HomeMy WebLinkAbout07110149 Application/11 oP i-0q ?.
Permit 4: Q 7
Cityn ` p
f Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL,/MULTI-FAMILY INIPROVEMTNT LOCATION PER'?gT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
\IryCIPAf? •:
BUILDER NAM ,II _
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? PHONE: FAX:
-- Y?IY 63S
31 i
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7
OF b ns
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iov " cc; -
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DC.
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RECORD: STREET ADDRESS: CITY: STATE: ZIP:
BUILDER'S EMAIL ADDRESS: :
BEST METHOD OF CONTACT
2r .dN rtrn,,? ? ?d "!- I
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2u<. .?f.U. L.{J?r ?Efl" Z?I'S' - Z--
PROPERTY NAME PHONE: FAX:
731-7 -Q 16-ao90 3r7- 9o Y%
OWNER: haseN? t?[sFAfE
STREET ADDRESS: CITY: STATE: ZTP:
qws
1
LOCATION ADDRESS OFCONSTRUCTION: SUITE A•: (If Applicable)
(tI017?
& PRO3ECT ``?? J
?'Z- ?ov-}}? IC?i'7r- 6 L,TIE /1?Yiol. 77-77
INFO: Addms dShell BuildinG:(If differentthan Addressof ConS,m ct]On) Lo[#aad Subdivision: (If Appfi:able)
N) YA
BUILDING, PROJECT, OR TENANT NAME: ZONING: T/Y-.14A..
STATE COMMERCIAL SCOPE(S)OF D FDN - STIR a ARCH 0 MECH 0 PLUM SQUARE `
DESIGN RELEASE RELEASE: G ELEC D SPKL R OTHER(S): FOOTAGE: II
WATER U 11-ITY SEWER UTILITY ESTIMATUD COST OF CONSTRUCTION:
V
LUE
PROVIDER: V -(2r" E 1 PROVIDER: YI'r (EXCLUDING LAND
A
) [-e,
PLAN COMMISSION i BZA! BPW DOCKET NUMBERS; AND/OR
?
COUNTY WELL AND/OR SEPTIC PERMIT 9'5 (If Applicable): n,
„?1
sofFloors: !
FieyatarorUft: Q YES A NO LL
BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
L?- COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical ? ADDITICN
oriceslcenters are commercial) ? Room(s)
? INSTFTUrIONAL ? Perch
? Mir I al Public Bldg ? Meaznine or Deck
? ScItFI Crn ^? RE ?p5
`._.,? r EN- IATW
? Cf rt ti, Gurrlpif?.'i NNISH
C9,t
O MULTI-FAMiLY MILY ? 6'?frBSBWING
Number 0U P L'' .t'slO[Ef £rl•': LOC»C,FJft ED GARAGE
:^. 4u (P' RAGE
2 N1 FOUNDATION TXf N(Check all pvhicti,` }
apply constilticdonareaj,L, OC,4TE
® SLAB ? CRAWL 5FACEa3fV 7 DEMOLITION
? POST& BEAM -PIER ID BASEMENT (WALKOUT:__Y_N)
PROJECT INFORMATION:
Early Release Manufactured
Permit: -Y ?r N Trusses: Y _k-N
Lot Split: ?Y _y__N sump Pump: Y N
FLOOD ZONE AREA DESIGNATION(S) FOR THI$ PROPERTY:
Jl - V y7 5 h 'qJY r,
PLUMBING CD RACTOR: ff
:r
Plumbers Indiana State License
6 o 0 -7.5-?
Class I structure pennies ne subjert to the General Adminisrrati%% Rules of the State of lndiana (See675 JAC 12) regarding expiravon time Frames for beginning aad
completing construction.
I, the undetsgned, ao° e char any cons[raerlon, xetenstn:aior. enlazgemen[, reloea[ion, er alcerarion of a structure, or any change ht the use of land or strucnnes teGuesred by
this applica::on wUJ ccnp3ywith, andconform to, all apptc.hi3 laws ofthe Scaue ofwdmaz ,and.Lhe"Zomng Ordinance of Carmel Indian-1993°(Z-289) andamendments,
adopted under authod} n LC. i6-7 ec sec, General Assembly of Sae Star- of Indirnr, and all Acts amendatory thereto. I further cer-Ey That only kitchen, -caci and floor draws at
cowec:ed [n'-1e sznitary sewer. 3 further certify that the construction will not 6e u5ed or occupied until a L'erufitate ofOcnnpaucy orSuSstautGal Compleriou hu Aern
issued b. th" 17 t of Community Set}2ces, ?mel, ludinoa Signature of Owner or Authorized Agent Print care
OFFICE USE ONLY **********s******************P*s****M*x**********s''*//*RSZSfi?aass{s??aP
00
INSPECTIONS REQUIRED: Flung Fees: _ 6/2,00
Upper Footing Lower Footing Under Slab Base Inspections: '20. () 0
Cert. of Occupancy:
ough 211n Meter Base Final Site N . 2 6 ?1/ I a?
?• t I
Reviewed/App ved: Dept of CommunityServices (Date) 'v -6-k
S:PemrlslformsflLP COMmi:iCrAL Fee Rec ived bv: O3[e
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