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07110111 Application
mit #: 07/I0 11 City of Carmel/Clay Township Per COMMERCIAL/INSTITUTIONAL/MULTI-FANIILY RvfPROVBMENT LOCATION PERWr p. APPLICATION (For New Structures, Additions, Remodelsr Tenant Finishesr & Accessory Buildings) \uoinx_t,' BUILDER OF NAME: /? C,1rl L C0f?i--? ?UCRK) PHONE: FAX: SE?VA 1C1 &JL. s74-. RECORD: STREET ADDRESS: I ' L-u SoIJV I UCE gD. CITY ' STATE: P: ?s NG-I? ' l A0056 BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: tJ- CAP Ij0L_ C-O n 1 S11ZjC1 _ Co E MA%L? PROPERTY OWNER: NAME: I I WILT lpr.AS R1I T PHONE: FAX: - STREET ADDRESS: L u 1'Z bLLaSoT.1JTLl CTTY: STATE: ZIP: SaS 10 X03 LOCATION & PROJECT A DRESS OF CONSTRUCT ON: OO Wt ?TV, Fbt t-'?IE M SUITE #: (If Applicable) [ r SV O 17 , idp? : 0 l po^ ,. INFO: Address of Shell Building: (If different than Address of Constru Uon) Lot # and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT N ? ? ` ? ZONI ? • TAX MAP PARCEL #: - mPi ?:? f?S : 1_ z I - I o oaoaa 30 STATE COMMERCIAL SCOPE(S) OF O FDN O SIR O ARCH C MECH C PLUM SQUARE L O OOTAGE DESIGN RELEASE 41111 RELEASE: C ELEC C SPKLR OT HER(S): F : WATER UTILITY OVI ER ? SEWER U I? r- PROVIDER: C 1? ESTIMATED COST OF CON ucTION: r CLUDING LAND VALUE) ? '©? PR D : Ca,?, 'et &(2-11 GL • ? ? PLAN COMMISSION / BZA / BPW DOCKET NUMBER5; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (If Applicable): # of Floors: ` Elevator or UR: Q YES !y NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: COMMERCIAL (Pdvatety owned hospitals and medical otfices/oenters are commercial) O INSTITUTIONAL O Munidpal/Public Bldg I School O Church O MULTI-FAMILY Number of units: aap Jplly for the new X61 SLAB R O POST & (Check all TYPE OF IMPROVEMENT: O NEW STRUCTURE O ADDITION O Room(s) O Porch O Meaanine or Deck REMODEL O NEW TENANT FINISH O ACCESSORY BUILDING O DET¢CHk"ARAGE TOWER CO-LOCATE YN) PROJECT INFORMATI/ON: Early Release J Manufactured Permit: Y _ Trusses: _Y Lot Split., _Y Ni ?Sump Pump: _y 4m OD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: 4- I X - LT ki S; A A e.e , - PLU MBI. NG COPRRACTO0n ^ I k! / III -- Plumber's Indiana State License #: 99660640 Class I uructure?r-mi suyj?,?(D?tf?e'?'e? erillinistntive Rues of theState of Indiana(See 675 LAC 12) regarding expiration time frames for beginning and m( INp?N compleriogconst ucdhn. I, the undersigne rte chat any consrucuoa reconstrvaion,enlargement. reixaricn, or aims nn of asmxrare, or any charge m the use of land oruructuresrquestedby Ibis application w01 comply with, and conform co. all applicable laws of the Scare of Indiana, and she'Zonine Ordinance c- Carmel Indiana -1993' (Z-299) and amendments, adopted order authority of I.C. 36-7 a seq, General Assembly of the State of Indiana, and all Acts ameaciatory thereto 1 further cerify that only ]d[ch<n, bath, acid Boor draias are cons red to the s per a<ry wet. certify that the crnstruccion will not be used or occupied until a Certifcare o(Occupaacy crSubstanoa/Comp/edw has been v the D artmen f C.'=-" Smites, Carmel, Indiana. IY. ?? STcr.lc- ?? 71 •O? T19.4- of Ow' Ps b 'zed Agent -- t t` Date OFFICE USE ONLY: ************************************************************************ INSPECTIONS REQUIRED: Filing Fees: 3 o L a o Upper Footing Lower Footing Under Slab Base Inspections: 6o Celt. of Occupancy: RoupIn Meter Base Final Site _ TOTAL : & aS , d o `' - Reviewed/Al) roved: Dept. of Community Services (Date) S: Pemtils(Frrms/t COMME2CNL Fee Received tY: 19,1 ? (0 Date 02-