HomeMy WebLinkAbout07060257 Application
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\ COt .I'C IIC" 'T' hO Permit #: () 7()&b'"J..57
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COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
PHONE:
7.d-to;;J.. -
FAX:
31 -..;lio3-.. -(. C\ a-
cm:
STATE: ZIP:
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BUILDER'S EMAIL ADDRESS:
LS-t-ex. 2. Ii2? S eN
BEST METHOD OF CONTACT:
.COfV\
t-:I
31
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PROPERTY
OWNER:
PHONE:
LOCATION
& PROJECT
INFO:
cm:
=i::Nb9LS,
&lfl 5b,
STATE:
o
SUITE #: (If Applicable)
Address of Shell Building: (If different than Address of Construction)
lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: TAX MAP PARCEL #:
CAlcm ~I\<"e-
STATE COMMERCIAL SCOPE(S) OF ,tIYl FDN ,&. STR <.Zf ARCH Il#l MECH .
DESIGN RELEASE #: 3'22."'2..3 RELEASE: . J1llI ELEC 0 SPKLR OTHER(S):'~ rtc:
WATER UTIlITY SEWER lITIUTY ESTIMATED COST OF CON
PROVIDER: ~W PROVIDER: 1J (EXCLUDING LAND VALUE
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:; Elevator or Uft: 0 YES ~ BLDG. CONSTRUcnON TYPE: OCCUPANCY CLASSIFICATION: U
TYPE OF CONSTR CTION: S,\((I. .' OF IMPROVEMENT: PROJECT INFORMATION:
COMMERCIAL. . r.o~, ,<>\\ \e~.~3W STRUCTURE Early Release ~
(PrivateIYO~!lI'~itaIS~riI~ :qi,VKDlmloN Permit: _Ye::::::N
offices/g:~",.are ,prcla,\).\ c~.:..:,\\,,<:a" Room(s) --.l ,
o IN~iNAf;'<?\" ,-0 \..0 ~\~~o~: 0 Porch Lot Split: _Y ~
B uJrafpaVPulillc 610/. ) 0 Mezzanine or Deck
((I. . 0 o6J"~'v ~'0\ ~_ 0 REMODEL FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
S Ch .~ vO ~\.. \ ~~ 0 NEW TENANT FINISH \/ h -, J ~ ...J!
o MUL1J:~iV(r\>-'?-~ ~\Q\~~l~ 0 ACCESSORY BUILDING )(, ../ /A...-fl51 reO \LOC
NU~?~ts;J~ , -g DETACHED GARAGE
...-I . 0 AlTACHED GARAGE
FOUNDATI~'rYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new constructIon area) 0 CELL TOWER CO-LOCATE
JLi SLAB 0 CRAWL SPACE 0 DEMOLmON
o POST & _BEAM _PIER 0 BASEMENT (WALKOlJT:_ Y K N)
Manufactured
Trusses:
Sump Pump:
~_N
_yXN
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 MZoning Ordinance of Carmel Indiana - 1993w (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. 1 funher certify that the construction will not be used or occupied until a CertiFicare of Occupancy or Substanrial Complerion has been
issued by the Department of ommunity Services, Carmel, Indiana.
Signature of Owner or Authorized Agent
"b~\)F {I Al.-lI'FR.\'
Print
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Date
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Reviewed/ Appr ved: Dept of Community Servic
S:Permits/Forms/llP OMMEROAl