HomeMy WebLinkAbout07100152 Application/Oi° 44a .
?io"` City of Carmel/Clay Township Permit : 07 l vo! Z
COMNffiRCIAL/INSTITUTIONAL/MULTI-FAIYIILY I6IEPROVENILENT LOCATION PERMTI
`.,an?.n>. :: APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAI
C PHONE:
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? 3 1 ? FAX:
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RECORD: STREET ADDRESS:
00 C .
9 Cs,? is CITY:
o _? STATE:
-( ? _3? ZIP.
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BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
_/
PROPERTY
OWNER NAM
? l \ 2? CI - L, PHONE: FAX:
o - r 3(? _
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:
STREET ADDRESS:
Coo z_
5 ?!'' s ee_+i CITY:
/cc? STATE:
Is e ZIP:
6? 0
LOCATION ADDRESS OF CONSTRUCTION: fih
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SURE #: (if Applicable)
C
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& PROJECT ? S U
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INFO: Address of Shell Building: (if different than Address of Construction) Lot # and Subdivision: (If Applicable)
BUILD NG, PROJECT, ORTENANT NAME: ZONING: ^ TAX MAP PARCEL .G:
STATE COMMERCIAL
DESIGN RELEASE A: SCOPE(S)OF FDN O STIR
RELEASE:LEC PKLR ARCH
OTHER(S): ECH PLUM SQUARE
FOOTAGE: p
i
WATER UTILITY
PROVIDER SEWER UTILITY
-
PROVIDER: I
j
( ESTIMATED COST OF CONSTRUCTION:
EXCLUDING LAND VALUE) p I
C? / 6 O
: /
al v 'jP 4
PLAN COMMISSION / EZA, BPW D NUMBERS; AND/OR
COUNTY WELL ANDlOR SEPTIC PERMIT #S (If Applicable): 1
q of Floors: Elevator or Uft: S ? NO { 9
jRLDG. CONSTRUCTION TYPE: ` S r 1 OCCUPANCY CLAS51FICATION: 3
OO
TYPE OF CONSTRUCTION: I?-TYPE OF-IMPROVEMENT: PRUJtCI Lnwtu4lAtx0N:
,COMMERCIAL n C, O)JNEW STRUCTURE
?? , , Early Release X Manufactured
(Privately ownedT ospita6 and;med6l._ r 0- ADDITION Permit: _Y N Trusses:
o vt?s are commerdeq _.C a, Roos)
GD' '-°"
Lot Split: Sump Pump: _
Y ?N
O IN
aljPutiliC
Bldgw?Tl -1X10 Meaanine or Deck
? 9U3 nici
p
.
t JLJ O REMODEL
O Scho
l
GU' FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
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o
C I
NEW TENANT FINISH
'r Gf
NQ\?^ ACCESSORY BUILDIN
C1 MU O
LTRf9[fIL•Y
G fn L"cam 4
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Num ' of nits: O DETACHED GARAGE
PLUMBING CONTRACTOR:
O ATTACHED GARAGE
FOUNDATION TYPE: (Check all which O CELL TOWER (New)
h D r (V / l l ?c-k cc /
n , c
apply for the new construction area) O CELL TOWER CO-LOCATE ,
-'
Isq? SLAB 0 CRAWL SPACE O DEMOLITION Plumber's Indiana State License
.O POST &-BEAM -PIER o BASE HTI I?'tHi"1?:II1'Yi l I S r' ( OI I a
Class 1 structure permits are subject to
a (See 675 IAC 12) regarding expiration time frames for beginning and
I.
Ltheundersigned,agr"thaLmyeonstmctien, tecenstru en]argemenS relxarion, or .er 'on of astrueeure, or any chang<in the use of land or scrucratesrequested by
this application will comply with and conform to, all appli ble laws m the State of Indiana, and 41a Zoning Orcirance oC Carxel Indiana- 1993- (Z-289) and amenclmea,
adopted under authority of 1 C. 36-7 et seq. General Assem the State of Inditut aad all c . endatery thereto. I further certify that only kitchen, bath and floor Stirs are
connected to the sanitary sewer. I further certify that the pied until a Certificate of Occupancy or Subsranrtd Completion has been
issued by the Department Of Co unity Semces, CarmeL Indiana --?°
Ox? ? .i 1?2 c •• ?0 ?- Z -o j
Signature M or razed Agent Prim Dare
OFFICE USE ONLY: *******************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final Site
Reviewed/Ap roved: t. of Community Services (Di
5:PermWFonryl COMMERZIAL
CV,IY . ling f=ees:
??ise Inspections:
? rt. of Occupank
I tl? TOTAL :
Fee Received by:
a2ob.O6
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Date