HomeMy WebLinkAbout07050035 Application
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
Permit#: (}7vS()~
PROPERTY
OWNER:
FAX:
BUILDER
OF
RECORD:
7-o3c2-
STATE: ZIP:
t.t~z.
BUILDER'S EMAIL ADDRESS:
D
FAX:
Bi
Pu~:I\~ &0
STATE:
ZIP:
'"L
LOCATION
&. PROJECT
INFO:
/?JO
lot # and SubdIvision: (If Applicable)
c...-
TAX MAP PARCEL #:
IW &.o~O\1
SQUARE 0, U'"7 '='
FOOTAGE: 0 ,~
~k~
OPEeS) OF 0 FDN 0 STR 0 ARCH 0 MECH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
WATER UTILITY (\ _ \
PROVIDER: lJ)..f"1\.Ul:.\
SEWER lITIUlY (\
PROVIDER: LD.:\oM.Q \
ESTIMATED COST OF CONSTRUcnON:(f
(EXCLUOlNG LAND VALUE) <J.IlO2-1- 12>9
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNn' WELL AND/OR SEPTIC PERMIT #'$ (If Applicable):
# of Floors: 2.. Elevator or Lift: ~ YES Q NO BLDG. CONSTRUcnON TYPE: OCCUPANCY CLASSIFICATION: B
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMERCIAL 0 NEW STRUCTURE Early Release
(Privately owned hospitals and m~i>el SCLIA.~W' Permit: _Y ~N
OM' lr€~@fi@rjie~'ij lJuN lKU'e] ''rioQ1n(s)
DINS '-." c!;Im@Pance with all regUilJati<i>6Ja, Lot Split: _y ~N
o 'a'9'~r~fe g~d Local Cndes. 0 Mezzanine or Deck
o School O-.J:!lf !<1i;~QQIik FLOOO ZONE AREA OESIGNATIONfSl FOR THIS PROPERTY:
OOOiKQJiOF COMMUNITYSENEW'TtNANTANISH V ,-=rJ A1
o MU~\li'>= CARMEL / CLA'Po.WEiSi:imlBuILDING ^ u ns.hc "l(('~
Nu~~~ rJr tlnlts: 0 DETACHED GARAGE
. ----::-lNQIANA 0 ATTACHED GARAGE
FOUNOATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
o SLAB 0 CRAWL SP~, 0 DEMOUTION
o POST & _BEAM _PIER /"J BASEMENT (WALKOUT}xJ',-----N)
Manufactured
Trusses:
Sump Pump:
_Y~N
_Y~N
PLUMBING CONTRACTOR:
f.:)C eQ\ i-A 0 c.V\L\.o{\Ro..\
Plumber's Indiana State License #:
.., S) IloS Z.6~
Class I structute permits are subject to the 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 coriform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993~ (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
connected to the sanitary sewer. 1 funher certify that the construction will not be used or occupied until a Cert:ifica.te of Occupancy or Substantial Completion has been
issued by the Deputm,nt of Community Sem"', Cumel, Indi=~ 5/yJo 7
Print ~ Mutt'-[ J dYea-- Dot' I
Sign
OFFICEUSEONLY:************************************************************************
INSPECTlONSREQUIREO" Filing Fees: /9r18. fa 0
Upper Footing Lower Footing U"nder Slab Base Inspections: -;2../J R' . C) 0
Cert. of Occupancy: ~ / . rJ ()
TOTAL: 11;) '17, {PO
Fee Received by:
Date
Reviewed/Approve
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