HomeMy WebLinkAbout07050232 Application
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City of Carmel/Clay Township Permit #: 070,C;02.sZ.
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
BUlL
STATE COMMERCIAL
DESIGN RELEASE #:
WATER UTIUTY
PROVIDER:
BUILDER'S EMAIL ADDRESS:
Address of Shell Building: (If different than Address of Construction)
\lIt.
SCOPE(S) OF .p FDN 0 STR
RELEASE: "VI' ELEC 0 SPKLR
SEWER UTILITY
PROVIDER:
PLAN COMMISSION / BZA /.BPW DOCKJ:T: NUMBERS; AND/OR
COUNTY WEll AND/OR'SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or lift: P YES
BLDG. CONSTRUCTlON TYPE:
TYPE OE CON RUCTION: TYPE OF IMPROVEMENT:
~OMMERCIAL 0 NEW STRUCTURE
(Pnvately owned hospitals and medical '[)..1\~ON
offieeS/cente,,; are eOp\~r'e'ONST8\JV SRoom(s)
o I~@) fU, 'Villh all fegu1at Porch
I19I..oMGiirc'P&\!'/j\!JIC:61Q9l ~ 0 MOllanlne or Deek
Silll\fllc/,db1 "\e and LClca\ CO ,/ ~6loL
o Chu~hSta QMM1Jt>l\1'f S':!'lE,W-i!l'fi"NTFINISH
o Mljl,;mlQ'f C ~. GLA'< l1O~s~I1RY BUILDING
Nun! r vnlt~l1 0 DETACHED GARAGE
r.'n r \~M\"NA 0 ATTACHED GARAGE
FOUNDAnt1 TYPE: (Chec~ a ~ICh' 0 CELL TOWER (New)
apPIJ'for the new constructIon area) 0 CELL TOWER CO-LOCATE
Ii'l SLAB 0 CRAWL SPACE 0 DEMOUTION
o POST &
BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
BEST METHOD OF CONTACT:
FAX:
STA
,
ZIP:
,
SUITE #: (If Applicable)
lot # and Subdivision: (If Applicable)
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) J
OCCUPANCY ClASSIFICATION:
~
PROJECT INFORMATION:
Early Release ~ Manufactured
Permit: _Y N Trusses:
Lot Split: _Y ~ Sump Pump:-
FLOOD ZONE AREA DESIGNATION S
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PLUMBING 9tNTRACT~R:
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Plumber's Indiana Sta'te..Lcense #:
'PC '6&\UJ2.N"
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration 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 conform to, all applicable laws of the State of Indiana, and the ~Zoning 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 Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
con ected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occup;mcy or Substantial Completion has been
iss d by the Department of mmunity Services, Carmel,Indiana.
\ ().401-
Date
***~***~7J~1****F*'I"* ******,***********************************
l./ (I 1 ~ees: ( "7 '7 1 . tJ CJ
nder Slab /)', B se Inspections: 1.0 8' . & D
d:- Cert. of Occupancy: / / / , 0 0
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Fee Received by: Date