HomeMy WebLinkAbout07030180 Application
City of Carmel/Clay Township Permit #{) 703 011; 0
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
LOCATION
& PROJECT
INFO:
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~.v 51lZtfCr/ nt!
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PHONE: /
tJ7-72/~
CITY:
'A/P~L5
STATE:
/A/
BUILDER
OF
RECORD:
BUILDER'S EMAIL ADDRESS:
-
BEST METHOD OF co
PROPERTY
OWNER:
NRA/H cO
Address of Shell Building: (If different than Address of Construction)
ZONING: .13 - 8
STATE COMMERCIAL
DESIGN RELEASE #: 3z
WATER UTILITY
PROVIDER: t! 1-('
SCOPE(S) OF jZJ FDN 0- STR 0 ARCH
RELEASE: ~ ELEC ~ SPKLR OTHER(S):
SQUARE
FOOTAGE: -Z S- z 3
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
SEWER UTILITY
PROVIDER: Ct:4
?tvl
ESTIMATED COST OF CONSTRUCTION~I .......,")
(EXCLUDING LAND VALUE) r i tJ5'; pv v
# of Floors: ~'-..-,1' Elevator or lift: 0 YES BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: /J1
TYPE OrcONSTRUCrION: TYPE OF IMPROVEMENT: PROJECT INFORMATI
cif'COMME~2iA~ 0 NEW STRUCTURE Early Release
(Privately owned hospitals and medical 0 ADDmON Permit: Y ~ti-
offices/centers are commercial) 0 Room(s) /"
o INSTITUl10NAL 0 Porch Lot Split: _Y _N Sump Pump:
O.MuniCiPaIlPUbIiC 81dg ~ Mezzanine or Deck
o ...School ~~ui:L FLOOD ZONE AREA DESIGNATlONrSl FOR THIS PROPERTY:
raElI]CrIl!bE ~NEW TENANT ANISH
o M.UR\l,%~. D FOR CONSrQ ..hCCESSORY BUILDING
Numoe'lJ81Glr/ill;C.!lll:lpIianc . t!YlQl#@/iJ'D GARAGE
~~9b~"'t" ~ With all ragulM~D GARAGE
FOUNDA~'l,~~~et:k iill/il;h~1 COdsa CELLttrwER (New)
ap~~eOF(~~~~ Siji~~~CO-LOCATE
o POST &_BEAM ~f'ffl Bls~~UT:_Y_N)
~
Manufactured
Trusses:
Y~
-Y~
PLUMBING CONTRACTOR:
&01' ~....e
Plumber's Indiana State License it:
f/C ~'r1d7()'7 /3
l)L
Class I structure permits are subject to the Genera! Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, tbe 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 PZoning Ordinance of Carmel Indiana - 199J" (2-289) and amendments,
adopted under a thority 0 .c. 36-7 et seq, Gene!al-Assembly ofi:heState of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath. and floor drains are
connected to t sanitary e er. I further certify that the construction ~U not be used o~ occupied until a Certificate of Occupancy or SubstJUJtial Completion has been
e 'f Commu icY Services, Carmel, Indiana. .
/1/11 /l I/k ,r;re.
J'- '2-Z- ..p 7
Date I
OFFICE USE ONLY: ***** *********** ***~*********************************************~****
INSPECTIONS REQUIR :_~ Filing Fees: ~,j 7/ 'J... " j 7 .
Base Inspections: A () 0 " 0 0
Cert. of Occupancy: Ie 7' 0 C)
T7k.t-~.37
Fee Received by:
Upper Footing
Lower Footing
Under Slab
Site
ReyiewedjApp oved: Dept. of Community Services
S:Permi~/formS/1 COMMERCIAL
07
I
Date
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