HomeMy WebLinkAbout07030052 Application
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C'ty ,Fe IIC" '" h' Permit #:6 7()3()~
I OJ arme lay 1 owns Ip
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME: /'1
'" ~ "(..""-1.,/1. &J~TI"""
PHONE:
513. '1't"l-z""S-
FAX:
513- '1'1'/. Z '5"1 <I
SlREET ADDRESS:
4z"~ II....,T o...D
BUILDER'S EMAIl ADDRESS:
JliFF. Vel'T/.. @ LIlli tlo-ret..~. C"M
C::;"'':'''''''''''IliTI
CTIY:
STATE:
ZIP:
4sz. -Iz.
" It~
BEST METHOD OF CONTACT:
GI'/"ttL
PHONE:
5/3- ""'4 -z<lo':i
FAX: _
~'3 - ?cr'l. z ~'t<l
NAME:
CA.p..Io14'/.. HOTtl. U. C
SlREET ADDRESS:
~Z43 HUNT 1!o"'D
CTIY:
C, "It.......... r. f)1/tO
STATE: ZIP:
./-; Z Ill...
ADDRESS OF CONSTRUCTION:
I Z:r' N. Me'll.tOIA."l ~r/Z.ticr
Address of Shell Building: (If different than Address of Construction)
~"'tr IfS. iPPPIZln " t:'~rlloJ4
BUILDING, PROJECT, OR TENANT NAME:
j?~H4/SS/9tJt&. ;/"T';/..
JY./l.rl/
SCOPE(S) OF IlI""FDN ""STR
RELEASE: '" ElEC 0 SPKLR
STATE COMMERCIAL
DESIGN RELEASE #, 3 Z. -II ~ '1
WATER UllU1Y
PROVIDER'tAl!.r-1C'(.
Lot # and Subdivision: (If Applicable)
1./81'1 J!.. ~~ (tAr' 10"'..,5",,"
ZONING: TAX MAP PARCEL #:
a -!. iJ. S. J I a..fl.,OIt. (JvIi",,*'1
fiRCH ,.( MECH It!' PLUM
O"THER(S), FA
I 'if) I 3 5-
~e--
I9mkll_r ''4,''
t.JA.~
SEWER UTILITY I::G.A '( TouR
PROVIDER, lZC40lfl/'llrtC. U ~r6 P'~T.
~I!i.- I9rr4e/o{rltr",r
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) , /11 o()<' ~"
"A II ~ sri'-' 11--.3, -0::-.4, r; r
I ~-li I-~' ) ~M. ~
" . OCCUPANCY C SIFICATION: ~
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
CQUNlYWELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roors:8
Elevator or lift: l( YES
o NO
BLDG. CONSTRUCTION TYPE: Ut:=-
PROJECT INFORMATION:
Early Release \.1'
Permit: _Y ~N
lot Split: _Y ~N
Manufactur i:I
Trusses:
Sump Pump:
_Y~N
_yX N
TYPE OF CONSTRUCTION: TYPE OF IMP~<:>l(.Ij.~:
g COMMERCIAL . _,,' ....= "'p~~Wfl!RE
(Pr~~~9il"'l'\!VTl6d~ ~onS
offi~~n>"'J,~lance wit all ''C'l'-'Roon>(')
o INsmi!Er!Q~ to t:'Oml' cal cod~. ,?~h,-
o 'ltrunlcTpal/(3,i$t~B\land LO -rY ~'J,\!U;l;;;S or Deck
o ~chool" 'Of '(;OMMUN1e:J' HIP
o 'DitlRT EL I CIQl..'(N A 'FiNISH
o MUL l1of~YClf \:jARM. : ,C;;J ACCESSORY BUILDING
Numb\,j\.ul1,~ _ INO\A~ DETACHED GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (CheC~ an which 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
C1{ SLAB 0 CRAWL SPACE 0 DEMOLIl10N
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT,_Y_N)
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
~ x- UJ1.:sh~
PLUMBING CONTRAClOR: .)/S B~ ~
Te> ~ P"r6R.M.-JcO
Plumber's Indiana State License #:
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 615 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 apphcatlon will comply With, and conform to. all applicable laws of the State of Indiana, and the "Zonmg Ordinance of Carmel Indiana -1993M (Z-289) and amendments, :
adopted under authority of LC 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connee 0 the sanitary sewer I further certify that the construction will not be used or occupied until a Certificate ofOccupancyorSubsra.ntial Completion has been
,,"",d y D,p '~rmd.,nd'ana 'Cf01-I'v r 5~~;J M:/o7
uthorlzedAgent Print ~ /
NLY:************************************************************************
CTIONS REQUIRED' Filing Fees: t 1 f)5~. ?-&> I
/ 00. on # Charged Re-
g Under Slab Base Inspections: l.I)/19 7. (9-() ReViews
Cert. of Occupancy:
~ 1- '1) ~,~ 3. ;Z 10 Additional F~es
4-6" ~ ,j alia.
l11\ ~ /01 Date
:?'-I4--01
Review d/Approvea: Dept. of Community Services (Date)
S:Permits rms/ILP COMMERCIAL
TO~:
Fee ceiv~d~v(lj^-