HomeMy WebLinkAbout07100132 Application, .: E. Permit #: o 3 a?
City of Carmell Clay Township
COMvMRCLkL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
ya ta, i APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: PHONE:. FAX:
1 .5+ CO? s5 r"ctl'oi t P y. (3 f7) 579 ISSS 311 s7? -ISS
Ca:10
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RECORD: STREET ADDRESS: fh JCITY: STATE: ZIP:
SIS$ C,. 6S Sfretl eli A 'S /n! 4Z?
BUILDER'S EMAIL ADDRESS: BEST M OD OF CONTAcr:
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PROPERTY
OWNER: NAME' PHONE: FAX:
(317 SSo-94s? (3I7) Sgo-96/b
CAS, Li-6
STDRESS: oi48 30bTy STATE: ZIP:
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ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable) % O
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PROJECT
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INFO: Address of Shell Building: (If different than Address of ConstruN0n) Lot # and Subdivision: (If Applicable)
BUI ING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL #:
DESIGN RELEASE ELEASE # #: : 5 "? t 7L I Y rO ,l
DESIGN V RELEASE: OF? ELEC N 0 SPKLR OTHER(S): MECH o PLUM OOTTAAGE: fl,Spa''Ve- f f•
WATER LITY CCar Yrt {- ?
PROVIDER:
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PROVIDE ,o-s{ ?wcJ(tip
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ESTIMATED T O RUCTIOIJ733 OOO?°
(IXCLUDING DING LAND VALUE) ALUE}
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR v<
COUNTY WELL AND/OR SEPTIC PERMIT #'S (L` Applicable):
# of Floors: Elevator or Lift: Ci YES Q: NO BLDG. CONSTRUCTION TYPE: 8 OCCUPANCY CLASSIFICATION:
COMMERCIAL
(Privately owned hospitals and medical
offices!
? INSTIfUn
O Muni Pu Ic ?dg
? Sct 1
? Cl- OCT 17 2007
? MULTI-F
Number o nits:
O NEW STRUCTURE
0 ADDITION --f ?Sr JA
z
O Room(sY
O Parch
O Meaanine or Deck
REMODEL
NEW TENANT FINISH
ACCESSORY BUILDING
O DETACHEO,GARAGE' ON
Eli -ATTACHED GARAGE
PROJECT INFORMATION:
Early Release Manufactured
Permit _Y _N Trusses: _Y _N
Lot Split: Y N Sump Pump: _Y ?fV
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
apply for the new constructidRarea) ;,
-LOCATE
D'`. CELLTOWER,CA
f O CR)tWL'SPACEa c.il0>'DEMOLIf10N,-.
SLAB
O POST&_BEAM _?IF a-EY.BASEMENT(WALKOIIT:_Y_N) 1`P
PLUMBING CONTRACTOR:
A& L Met1w icmil
Plumber's Indiana State License #:
G 050 6 000Af-I
Class I strucrom permits are QA'to the General Admi_ni3trausz Rules of the Sure of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any consamction. reconstruction, enlmllemenq relocation, or alteration of a serucom, or any change m the use of land or smctuxs requested try
this application will -comply with, and conform to, all applicable laws of the State of Indiana and the -Zaning Ordinance of Carmel Indiana - 1993' (Z-289) and ame admems,
adopted under authority of I.C, 36-7 et seq, General AssemEly of the State of Indimz and all Aces amendatory thereto. I further rectify that only kirchm bath, and floor drains are
corrected to tie sanitary sewer. I further certify that the cons man will not be used or occupied until a Certificate of 0eeupancy or Substantial Campktioa has been
issued by the Department of ammunity Services, Camel, ( iana e / r
l/nQOc? li/./ J VtaY? C. N { hz
5 m of Owner or Amhoriao Agent Prick Wte
OFFICE USE ONLY: *********************
INSPECTIONS REQUIRED:
ling Lower Footing Under
In Meter Base inal lY
R
(roved: Dept. of Community Services
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iling Fees:
lase Inspections: + oo
:ert. of Occupancy: d
'OTAL : ?, D