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HomeMy WebLinkAbout07100094 Application07/Pool City of CarmelfMay Township /Permit #: fflWN I COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME: (+ptQt'rbl Ci0?s ClZVC??ol? PHONE: FAX: 3Y 1) ci1c?.- S'?Q`? (3n Sl?° 5 T;Z RECORD' STREET ADDRESS: 'b30 E>Z DfL CITY: STATE: ZIP: ?N -? (14 4to2go 77 1- BUILDERI O'h1a5 ADDRESS: ? li L?t7 ` Ii S•'CT vL r BE OD OF CONTACT: A-k-i' t"l ZSl'? S v PROPERTY NAME: FG ty ' PHONE: FAX: OWNER: 'i STREET ADDRESS: $ 30 g ?' ?? Dr CITY, ATE: P: y N rSl? ?ir? ?tm?37 ? ° U`RfZI ( LOCATION &PROJECT AD°?5 OF CONSTRUCTION: SUITE (If Applicable) `1l t"? a?JpOit?t'? 'BILL- 130 INFO: Address of Shell Building: (If different, than Address of Construction) Lot # ano Subdivision: (If Applicable) BUILD G, PROJECT, OR TENANT NAME: 1_ lv$ 'S DO" k -'V-0(s ZONING: 2 TAX MAP PARCEL STATE COMMERCIAL DESIGN RELEASE #: 32n -1 t l ?1 SCOPE(S) OF O FDN ? STIR RELEASE: X ELEC D SPKLR ARCH -§L MECH 19- PLUM OTHER(S): SQUARE FOOTAGE: WATER UTILITY .-A PROVIDER: CA1ZK£L' SEWER UTILITY PROVIDER: Cpte KV_ L ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) 4,660.6b PLAN COMMISSION 7 BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floors: ` Elevator or Lift: 4 YES Vl- NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: ?C t.? Ft TYPE OF CONSTRUCTION: `v PE 0E;10PROVEMENT: Ei6 COMMERCIAL NEW STRUCTURE O Cl ISchooff 1?y?tGV'P`? O MuI??FF}i?YGPRMNpoP nu -hJ\{f FOUNDATION TYPE: (Check all which apply for the new construction area) SLAB O CRAWL SPACE tU' U Mezzanine or Deck O REMODEL ] 0 NEW TENANT FINISH O ACCESSORY BUILDING O DETACHED GARAGE O ATTACHED GARAGE O CELL TOWER (New) O CELL TOWER CO-LOCATE O DEMOLITION O POST&_BEAM -PIER O BASEMENT (WALKOUT:YN) PROJECT INFORMATION: Early Release Manufactured Permit: Y V/N Trusses: ?/Y_N Lot Split: Y '?N Sump Pump: _Y N FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: X- UtASRAP C--!? PLUMBING CO NTRACTOR: \- c(I'lew NeL4AAICAL- Plumber's Indiana State License #: QC - 8l o 5'I 4W Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 6751AC 12) regarding expiration time frames for beginning and completing construction. I. the undersigned, agree that any eonsurumon, reconstruction, enlargement. relocation, or alteration of a structure, or any change in the use of laid or structures requested by this application will comply with. and conform to, all applicable laws of the State a indima, and the -Zoning Ordinance of Carmel Indiana- 1993(Z-289) and ameadmcnts, acopted under amhomy of LC. 36-7 et seq, General Assembly of the Save of Indiana, and all Acts amendatory thereto. I further certify nar only kiehen, barh_ and Umr chains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certll2ate ofOeeupancy or Subscautiaf Compiedon has bee. issued by the Deparwen Community Services, Carmel, Indiana signature of Owner or Authorized Agent Print Date OFFICE USE ONLY: ******************* r*?*?*` INSPECTIONS REQUIRED: Lr r Upper Footing Lower Footing Under Sla RoVh1n Meter Base Final Site B. 1 O Reviewed/A prov ept. of Community Services (Date) S:PermitsjF LP COMMERCIAL Filing Fees: d ?o Base Inspections: ©0 - GO Cert. of Occupancy: / 1 ?- Gtr TOT ? ,3s Fee Received by: Date