HomeMy WebLinkAbout07060012 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
WATER UTILITY
PROVIDER:
City of Carmel/Clay Township Permit #: 07 f)(oV() {d...
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
s~vJCIJt
FAX:
CITY:
STATE:
~
32
ZIP:
FAX:
SUITE #: (If Applicable)
~
Lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
ClCtXlO 6<XJ()
? '2-1001.. 0
~ MECH !it. PLUM
'i3
SQUARE
FOOTAGE: -25
oQVI.(..C
SEWER UTILllY" \
PROVIDER: eo... ('/I.J2.,
ESTlMATED COST OF CONSTRUCTION: At- 0 Q
(EXCLUDING LAND VALUE) '::It -I \~ 104 0
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or Uft: r;G YES 0 NO BLDG. CONSTRUCTION TYPE: V& ~~ OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT IN RMATION:
~ COMMERCIAL P,,:NI;'(l;stRuctuRE Early Release I
{Privately owned h05J!.i~S~~c@()"\~\ \ AD,QlJlON ,\5 Permit: _Y _N
office""~\O"'jt.<8~e"i~l c9 ViI\n a\\ (80"~Ro~m(S) Lot Split: _Y /N
o IN5TlT1J1Ilekllt t.l( Cornp"an a\ GODCrD Pgr\b ~ ..-L
o l$1J11\<J~f"\'fl!;t~W9DnD LOC, -rY C; I'Gl,V\.\J.iiihe or Deck
o School 0 OMMU\'.\\ u. '~MOD~~SH\P
o C~!SiP\ Of C I C~f NEw t'ENANT FINISH
o MULT1-FAM'Ii:Y Or CAR\\i\\C.L '; . ACCESSORY BUILDING
Number0\i\hlis. _ \NO\,i\\ DETACHED GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new constructIon area) 0 CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEM0LTT10N
o POST&_BEAM _PIER '?! BASEMENT (WALKOUT:_Y_N)
IS'"
- 'R,6M
Manufactured
Trusses:
_Y/N
_Y ./ N
Sump Pump:
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
X'- ()J75\~.d
-
PLUMBING CONTRACTOR:
~ I'.i?\ \-\el.\\o.V\\\:.,.1
Plumber's Indiana State License #:
?c... it) IoUIpIo
Class I structure permits are subject to tbe General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginnirig 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 LC. 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
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Compleo'oD has been
issued b e De at ent 0 Community Services, Carmel, Indiana.
TIN! T- &'6
Print
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OFFICE USE 0 LV: ************************************************'************************
Filing Fees:
INSPECTIONS REQuiRED:
ved: Dept. of Community Services
COMMEROAl
Base Inspections:
Cetof ~C~: .
TOTy~~~
Fee Received by:
Date