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HomeMy WebLinkAbout07100130 Application/ti M CM _ City of Carmel/Clay Township Permit: 47l 0 0130 l_ I COMMERCIAL/INSTTTUTIONAL/MULTI-FA?vilLY IMPROVEMENT LOCATION PERIN11T APPLICATION (For New Structures, Additionsr Remodelsr Tenant Finishesr & Accessory Buildings) BUILDER N E'- PHONE: FAX: OF e t 7,70 - /- /(6 7 -O 0 RECORD: (tie Zoo STREET ADD 11 '510 STATE: ZIP: 303/e BUILDER'S EMAIL AyDRESS BEST METHOD OF CONTACT: r giirtd 1 - GC. Cot 5 PROPERTY OWNER: NAME: e (?Zoc?f PHONE: » x5 )/ FAX: -0?$7-? EE rl/ -aS7-SaoGl STREET ADDRESS: aS S fv Ll 4 / CIT Y: ?i14 STATE: ZIP: di. 9?ga LOCATION ADDRESS OF CONSTRUCTY?+ ' I SU #: (If Ap livable) Q Z & PROJECT .,/ S // R : c Afq ,e : y&03-2 INFO' Address of Shell Building: (If different than Address of Ct1n5[nIC210n) Lot # and Subdivision: (If Applicable) sAM/I UILDING, P SECT, B OR TENANT N E: ? ? ?I ZONING: TAX MAP PARCEL #: t G a.. xs ova - c r? A -/3L 6.000 A0-0q--2 -oo-vo-a STATE COMMERCIAL SCOPE(S) OF O FDN C STR Qt ARCH P( MECH X PLUM SQUARE DESIGN RELEASE #: - I 3 v/ V RELEASE: AQ ELEC C SPKLR OTHER(S): FOOTAGE: WATER UTILITY SEWER UTILITY ESTIMATED COST OF CONSTRUCTION: PROVIDER: T (EXCLUDING LAND VALUE) ©00 4 2MAL PLAN COMMISSION / BZA / BPW DOCKET NU I ; IN R COUNTY WELL AND/OR SEPTIC PERMIT *'S (I livable): of Floors: ! Elevatoror Lift: _ L N ON TYPE: OCCUPANCY CLASSIFICATION: fluNfj$$ TYPE OF CONSTRUCTION: IBy TYPE OF IMPROVEMENT! PROJECT INFORMATION: COMMERCIAL "'-" ""`? I Early Release Manufactured (Privately owned hospitals and medical ? ADDITION Permit: _Y _N Trusses: ofces/centers RVIII&RDAA iE ORD Room(s) ? INSTITUTIONAE_ R O Porch Lot Split: _Y _4N Sump Pump: _Y A N ? Munidp ? Meuanlne or Deck ? School REMODEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPEO Church ARMEL4 NEW TENANT FINISH D MULTI-FAMILY DOGS O ACCESSORY BUILDING Number Of unitg99-9 427 O DETACHED GARAGE O ATTACHED 1, 1 PLUMBING CONTRACTOR: FOUNDATION TYPE: (Check all which -CELL rfCjl4 JtjjLt/.FeS apply for the new construction are 31 FOR ?'? ?BF/ n? t' aL a.,///1,y??.•,d f-??' CELLITOWER, Qb-t-&A E ;Kr SLAB ?t0;A M12 SPA?EG(:0n?'N Dhjb?ITLL I Plumber's Indiana State License (] POST & _BEM$UOIe PI BAS ?nca4 G'? C to /`Tf? dt? d C? S ? tJ????waut?irllr FP N) `cc v Class I u[ucture PermmM u Le vvt teGeoenaLA t? nis?abve Rules of the State of Indiana (See 6751AC 12) regarding expiration time frames for beginning and /+`-{?( ?F At tv i ist pletingcans wcuon. 1, the undersigned, agree thin zany construction, rc,4& tl?6 a nZE corm dxatiea, or a'trucL.i o of a s[ruauce, s any cwige is the use oClanc ar sttvrm¢s trouested'oy this apF.ica:ion will comply wit:'n, and conform to. all applicable laws a [he Stn of Indiana and the'Zonmg Ordinance of Carmel Indiana - 1993'('--259) and amencn:erts, adopted Paden authority of I.C.. 36-7 et Seel, General Assembly of tie State of India End all Acts amendatory thereto. 1 further certify tl= only kitchen, buh, and door drains are connected h. - any war I further certify that the conspuctioa willnot used or occupied until a Certificate ofOccupancyorSubsranNafComp/euon has been issu a tan mmunity Servicer/Carmel diana 4?- Ae /7 O OFFICE USE ONLY:******** ****** ***************** * »*bt*' ****************************** c r Filing Fees: INSPECTIONS REQUIRED: i Ua Uv Upper Footing Lower Footing Under ons: Sla Base Inspect Cert. Off Rough In Meter Base Final Site ou T Reviewed/App ved: Dept. of Community Services (Date) i S:Permts/.mnsy' COMMERCIAL Fee ReceNed try: Date