HomeMy WebLinkAbout07110131 ApplicationV a cnq
.?,I4,??•,, Permit #: 071/013
City of Cartnel/Clay Township
COALNERCIAL/INSTITU'T'IONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
?Jq 10 APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME:
1?. NK ?N ?i ?T)JC . PHONE: FAX:
-11?5- -354 -75- z-7 7
RECORD: SMELT ADDRESS:
140 , I Sri 5T. CITY: STATE: ZIP:
?J N Ttil /
BUILDER'S EMAIL ADDRESS:
uMQM QUIDWIbAl, GAM BEST METHOD OF CONTACT:
MOIJ6
PROPERTY
OWNER: NAME.
•?l LAGiT ®CLA PHONE: FAX:
.911-810-0 3/-J'S/S"0920
STREET ADDRESS:
143W 6-A-1CE CITY: STATE: ZIP:
,em EL ? 60
LOCATION
& PROJECT ADDRESS OF CONSTRUCTION: SUrrE #
/46750 V N 1-VD 0 1 e
O T T
INFO:
I
I Address of Shell Building: (If dVerent than Address of Con on)
Lot # and SubdNlsi
f Appllcable
NOV 6 2007
BUILDING, PROJECT, OR TENANT NAME:
e Cr Bcr - r ZONING-
Pi D AX MAP PARCEL #:
8 z C 4,9 7-E,e XFS 7
IL
DESIGN RELEASE #
3?53/l RELLEASE OF X O N
ELEC G SPKLR MECH PLUM FOOTAGE:
OTHER(S): 1912
WATER UTILITY
PROVIDER:
LI SEWER UTILITY
PROVIDER: 0 1 1 L C -?
F-1"l ESTIMATED COST OF CONSTRUCTII
(EXCLUDING LANE), VALUE) fJ 1500a
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S If Applicable):
of Floors: Elevator or Lift: I, YES X NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: B n -
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PRO)E INFORMATION:
COMMERCIAL ? NEW STRUCTURE Early Release Manufactured
(Pnvately owned hospitals and medical ? ADDITIO Permit: _Y _ `//N Trusses: _Y ?N
O offices* c MIT0. I CONST UIrTtI'tQ N Lot Split: _Y >?N Sump Pump: _Y ?N
m lianca with a e motions
? Mun woo a c,BRg p marine or Deck
D 4001 of state and Loc?I &ck FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
? CAD EPT OF COMMUI?[?l MaF4?ISH
C-1 MULTI-F
ON- ?+
Number c aiditsY OF CF1FiMFL i (E?Jb ?D G
INDIACb4ATTACHEDGARAGE PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which O CELL TOWER (New) Naha R q- ,./FNS S>JC .
apply for the new construction area) ? CELL TOWER CO-LOCATE
X. SLAB D CRAWL SPACE ? DEMOLITION Plumber's Indiana State License #:
D POST&_BEAM -PIER O BASEMENT (WALKOUT:_Y_N) CdiIDDQO 10 I
Class I structure permits are subject to the General Administrative Rules of the State of Indimt (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that my constmaior,, rteorstruction, enlargement, relocation, or alteration of a stn:cture, cr any change is the use of laid or stntcturts requested by
this application will comphv with, and conform co, all applicable laws of the Sate e: Indiana, and the'Zoning Ordinance of Ca.-mel Indiana -1993 (7--289) and amendments,
adopted ender authonLy of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I fi ther certify fiat only IdteL m bath, and floor drains are
connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of Occupancy or sobstanrial Completion hat been
,issued bvyhe Dep °°ento Com mity Services, CarmtI, I aLma-
??Cfr?da` n tA) ,PAJA4 K it-7L-47
Mgdatule of Owner or Authortmd Agent Print Date
*******************x********************xs*ss:::s:ss=:?aafiafi?a+fisa-++.
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: P71,
UpP g Lower Footing Under Slab
Rough n Meter Base Final Site
o ? 0
Reviewed/App ved: Dept. of Community Services (Date)
S:Permlts/FV ILFAMMME2QAL
Base Inspections: d c)
Cert. of Occupancy:
TOTAL: 9 a
Fee Received by: Date