HomeMy WebLinkAbout07090093 Applicationw ,. Permit #: D?V g?
C ty o armel/Clay Township
CONBfERCIAL/INSTITUTIONAL/MULTI-FANIILY INIPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER "A PHONE: FAX:
OF ., H 7 - n 00 AX 7 - -
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
600 -t) r (oo T a .
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
PROPERTY
L PHO FAX:
L
OWNER L4
i A - ?rSl ' 11-€-el- O oc S
OP -7-
:
STREET ADDRESS: CITY: STATE: ZIP:
60 CD U L , n 71k S-1- . ?/
S "iy- lJ / 14 1
LOCATION
&PROJECT ADDRESS OF CONSTRUCIION: n
S(C) F C. SUITE #: (If Applicable)
F?oo r . .S
INFO: Address of Shell Building: (If cifferent than Address of Construction) - nd Se'hdiyiyon, (If gicaple)?
BUILDING, PROJECT, OR TENANT NAME:
1 ZONING: TAX MAP PARCEL #:
't re -e
?? rl,4 2r llo- 13-il-e y-1?--GG1.OG)
STATE COMMERCIAL
E
ELEASE # G /
a
3 5COPE(S) OF FDN D STIR 'IZ/ ARCH (!D €CH ?UM
RELEASE: ?LEC ! SPKLR OTHER(S): r-A SQUARE
FOOTAGE:
D
SIGN R
: 0 tQ
WATER UTILITY SEWER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) / 3 1
PLAN COMMISSION I BZA / BPw DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEFEC PERMIT #'S (If Applicable):
of Floors: EIwator or tJft: STYES O NO BLDG. CONSTRUCTION TYPE: yK. t S OCCUPANCY CLASSIFICATION: - RAM
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERC[ARE?EA? F Q R-) R n,E)h 10 STE2U(T,}JRE,
(Privately ogn osp` als an medical "O 'ADDITION ' = N
ofces/cn eifia ';ilh rTGB with ;;-pr'RdoFri(sjnS
? INSTIMIONAL Of Sfat-2 aria Locai (;C03SPorch
O Mun I hlie B dg , a;_J i L7- P?Py 2Dinear Deck
??I'T yr ?: ?iVt?.. REMODEL
? ctkdY OF CARAMEL / (nXNiE-w3ENANft;F.INSH
? MULTI-FAMILY INCIA1, ACCESSORY BUILDING
Number of Units: DETACHED GARAGE
FOUNDATION TYPE: (Chen[ all which O ATTACHED GARAGE
apply for the new construction area) O CELL TOWER (New)
O CELL TOWER CO-LOCATE
SLAB D CRAWL SPACE O DEMOLITION
? POST&-BEAM -PIER O BASEMENT (VJALKOUT:Y_N)
PROTECT INFORMATION:
Early Release / Manufactured L/
Permit: Trusses: _YN
Lot Split: _Y _N Sump Pump: Yr N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
/ -
Plumber's Indiana State License At:
lo(os3a 6 c)cea
i?
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675IAC 12) regarding expiration time frames forbeguming and
complering construction.
f, the undersigned, agree chat any conseac_aa, reconstrucoor, enlargement. relocation, or alterauca of a structure, or any change in the use of land or ssactures requested by
this application will comply Alch, and corform to, all applicable lases of the State of ladiana, and the "Zoning Ordinance of Carmel Indiana- 1993' (77 799) and amendments,
adopzd under authority of I.C. 36-7 et seq. General Assembly of tie State of indiana, and all Acs amendatory thereto. 1 further certify Lhat only kitchen, bath, and Doc-drains are
eomeaed [o the sazicag•sewer. I further certify that the construction will not be used or occupied until a Cernbcate ofOccupauey or Substantial Completion has been
issued by the Department of Communiry Services, Carmel, Indiana.
Signature of Chanu or AUthoiiled Agent Primt Date
OFFICE USE ONLY: ********************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Duoh In / Meter Base Site
tI3W j Filing Fees: 0? (1 "I V
F(.IU????y', ase Inspections:
a} Cert. of occupancy: Q
)/7n F+n
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