HomeMy WebLinkAbout07060014 Application
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C't ore IIC" rp h' Permit #: (? 7 f) te roiL../
t Y OJ arme ray .I. owns tp I
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings):
BUILDER
OF
RECORD:
NAME:
f-\o\\ (..,,,,'t,-L.
STREET ADDRESS:
~<6l.tb E.
rei bt
G-....",-
v ' '''-
PHONE:
,?q
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STATE:
:IN
ZIP:
BUILDER'S EMAIL ADDRESS:
1:>\\lh,,,1-+ ,^O Ii to
BEST METHOD OF CONTACT:
+n...d,l~,", ,L<,.......
PROPERTY
OWNER:
A SSoL
LOCATION
& PROJECT
INFO:
BUILDING, PROJECT, OR TENANT NAME:
. J S r'C...k ........ .
STATE COMMEROAL
DESIGN RELEASE #: ~Z.S-lj 2-<6
'"
A +..s;.
SCOPE(S) OF 0 FDN 0 STR )Jlt ARCH 0 MECH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
. CONSTRUCTION TYPE: i/ -
Class I structure permits are subject to tbe General Administtative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time ftames 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,
adopted under authority of r.c. 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 dnuns are
connect d to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued y th Depar p of Com nity Services, Carmel, Indiana.
WATER UTILITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCK
o
NEW STRUCTURE
ADDmON
o Room(s}
o Porch
o Mezzanine or Deck
4 REMODEL
o NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOLmON
BASEMENT (WALKOUT:_Y_N)
)0:
FOUNDATION TYPE: (Check all which
apply for the new construction area)
~ SLAB 0 CRAWL SPACE
o POST & BEAM PIER 0
PHONE:
/, ~4 S-Y', \
CITY:
u:;..d t'-~
FAX:
317 >7
STATE:
J-J
ot # and Subdivision: (If Applicable)
ZONING:
(Z.- 2-
TAX MAP PARCEL #:
~~I
-fr'tfl'h
~l
boo
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release "
Permit: _Y ~N
Lot Split: _Y ~N
Manufactured
Trusses: _Y XN
Sump Pump: _Y ~N
FLOOD ZONE AREA DESIGNATlONrSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
AlIA
Plumber's Indiana State License #:
AdA
,
A V'-rlN ,-, {, i u (~L,
Pnnt
D:-i.j (Dl-
Signature of Owner or Aut orized ~gent -
OFFICE~SEONL : **~*~_~*******~*********************************************************
~~ ,\(.~'xQ.q,9"'-'~'.lll.. ~/-:A) -;CO
n INSPECTIONS REQUIRED: M ~~ Filing Fees: '
\!upper Footing' Lower Footing Under sIa~. .1 ?t?~. Base Inspections: /..b/5 ' 00
~ -f 1>1.">' Cert. of Occupancy: ' 0 0
Rough In Meter Base ~ Site f f\.T'
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&L:
Reviewed! App
~ S,",m;t>I"',m>/IL
(Date)
ved: Dept. of Community Services
COMMERCIAL