HomeMy WebLinkAbout07020029 Application
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C't .I'C IIC" 'T' h' Permit #: tJ 70 -;z tJo ':Jq
t Y OJ arme .ay .J. owns tp 'v I
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
PHONE:J/ J.S 7/ -0007
FAX:
8'/ j -
CITY:
STATE:
PROPERTY
OWNER:
NAME:
PHONE:
LL C ).fRo-
9,1 'if5
LOCATION
& PROJECT
INFO:
BUILDING, PROJECT, OR TENANT NAME:
L'
CITY:
STATE:
ZIP:
n"
SUITE #: (If Applicable)
if
lot # and Subdivision: (If Applicable)
'It-
TAX MAP PARCEL #:
r
/7-/".>-01-1.;0-00-01>.0
te Ie
SCOPE(S) OF 0 FDN f{J S1R 0 ARCH
RELEASE: !J ELEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE:
tJo
STATE COMMERCIAL
DESIGN RELEASE #:
WATER UTILITY C.i4bn -c: L
PROVIDER: t
SEWER UTIllTY
PROVIDER: C-
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
(DUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
MECH ft> PLUM
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
# of Floors:
Elevator or lift: 0 YES
11 NO BLDG. CQNSTRUCTlON TYPE: I C OCCUPANCY CLASSIFICATION:
TYPE OF IMPROVEMENT: PROJECT INFORMATION:
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 - 1993ft (Z-289) and amendments,
adopted under authority ofI.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 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 Depart enpmmunity Services, Carmel, Indiana.
OFFICE USE ONLY: * ** * ** * ** * * * *** * * * ** * * * * ** ** ** ** * * * ** ** * * * * ** * ** * *** ** ** * * * * ** ** ** ** ** **
Filing Fees: lOre ;< , 00
Base Inspections: ' ;;"00, on
Cert, of Occupancy: . 0 D
la q . 00
TYPE OF CONSTRUCTION:
(Xl COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 AQQRNN
offices/centers are commercial) \jC\!Y '~~m{s)
o INST1TUTIONAL, IS''?' \l$\Oporch
o MUniCipal/Public Blqg r,O't:, \I 16g 0 Mezzanine or Deck
o School ~D yr:, .1,':-' :,,, ,"\1';\ "'Ojep.EMRI3llkS
o Chur<:I),.,'3I:.' d'\'Z,r," oc'O\ CNi~-~n:N~NISH
o MUL~II~, 10 C,O.,;' _":',,0 I: ',' \ \-0tP )\a;~SOO 'BUILDING
Numb'<t,8f::ljOlts: c; c',,"'- ,..,,,,~..),,,. G[ DffAcHED GARAGE
~.. C.O' '.". I CI..tJ ATTACHED GARAGE
FOUNDATION TYPE: <!C;he..c~ a!I,w,,~I~~.., ~~ CELL TOWER (New)
apply for the ne~n_struf.g'1.area)\",Q\p...\ 0 CELL TOWER CO-LOCATE
!'ill SLAB G\W CRAWL SP~CE 0 DEMOLTTlON
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
\.~'oy
Print
INSPECTIONS REQUIRED:
Upper Footing
Under Slab
Lower Footing
Site
7
~ ~Viewed/AP roved: Dept. of Community Services
~ ~'m;"/Fo'"", PCOMMERCIAL
(Date)
Early Release ./
Permit: _Y ~N
Lot Split: _Y.jLN
Manufactured
Trusses:
#,y l-~
_y,....-N
Sump Pump:
FLOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
)cJ - ttfL5 h 2dJl/oI
PLUMBING CONTRACTOR:
m C.CIJ/P ",I V Jj1ecA I1'V I C4 L.
/ '
Plumber's Indiana State License #:
{' rJ (,-Or;' 000 '/ /
,
EI" L.u/ /(,/
;2 - ;; -0 "/
Date
Date