HomeMy WebLinkAbout07020100 Application
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C't if"" IIC" 't' h' Permit#: D7o~o'oo
I y 0 ....arme lay .L owns Ip I
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings) I
BUILDER
OF
RECORD:
NAME:
ts;JJ
8n-f.Hr~Lo
,
-g /(p-f, (j) l
ZIP:
4'Li7,;(4)
STRE~ ioRE~:. q '\f\ 'SJyce
STATE:
rt0
PROPERTY
OWNER:
NAME:
/q - 00--'7
.eiIJ
FAX:
ZIP:
L/ ~L
LOCATION
& PROJECT
INFO:
SUITE #: (If Applicable)
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
i Itl{.V1-r I
WATER UTILITY
PROVIDER:
SEWER UTIlITY
PROVIDER: C -r Q{,0
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
(DUNlY WELL AND/OR SEPTIC PERMIT, #'5 (If Applicable):
# of Floors: Elevator or Uft: Q YES ~ NO BLDG. CONSTRUCTION TYPE: ~ . ~ OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT I FORMATION:
'r;:;{. COMMERCIAL 0 NEW STRUCTURE Early Release
(Privately owned hospitals and medical 0 ADDmON Permit: _Y XN
offices/centers are commercial) 0 Room(s) "
o INSTITUTIONAL 0 Porch Lot Split: _Y -----rcN Sump Pump:
RE'O ^~iciB<!I!!l'-'~ijc,sl,dg.. Q~'" U r..::v,<'ip Meuanine or Deck \
. If!:J:r5ehOOI..1 -:1" ',..'v: ,.'~'.' '~.~1\~~ODEL ~i>t!tlt> 10/ '.FLOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
SubjIDct Church1'.pl1ance witn d, . "'''El''''NEW TENANT FINisH . \f' k ~--1 ^ ~I
o MULT1-F.N'!'~Yte and 1.00,"1 GOdb, 0 ACCESSORY BUILDING ,A 1- u..Yl,Sf-l,~ ~
DbI1Jmbe~OI,UOlts:". " " '.. "'I~,( (' '--D0,~ DETACHED GARAGE
1::1-'1 U'-\A_"\""'~'" . ...or_....".... PLUMBING CONTRACTOR:
FOU~!!;~t~:,,(fl~~tct~II,~~.ittJ: ': uvg,~~I[~~~~E~~~~~ VIr.
apply'tM the new constrr,~~~~ml! 0 CELL TOWER CO-LOCATE --+1 V c,. 5
~ SLAB 0 CRAWL SPACE 0 DEMOLTTlON Plumber's Indiana State License #:
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) ?C 1'1500069'
Manufactured
Trusses:
_Y-kN
_Y -XN
Class I structute permits are subject to the Genetal 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 Carmel Indiana - 1993~ (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 thay the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
;",u y th, D'panm<ut uf Cu muu;ty Sm,;,,, t",md. Iudi,"~ It
, ' \''':'' r '- JI-ect/in J-tach ,;1.. / /Of rJ7
Sign re Ownef' or A orized A Print Date I I
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: e. ~ Filing Fees: 4:> If /, <1/
Upper Footing Lower Footing Under Slab "J-'t Base Inspections: pO, tJO
----4 Cert. of Occupancy: /IJ 1, tJ ()
Meter Base ~ Site TOTAL: ~. 91?J , Cf I
,~
(Date)
Reviewe Approved: Dept. of Community Services
S:Permits/F ms/ILP CQMMEROAL
Fee Received by:
Date