HomeMy WebLinkAbout07040216 Application
,;IP" . C't if"" IIC" '7' h' Permit#: 67 o'-lDA,I~
i Z Y 0 "arme lay .L owns zp
!. . ) COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
\,~~,~ / AFPLICA TION ''''' Now "'~_, ""ro.,", '_"" ""',, """'" &A"""'~ ",.",,}'
BUILDER
OF
RECORD:
NAME:
Lo't2. (!p
e1:2 A: to\->
PHONE:
?17)2P'7-I2>=
FAX:
-3njzoSt20l
I2t>
~
STATE:
ll;. ::I:).)
ZIP:
4b -z:2Jo
STREET ADDRESS:
;o~
CITY:
BUILDER'S EMAIl ADDRESS:
/4 -1'10 '&
PROPERTY
OWNER:
FAX:
>13
LOCATION
8< PROJECT
INFO:
CITY:
J:::t2. ~ 2P<>
ADDRESS OF CONSTRUCTION: 6' tile +.k- +.:
Address of Shell Building: (If different than Address of Construction)
STATE:
~
SUITE #: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
ZONING:
~-~
TAX MAP PARCEL #:
SCOPE(S) OF 0 FDN 0 STR ~ARCH ~ MECH WPLUM
RELEASE: )(iELEC 0 SPKLR OTHER(S):
SEWER UTILITY G
PROVIDER:
16
OO{)
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUmY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or Lift: P YES
BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
;zr COMMERCIAL . ~\~RUCTURE Early Release Manufactured V
(Privately owned hospitals and me~'t\\j:Q \ 'A ON Permit: _Y V...... Trusses: _Y 0.N
offices/centers are comm~~~~ \ u\'o.\\ Room(s) ~. "'../
o IN~ONJh ~O? v ~I\\\'\ "II Ie; 0 Porch Lot Split: _Y ~N Sump Pump: _Y,L2..N
_ ~tt\Ii..~/PU$\\'i;llId!l \ CO~~IQezzanlne or Deck
. pti:J'":'S'c6~eJ CO(l\ nOI.-OC'3 -N ~:R -€!>Cp. ,,,to, J.jFLOOD ZONE AREA DESIGNATlONCSl FOR THIS PROPERTY:
S'ib\~brf~s\a~!}" . 0\,\\1' #l\\IflI NANTFiNISH <:tM"\ ?/ff!!4~ X - H -' - '"
o MUL11-FAMI~ CQ.*-~ I CIJ'-'i rr ACCESSORY BUILDING Ci.J'tW- ~ U'-l S a~<u-t
NUrnt>~Il'1'\U~. "'.\.. ,,0 DETACH EO GARAGE
I,J J.:\~ . ",. r;"II>.\'\" 0 ATTACHED GARAGE PLUMBING CONTRACTOR:
FOUNDATI.Qll::ft~ ( ec~ ~"I~~' 0 CELL TOWER (New) U Jj.11 f1 t::. L:::oll )
apply for tlle'hl.w construction area) 0 CELL TOWER CO-LOCATE r I r( ::: ) ~", '"
~ SLAB 0 CRAWL SPACE 0 DEMOLmON Plumber's Indiana State Li~!:!n~.--If;;J C=.., \\ \-\ \ \ '.
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) CA', 0000 to::-I\'i(;:,"'.-::-:- -- '.\ \\\
" \ \ r- r.f'\(\1' ','\ 'I) \
CI= I ","ot"" p"mits ace ,"bjeot to the Genen>! Admini",ative RuI", of the State 01 Indiana (See 675 lAC 12) tegatding ~xpila\i\>n tim'ii,olIoe'~r g><>ning and \ ':; \
completing construction. \\'C\\\ t'\,r'\ _---.. \
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the,use,oNancl or structure~"requestecl by __I
this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of CarmelIndi~~'\ 19?f (Z-289)andamendments, -- .-
adopted u clef aut rity of I.C 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify tli~tonly-kitchcrchath, andfloor_drains.a{;
connected to the s Itary sewer I funher certify that the construction Will not be used or occupied untd a CertIhcate of OcCUpanCYfF SubstanoaJ CompletIOn has been
,,,ued by he Dep tment nl Cnmmullity Serv>m, Carmel. Ind,ana cl,,, j v:z (3 \..--------=--4.-'"2 "" -(J1
Slgnat Print T Date
OFFICE USE ONLY: **************************************** ********************************
INSPECTIONS REQUIRED' Filing Fees: ) & 1/ ,3, 00
. Base Inspections: ~'f1 DO
Upper Footing Lower Footing Under Slab --
~ ,.....?) Cert, of Occupancy: II, V
l~ Meter Ba~ Site /. 3 Co . {)O
Reviewed/Approve :- Dept. of Community Services
S:Per-mlts/FormS/ILP co MEROAL
Date