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HomeMy WebLinkAbout07040124 Application City of Carmel/Clay Township Permit #: () 701./ OI2Lj COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLlqATION for Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings BUILDER of RECORD: NA:s' 6UILb STREET ADDRESS ~ BUILDER'S EMAIL ADDRESS PROPERTY OWNER: LOCATION & PROJECT INFO: Address of Shell Building (If different than Address of Construction) ,(PD STATE /AJ ZIP 'I&2.<QU sum # (If Applicable) 10 Lot # and Subdivision (If Applicable) ZONING: TAX MAP PARCEL #: o STR Cl ARCH .)If MECH ~ PLUM -,.; SPKLR OTHER(S): . Class I structure pennits are subject to the Q:~eral Administrative~~,qs of the'St1te of Indiana (See 675 lAC 12) regarding expiration time frames for I " \~\ \ l dlmi~ artdJ\;ijmpletmg construction. I, the undersigned, agree that any construction,lreconstructiit'lh}&largement, relocation~ or-alteration of a structure, or any change in the use of land or structures requested by this application will complywith)~d ~~_Monn to, all applica~kJaws ofthe State of Indiana, and the ~Zoning Ordinance of Carmel Indiana ~ 1991'7 (Z~ 289) and amendments, adopted under authority',,ofl.C.\~~?:.~t seq,General Assembly of the Stai~ of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify Jhat the construction will not be used or occupied until a Certificate of Oc~or bsc. 'al C 'Pli on has beeh issued by th~p'epartment 'of (:9mmunity Services;Carmel; Indiana. ~.....--~ l____-- _________~ <' t! T1 (); 'l,;~-. .~. Date'-l-;{9 - en Signature of Owner or Authorized Agent p~ ~6 ) ./" ************************************************ -'1-&1.00 I '/ /'\ 0 () 0 # Charged Re- Base Inspections: AJJ 0 , Reviews Cert. of Occupancy: ...----:::~/=;, V-?9~. ; TOTAL : ~ J.) 0 'B 3~onal Fees ~..".--r- . CONSTRUCTlON lYPE: o PROVEMENT: NEW STRUCTURE ADDmON o Roomes) o Porch o Mezzanine or Deck o CRAWL SPACE o BASEMENT WALKOUT:_Y_N OFfICE USE ONLY: ********* INSPECTIONS REQUIRED: Filing-Fees: Upper Footing Lower Footing Under Slab Meter Base c9 Site Fee Received by: SQUARE ..,-,. FOOTAGE: .2 3 5" O~ 1" E5T1MATED COST OF CONSTRUC)j!ON: (EXCLUDING LAND VALUE) 11 ~ ~oD OCCUPANCY CLASSIFICATION: , . PROJECT INFORMATION: Early Release V Manufactured X. Permit: _Y ~N Trusses: _Y _N Lot Split: _yXN Sump Pump: _yXN Does any part of the property lie within a special Flood designation area: _Y~. PLUMBING CONTRACTOR: Sc.HuI...e:e P,-UIY\1":,I,.J(-"2 Plumber's Indiana State License #: 8IDSS-~ c:::