HomeMy WebLinkAbout07060253 Application
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City of Carmel! Clay Township Permit #: ~ 7 OfeO;{:::; ~
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
PROPERTY
OWNER:
NAMEr/API t7JL- l-ol\JL1T~tnni!--N ;;~1- 614 - 0<-1g~ ~1:7-S14 04S? 2-
5TRq#~Dss:e,A-V0Z ~rz /!,J;Pt--5 I ~t 4;;;~ gO
BUILDER/~ EMAIL ADDRESS: I J _ ~.J- BEST METHOD OF CONTACT:, j - 1/
j-V7< <1 CA. ,HJ i-(yY)~t-YVC1, cAnY1 ceil : :'4-0'0- D'O 10 raW) ><
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NAME: tuK-E U.J><1/1'f iog~lR rnrO '<6'D&-lP1QJ
BUILDER
OF
RECORD:
LOCATION
& PROJECT
INFO:
CITY: STATE: ____ _lI~:-'I_~'-' ,h
~ IOU IN !:>PL----S rr:=:~---riFNr'-' jT,:"; Ii '.;?JiF; fl"l.<'~Lf{)
CIZU"l0 j N L1 ,&1..-1/ illt~m:I;:"(IfA'pPlicabTe)':"'--"- \ \ 1\\\
1'1'" 2007 ,,[ 'I'
Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: _Pl~b@) 1'1 L', i II
III \11 \->
\ - - TAXMAPPARCEL ii: J
SCOPE(S) OF 0 - FDN 0 5TR r:;( ARCH JZf' MECH SQUARE 10 --7'- 0
RELEASE: ;:d ELEC 0 SPKLR 6THER(S): FOOTAGE: I V-'
&rr
ZONING:
STR&; ;t)RESf-. q (, tiI.- qr
ADDRESS OF CONSTRUcrrON:
I 'A '12..' I-l-A-M I L TIN
BUILDING, PROlE\"';G T~NT N~M+A,v
STATE COMMERCIAL rJ r:: I
DESIGN RELEASE #: -:/:;Zl.:>~J0
WATER UTILITY "A ~ '1--=
PROVIDER: lAk'r-.'" t/L.
SEWER UTILITY ,." It. tJ L-
PROVIDER: l.,I-V' 1\11 f:
ESTIMATED COST OF CONSTRUCITQJ>l:
(EXCLUDING LAND VALUE) -$ f -'1 q. rrtrO
PLAN COMMISSION / BZA I BPW DOCKer NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
"B) bV&I fl€ ;6
# of Floors: Elevator or Lift: 0 YES ~ NO BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMERCIAL 0 NEW STRUCTURE Early Release
(Privately owned hospItals and medical 0 ADDmON Permit: _Y ~N
offices/cente,,; ace commerCIal) ,'C'TnU(l;:'I\CUJn(S) V
o IN~ON~l':Q FOR cot~,) ~ r P,tI8\'\S1 lot Split: _Y-l'-N
OKMtin!djilil/pu6fiS B1d%n '8 With all, eQd Mezzan,ne or Deck
OSstliG6ft to COI 1[-", ~ - \ rK>l1eREMODEl
OJ State and Loca '>""'" - ,-~
Church 0 T'l:Ll' ENEWITi,NANT FINISH
o MUL~l OF COMMUNI a: ACCESSQl'Y\!llJllDlNG
Numbo!r'6r\J"'ts'~IIEL I CL}\'[J T lEiE'i'AMb 'GARAGE
r.rrY Or \JJ-\"" _ , NA 0 ATTACHED GARAGE
FOUNDATIO~PE: (Chec~ all ~@iA 0 CEll TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-lOCATE
/
):8- SLAB 0 CRAWL SPACE 0 DEMOLmON
o POST& BEAM _PIER 0 BASEMENT (WAlKOUT:_Y_N)
Manufactured
Trusses:
Sump Pump:
_Y x:; N
_Y~N
FLOOD ZONE AREA DESIGNATIONCS) FOR THIS PROPERTY:
PLUMBING &NT:;1CTOR,~, '^ A I - A
Me ~ '/ ~\ rn{'r>VLfl/[Af
PlumberW0DS0toOeO' ~-' I
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.
1. 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 comonn to, all applicable ~.of-ilieSt~te of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 199r (Z-289) and amendments,
adopted under authority of l.c. 36-7 et seq, General Assem~-6fthe State of IndianJi. 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 yre c~)Qstruction will not 6e used or occupied until a Certificate of Occup;mcy or Substantia.! Completion has been
issued the De ent 0 Community Services, armel. lndiana..
, < I r1 E( ill1Y ~:Jo-07
OFFICE USE ONLY: ********** "******~*************************************************
INSPECTIONS REQUIREQ:_____________ Filing Fees:?JjJ-I to < 00
Base Inspections: ;Z 0 '3' , e D
Cert. of Occupancy: / f J 0
,0
Reviewed/App Dved: Dept. of Community Services
S:Permits/Forms{IL COMMERCIAL