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HomeMy WebLinkAbout07050203 Application BUILDING, PROJECT, OR TENANT NAME; I;' 3" A.k.l; s 1/ STATE COMMERCIAL DESIGN RElEASE #: 3JS'::J-31 i j BUILDER OF RECORD: PROPERTY OWNER: LOCATION 8< PROJECT INFO: WATER UTILITY PROVIDER: ~p"..e C' ifC l/Cl 'l" h' Permit#: 02a"J]J"d.03 tty 0 arme ay .J. owns tp COMMERCIAL/INSTlTUTlONAL/MULTI-FAMll, Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remode's, Tenant Finishes, & Accessory Buildings) BUILDER'S EMAIL ADDRESS: ~W~"'I'S"..v ~ e II ,CO~ . C-ol""\. PHONE: S73 -8/00 v~ J3 FAX: 'is. STm::iJJ. BEST METHOD OF CONTAcr: c..-c:.lA 3'7 '/01- 38-;; I ~a"'9-t.~c..-h ()I'\ 573 -1'110-0 ZIP'q t~ ~O tz: Sv;~"- JO:J.. CITY: ::r. NAME: PHONE: .s73-810U FAX: 573 - 9/00 ZIP: t./b2~b IIG.+-- S+e,.,....\- C-e..-lr><: LLC- STREET ADDRESS: ?Drl JV. Melt.d,.;.... s3c. .:101- CITY: STATE: ::{ill, .::Y>-A Ir. ADDRESS OF CONSTRUCTION: fl1() t- 1/(".... SUITE #: (If Applicable) 55 Addre:s of Shell Building: (If different than Address of Construction) SCOPE(S) OF 0 FDN 0 STR RELEASE: ~ ELEC 1fU< SPKLR SEWER UTILITY Cc,Il....... \ PROVIDER: Q 10. I l6....C, & ARCH );{ MECH 1>( Cn'IiER(S): SQUARE FOOTAGE: 1:< (J'If) TAX MAP PARCEL #: ESTIMATED COST OF CONSTRUglON: (EXCLUDING LAND VALUE) -lIl 3 S': OIl 0 ~ PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floo,,: Elevator or un: 0 YES BLDG. CONSTRUCTION TYPE: \ \ _ ~ $ ill'- OCCUPANCY CLASSIFICATION: f!. ((,..., TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: t;COMMERCIAL D NEW STRUCTURE Early Release \/' (Pnvately owned hospitals and medical 0 ~ Permit: Y.....A.)J officesfcente"arecommeroal)CONSiRUv<!:l~l\.qgm(s) ~ .~. V D INS~~N.,.~" .fOR all (8gUW\IC\I/'l'ch / Lot Split: _y----.L::-N Sump Pump: c:::R~:iI/'I'1J'6Wi!J{~C8 With 0 Mezzanine or Deck ......--- \ 9sU\'i~at to CO \~ I'd lOcal c~e.\!!S / ') l'T~D ZONE AREA IoESIGNATIONCSl FOR THIS PROPERTY: D Church 01 Sta.o a N\~ INISH. \...., ) h j ~..IJ D MULTI-FA~ Of COMMU . ,,-ltJT I. UILD~N )<J ~ U.4fI :5 e~ Numb&lEtl1nlts. ~^Ell CLr'tJ. DETACHED GARAGE 1 'I ~. ,...,-rY OF vt""" nlANAD AlTACHE:1GARAG /~~ PLUMBING CONTRACTOR: FOUNDATIOfU\VPE:\thec~.all~tfli D CELL TOW R(N ) --L ./ ?( ,. - IA_-,-- ap~fOrthenewconstructlonarea) D CELL TOWER O-LOCAT ~ A){:J1 U_19'.........~ ~"'lTl":"'l )"-USLAB 0 CRAWL SPACE D DEMOUTION a ~mb"s Indiana State License #: / o POST&_BEAM _PIER 0 ~ASEMENT (WALKOUT;_y_~:.-///C()5"'()(OO/30 .-- /' -,,'--: 'C'..:I \ _ '-'. \\ \.', class I structure permits are subject to tbe General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration~imffr~~-f~r~gin~i.ri.g-~d\\ completing constructiOn. "._~;; /(-~~ . '.-'-~/"""- \\\ \ \\ I, the undersigned. agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change "in tile Use\of land or structur;.sr"\Iffi~ested b~.J \ \ this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannelltidiana ~ I993M (Z-289) <l{ld ~funents;\ /' adopted u t rity of J.e. 36-7 et se. q, Gener.aI Assembly of the State of Indiana, and all Acts amendatory thereto. I funher cen,ifY.'that onlY\;CitCh n,qath)ana floor dral:!s'are \ co ed to t a it sew. I f her certify ~t~~he construction will not be used or occupied until a Certificate of Occu~fJ,or Su .al'eompletio!! has been ...-'\ i u,db D,p' n'o[Com nity,Senno<s.C",md.Indi""a, r-;-) W J ~\\"~<\ IJ!J/'-~..~J .// -.hl/tf-)ill..t (,..,So \0,\\\ //w<M2r--cton Print 1 '1 \) ~ "/ Date.t/ '. ,../ , -' OFFICEUSEONLY:****************************************************~~~***************** :;.- - Filing Fees: Base Inspections: Cert. of Occupancy: Manufactured Trusses: -y~ -y~ Upper Footing INSPECTIONS REQUIRED: Date Lower Footing Under Slab e Site 2.001 (~te) Fee Received by: