HomeMy WebLinkAbout07050197 Application
Permit #: ?'i'l1J5 0 I q7
City of Carmel/Clay Township U I
COMMERCIAL/INSTITUTIONAL/MULTI-F AMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
NAME: 0
STREET ADDRESS:
9
G~s.JW--lJ
BUILDER
OF
RECORD:
L-
PROPERTY
OWNER:
ZIP:
LOCATION
&. PROJECT
INFO:
Address of Shell Building:
BUILDING, PROJECT, OR TENANT NAME:
STATE COMMERCIAL
DESIGN RELEASE #: 3>2.
~e Le~30
WATER lITIlITY _ r~ .
PROVIDER: C I)' Or ~'2..M
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) O:J
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: J Elevator or lift: Q YES ~ NO
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
J& COMMERCIAL ~ NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 R~pt4;l,
o INSTITUT10NAL 0 N~I~JWcil'>)N
o Mu~~~~@J;JFO'-, CO ~ollQ(,~!\D<lSOrDeck
o SctIDlt- 0 comp\\anC{~ "'ffih 'REM'60EL
o chLli>ll\bJBCt t t~ and LoG CN~W'tENA.tJIJ.fF>IISH
o MULTI-FAMILY 01 Sta.o 'ML'I'~~A<:CESSIlItHffiIrDING
Numberof'O~'?T OF COflH '" .gq~qj"E~li
FOUNDATION TY~"Rhe\f ~~h1l:~ ELI ' ATTAcHED GARAGE
apply for the new construction area) \ N 0 \A~ ~~~~ ~g~~~ ~~~~bCATE
~ SLAB 0 CRAWL SPACE 0 DEMOUTION
o POST &_BEAM _PIER 0 BASEMENT (WAlKOUT:_Y_N)
OCCUPANCY CLASSIFICATION:
-2....
PROJECT INFORMATION:
Early Release
Permit: _Y -.LN
Lot Split: _Y-Ji.-N
FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
Manufactured
Trusses: -t:.- Y _N
Sump Pump: _Y LN
Z OMS 'f
PLUMBING CONTRACTOR:
J +k 'R\lMr-1NG
Lunsherl l1r.!...")
JOJ+^, S/V'v/iGR.
3 J?- ?;(r08ros-
Plumber's Indiana State License #:
Pc I qS-OOQ 89
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC ]2) 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 conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 1993ft (Z-289) and amendments,
adoRted 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
conn ted to the sanitary sewer. I further certify that tbe construction will not be used or occupied until a Certificate of Occupancy or Substa.ntial Completion has been
issued the D~tment of Community Services, Carmel, Indiana.
Signatu
er or Authorized Agent
, \OM,1 h>-.JtJ;::;:"lI\rOllk--
Print
,)-11)~7
Date I
I
OFFICEUSEONLY:**********************************************************~*************
F"I" F /7 70, u (]
ECTIONS REQUIRED' ling ees:
&?/! tB
/ 1/.
,
Base Inspections:
Cert. of Occupancy:
Reviewed/Appr ved: Dept. of Community Services
S:Permit:5/Forms/ILP QMMEROAl
,600"1
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