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HomeMy WebLinkAbout07030050 Application ./..~~-af"i:4;;'~ :' Q ,..I\TNIJ<>i,> V'\. '- . if . ( , ; . \~.. 'CIty 0 Carmel! Clay TownshIp I ! COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) Permit It: (J 703 ()()o() BUILDER OF RECORD: N~E:. S STREET ADD~EfS: 2.0 I 1\1. I LUf\..)OI~ s,. L (:NE: 237' 2Lf cm: INDPLS , FAX:23'l_ 3~{r3 ZIP: 40W PROPERTY OWNER: STATE: iN. ~FAX: 71\[ 7,:b33 LOCATION & PROJECT INFO: SUITE #: (If Applicable) Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: (If Applicable) B ~ffl6R A~~(r~(.21< 11IJe, AJS(tM1 SCOPE(S) OF X' FDN 0 STR RELEASE: 0 ELEC 0 SPKLR TAX MAP PARCEL #: o ARCH OTHER(S): SEWER lJTILITY PROVIDER: SQUARE FOOTAGE: :3. 3q 0 ESTIMATED COST OF CONSTRUcnON: () (EXCLUDING LAND VALUE) I 3 (] WO, ,~ STATE COMMERCIAL '222 q lO DESIGN RELEASE #::J J to WATER umLIlY PROVIDER: o MECH PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR (DUNlY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floors: 2 Elevator or Lift:: Q YES )(NO TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: o COMMERCIAL 0 NEW STRUCTURE .d '~Ii:;~~:~e~~:'~~~;"hCONS~\J~m(s) 'f"I.. INSTffi.[I;lQN.~~EC fU\~ "[I fill'< (e9~tiC~Ch c:R1M~r6PJ1~\if,~I.d9nGe WI'. tr.(\8S. 0 Mezzanine or Deck Q:;~6!t and LOca, .0 REMogaS ,Ll!( Church of State "MUN',\'{GvCNB\ci:E~l='fINISH o MULTl;;E~ Of COwl, :ltJf~Rt'!lUILDING NumbdP.Hjhl!'l;.~AEL I CLAD DETACHED GARAGE ,..IT'( Qt'VI"\' " ~, ^ FOUNOATIO~~: (Check all Whi~\A'~" 0 ATTACHED GARAGE . .. .'..' ,... 0 CELL TOWER (New) apply for the new constru~on area) 0 CELL TOWER CO,LOCATE ~ SLAB 0 CRAWL SPACE 0 DEMOLmON o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) s OCCUPANCY CLASSIFICATION: PROJECT INFORMATION: Early Release 'VI Permit: _Y ~ Lot Split: _Y X'N Manufactured Trusses: Sump Pump: _Y~ _Y~N PLQ;NG CONTRA';TOk rJ<:a5N. ' /)/YI21A1r; IM(J Plumber's Indiana State License #: _lOCo 4 3>{/> :!,-12'01 Reviewedpproved: Dept, of Community Services (Date) S:Permitsjforms/ILP COMMERCIAL T OFFICE USE ONLY: ***************