HomeMy WebLinkAbout07080126 Applicationi' ' J
Permit
City of Carmel/Clay Township
COINLIIERCIAL/IN'STTTUTIONAL/IvfULTI-FAMILY IMPROVEMENT LOCATION PERMIT
'? -• APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
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BUILDER NAME: PHONE FAX:
1
OF 1.40774 X "&4r rtVV 46-z. //
31l -,FYB-&rco 3f] - Yf - 0
RECORD: STREET ADDRESS: CTP.': STATE: ZIP:
d/ FFt:11? '(v t `A 10449WAII /ic'444.44!CC ? i/? ' -brv
BUI LDER'S EMAIL ADDRESS: BEST METHOD O: CONTACT:
re it r LI c j; ' rtet cEv 14 - Ibi3
PROPERTY NAM`. PHONE: FAX:
OWNER a?QtOtad L>Enu t r4CTNc?i cv? eec: 31?.- i'f? %SCe .317- -IfYr 1.4-
: SfREETADDRESS: QTY: STATE: ZIP:
?/Cr AFvi(; LvAx,4 I.-.at.' z''4i"eu3 /A/ ?
LOCATION ADDRESS OF CONSTRUCTION' SUITE>r; rIf Applicable)
& PROJECT 'l-/ /V Noe( a;4./
INFO: Address of Shell Buildine: (if different than Address of Conmb•xdon) LpI f and SubdFdsion: (If Applicable)
I
NAM
E
:
BUILDING, PROJECT, OR TENANT ZONING: TAX MAP PARCEL
4e. /?' `
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_
•r'at/ ?Eitl,?1L YJ/yiG `
[p 4.J /?-D' - ? -Ofy -fJ(v -C;e.?l.t.•; K.
STATE COMMERCIAL SCOPE(S) OFF - FDN C STR X ARCH K. MEC.-: MX PLUM
1 SQUARE
DESIGN RELEASE #: RELEASE: A ELEC C EFKLR OTHER(c);
FOOTAGE: -;,
7
WATER UTILiTf
PROVIDER: "?
PIrQI1f ` SE AVER UTILITY
PROVIDER: 641tEV cSi IN.ATED COST OF,-ONSTP.UCFION: .
(EXCLUDING LANG VAI UE) Zr/Ga C'L'is
PLAN COMMISSION / BZA / DPW DOCKET NUMBERS; AND/OR ,
COUNT'VrLL AND/OR SEPTIC PERMIT t5 (If Applimble): Nr4 -y/
Sm
tl of Floors: 3 Elevator or Lift: K YES 7] NO BLDG. CONSTRUCTION TYPE: / 5-r OOCUP.ANCf 0-45SIFICAT10N:
TYPE OF CONSIAUCTION: TYPE OF IMPROVEMENT: PRU7hcl 1N1EoKr1A11VN:
COMMERCIAL CJ NEW STRUCTURE Early Release Manufactured
(Privately owned hospitals and medial 0 FjQ[?(?I ION Permit: _Y ?N Trusses: _Y _>N
onaces/-enters are commercial) u'`(? Room(s) Lot Split: _Y --N Sump Pump: _Y _X-N
O INSTITUTIONAL Qt T VIR ?r S Porch
?EyID Ra A, ro j?LDt CJ N7eaanine or Deck
96 LL?I N' Og `rcr' a` r eQ RE OIDEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
R CM u c?nITt4'It`tO 1 002.1?GD ), ",.I , k?-T. FINISH
",.I, -T NANT FINISH
CD GA
7Jumber of?nNsate. UN? I` C t?? AC SS C E D BUILDING RAGE ATTACHED A RAGE
PLUMBING CONTRACT-OR:
FOUNDA ?ltP F( hi A CD CELL TOWER (New) -Z`• ?fE2 ,.j ylA Sr i«EI
apply for-thei nstr?ctiOp?ar ajN p CELL TOWER CO-LOCATE 80M"',
P S t O CRA1 WL SPACE D DEMOLITION Plumber's Indiana State License #:
L) POST&_BEAM -PIER O BASEMENT (WALKOUT:_Y_N) Ae /6)2 0061 S? n
Class I structure permirsare subject to the General Administmttve Rules of the State of Indiana (See 675 L4C I?) regarding expira er gsgpryoa`?t
completing conscructioa i/ ll LJ '(?
1, the undersigned, agree drat any ccnstrertfon, recoamxrior.en)atgemen., telcea-iar?or alreraticn of a saucturc. cr any change m tf,eu -,d or svucterres requested by
tds apphcatten w--B comply-xi-h, and_onform to, aG app "ble laws of the S:ate of lndiana•and the'Z.oning Ordinance c_Carnel Indiana I. yj aqd s.
_dop-ed undcranhoriryetl.C.36-7etseq,Gene:al Psscnblw of rtre<_:a:<of Indiana, anc all Acts ame-,datxy rherco. I fuazeree:tiry that 'tcR'! kk#a1IL'l1tMiains
conneaed tc the sanfa.?r= . I further certify that the construction %ill not be used or occupied until a Cem6cate of L)dcupancv v stanriar Completion ?: bee
issued by the De tnntunity Services, Carmel, Indiana. A
5' "olYfwner uthorixed 0.getR Print U
OFFICE USE ONLY:************************************************************************
INSPECTIONS REQUIRED: Fling Fees: D
d Chemed Re,
Upper.F.?ing Lower Footing Under Slat Base Inspections: Reviews
Cent. of Occupancy: f
Rough In) Meter Base Ffnal Site Y,
TOTAL : a D Additional Fees
uns 111
proved: Dept. of Community Services ate)
s:Perrutt/FO'msJRP (mMMrROAL Fee Rear,,ed by: Date