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: