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HomeMy WebLinkAbout07080214 Application/ydr Permit #:?0-7-Z0-L- City of Carmel/Clay Township { • COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IlIPROVEMENT LOCATION PERNUT ?!NOIRMP?/ APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME: u(CoR Cr3v.4eucJttorr, PHONE: FAX: 5?3-8100 (Xf,?3 573-9100 RECORD: STREETAD RESS. oll k)t Y11t=??,4 s}. s?.4e2o2 CITY: _ STATE: ZIP: 1;W lA; . v0(a) BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT: (-w?+sDP, ?'z L)Icot. Cotes Cell q09-385-1 0? ?- yts:l PROPERTY OWNER: NAME' A"' Stzra Ce4z e- LL C PHONE: FAX: 573 - 8100 S73 -ri 101) STREET ADDRESS: CITY: SATE: ZIP: 011 h) Meft1e1t4n &- SuJe tat ?•x? /s ?nl, `f6z?Z? LOCATION &PROJECT ADDRESS OF CONSTRUCTIQN: g20 F'' ??10 SUIfE #: (If Applicable) 1J/? INFO' Address of Shell Building: (If different than Address of ConstruNon) Lot # and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT NAME: )I(oktiS+e'A- CP?;ge 6;7 &t ?3 ( ZONING: (,( TAX MAP PARCEL 7 3(a ©B B STATE COMMERCIAL DESIGN RELEASE #: to SCOPE(S) OF W FDN STIR RELEASE: ELEC T 5PKLR OK ARCH ? MECH V PLUM SQUARE _ OTHER(S): FOOTAGE: I 9 0O J WATER UTILITY PROVIDER: SEWER UTILITY PROVIDER: CMG ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) O 9 GOO PLAN COMMISSION/ BZA / BPW DOCKET NUMBERS; AND/OR AIN C PERMIT #'S(If A licable): 4 OR SEPT TY WELL AND / COUN pp I I # of Floors: 1 Elevator or Uft: e YES kg NO BLDG. CONSTRUCTION TYPE: 1- 6 OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: COMMERCIAL STRUCTURE (Privately owned hospitals and medical .FTha%,FrION ctfices/centers aremmmeroap - Q,? ?a?IO(© Room(s) ? INSTITUTIONAL ?^{,NS I t?a•>' O Porch ? Municia UPnbxt Gtg ,`'- ,, Mezzanine or Deck ? ?v t- nrd}ot?P ?V ?_OC 1 Jc"? CANT FINISH ? I?t UCTI-bFLiMILY ;a?0 ?Ut1?` ` y ESSORY BUILDING tl 4&r of un 6: r ?tJ?? G?r ? DETACHED GARAGE FOUNDATION.TYPE (Otlect(Tal! w ,l NPR O ATTACHED GARAGE apply for thNiie?v c?rtstrtl?ctio B) O CELL TOWER (New) .N ? CELL TOWER CO-LOCATE SLAB G`` ' ? CRAWL SPACE O DEMOLITION ? POST&_BEAM -PIER ? BASEMENT (WALKOUT:_Y_K'N) PROJECT INFORMATION: Early Release I- x. Permit: Y _N Trusses: <4 Y/N Lot Split: _Y 4N Sump Pump: Y (N FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: A-I ?,V NQp HUH PLUMBING CONTRACTOR: ztij) j 211) $061?l0l -- Plumber's Indiana State License Pc 103 00 z-z.g Class I structure permits are subject to the General Administrative Rules of the Sate of lndiana (See 675 IAC 12) regarding expiration time frames for beginning and completing construction. 1, the undersigned agree ta::ny eons:r?aion, reconswctior, erfargement relxaticn, or alteration of a smacture, or any change in the use of land or structures requested by this applicad It comply wic. aad conform co, all apphable laws of the Sate of Indiana, and _Se'Zoning O,-dmance c Carmel Indiana - 199'3' (Z?B9) and amendmer u, adopted er odty of 1. 7et seq.Genera-Assembly of the Sate of lndiara, and all Arts amendatory therein . I further certifyth-aronly:.kitchen, bats, and Boar drains are con9s? ed co e ay et. I onher certify that the construction will not be used or occupied until a Certificate ofOccupa r orSuhstannal Completion has bren issued e D tin t f ty Services, Cumel, Indiana. L 14Na?1 ln) WTSOIf? 23 ?CO7 Signature wner or Authorized Agent Print Datej **************************#?3P.?.****************?**?** **?* ************ IFFICEUSEONLY: a ?I#SR??TiONS REQUIRED: Fees: J,f? I r V V Upper Footing Lower Footing Under Slab( J se Inspections: 1 P ?? ough In rater Base al Site ""1 Cert. of Occupancy: TOTAL: VN? tw t)^ 3( r?V?Mwn' wed App ed: Dept. of Community services ate) ` IWFonna'ILP CCMMER L Fee Received ov: Date N