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HomeMy WebLinkAbout07030090 Application Permit #: (!J 7p ~0090 , City of Cannel/Clay Township COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF RECORD: PROPERTY OWNER: LOCATION & PROJECT INFO: NAME; -,,~\ ~>\: 'f~t\-\OII/HONE: 31+s FAX: '5 cr't r 3f15:t'f5'f If 2..- j \3 2-'-l:cl( 0 X- T (z.. ~k \ C(."'l. \kJc. (.Q , ~ 115'0 CITY: lo'i.<:> W\~n l\ n?: :.:':C \ "12 ADDRESS OF CONSTRUCTION:.. ....,~-".::(~: \ ~:~':'.., \~'" \\\"\ ....\- ~\:'~i' \ -<....\ \ l 033 3 Wlt:-r(G{3"';"'.~\, \Z 1-7...- Address of Shell BUlldJri9~(if,dlfferenH~;nAddress of Con~iO~\ "-." \Co?;::;/ ~ \\\ \ \ -;-,,\;:..."""- \\ \\V BUILDING, PR~JE~, OR TENAt;O:,.NAME: \,''0 \ ' kh.-1l<>11.2-1 Yl;Cu:0;\' \' \ \ STATE COMMERCIAL \ \\5 DESIGN RELEASE #: . NAME: e, ~\2.. STREET ADDRESS: PLAN COMMISSION / aZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicable): # of Floors: Elevator or Lift: Q YES p( NO BLDG. CONSlRUCTION TYPE: $ -rE"6 L-- OCCUPANCY CLASSIFICATION: B... IZE: f\/\ TYPE OF IMPROVEMENT: o NEW STRUCTURE (Privately owned hospitals and medical Q ADDmON offices/centers are comme"rda,1) C\\O~ 0 Roomes) o INSlTTUTlONAL " c:\?- U . OI\S 0 Porch o MuniCi~p~~ ~\ ~e9\J.\a\\ 0 Mezzanine or Deck D,.lie\1~OI" _.~\~I> eS, ~~EMODEL ".c' C ~'€Wu,r,<;\l,I\enea eel GOO \J\ac:~~ TENANT FINISH OJ'"~!,!-:F~I~~ enO \-0. 'I\'{ St.~,,~'\"IfinSSORY BUILDING S\l'-MJmbO'i QNmliS~ :{ ,\U--rl- DETACHED GARAGE filii rD' I r.\~ 0 ATTACHED GARAGE FOUND e- \~all'W, ch 0 CELL TOWER (New) apply ~~~~~~fl\'f8 0 CELL TOWER CO-LOCATE o ~ "".0 CRAWL SPACE 0 DEMOLITION o 'POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) TYPE OF CONSTRUCTION: .~ COMMERCIAL ZIP: '-{ ~ 'L yO BEST MEniOD OF CONTACT: e (Y'I~ \ PHONE: FAX: STATE: liJ ZIP: L{('Z-10 SUITE #: (If Applicable) lot # and Subdivision: (If Applicable) .TAXMAP PARCEL #: _ 1 _ -, 1(P~ 1'3-11-00 -00 - 012-.00 WPLUM ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) <50(')60 PROJECT INFORMATION: Early Release /, Permit: _Y _N Lot Split: _ Y -LN Manufactured Trusses: _Y ./ N Sump Pump: _Y .,/ N FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY: X - tU'l5h1'l J nJ. , PLUMBING CONTRACTOR: 0 ~(4 VlI\WAtVli"tY- Plumber's Indiana State License #: _LVo' (l ")1'i\(lp 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 Carmel Indiana - 1993ft (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 funher certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been issued by the De of Community Services, Carmel, Indiana. Signature -:X:M '\t-o~"'SCfY', Print ihiLOl- Oate OFFICEUSEONLY:************************************************************************ INSPECTIONS REQUIRED: Filing Fees: II-f?- '3 . eJO Upper Footing Lower Footing Under Slab Base Inspections: ?-- f:) () , CJ 0 ~ Cert. of Occupancy: . I () 0 Meter Base ~ Site # () 'FlIfI TOTAL: . t/LJ Reviewed/Ap oved: Dept. of Community Services S:Permits/Forms{IL COMMERCIAL Fee Received by: Date