HomeMy WebLinkAbout07030049 Application
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Permit #: () 70 30Q!f7
PHONE: S-6?/ Zl87
FAX:
VI)! 7tO I
BUILDER
OF
RECORD:
VOUIZ f!o(Yt(l;/fCAlI.
51;
NAME:
PHONE: % "3 .I
CITY:
/
FAX:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
j
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
i
5tJt.mI ~N[
SUITE #: (If Applicable)
-
Address of Shell Building: (If different than Address of Construction)
-
Lot # and Subdivision: (If Applicable)
-
STATE COMMEROAL A lA-
DESIGN RELEASE #: I V/ \
WATER LfTIlITY 1Y
PROVIDER: U I
o
SCOPE(S) OF 0 FDN
RELEASE: X-ELEC
o STR )'f- ARCH
o SPIQR OTHER(S):
SQUARE ~ c::-
FOOTAGE: V.70
ESTIMATED COST OF CONSTRUCTION:d( r- .1'1.11"" (\(l
(EXCLUDING LAND VALUE) ::J UUV I
o MECH X PLUM
SEWER UTILITY ty
PROVIDER: C l
PLAN COMMISSION / BZA / BPW DCCKET NUMBERS; AND/OR
COUN1'Y WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
Elevator or Lift: P YES )( NO
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
AN J 0 Mezzanine or Deck
~REMODEL
~ NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOLmON
BASEMENT (WALKOUT:_Y_N)
# of Floors:
TYPE OF CONSTRUCTION:
)$i. COMMEROAL
(Privately owned hospitals and medical
offices/centers are commercial)
o IN5TTTUT10NAL
o Municipal/Public Bldg
o Schooi
. 0 Church
o MULTI-FAMILY
Number of units: _
FOUNDATION TYPE: (Check all which
apply for the new construction area)
o SLAB ~CRAWLSPACE
o POST &_BEAM _PIER 0
BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ..,0
Permit: Y N
Lot Split: - Y Z
Manufactured
Trusses:
Sump Pump:
_Y~N
-y --XN
FLOOD ZONE AREA DESIGNATION(Sl FOR THIS PROPERTY:
X --lAJ(L~hcded .
PLUMBING CONTRACTOR: 17'0-' ~ ~
f2J' ;I cU/IIm
Plumber's Indiana s,~LiCenS?
7-C q,jO::ljI,'Z
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 UZoning Ordinance of Cannel Indiana - 1993" (Z- 289) and amendments,
adopted under author of I.c. 36~7 et seq. eoetal Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected san" ary sewer. J furt er rtify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued beep of C mm i Services, Carmel, Indiana.
OFFICE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: Filing Fees: If 1 J{, j ()
2fJ (J [YO
tJ 00
7S: . 50
. L-
Signa
PItK!lJA) ~
'3>. 2,(J 7
Print
Date
Base Inspections:
Cert. of Occupancy:
Lower Footing Under Slab
eter Base c9 Site
?:,-
Reviewed/A proved: De t. of Community Services
S:PermitsJfofm lP COMMERCIAL