HomeMy WebLinkAbout07030102 Application
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Permit#: 07036/fJ'd..
City of Carmel/Clay Township I
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PE~
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings) I
"i- 31+-
BUILDER NAME: ~I - FAA:
OF o~-t.,oo &>0 €"- {,. 9-
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
(POD c '-k.d-
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BUILDER'S EMAIL ADDRESS:
kr< . LI " L~ \
PROPERTY NAp -R ~cJ+- p. FAA: (3 /f--
OWNER: <l=-~ L. ?op-C;;' 'T
STREET ADDRESS: CITY: STATE: ZIP:
'r., ()D L . CJu,~ .e d-- 100 ~ 15 -r- L/68-YO
LOCATION
& PROJECT
INFO:
SUITE #: (If Applicable)
CJQ
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
BUI~ PROJECT, OR TE
-t-J '^- e..
STATE COMMERCIAL
DESIGN RELEASE #:
\Ll 0
. ()C7 9
WATER UTILITY
PROVIDER:
SCOPE(S) OF 0 FDN 0 STR
RELEASE: ~EC 0 $PKLR
SEWER UTILITY /I (.
PROVIDER: La'
PlAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicable):
# of Floors:
BLDG. CONSTRUCTION TYPE:
'0
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
'rf<. COMMEROAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADOffiON
officeS/centers are commercial) 0 Room{s)
o INSTITUTIONAL ",,' ~ 0 Porch
o Mumcip~lfftUq~.Bldg ~ 0 Mezzamne or Deck
. 0 School' ~;:iJ \! t: EMODEL
1Jj€ltI..' '.' ,~ :-(J'C,tftJ NEW TENANT FINISH
o MI8i!ibF. t.!l:E5!JJ'E(Jr-. C~OvJ 0 ACCESSORY BUILDING
Numbef' "'.UCQ~'" u~ DETACHED GARAGE
Of ,:"' 'JJ118h 0 ~ ~LU BING CONTRACTOR:
FOUNDA~;dl!ilhle~II' Cilit"f{ ED GARAGE
te 'eIIri' ,'1O:rg; f ~~U/~ WER (New) IX" _ < .\ \,
~SLA,rI5FC::!t'Wd~~~~~ DE~~~~CO-LOCATEpIU ber's Indiana State License:#': ,\'c>:"/' \~
o POST &_BEAM 1IwJJ~fNL~Y ~:;'~!}:;:S~$ALKOUT:_Y_N) \{;-:>::b.; or~\\ \:0
WrV~~ ,. ,,\ '\ l\ .....
Class I'structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding e~~~dtiop\time 1, > for begmmng and/
. . . complet~ng construc~on. . \ \\\.\ \
I. the underSigned, agree that any conStructIOn, reconstruction, enlargement, relocatlon, or alterauon of a structure, or any change m the ~se.ofJ<I:!ld or s~.ctures requested by /~
this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana':' \I~93~,(Z:289) and amendments,
adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto, I further certify that o?ly kitchen, bath, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
i tbeDepartmentofCo munityServices,Carmel,Indiana. ........, ~ ~_/
"-'"'- :\ ?J~..,J~.i'c _ _ ,'rfG- O--(;l-o~
Prmt 7 Date
PROJECT INFORMATION:
Early Release j('
Permit: _Y -.!.LN
lot Split: _Y it-N
Manufactured
Trusses:
Sump Pump:
_Y~N
_Y4=---N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
X -UMf5f-t eJect
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / ~OS., '"/ (
Upper Footing lower Footing Under Slab Base Inspections: 20c'Y . (J"iJ
~ Cert. of Occupan 01:)
~ Site I
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Reviewed/ pproved: Dept. of Community Services (Date)
S:Permits/For s,lILP COMMER.OAL Fee Received by: Date