HomeMy WebLinkAbout07100054 Applicationt.""' F . Permit #: !`??/Q E? 05'`f
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structuresr Additionsr Remodelsr Tenant Finishes, & Accessory Buildings)
BUILDER NAME: - Ma C. CW\ PHONE: FAX:
OF E('tc- 6gnaI'c+ i, 2- o 31 --s:72•-o
RECORD: STREET ADDRESS:
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_ QTY:
i STATE: ZIP:
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BUILDER'S L ADDRESS:
i BST METHOD OF CONTACT:
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PROPERTY NAME
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M PHON : FAX:
3l M'
OWNER: "
STREET ADDRESS:
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M
A CRY:
T STATE:
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j ZIP:
V6 -yo
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100
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CA
LOCATION ADDRESS OF CONSTRU CTION: /0 If S
? SUITE (If Applicable)
O
& PROJECT Vp'('1i
n flr
rMe in S/ tF
INFO: Address of Shell Suliding: (if different than Address of Construction) Lot # and Subdivision: (if Applicable)
BU DING, PROJECT, OR NAME: ZONING: TAX MAP PARCEL
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STATE MERCIALr SCOPE(S) OF C FDN O STR PLUM SQUARE
ARCH G"IMECH
FOOTAGE T I L7 f''2
T I "l
4?q?
T1
DESIGN RELEASE #: J A0 TF? RELEASE: V ELEC C. SPKLR OTHER(S) :
: j
WATER UTILITY f+1 ?? U GM'M?-
++ SEWER UTILTTY C. t ?9 G}' r t
WQt r-W 0.?'}Cd.VC+'bl
ROVIDER ??
ESTIMATED COST OF CONSTRUCT:O
(EXCLUDING LAND VALUE)
PROVIDER: ??
Wc{?ZX' WG?Tt'(rATT e _ :
P
lL ! S ,
PLAN COMMISSION / BZA / BPw DOCKET D/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If APplltable):
# of Floors: /
BLDG. CONSTRUCTION TYPE:
Elevator or Uft: O YES Q NO
-
OCCUPANCY CLASSIFICATION: / -
laI G
1. t
9
TYPE OF CONSTRUCTION: •PE`O M PROVE ENT: PROJECT INFORMATION:
ti51 '1v _ nC\5
COMMERCIAL ? (^,Qt 1 -EEUNbIN STRUCTURE Early Release Manufactured
(Privately owned, hdspplals and -red"";' ' Q ADD N Permit: Y N Trusses: _Y _N
athce5/oer{Teis?are'mmgLettiapv'-? GD'31'' ,LCj-ohm(s)
O IfQSiTTU~TIONA?til'V•?•"? rj LG` c??R? i? tp'pYfh Lot Split: _YN Sump Pump: YN
&JV MUniapal/Pub1ic'Bldgoj, i\ J? ?7? Meuanine or Deck
EI Scho`l' V (JM " ?, REMODEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
CD,?, CChurch ? - ,,s `?_ ? C ? NEW TENANT FINISH O MULLJ"rPU°IILY- Cit •I'' (] ACCESSORY BUILDING ?t101?S'
Number'gf `tui?i'ts: ??' O DETACHED GARAGE
l t t PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which O ATTACHED GARAGE
apply for the new construction area) ED CELL TOWER (New) ??s-r?ir?
CO-
O CELL TOWER
LrJ SLAB C) CRAWL SPACE - { i:! Plumber's Indiana State License #:
I-. _ ti n
D POST &_BEAM -PIER D BASE I (WALKOUT::: I qq OOH -T.
Clazs i structure permits are subject to the General A l'I 'smur"etRvle bf'? tate of I Yana (See 675IAC 12) regarding expiration time frames for beginning and
completing coostfu 'on.
I, the undersigned agree that any mnsavetim.reconstrv on, enlargement, relecatioq or al2ra'on of asmcture,o: any chapge in the us<of land cr strxmrestequesed by
zlin applicniop will complywth, and mnformco,ailappii lel of the Statz o`_ind' Epdr e'Zoning Orinmetof Carmellndima-199Y(Z--289)mdamendments,
adopted under authorirp a': I.C. 36-7 et seq, Gen .. 1 s amendatory therere. I further ceaify uc only kitchen, bath, ard?oer drains are
connected co the sanitary sewer. I furthe 'fy that the construction will not ed or occupied unt6 a Crrtificacc ofOccupaaey or 5obsranrud Comp/edon has been
Y_t
issued yyrche Department Dmm ? It, Services, 1, Indiana.
C4 1 /D-1y-0 -
Signature of Owner or Au orizad nt /I.- V Print Date
OFFICE USE ONLY: *******lI**
INSPECTIONS REQUIRI!°_ 0
Upper Footing Lower Footing Under Slab
Rough I Meter Base pp Fina Opp Site
\RA 711nw.A?tsntrY Jc -10.07
ing Fees: log 1 a• 00
se Inspections: fJ $ ' 00 -
It. of Occu ncy:
Reviewed/Apploved Dept. of Community Services (Date)
S:Permlts1Fo,.0LP COMMEK' AL Fee eived bY: Date