HomeMy WebLinkAbout07020145 Application
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COt ifc IIC" 'J' h" Permit #: 0 7V? Of/I.S"
I Y 0 arme .ay .I. owns Ip .
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, S. Accessory Buildings)
BUILDER
OF
RECORD:
....-
"'i' C&PHONj~
PROPERTY
OWNER:
NAME:
4#14!-
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
ADD~ OF iUSTRU'/nIr, r.I
~
Address of Shell Building: (If different than Address of Construction)
--
BUILDING, PROJECf, OR TENANT NAME:
/2-- W /Y]klY
7-317f
.~
PHONE:
FAX:
CITY:
STATE:
ZIP:
SUITE #: (If Applicable)
Lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
STATE COMMERCIAL
DESIGN RELEASE #:
SCOPE(S)OF Q~ ~ 0 ARCH
RELEASE: ~.. 0 SPKLR OTHER(S):
SQUARE ~~___
FOOTAGE: ~L/
SEWER lITIUTY
PROVIDER:
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
(DUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or lift: 0 YES
BLDG. CQNSTRUcnON TYPE:
TYPE NSTRUCTION: TYPE OF IMi>ROV~MENT:
,1("", ',,-,"
COMMERCIAL , , er':'NEW STRUC11JRE
Cpfjvately owned hospitals i!J'\G.rrredlCaC '0',: ADDrnON"'~
offices/centers are.coniriiercial}' - \.:\\'0 ';;1\\ '"tj Room(s}
o INSTTTlm"'''AEI-\~;'-.'' _....8.('.(;3" _. \ coc,'O' --. ")
-,.....:..:. -::Ht:::!!: . __.r,";\\." \ O"-''j. _ ." Porch.
o MJi~iR~JPubIiSCBldg 3n(j ~c ""'f'{ S'D' 'Mezzanine-p,- Deck
o 58/d51J 0\ ;:;\\"...,.~ ,\\,rid~'~'O",.woDel""~\ ,.
o Church Or C/-":',~' 'C~NEWTENANT FINISH
o MULTI'F~~t'~r Ci'--'(\\."c\. I ,p" ACCESSORY BUILDING
Number OCf ~ \ \-\ Q \"'0 DETACHED GARAGE
, 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new constructIon area) 0 CELL TOWER CO.LOCATE
o SLAB 0 CRAWL SPACE Y DEMOLITION
o POST &_BEAM _PIER Er13ASEMENT (WALKOUT:_Y~
CY1'1EcH 0 PLUM
~
ESTIMATED COST OF CONSTRUCTION: :./)
(EXCLUDING LAND VALUE) ~ ~&
OCCUPANCY CLASSIFICATION:
Early Release
Permit: _Y _C-N
Lot Split: _ Y -.:::N"
Manufactured
Trusses:
Sump Pump:
Y '1:J
.-r-- N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
YJ-un:s h?cXOL:f
,
PLUMBING CO~R:
Ifl<.qi 5a;V
,
Plumber's Indiana State ~~ns&!t:
Z--LJ7--tf?5 / e? r
Class I structure permits are subject to the General Administrative Rules of rhe Srate of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruct' n, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by
this application w' I ply with, and conform to, all app' able laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 199r (Z~289) and amendments,
adopted u u o' eq, General Ass bly of the State of Indiana, and all Acts amendatory thereto, I further certify that only kitchen, bath, and floor drains are
ed to t itary se her certify tha he construction will not be used or occupied until a Certificate of Dee ey or Substantial Comple on has be
tment nity Se armel, Indian!, --=-::J.
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INSPECTIONS REQUIRED" Filing Fees: ;..j 5", () 0
" Base Inspections: dO 0 , CJO
(9 , Of)
# tJD
Pnnt
Date
Cert. of Occupancy:
J1xJ7T