HomeMy WebLinkAbout07080180 Application#: O w
wPermit
City of a and Clay Township
COMIMIERCIAL/INSTITUTIONAL/MULTI-FAAIILY IMPROVEMENT LOCATION PERMIT
± APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
? rti OIRa P? ?BUILDER NAME: PHONE: FAX:
OF 1) sit cct. sk (UG 815 -a54- 4501 IS- 54- 450 l
RECORD: STREET ADDRESS: QTY: STATE: ZIP:
cif "'_)OrUMAU(- c. Cc--4 ",I\ 1t- <?0+03
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
U PFc\+ (K) e)c\srg\1s\E , COrr) G. rnA1L
PROPERTY
OWNER: NAME' PHONE: FAX:
71R.? Ftiac-at^tG Gcou 31?-II-3c153 317-g4`F-?13
STREET ADDRESS: - QTY: STATE: ZIP:
O(U6 O ft4 c.ACMck ??. *.QOO C.n<Irz L I N ?i-? o3a
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
-
& PROJECT N'-?CLVIuz
IS C?acmt- L
INFO: Address of Shell Build Ing: (If different than Address of Construction) Let Y and Subdivision: (If Applicable)
SAMce
BUILDING, PROJECT, OR TENANT NAME: ZONING:
?
'-` TAX MAP. PARCEL
162( o 10001 001000
STATE COMMERCIAL
DESIGN RELEASE #: Sag I D 3 ?/
SCOPE(S) OF o FDN I STIR ARCH YL MECH X PLUM
RELEASE: X ELEC Q SPKLR OTHER(S):- I SQUARE
FOOTAGE:
WATER UTILITY
PROVIDER: SEWER UTILITY
1
PROVIDER: ESTIMATED COST OF CONSTRUCTION: Ob
OOO'?
(EXCLUDING LAND VALUE) C00
Cr,,CM.I ??{m4
1
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMrT #'S (If Applicable):
# of Floors: 1 Elevator or Lift: C YES NO BLDG. CONSTRUCTION TYPE: E)(S I V-6 OCCUPANCY CLASSIFICATION: g. ?E IYl
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL O NEW STRUCTURE
(Privately owned hospitals and medical ? ADDITION
offoes/centers are commercial) O Room(s)
? INSTITL)TIONAL D Porch
REIa% P?TVFYNI`C?, ISTRUCTIM1T) Mezzamneor Deck
MODEL
SUbO-t Chucch-n(:i12.rIL12 vJ h cil .'20 i TENANT FINISH
? MULTI-FCAMIL cn a ,d OCcil 60125. ACCESSORY BUILDING
roEuniis:.. S`r? QâQftACHED GARAGE
Ot?''I U? 1.41vr'?????1' HED GARAGE
FOU -, (Chuck all Whithf 0%IR 'C TT0WER (New)
appl P/M r to w co'ns?rticXwNTv a) [) CELL TOWER CO-LOCATE
SLAB D CRAWL SPACE ? DEMOLITION
D POST & BEAM -PIER D BASEMENT (WALKOUT: Y_N)
PROJECT INFORMATION:
Early Release Manufactured
Permit: Y N' Trusses: YN
Lot Split: _Y ?XN Sump Pump: _Y XN
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
X- U N 5hndi=_ a
PLUMBING CONTRACTOR: jZ e (`?Oa_J16 .
Plumbers Indiana State License #:
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675
completing construction.
1, the undersigned, agree that any mnsmcdot, reconstruction, enlargement, relocatioq or alteration of a strum
tlvs application will comply with, and confn:m to, all applicable laws of the State of Indiana, and the `Zoning On
adopted under authority of LC. 36-7 at seq, Gene-al Assocbhi cf the Sure of Indiana, and all Ac's amendatory the
conrerred to :he smattry sewer. I further certify that the construction will not be used or occupied until a C
issued by the Department of Community Semites, Carmel, Indiana
e - .. 6 _ -
OFFICE USE ONLY:****************** *****
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under SI$h
R ugh- Meter Base Final , Site
Services
use cf lanff ctures requested by
1S3and amendments,
t rh, ad flwr drains ue
ompledonhas been
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iling Fees:"! 3Ct. C/?
(Base Inspections: O? a
Cert. of Occupancy: U L'q
roe, Key iveo u . ----