HomeMy WebLinkAbout07070120 Application
CityofCarme//Clay Township Permit #: [) 7(J 7o/;J1")
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) I
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ZIP: I
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
PHONE:
NAME:
I!JOl/"r: tp,1J~1I?170AJ IM/'J. ~
CTlY:
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STREET ADDRESS:
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dr.
BUILDER'S EMAIL ADDRESS'
~(Uf,
NAME:
J</-L
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SlRE~2f~SS:
ADDRESS OF CONSTRucrrON:
EJ
BEST METHOD 9!.sPKTAcr:
&emf Or.)LINtf.W'i"t,8/l-e
PHONE: 1~4- ~ z,ZAfJ
'2-_1- 1 'I'"
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FAX: i
1*6 - 41fj~
ZIP: I
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CITY:
STATE:
-:Z:::N
SUITE #: (If Applicable)
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME: 13/llbl-lJ W,l/rt-~
STATE COMMERCIAL SCOPE(S) Of 'l't fDN i'<<.. SIR
DESIGN RElEASE #: RELEASE: ~ ElEC 0 $PKLR
WATER UTILITY
PROVIDER:
SEWER UTILITY
PROVIDER:
7z
Lot # and Subdivision: (If Applicable)
/03
.It
k ARCH ~ MECH )( PLUM
OTHER(S):
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) J
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
--RIO\:)
0s08c>ol q vY'/.41>l.-,S j
'0
# of Floors:
1-
BLDG. CONSTRUCTION TYPE:
Elevator or Lift: [) YES
TYPE OF CON RUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL 1}( NEW STRUCTURE
(Privately owned hospitals and medical I[j ADDmON
offices/centers are commercial) 0 Room(s)
o INSlTTUTIONAL 0 Porch
o MuntClpaI/RJiit~5/jlSED 0 Mezzanine or Deck
o School SUbjsc FORJr.,RfM2P1L
o Church t to cornpliag~ NEW-TE~['JI~If'l,\St\ ,
o MULTI-FAMILV "'f: Of Stats p9 \ACCES:;q~\\lYIL6IMi
Number of unt~~F Co ancGJOC~CHED\GAAAGIils
errv 1"\<:- ~. 1l1/viIQNA;r:;TACH'EDGARAGE
FOUNDATION TYPE: (thec~n \(!!l)ictliWE 0 'cElL CrCiWER'(['Ie I)~
apply for the new constructIon area~ L '[j~l cE4L TOWER COtotATE
~ SLAB 0 CRAWL sPAcJNDIAijlJ/-pEMOUiIo(,t'-1SHIP
6 POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_V_N)
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release \ ^,
Permit: _Y -7X-,I'''
Lot Split: _V ~N
Manufactured
Trusses:
Sump Pump:
_VAN
_V)(.N
FLOOD ZONE AREA DESIGNATIONrSJ FOR THIS PROPERTY:
-X ---11....1/\ ~~
PLUMBING CONTRACTOR:
~~ *tIUHVdn,CVl5
Plumber's Indiana State License #:
- c-PtCf'J-/OOO2,L(
-.
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames (or beginning and
completing construction.
I, the undersigned, agree rhat 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 co, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - I993~ (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
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
'"ued thtDtpattm,ntntn:m s,. ,Catmel,Ind',",~ ~/U?Gt tq &f'1r;2,J?-- 1 I,,, 101
~~na re of Owne 0 Authorized Agent Print Date I I
OFFICEUSEONLY:************************************************************************
cnONS REQUIRED: Filing Fees: /J "Z I/o ,. If D r'1 [ L.lO
upperFooting\, LowerFooting Base Inspections: cR 1.11 ",00 . ./'{J;l
~ Cert, of Occupancy: .d ~ 60 { 0\
~ Le
007 ~TAL:m-A'~~MrJI I
ReviewejApproved: DeptofCommunityServi 5 _,~_~_ ~ LJ /07
S:Permlts/f mS/ILP CQMMEROAL Fee ~ fVed by: ; Date