HomeMy WebLinkAbout07030101 Application
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Permit #: 07'03;0101
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&: PROJECT
INFO:
BUILDING, P
NAME: ~ .
U~ ~<- e
STREET ApDRESS:
G1 00 L
cm:
S+red
I L,'''''''
BUILDER'S EMAIL ADDRESS:
Alillo-I"Y'
NAME']:) L P
STREET ADDRESS:
&00 C
000
FAX: 3/:}--
.r-O.f~' 9
ZIP:
o
I J
BEST METHOD OF CONTACT:
em:
000
STATE:
e~
FAX: 3 19-
Iro ~-
ADDRESS OF CONSTRUCTION:
SD C
2' -
onstruction)
ZIP:
Iso
SUITE #: (If Applicable)
Lot # and Subdivision: (If Applicable)
'"
o STR <"f1iRCH D--1<1ECH 0 PLUM
o SPKLR OTHER(S):
SEWER UTILITY
PROVIDER:
PLAN COMMISSION / aZA BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or Lift:
BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: D MPROVEMENT:
\;>(' COMMEROAL N.S"'\~ e~\f!P NEW STRUCTURE
'" (pnvateIYOWned.~~t~Qd~<tlilaI",O A~ON
iiffices/cen 'f'"J"m.m~ (,OOe' :--J\CEr.\~om(s)
o IN, ,i~r>C OCf!;\ S?' ~6?'\~orch
~~ ~1@.I(j,'!Idi~ ~ 0 Mezzanine or Deck
. <l5'lnop~,..:.:~W EMODEL
'0 ChUilCti. CV\~' \ - NEW TENANT FINISH
o MULTI-~I('UO<( ~W<C.\.. \1>' ACCESSORV BUILDING
_ NU~\Qf..!l.~'1>' '?A\) ~ DETACHED GARAGE
""" U _ \I ATTACHED GARAGE
FOUNDATIC{lfTVPE: ((:J!~f~ all whIch CELL TOWER (New)
a~PI for the new. construction area) CELL TOWER CO-LOCATE
SLAB '. 0 CRAWL SPACE DEMOLITION
POST & BEAM PIER 0 BASEMENT (WALKOUT: V N)
,J..5
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) + Z! 0 0
~
PROJECT INFORMATION:
Early Release ,r
Permit: _V ~N
Lot Split: _V ~N
Manufactured
Trusses:
Sump pump:
_VXN
_VlN
FLOOD ZONE AREA OESIGNATIONISl FOR THIS PROPERTY:
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Class I structure permits are subject to the General Administrative Rules of the State of Ind,iana (See 675 lAC 12) regardirig .e~~i~~ion tl~~ \fhun~ for begi!!!ling and
completing construction. \ \ \ \.'" \, .../
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change ~t~~ us'e, of land or ~tructures requested by
this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Ind!ana ~,19?r.(Z'289) and amendments,
adopted under authority of l.e 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. r further cenify 4i~t only kitchen. ba~_!1, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used Ot occupied until a Certificate oE Occupancy or SUbsta;!DaI Completion has been
'"ued b the Dep"tment of Comm 'ey Strvie... C"mel. Indi~~ I ) _ I,. \.."-----
I T)NYAc ~'NI,j. ,';-/.)..-O~
Sigr1ature of Owner or- Print Date
OFFICE USE ONLY: ************************************************************************
INSPEcnONS REQUIRED: Filing Fees: / () Of f . ~ Ce
'ADO . (!) 0
07. DO
.7
Upper Footing
Base Inspections:
Cert. of Occupancy:
Site
'b - 5. 7
(Date)
Reviewed/Ap oved: Dept. of Community Services
S:Permits/FormS/I~ COMMEROAL
Fee Received by:
Date