HomeMy WebLinkAbout07060010 Application
City ofCarme/lClay Township Permit #: () 1~()D I D
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8r. Accessory'Buildings
BUILDER of
RECORD:
NAME
5uMM..,.-
CON";rtt.<( CT,o'"
Co.
PHONE ;', ~ (P"3o; - ~ II Ol
,"'~.
'-..JmY STATE
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BEST METHOD OF CONTACT:
FAX lIT "~'f-;J..,i)."f
PROPERTY
OWNER:
STREET ADDRESS
/I O-=/- ;3", 1'-t>S".........
BUILDER'S EMAIl ADDRESS
"DoV'~1'l..6o<.,,- tP
NAME
~T.
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ZIP
'-flP;;><>1f
M .... CoNST. Co
PHONE ~,~ S8"~-~$I(p
EM A-. L..
FAX ~''f 5'ii";;J-7lf;:
V, Nce3:JJr
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LOCATION
& PROJECT
INFO:
STREET ADDRESS
1'?700 AI. ~"";ZIt>1 n.
ADDRESS OF CONSTRUCTION
1'3:$"00 N. M~;-:> ,T.>,4JoI ~T_
Address of Shell Building (If different than Address of Construction)
If (,03 a
C4-1W\~ L.-
STATE
,N
sum # (If Applicable)
,,..I
ZIP
~(Pc:>JOl
Lot # and Subdivision (If Applicable)
~-~
41a
BUILDING, PROJECT, OR TENANT NAME:
L-I~"', c.. ,<>, '-
STATE COMMERCIAL
DESIGN RELEASE #: 3;;t 5 L{t:t I
WATER UTIlITY
PROVIDER: c-q../2JI'\~ t-
'f""L.-OolL
('2 ""-\., l>E L
SCOPE(S) OF 0 FDN
RELEASE: JK ELEC
ZONING:
o STR KARCH Ao:" MECH
o SPKLR OTHER(S):
SEWER UTIlITY
PROVIDER: C 4/2.M<!E: L-
ESllMATED COST OF CONSTRUCTION:
(EXClUDING LAND VALUE) iJ ( &./ 0 000
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# o( Floor>: Elevator or Uft: Q YES R!:'NO BLDG. CONSTRUCTION TYPE: t:OX">T ~P,," OCCUPANCY CLASSIFICATION: :c - ~ IZEI\I\
TYPE OF CONSTRUCTION: . NS\~M".oF. ROVEMENT: PROJECT INFORMATION:
~ COM~.fflc;IA~ S. I"D fOR cq'\\t\ a.\I (eQu1i4i\W'fuuCTURE Early Release Manufactured
(iWatlllf"~edn9~H~~ianCe W od~- ADDffiON Permit: _Y X N Trusses: _Y X N
ar]dm."j\~\officGiI~~ncl Loca.l C r::R\I\~Stoom(s)
ar?<6mmera~Sta,e , 01'-l11Y S~ \..Mll;h Lot Split: _Y X N Sump Pump: _Y KN
o INSTmJTIO ""g~A ,''' (~OMM C'''~ -rOY'! I Mezzanine or Deck Does any part of the property lie within a special Flood
O,,,,,MI., Irull1j,B~L f Lr' .8r REMODEL
o \~qo\r CAK(IJ\ ANA. 0 NEWTENANTANISH designation area: _YXN
~1(11ur~ _. \1'10\ 0 ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE 4"~ (.. '- I V M + ..... () ne..
Jiiif SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumber's Indiana State Ucense-#:-----:;-:=-:,-:::-:;"i
o POST&BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE c.::> 0'00 ri".-"\~'-O";.' (G IT~; \J \;'l\~~,i\'\'I\i.
(or POST & PIER) WALKOLrr:_Y_N 0 DEMOLmON r <> , _ Q! . - "- . . . "
!ll 11"'--'- i,l \ II
'1' "l 11\ 'II
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAqU) regarding expiration time fr~es f,?~
beginning and completing construction. \ \ 1\\ \ _ III M _ 1 ?007 I 'i \ I j !
I, the undersigned, agree chat any construction, reconstruction, enlargement, relocation, or alteration of a structur~,,or any: change-!n'the use of rand or st11..!sture.s \
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "zJnihg Ordinance of Cannel Indiana - 1993".(z...
289) and amendments, adopted under authority of I.c. 36'7 et seq, General Assembly of the State of Indiana, and all ~cts 'aiijendatory-thereto.-Hutthercert1fy that bnly
kitchen, bath, and floot drains are connected to the sanitary sewer. I further certify that the construction will no~ be used or occupied until a Certificate of J
Occupancy or Substantial Comp~Ron.hTen issued by the Department of Community Services, Cannel, In.diana.
~~ \2- ULAA ~b,N,~ ('. O~E.~/].: Co\<- 4f1/ Or
Signature of Owner or Authorized Agent Print D I
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: <) '1 ;;Z.? If ()
rY7' Of) # Charged Re-
Upper Goting Lower Footing Under Slab Base Inspections: "'-/VTJ ' Reviews
Meter Base G Site Cert. of Occupancy: -:g.1.f; j , r:J 0
TOTAL: .:t:J? _/ f . I-f 0 Additional Fees
'=POIVY\ ~
Fee Received by: