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HomeMy WebLinkAbout07040043 Application City of Carmel/Clay Township COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, lk Accessory Buildings) Permit #: (l) 7() t.JOe1'3 BUILDER NAME: PHONE: FAX: OF L en U.L- 3/7 8'18-6~t:JO f3n B'I8-65'./ , RECORD: STREET ADDRESS: CITY: STATE: ZIP: a ~ AP.>u 7/0~5873 C&U- PROPERTY PHONE: FAX: OWNER: fLvO UG --v~ CITY: STATE: ~ AP""-,,.. iN LOCATION &. PROJECT INFO: lot # and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT NAME: LA...n- STATE COMMERCIAL SCOPE(S) OF 0 FDN 0 STR / ARCH j!f'MECH DESIGN RELEASE #: 32.5 RELEASE: )Zf ELEC 0 SPKLR OTHER(S): WATER UTILITY SEWER UTIlITY ESTIMATED COST OF CONSTRUCTION: PROVIDER: t~ PROVIDER: (EXCLUDING LAND VALUE) PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR CDUNn WELL AND/OR SEPTIC PERMIT #'5 (If Applicable): # of Floors: Elevator or lift: Q YES _. Cjl,LDG. CQNSTRucnON TYPE: ~ _ OCCUPANCY CLASSIFICATION: ~ 12 Q11 TYPE 0 CONSTRUCTION: ~\~,'" tyPE F IM~P OVEMENT: PROJECT INFORMATION: 0\'4. ,..,:\\'._ COMMERCIAL ~ (, ~':Z0 0- i:,fJ3' N~~RE Early Release" Manufactured (Private'yown~li-l!/li;Ra\~!!~,,"e%.0C .ill0I1q~l Permit: _Y ~N Trusses: offieeslc ~ ~W'erc~ftQC' :0 ';:)-:O'~ Room(s) o IN , ,"~ CO p -0" \)\'.\ :-\ \ 0 Porch Lot Split: _Y ~N Sump Pump: -,f~W\lJtlp~~ttlliic~$l~)\ \ (,0" 0 Mezzanine or Deek 0Sl:fiool 0 .... GO S'- "'~ JEMODEL FLOOD ZONE AREA DESIGNATIONfSJ FOR THIS PROPERTY: Chur~ 0' ~~'\ :v\\'-\~EWTENANTFlNISH ~f/IL- o MULl1-I;A,~,,~ (,1>' \~ 0 ACCESSORY BUILDING / n Number'df..u<IilD_ 0 DETACHED GARAGE C":\\ ' . 0 ATTACHED GARAGE PLUMBING CONTRACTOR: FOUNDATION nPE: (Chec~ all whIch 0 CELL TOWER (New) r:;. ~ 'f) ~PPI for the new constructIon areal, 0, CELL TOWER CO-LOCATE CNI ct.-rf2/St;;' SLAB 0 CRAWL SPACE 0 DEMOLmON o POST & _BEAM _PIER 0.' BASEMENT- (WALKOUT:-,-,-- Y _N) _._,~,;f:-:j~':;,:;:~:r,---- '," <;~ :\;'\\ ',-\. . . ;','- :\ .',<"..'"\'.-'_' \.;_. _ ..- ", '0" \\'. . . ... . . Class I structure permits are subject to the GeneralAdmmlstrative Rules of the State of Indiana (See 675 lAC 11) regardmg eXpiratIOn time frames for begmmng and i ),\\ \\~- ~__ comp!e,~~g~d\~struction. I. the undersigned, agree that any constIUctionl " ' .. D ~ell'\rotjrel~cation, or alteration of a structure, or any change in the use of land or structures requested by this application will comply WIth, and CO;~~~~\. I -;iiklQle lao.vtJIf t4{e'S~~te of i?~ian.a. \md the ~Zoning Ordinance of Cannel Indiana - 1993M (Z-289) and amendments, . adopted under authority of l.c. 36-7 et seq~GeneraI Asselil'bltbf the State of Indiana, at'l:d'all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I funher cetrify. that the constiu~tion will notbe''hsed or occupied until a Certificate of Occupancy or Substantial Completion has been i,,~tmz:~u~ty'~f"C"~C~d.Indi:a:'-- ~\ Cv~NVO 'j. 17 Signature 01 Owne, or Authori,ed Agenl ___" .-".... Prinl ~ ~ _yXN _Y X-N Plumber's Indiana State License #: C?3oz,r;GO/? OFFICEUSEONLY:************************************************************************ INSPECTIONS REQUIRED: Filing Fees: ~ 1/' (50 Base Inspections: 1. 0 '7? , () 0 Cert. of Occupancy: / II ' () 0 . o Lower Footing Under Slab