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07100115 Application
/?':? espy City of Carmel/Clay Toxmship Permit #: D 71 f3 0 x COMMERCIAL/INSTITUTIONAL/MULTI-FA,Nl]LY IMPROVEMENT LOCATION PERN1TF APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME: 11 PHONE: "2 I 1 r Fes: ?ut? .??< ?t 5^ Lt P to91 - ?-53 1 RECORD: STREET ADDRESS: QTY: S h OCR z ( "= STATE: -? 1 ZIP: o 14 14 . c ? -. BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: Gi r S C rV? AKe (ems L G; PROPERTY NAME: l PHON3 1 _ FAX: E: ? LP 2/9-- OWNER: -y l! e 2c_? So ?-C., On,, STREET ADDRESS: CITY: STATE: ZIP: 0o z L ?'- S? UC1 ?i I LOCATION & PROJECT ADDRESS OF CONSTRUCTION: _ SUITE A: (If Applicable) Ov (a T. I ?S INFO: Address of Shell Building: (If different ffian Address of Construction) Lot # and Subdivision: (If Appaable) BUILDING, PROJECT, OR TENANT NAME: SCav rte `?Evel me ?C?, ZONING: 'AX MAP PARS L #I -Op -G O - O STATE COMMERCIAL E I W?) O Z ` v SCOPE(S) OF O FDN O M ARCH pK MECH C3 PLUM SPKLR OTHER(S): ELEC RELEASE: SQUARE FOOTAGE: ?, f ASE a: DESIGN REL „ ( A X 1 WATER UTILITY PROVIDER: 1 SEWER UTILITY PROVIDER: 1 I ' J ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) ?- Q PLAN COMMISSION / aZA/ BPW DOCKET NUMBERS; ANDjOR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floors: Elevator or Uft: Q YES ? NO E: L ?•T OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: TYPE tP( COMMERCIAL O (Privately ovmed hospitals and medical O offices/centers are commerdal) O INSTiRIfIONAL O Municipal/Public Bldg O School Im O Church __;p O apply for the new O SLABDEPT O FOR CuNZ) I t nahance,r/itn all sck_,AI whirW CO ll 1L/ DNOCT 17 2007 Room (s) Porch REMODEL Fr FINISH 'BUILDING GARAGE GARAGE R (New) R CO-LOCATE o>stiol'?-?IV)N SE , c wt Sv?aEpY TM _ _41,161pPABASEMENT (WALKOUT: '(_N) se Manufactured Y X N Trusses: _Y ^ N _Y ?N Sump Pump: Y XC N PLUMBING CONTRACTOR: Plumbers Indiana State License #: Class I structure permits are subject to the General Administr'arive Rules of the State of Indiana (See 675 IAC 12) regartling expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in :he use A land or stnter',res requested by this application wIl comply with, and conform to, all apniiezble law's of the State co indium and the -Zoning Ordinance of Carmel Indiana -1993' (Z-289) and amendments, adopted under authority of LC. 36-7 et seq. General Assembly' of the Smte of Indiana and all Acts atnmdatory thereto. I further entry that only kitcher, bath, and floor drains are co:mwted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cenificate ofOc ropancy of Suhstantra/ Completion has been is`suerl by the Department of Cooraimmii?ryServices, Carmel, Indiana I 1 1 /, / •? Signature of Owner o Jtuthorized Agent Print (. _ Date OFFICE USE ONLY' xx***x*x**x***xx****x*xx*****x***x*xx***xx****x/-x*x***= D INSPECTIONS REQUIRED: Filing Fees: X79, Upper Footing Lower Footing Under Slab Base Inspections: /Z D% e I96 Cert. of Occupancy: © 0 Rough In Meter Base Final Site pI - TOTAL : ? • V 0 (IC.( 07 /O S Reviewed/App. ed: De . of Community Services (Date) \ S:PenniWFomWRP MMEROAL r Fee Received Date 00)