HomeMy WebLinkAbout07080215 Applicationtia.,,21
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Permit #:
• City;fCannel/Clay Township
COMMERCIALANSTTTUTIONAL/MULTI-FAMILY IN2ROVEMENT LOCATION PER-MIT
?-ramcn! APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME' PHONE: FAX.
LLC EJ43-y,?q Li
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RECORD: STREET ADDRESS: CITY:
W
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' STATE:
C"d /N ZIP:
?1au33
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BUILDER'S yyEMAIL ADD>RES"S:y
r??u_) ficl fGfS@!5LG JttW, hC? BEST METHOD OF CONTACT:
ell" t,
PROPERTY NAME: PHONE: 6v,g?5 /2(6.ilryn FAX:
OWNER: JJ2 Mt,-jato,, LLC_ 333-7riZZ)
STREET ADDRESS: r CITY:
Cj»o sla ?YCJ?/ -Svll? l STATE:
or7 ?n?Pi? ?/J ZIP:
y62- yJ
LOCATION ADDRESS OF CONSTRUCTION:
M2/Id14n ?Crrne/
J
l/`/SZ SUITE #: (If Applicable
&PR03ECT .
)
INFO: Address of Shell Building: (If different than Address of?p nsWc ion)
/ Lot # and Subdivision: (If Appliable)
/I YY Z 1. I U C_.?vfrte
BUILDING, PROJECT, OR TENANT NAME:
_5 m k Ya
ds _Ba t_k- ZONING:
- le TAX MAP P CEL
1 1
'17
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STATE ESIGN RELEASE L 3 Z-? r ys?
D [J
SCOPE(S) SE:OF4 ELK N n SC SIR PKLR XiER(a: PLUM
TAce
553b Si
WATER UTILITY
PROVIDER: CA*, 1I SEWER UTILITY '? 77
PROVIDER: C7?w ESTIMATED COST OF CONSTRUCTION'
(EXCLUDING LAND VALUE) k5(7J iC?J•
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR A
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): rl E X57
of Floors: Z
Elevator or Uft: 90. YES O NO /
BLDG. C0N5MUCHON TYPE: r
OCCUPANCY CLASSIFICATION: B
TYPE OF CONSTRUCTION:
COMMERCIAL
(Privately owned hosptals and medical
offices/centers are commercial)
O INSTITUTIONAL
Q Municipal/public Bldg
O School
O Church
O MULTIFAMILY
Number of units:
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ADDITION
? Room(s)
? Porch
? Mezzanine or Deck
? REMODEL
_S??NEW TENANT FINISH
O ACCESSORY BUILDING
O ED GARAGE
NDATI c(Cher5T1!ivhicW lv"T??ED GARAGE
apply forti
SLAB n •sfrtit3ion:area)Witn all4L?ER CO-LOCATE
y? Subjecttn eon, }" , Cc.•. 5.
.Ci GOB CR.4yyLr5VAC `Q R M?tT'7?ON
O POST _BEAM= . ^C?IE?2' 't ?)I ?AYS?y rF (6Vt@r. v_N)
PROJECT INFORMATION:
Early Release Manufactured
Permit: Y VN Trusses: -Y /N
Lot Split: _Y ?N Sump Pump: _Y ?N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
)(- uriSAadcJ
Pi
Plumber's Indiana State
TV
eLI
Class I ?i permits are sub{eq 0idila(?teral Administrative Rules of the State of Indiana (See 675 LAC 12) regarding ex on time tames or f
t completing construction.
1, the undersigned, agree that any construction, moors[rucnoa,enlargement, relocation, or alteration of a structure, or any change in thr 3 ,,ictures requested by
this appdcaticn will comply with, and conform to, all apnlieable laws o the S'ste of Indiana, and the 'Zoning Ordinance of Carmel Indiana (Z-289) aad amendments,
adopted under authority of LC 36-7 et seq, General AssembFr of the State of ladiana, ani all Acs amendatory therew. I further certify that only kitchen, bath. and Ilxr drams are
connected w dte sanitary sewer. 1 further certify that the construction will not be used or occupied until a Ceritfi'ct[e of0ecupaucv or Suhstanoal Comp/edon has been
issuedbbyy the DepartmJeot of Community Services, Carmel, Indiana.
/? &1_4 Mew w /?QElR7 ZL//!/ LY V?J
Signature of Own o • utharized Agent Print Date
OFFICE USE ONLY: *******************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under SlaI\
Rough In Meter Base FSite \\_?5t`y
4
Reviewed/Approv d: Dept. of Community Services (Date) T
$: Permits/FwmS'[1P COMMERCIAL
?/ • n
1 Filing Fees:
?Tlog,
1 Base Inspections: Cert. of Occu
TOTAL
Fee
Date