HomeMy WebLinkAbout07080224 Application?str a cn'r,y.
Permit #: OWS.Mlq
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
can p y APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME' PHONE: Zq ?. 3O6D FAX.
itC J
Edward N0,'CPev-elo &k lo 2i7-7J`J
OF .
RECORD: Si REET ADDRESS: CITY: STATE:
79ol Craw rdsv4e t?dad l"d+'a,vla airs IN ZIP:
4-62/
BUILDER'S EMAIL ADDRESS: l I BEST M OD OF CONTACT:
COM
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CINh Co
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PROPERTY NAME, PHONE. FAX:
6
OWNER: ove
(MOve aS a
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION ADDRE55 OF CONSTRUCTON: SUITE *: (If Applicable)
/306 ?/ir iyia ?i/YOI.
& PROJECT
INFO: Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: (If Applicable)
T
NAME:
BUILDING, PROJECT, OR TENAN
dr?XR `JO'N/9 ?// L ZONING:
0/14 ^ 'A Vw /F
TAX MAP PARCEL
:
STATE COMMERCIAL
RELEASE a 7
?
? SCOPE(S) A) OF N 9' STIR Je'ARCH d MECH? PLUM
LESEZ ELEC O SPKLR OTHEKS) SQUARE
FOOTAGE: L) g ?O
r
WATER UTILITY
PROVIDER: ( a)-64'P/ SEWER UTILITY
PROVIDER: GQJ?Wlj°I ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ?j00 0QD
PLAN COMMISSION I BZA ! BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator or Lift: G YES NO BLDG. CONSTRUCTION TYPE: r7 Izj OCCUPANCY CLASSIFICATION: R - Z
TYPE OF CONSTRUCTION: TYPE F IMPROVEMENT:
O COMMERCIAL NEW STRUCTURE
(Privately owned hospitals and medical O ADDIjIONI
offices/centers are commercial) sr";F ?'0 ,Rbolfl`ts)
O INSTITUTIONAL
Porch
O Municipal/Public BelIdg JL (js" or Deck
O School r?(?J 0 O_ »REMyODFN ?L'`_? `Q
O ?Pyp G0?1}?nd't?' EYY FENANj Fi15H
MULTI-F ?QGyJ [?t3t0 M?CCESSORY BUILDING
Number of +t- ?F06r' ?.iOMi; 1, O t AT
DETACHED TACHED GARAGE
FOUNDATION TYPE: ctL ali,which` ?O\6' CELL TOWER (New)
appI for the new co ckya Xa) O CELL TOWER CO-LOCAL
SLAB CRAWL SPACE O DEMDImA?.N?f"'1?
O POST&-BEAM -PIER O
Class i strucrure permits are subject to the
Early Release / Manufactured
Permit: Y V N Trusses: _Y_pl
Lot Split: _Y V7N Sump Pump: _Y -N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
X- (,tashaded
PLUMBING CONTRACTOR: 14
Plumber's Indian to License #:
PC / 490000 q 01
(See 675 LAC 12) regarding expiration time frames for beginning and
I, the undersigned. agree :ha: any construction, recoln ction, enlargement, reloca¢on, or ttmtlar.a:as¢-acmr<, or any change in the use of land or serucmres regnesred by
this application will comply with, and corUorm to, all ppticable Taws of the State of Indiana ?and the 'Zoning Ordinance of Carmel Indiana -1993' (Z-299) and amendments,
adopted under authority of I.C. 35-7 et sec. General- ry of thcSta[se%-f - cis amendamry thereto. Ifuther certify that only latchen, bath, and floor drams are
connezted to at sanitary sewer. I further certify tha coon will not be used or o upied uatila Certfftcate ofOccupanry orSubsatnchd Completlan has been
issued b,.Ih?partm??t-of Co unity Services, Carmel, Indiana.
Signature of owner or AuUl zed Agent Print
OFFICE USE ONLY:*******************
Upper Footing) Lower Footing( Under
In
Site
Filing Fees:
1
;f Base Inspections:
Cert. of Occupancy: Z
r
r ?. n
Community Services (il ' --I/
Fee Received