HomeMy WebLinkAbout07100212 ApplicationPermit #:6 710A21 a
City of Carmel/Clay Township
COMAIERCL4L/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERNUT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME'
Me 6 z z PHONE: AX:
317 ), 3 - v? )
3 Y-
RECORD: STREET ADDRESS: CITY: STATE:
d J
?4 4 ZIP:
Y10 Al U-S 3 a
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
/ V c1r/cc r OO ' i°//701 I O /' Oq
PROPERTY NAME: Goof l /.J;d e wa-io rs PHONE: F
OWNER: l G?c 31) 00 22. 5: zz- b a
STREETADDRESS: "39fJO CITY: / STATE:
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I ZIP:
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C lee
S? r r
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LOCATION
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ADDRESS OF STRUCTION: Y
n SUITE #: (If Applicable)
& PROJECT !
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INFO: Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: (If Applicable)
BUILDING, PRO)ECT, OR TENANT NAME: ZONING: TAX MAP PARCEL
e
STATE COMMERCIAL SCOPE(S) or o FDN 0 SIR O ARCH C MEC C PLUM SQUARE '1
DESIGN RELEASE #: RELEASE G ELEC C SPK R OTHER(S): FOOTAGE:
WATER UTILITY
C /
I SEWER UTILITY
ROVIDER
!7 ESTIMATED COST OF CONSTRUCTION: -7 /O ?v i?t
(EXCLUDING LAND VALUE) O` C
PROVIDER: M ? /
IV : T
P
•C
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS' Al
n
licable):
SEPTIC PERMIT #'S (If)
TY W
A
COUN
ELL
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# of Floors: Elevator or Ul Q YES Q NO BLDG. CONSTRUCTION TYPE: CX j OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OR)IMPROVEMENT:
9/COMMERCIAL O`XIVE1M' UCR1RE
(Privately owned hospitals and medic5lFwp??:.ADDITION
offlceslcenters are commerlJq%U''.eti O 4Room(s
O INSTITUTIONAL %J- " S
O Muni )P , n Porch
Cipat F0fte Bldg%" G{ .?? '?- ",v nine or Deck
l'.? ..2.-o. r.
MODEL
j
tE$DfCJt) G' << N?' p, u JNEW TENANT FINISH
O M ' ^F LY G\??pA J Gv ACCESSORY BUILDING
DETACHED GARAGE
Nu r oforu? U? G? O AT
TACHED GARAGE
)UNDATION 71rP-E: esk{a11 wltidT
LPI r the uction area) O CELL TOWER (New)
O CELL TOWER CO-LOCATE
SLAB O CRAWL SPACE O DEMOLITION
O POST&-BEAM -PIER ?
Class 1 Structure permits are subject to the
I, the undersigned, agree that any construction,:ecnnstruc
this application will comply wi 'r, and conform to, all apphi
adopted under authonty of I C. 35-7 et Seel, General Assem?
connected m the sanitary scorer. I further certify that the
issued by the Department of Com5pait) Services, Carr,
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y t"A Trusses: _Y IN
Lot Split: _Y _tfj-l Sump Pump: _Y =N
FLOOD ZONE AREA DES ,G? cO?G55?THI5 PROPERTY:
Rules of the State of'r]Ggoa (See 675 LAC 12) regarding expiration time frames for beginning and
?r
UC l" 2ad argemenof a sraure, or any change in :he use of land er srrvcmrrs requested by
le Vws of the State of Zoning Ordinance of Carmel Indiana -1993" (Z-ZE9) and amendments.
e Stare e` Inianaorator- thereto. I fu Cher terrify chat only kitchen, bath. and floor drains are
until a Ceaifimre of Occupancy or Substmthd Completion has been
Indiana-
-
Print Date
OFFICE USE ONLY: *********************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough I Meter Base Final site
'11
Wed/Aon, DeD . o Community Services (D(
)?ilinq Fees: / 3 7 9_ o
Base Inspections:
Cert. of Occupancy:
Tom
Fe= ec ed by: r-A
`
3/,2.00
/kloa"G0
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Date