HomeMy WebLinkAbout07110141 Applicationme'"wF 07/% 0/y/
City of Carmel/Clay Township Permit #: legft) I COMNMRCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION , E
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Build'Ift
BUILDER
OF NAME.
CAOlrolr Ca?S-r 5EV PHONE: FAX:
11 57 1 5y F8 FAX: 7?l 8
RECORD: STREETADDRESS:
?llt
' CITY: STATE: ZIP.
J74 4b03
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BUILDERS EMullL ADDRESS: BST METHOD OF CONTACT:
C m %Ne 0 C ?'o onSA-rUC?. 7000 C) 1 Ce Hone-
PROPERLY
OWNER: NAME:
r, e, P(! 1 r? I r - PHONE: FAX:
?Pe 3l • 57?1'S5? 8 2 '2b
STREET ADDRESS:
Ic>Lvt 4«i54:,nt1 1(e STATE? ZIP'
shef5 4(OD38
cl
LOCATION
& PROJECT ADDRESS OF CONSTRU ON; : (C ` (] /
It k'45 /YLA` rlY(/lI
SUITS p: (If Applicable)
-?jN? JT/6o
Cdr Me
INFO:
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Address of Shell Building: (If different tha dress of Construction) Lot s and Subd vision: (If Applicable
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looi
Di-
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4rote cLS os n
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BUILDiNG, PROJECT, O
n NANT NAME:
oianke ZONING: TAX MAP PARCEL #:
33.u
_ -o?-oo-ao-o
STATE COMMERCIAL 3292 33 SCOPE(S) OF? FDN STR
SPKLR
EL EC y
ARCN MECH PLUM SQUARE ^ /I?
T
OTHER(S): FOOTAGE: (_,
DESIGN RELEASE #: O
RELEASE: 1
WATER UTILITY
PROVIDER: C`
1
{Me I SEWER UTILITY
PROVIDER: CT`
l w ESTIMATED COST OF CONSTRUCTI
(EXCLUDING LAND VALUE) D
PLAN COMMISSION /
/ BPW LOCKET NUMBERS; AND)OR a? A
' n
DLS
COUNTY WEI I AND/OR SEPTIC PERMIT i
S (If Applicable): 91 -7 (00p 10 Q p 000 en
# of Floors: I Elevator or Uft: Q YES NO BLDG.( ONSTRLKTION TYPE: rJ OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE IMPROVEMENT:
COMMERCIAL .rf]U ?QEYJ STRUCTURE
(Privately owned hospital ?a RJifat r (fypl§MON
offlces/centersa?c / Meg '2 O Room(s)
O IN o r? - e Wltr a 05. ( Porch
• a> > aO ?G2) ?+OSGGgg?JIC??)'c{?anine or Deck
eqdla l Late MMVrS1T (Y O? NIw
g
MANT FINISH
? MUL AM!bf GC EL Gam` O ACCESSORY BUILDING
N ' yl?nits:?,I,?-M?_ O DETACHED GARAGE
FOUNDAaPE: (Chedt ?II which O ATTACHED GARAGE
FOUNDAIM?Wappl or the new construction area) O CELL TOWER (New)
O CELL TOWER CO-LOCATE
SLAB O CRAWL SPACE ? DEMOLITION ` /
O POST &-BEAM -PIER ? BASEMENT (WALKOLfr:_Y v IY)
P JtCI Vlem IaVn-
Early Release Manufactured
Permit: _Y_/[,N Trusses: ZY N
Lot Split: _Y V N Sump Pump: Y7_N
02,
5
FLOOD ZONE AREA DESIGNATION FOR THIS PROPERTY:
rlarl 1{azctd one ?( cLnel ? Iu, 18MB,1 0205"F
PLUMBING CONTRACTOR: Cctr6-41) 14(LM i A I rr)
Plumber's Indiana State License #:
Class I structure permits are subject to the General -Administrative Rules of the State of Indiana (See 675 LAC I?) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction. reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by
this application will comply with, and conform:o, all apmlicahle laws o° the State o Indiana, aad the'Zoniag Ordinance of Carmel Indiana- 1993'(Z,139) and amendments,
adopted under authc-ty of LC, 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. I further ertify that only :dtcheq bath, and floor drams ate
connected to the sarltary sewer. I further certify that the construction will not be used or occupied until a Gtrafirare olCkeupancy orSuhsranoal Completion has been
issued by the /Wtm?enr of Co un Senrices, Carmel, Indiana
,r,I1 ?t? / vya J 7?F+J...4TZO-tt--r ?.? 11-1`1 - d7
PHr2 Date
signature of Owner m Authorized Aso
'JOK ...--a r.,. e. Wa-i}}}}}}}g
OFFICE USE ONLY: "...a ..... a.." '• •T, __,.T__--_-
ONS REQUIRED
Upperl7tm 00 ower LingRough r Base Final Site
]4ed: Dept. of Community Services
COMMERC)AL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
/997,60
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