HomeMy WebLinkAbout07030134 Application
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City of Carmel/Clay Township Permit#:O 7/)7)/~1-j
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PE~
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
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FAX:
Il ,8'J.h3
BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
cm:
STATE:
ZIP:
,.. Sf
PROPERTY
OWNER:
NAME:
CLArlArJ NO'KTH
. Co
CE:t.i..
3;1-;2&1-/80'
BUILDER'S EMAIL ADDRESS:
'5- .
BEST METHOD OF CONTACT:
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em:
Co.. r ft'\.E
STATE:
::r T'\)
SUITE #: (If Applicable)
ZIP:
STREET ADDRESS:
I
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRurnON:
.
ZONING:
BUILDING, PROJECT, OR TENANT NAME:
C
,-
c..
SCOPE(S) OF 0 FDN 0 SIR ...... ARCH 0 MECH 0 PLUM
RELEASE: .... ELEC 0 SPKLR OTHER(S):
SQUARE 7f7
FOOTAGE: / 0 g ,
STATE COMMERCIAL
DESIGN RELEASE #: AI
WATER UTIUTY
PROVIDER: C'^" ~ f:.,(....
SEWER UTIlITY
PROVIDER: c.. \ ~
ESTIMATED COST OF CONSTRUcnON:~
(EXCLUDING LAND VALUE) 1../
o
PLAN COMMISSION / aZA I BPW DOCKET NUMBERS; AND/OR
(DUNn WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: I Elevator or Lift: ~s 0 N9, BLDG. CONSTRumON lYPE: ~ 5 OCCUPANCY CLASSIFICATION: r -~.
TYPE OF CONSTRUCTION: TYPE.OF IMPROVEMENT: PROJECT INFORMATION:
.,..'.J ,>. '.\\
JZ COMMERCIAL ///~ \; '.;'C'l\. NEw STRUCTURE
(Privately owned hasp itaJS,~~,'a;,~ea#1 \_;;::O.'~. AD. 0 ')i10N
offices/centers are commercial)\) , \%\OJ~Room(S)
o INSl1TUT10.N~L-, '<<:':0 ~ ',;~ "~,Q \ Porch
o MU,:,CIP~ll~Ubllc,B1dg ~r('\.\\\ )> \c;J;.I Mezzanine or Deck
o ~~,oO\ ,,{l/ .'~' 'l>'j;a' )~...EM6DEL\
o ChUrch \~" _..~ "t." O/NEW TENANT FINISH
o MULTl-FAMih~N\ V' "rfSI=c;;E5S6RY BUILDING
Number of Uilits:'~.' . ;pj)l~~~RAGE
RIii' ~)l\~, Ol'\l::t!lRWi't'A~i'i1:;ARAGE
FOUNDATION ~\'.~ i~;'- ith all rqW~ (New)
apply for the ..'. .. .~18if I1lI) Local &ldes;LL TOWER CO-LOCATE
o SLAB ... ..~. 0 W'~<iS.NITfS~~
o POST & '~Ef~f~WrEfl ~EN)WNSIIltP_Y_N)
Class I strUcture permits 'are subjecl r Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
__compI~g construction.
I, the undersigned, agree that any construction, reconstrug.ion~efilargement, relocariop., 0 teration 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 I . ana, an the "Zoning Ordinance of Cannel Indiana - I993ft (Z- 289) and amendments,
adopted under authority of LC. 36-7 et seq, GeneraJ'ksembly of the State of Indian and all Ac amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanit ewer. I funher certify that the construction will n used 0 ccupied until a Certificate of Occupancy or Substantia} Completion has been
is<u by th, D'!""t ,nt f Community S~tvim. Catmd. Indiana. l. I J 3/ ~o I (/J 7
Signature of Own , r Aulhori," Aoent I nt Date
Early Release
Permit: _Y AN
Lot Split: _ Y 'l'- N
Manufactured
Trusses:
Sump Pump:
_ Y ..AN
_Y -X-N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
/IJ fA
. I
Plumber's Indiana State License #:
J1./ I A
,
INSPECTIONS REQUIRED:
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:3 (;1 .3 . 6-;<'
Base Inspections: ;Z (? (J, (!) 0
Cert of Occupancy: / tJ 7, 6JO
TO~~JtZ~
Fee Received by:
Filing Fees:
Date