HomeMy WebLinkAbout07040168 Application
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C't .I'r> IIC" 'T' h' Permit#: 67 ()tj0l03
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COMMERCIAL/INSTITUTIONAL/MOL TI-F AMIL Y IMPROVEMENT LOCATION PERMiT
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APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
NAME:
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STREET ADDRESS: _
2. , W. :J I $1 AUt
PHONE:
95'1'
if -~98- ~f?>
STATE:
PL
ZIP:
3)0(.,
PROPERlY
OWNER:
BUILDER'S EMAIL ADDRESS:
..t CLM!\<
NAME:
,coM
BEST METHOD OF CONTACT:
'-/:-1.. 9"Sy C..flf1..o90Z> 9S-'f(..c;~ 10'1'0
PHONE:
~11,
FAX:
~1'7.
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STATE:
lfoJ
LOCATION
&. PROJECT
INFO:
SUITE #: (If Applicable)
Lot # and Subdivision: (If Applicable)
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C -TAXMAnARca-#:
"1
"'
o PLUM
SQUARE
FOOTAGE:
'lQ1
SEWER llTlLITY
PROVIDER:
~.
ESTIMATED COST OF CQNSTRUcnON:
(EXCLUDING LAND VALUE)
30K
PLAN COMMISSION I 6ZA I BPW DOCKET NUMBERS; AND/OR
.COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or Lift: Q YES }!f NO BLDG. CONSTRUCTION TYPE; Jt ~ OCCUPANCY CLASSIFICATION: A'l _
TYPE OF CONSTRUCTION: TYP ROVEMENT: PROJECT INFORMATION:
o COMMERCIAL _~\c,"\?-: ~(\STRUCTURE Early Release / Manufactured
(Privately owned hospitals ar}d.~ :'\\iiJ!P A~Dm Permit: Y N Trusses:
offices/centers are cro~ \f'.l\\~ Z Oe<=.>' ~) -/ ....---
o INSTITUTJONAI,-~{') '- ~ f\Ce c?>' (,0 x;.0. Lot Split: - Y =u< Sump Pump:
o J"~~!iillIII'U!I\'\';1ilia(b ,-0 :0 s ,,\~ ezzanine or Deck
(4\210 (,0 Ie 'C/\ '0""\ ' : GJ\ 'RI:'MODEL FLOOD ZONE
0" 01 Sl?> I'I\~ c\YO NEW TENANT FINISH {
o MULTi> AMILY O~ CO..x;.\.. \ ~\lQ ACCESSo.RY BUILDING ..
Number of~: ~,~, ~\0\f>-'~ 0 DETACHED GARAGE
Ii:;.< ;"..~\..;r' \\~ 0 ATTACHED GARAGE
FOUNDATION , (g\ec~ all. whIch 0 CELL To.WER (New)
appl~r the n nstructlon area) 0 CELL To.WER Co.-Lo.CATE
j!5 SLAB 0 CRAWL SPACE 0 DEMo.LITlo.N
o Po.ST&_BEAM PIER 0 BASEMENT (WALKo.UT:_Y_N)
....
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PLUMBING CONTRACTOR:
C' \
Plumber'$lndiana State License #:
IV/It
, .
Class I structure permits are subject to the General Administrative Rules of the Srate of Indiana (See 675 lAC 12) regarding expirai.:"ion 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 confonn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel 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 Acts amendatory thereto. I funher certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Suhstano'al Completion has been
issued by the D artment of Community Services, mel, Indiana.
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Ft>A.. ~-I EXfJCOtrC>AS D...' ~
OFFICEUSEONLY:************************************************************************
Filing Fees: 5G 3, /fC!J
Base Inspections: "3 I ~ . tJ 0
Celt, of Occupancy: 0 D
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ONS REQUIRED:
Upper Footing
Lower Footing Under Slab
Meter Base e Site
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