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HomeMy WebLinkAbout07100214 Application?`` .. ., Permit #: v ty City of Carmel/Clay Township COMMERCIAL/INSTITUTIONAL/M(TI TI-FAMILY IMPROVEMENT LOCATION PER-NUT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) \ ra'n14Mh? BUILDER NAME' r PHONE: FAX. i) X3/ 7J '1 C " , 3> 4/&& OF r c 3% ,? - 3 o . r T1 ! ! ' 1 RECORD: STREET ADDRESS: CITY: STATE, ZIP: /v d avl >!s a BEST METHOD OF CONTACT: BUILDER'S EMAIL ADORE : {{ I lc,C 1 C : calf f'177411 S I PROPERTY NAME: PHONE: FAX: OWNER: ??? 1 1_ STREET ADDRESS: !S $ CITY: -STATE: ZIP: 1?2 411P A' Gke Ole, /11 R LOCATION ADDRESS OF CONSTRUCTION: SUITE:: (if Applicable) D & PROJECT y? Gall rive INFO: Address of Shelf Building: (If different than Address of Construction) Lot R and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT NAME: © C ZONING: JE -j TAX MAP PARCEL #: 4rV7 /JCU/ WUW - STATE COMMERCIAL SCOPE(S) OF o FDN _D STR ARCH 'y4 MECH >ar PLUM ' SQUARE FOOTAGE / j S V DESIGN RELEASE #: J < ELEC O SPKLR THER(S): RELEASE: : ?JC-C WATER UTILITY SEWER UTILITY /? ESTIMATED COST OF CONSTRUCTION: y?J+ ,yt ° ? PROVIDER: CA r*v PROVIDER: f • „/.? F ??G (EXCLUDING LAND VALUE) 7y c-t,c , PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT its (If Applicable): of Floors: 7 Elevator or Lift: U YES ?( NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: COMMERCIAL _C?)EW STRUCTURE (PrivaM' owned hospitals and media C O ,.s,ADDrnON offices,Pcenfers are wmmeruall-,'^ r1t-? R O Room(s) '-?" INSTTTUTIONAL ^a Gv ?' (y Porch `' O Muftiapal/Public Bldg ,`,:; - ? 'ale. anine or Deck ED Shc I - -ss P ? t O . REMODEL ,Churcff ?IQ P ' t NEbV TENANT FINISH MULTI- FAMILY:= O ' ' ? ' ACCESSORY BUILDING umtrer oftinits:; : . " fl G DETACHED GARAGE I ,1` O ATTACHED GARAGE OUNDATIOH-TYPE, ,(Check a1llwhich ` rJ- CELL TOWER (New) \new construction area pply for t 0 CELL TOWER CO-LOCATE ( T SLAB Q CRAWL SPACE O DEMOLITION O POST&BEAM -PIER O BASEMENT (WALKOUT:_Y_N) PROJECT INFORMATION: Early Release Manufactured Permit: _Y X N Trusses: _Y ?N Lot Split: Y ? N Sump Pump: Y _X-N FLOOD ZONE AREADESI''GNAATION($) FOR THIS PROPERTY: RE?-- '' ',c)rodoA PLUMBING CONTRACTOR: Plumber's Indiana State License : - , # rte' ` Class I structure permits aze subject to the General Administrative Rules of the irate of Indiana (See 675IAC 12) regarding expiration t amen k"dgidRg Uld completing construction. U %the undersigned agree that any construction, recoescruc[icn, enlargement, relocation. or alteration of a stmemre, c- any change in the use of Lea ruc:ures requestec by this apptcation will comply with, and coma.-m co, all apo5cable laws of the State c[ Indiana, and tha `Zoning Ordinance of Cournel Indiana - 1993' 1 --289) and arnendme adopted under authorty of I.C.36-7 et seq, General Ass-nbh of the Save of ladiasa and all Acts aancrdatory thereto. Ifurther ce-niv--aac only kit- ath s arc ronxtced m the sanitary sewer- I further certify that the construction will not be used or occupied until a Certificate of0ccup ov o,r Soubs Coon has been i77' the Depazt of Community Services, Carmel, Indian. / S CA1 V1 L,'lED ?? 1/n ? l Airr.?i fl?f{1 =??c'l/ ?n?/ft'Ld'i ? ?G d 7 llgnatum W Owner or Authorized Agent Riot Gate OFFICE USE ONLY: ************************************************************»****** INSPECTIONS REQUIRED: Vb S1rfling Fees:59 y w Upper Footing Lower Footing Under ll.(O Base Inspections: .? O ) ltot ert. of Occupancy: I/l.rT L) Rough In Meter Base I nTA1_ • n lwakrza. a 6 r r t wed: Dept. of Community Services (Da!e) COVNEKIAL a 1 hived by: 9