's Indiana State License #:
/&0 90/$
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 plicable laws of the State of Indiana, and the ~2oning Ordinance of Cannel Indiana - 1993" (2-289) and amendments.
adopted under authority of J.e. 36-7 et seq, Gene ssembly 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 c that the construction will not be used or occupied until a Certificate of Occupancy or Substantial CompletioD has been
issued by the Depart eot f Co MC ,Carmel. Indiana.
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / /7 S- I & ;(
2(}tJ I 00
7. t!JCJ
/'ifJ')., &"Pv
Signature
A"ut... / r'$/Z..e?
Print
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Date
Lower Footing
Base Inspections:
Cert. of ccupancy:
Date
Upper Fopting
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