HomeMy WebLinkAbout07030137 Application
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City of Carmel/ Clay Township Permit #: CJ 70301.31]
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
NAME: FAX: 31-1--
L, If'o ~ -
STREET ADDRESS: c; ~~ CIlY:
E. ~+{'d [
is e
NAML l be ,-\- FAX:
0
fis ADDRESS: 'C CIlY: ZIP:
,
ADDRESS OF CONSTRUcnON: Cc~ ~e....+ SUffi#: (If Applicable)
CO [.
Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: (If Applicable)
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
L
STATE COMMERCIAL
DESIGN RELEASE #: 3 ;; 3 c; 50
L,,- ~c-l
ZONING: D
c2( ARCH ell MECH
OTHER(S):
-OD( . dut
SCOPE(S) OF 0 FDN
RELEASE: y!i. ELEC
o STR
o SPKLR
,2SF
WATER UTILIlY
PROVIDER: C lC~IW
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'$ (If Applicable):
ESTIMATED COST OF CONSTRUCTION: /)
(EXCLUDING LAND VALUE) c>< M
# of Floors.:
Elevator or Lift:
BLDG. CONSTRUCTION TYP€.:
OCCUPANCY ClASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
prQ. COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 Room(s)
o IN51TIlITlONAL 0 Porch
o Municipal/Public Bldg . Oi'~ine or Deck
o School . .6\\1lE!.\o O(\S
o Church O? cOI'\:::l~\\~~ ANT FINISH
o MULTI-FAMILY ~St:l) f: e'>N\~3.~ORYJl~LDING
Number ~~,.... ()((\\l\\a(\C OC~ iI;jI\~.(;E
. ctto"~o\... .\~ :e:
FOUNDATIONTY&.I~e~au:.~i 1NI1J\"d.~~ (New)
~IY for the new constru~1l I ~tELL TOWER CO-LOCATE
SLAB O~l\,~~~'f\.. \J:>.~J:>.DEMOLmON
~ POST &_€Bi\M< ~PIER dNl?ASEMENT (WALKOUT:_Y_N)
PROJECT INFORMATION:
Early Release
Permit: _y LN
Lot Split: _Y-K-N
Manufactured
Trusses: Y IN
Sump Pump: _y.x. N
FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
)G--UA\-Sk C~
PLUMBING CONTRACTOR:
-vt< j"")h",,J {V\.<-,--hn "".u>,-i
Plumber's Indiana State License #:
C p ~2- Go, 0 / Lf / d-
class I structure permits are subject to rbe 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 aZoning Ordinance of Carmel Indiana - 1993" (Z~ 289) and amendments,
adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts lllIlendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I funber certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
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OFFICE USE ONLY: ****************************~~***************************0**************
INSPECTIONS REQUIRED: Filmg Fees: 3/-f '-I q O. [CO
Upper Footing Lower Footing der Slab Base Inspections: '2 DC) . 0 ()
Cert. of Occupancy: f ~. DO
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