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HomeMy WebLinkAbout07060137 Application City of Carmel/Clay Township Permit#: tJ704?,nv:3 7 COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)! t BEST METHOD OF CON ACT: '/Uc- C- - vucJ . ~AME'J J) \ . ~ONE' fl'k,f-;\6-v\ vt\ -cJlLL...hc..-=tl4lr> ~ L~ 3/7 - "o4~ ,f.., '000 Dc..u. ,t N' r ' 'dlLWt &t. BUILDER OF RECORD: PROPERTY OWNER: LOCATION 8< PROJECT INFO: ~~Co~o OESIGN RELEASE #: 3?- ~ 67 WATER LfTIL ~ PROVIDER: h\rWU~:_.x BU~NG,P 0 CT~~E~~NA STATE COMMERCIAL PHONE: <6/ :?-S-'7'7 -LjLj.s7f ~DW",- I~E,: FAX: / ~-57t7-5(;?'() ZIP: 'I~/~O FAX: 317-'6q~-&SI3 ZIP: LI, .Pt6 S, Ltc 1l=-ftD lot # and Subdivision: (If Applicable) TAX MAP PARCEL #: 7- (fr35 -DO-60-tJfo-OC{) Id"MECH .,/pLUM SCOPE( RELEASE: . [;) FDN 0 STR avAACH .,-'ELEC 0 SPKLR OTHER(S): SEWER UTILITY PROVIDER: ESTIMATED COST OF CONSTRU (EXCLUDING LANO VALUE) os, f- BLDG, CONSTRUCTlON TYPE~ OCCUPANCY CLASSIFICATION: PROJECT INFORMATION: Plumber's Indiana State License #: _____---::~.. Le DDD,.8~-~ ~; ~ \';// ~ "\ , ! ,,\ \ ,>, "=:-==---:T \ to. \ 11, ' .... III \ Class 1 structure permits are subject to the General AdmInistrative Rules of the State of Indiana (See 675 lAC 12) regardmg explIallOD time frames for l!g and \ completmg constructIon \ 'I - l \ 1: -((.. , I ~\ \L " I, the undersIgned, agree that any constructIOn, reconstructIOn, enlargement, relocation, or alteration of a structure, or any change III t~euse of lemA ~~dtu~ r quested b ,~ this application will comply With, and onform to, all bcable laws of the State of Indiana, and the ~Zonmg Ordmance of Carmel Indiana '- 1993~ tz-289) and amendments, j adopte cler authonty of I C 36-7 seq, Gene Ass mbly of the State of InclJana, and all Acts amendatory thereto I further certify that only kitchen, bat.h i1nd floor drains are conne e to th sal);ltary sewer I rther ce Ify th the constructIOn will not be used or occupied u tll a CertJhcate of Occupancy or Substantial CompletIOn has been ,",uo b tho / fim' 0 0 fiU ty ,,"', , C"",<I, Ind,ana --:c . SO"v\ 4> //'if /0 7 o . Pnnt Date' ONLY~************************************************************************ INSPECTIONS REQUIRED: Filing Fees: 4"/? () 0 c2o/?_oo Cert of Occupancy: II (, {70 m~730_j~ . ~.t--; Fee c' y. _ PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floors: :3 Elevator or Lift: YES Q NO TYPE OF CONSTRUCTION: TYPE OF IMPRO~T: '0 COMMERCIAL f;1\~,\~JJ ~ 1'- (Privately owned hospitals and ~ C(Qj ......A!;l;Om0N.a.tlO offlces/centersare~t!I".c@)r~\' , 'tJit\'1 CO'.~goom(s) o INSTITUTIO~El'ct'''''- O\1'l0'!\3Dce 3\ CQPeJSArf~ CE-S o Muni' (l16\l!bflc\ill~ \6 3Del LOC ~D~;~ir"':\DI~k o Scho 0\ 3 NlNI~\ OO~W~\'l;;' o Church Of' CO ~ n:'I'fANT FINISH o MUL1HAMILYOE-1'1 CI"t=\NlE-l ,,<\l;CESSORY BUILDING Number of unils;~ \N .\'l5ITACHED GARAGE vI , " 0 ATTACHED GARAGE FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New) apply for the new constructIon area) 0 CELL TOWER CO-LOCATE rjJ SLAB 0 CRAWL SPACE 0 DEMOUTION o POST & BEAM PIER 0 BASEMENT (WALKOUT: Y OFFI Early Release ,/ Permit: _Y ~N Lot Split: _y.$-N Manufactured Trusses: Sump Pump: _yLN _Y -.X.N FLOOD ZONE AREA DESIGNATION S FOR THIS PROPERTY: y. - L\ '^-" k.;, 0 -<=-J PLUMBING CONTd () f\ w\.S 1M t.-vL1 Lu--f N) Up er Footing Under Slab Base Inspections: lower Footing Rou Reviewed/A proved: Oept. of Community Services S:Permits/Fof ILP COMMERCIAL 001 \ ~J:)1 Iv?