HomeMy WebLinkAbout07100216 Applicationf 4?tY of CVy`f \
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City of Carmel/Clay Township Permit #: d O
COMMERCIAL/INSTITUTIONAL/MULTI-FA-Nf]LY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: ()n e 1 PHONE: FAX:
LL 7b65 & )'??
OF
RECORD: STREET ADDRESS' CIfY: STATE:
I a e(o(o? <fi. t.??.',?e ell mD ZIP:
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
df ?d w?tl.?l t cam. d::> : l
PROPERTY NAME PHONE: FAX:
, ??
LL<
' ?
I ) $73-q1
OWNER: -
aN
c
STREET A DRE55: : STATE:
901 1 ?. oCTfYT J ,orl=, d;-s? YAJ ZIP:
y6
LOCATION
& PROJECT ADDRESS OF CONSTRUCT ON: SUITE #: (If Applicable)
L(C7? ( "` I I C?
INFO' Address of Shell Building: (If different than Address of Consttlctlon) Lot # and Subdivision: (If APPlicable)
1 ii? /V
ANT NAME:
BUILDING, PR03ECi, :)N
:c el i
;
ZONING:
???
T
TAX MAP PARCEL °:
STATE COMMERCIAL
DESIGN RELEASE #: r? SCOPE(S) OF O FDN •O STIR I ARCH O MECH PS PLUM
RELEASE: .1e, ELEC O SPKLR OTHER(S): SQUARE
FOOTAGE:
?l
WATER UTILITY
PROVIDER:
I SEWER UTILITY
PROVIDER-
f ESTIMATED COST OF CONSTRUCTIO ;
(EXCLUDING LAND VALUE) I
- ?
rlv (
PLAN COMMISSION / BZA) BPW DOCKET NUMBERS; ANWOR
COUNTY WELL AND/OR 5EPTIC PERMIT #'S (It A ble):
ppl
# of Floors: 1 Elevator or Lift:
NO BLDG. CONSTRUCTION TYPE: rX-3--r ' OCCUPANCY CLASSIFICATION: A -?
YPE OF CONSTRUCTION`S' r NOp -
COMMERCIAL _ r,
?
60
C MUL7QM$Y?Q\ `\?O\
FOUNDA O ( • ck all which
apply for new construction area)
® SLAB O YRAWL SPACE
? POST&-BEAM -PIER O
PROJECT INFORMATION:
STRUCTURE
DMON
I ? Room(s)
? Porch
? Mezzanine or Deck
? REMODEL
Q NEW TENANT FINISH
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
O CELL TOWER (New)
? CELL TOWER CO-LOCATE
? DEMOLITION
Class I structure permits are subject to the General
Early Release Manufactured
All Trusses: _Y XN
Permit: _Y
Lot Split: _Y Sump Pump: _Y ZN
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
' X- l,JJ KROle?
PLUMBING CONTRACTOR: 4 '6?' &0M- 7? ld
Plumber's Indiana State License #:
Rules of the State of $44. (See 675 LAC 12) regarding expiration time frames for beginning and
1, the undersigned Wee :any construction, re mnstrvc[" idlargMn?nt, trlo?uti6P 41alreaa of a straorure, or any change in the use of land or strumms requested by
this apphcanon will conpIy with, and eonicrm ro, all apphoa a laws of t State of Indiana, an a Zoning Ordinance of Carmel indiana - 1993' (Z489) and amendments,
adopted under authority of 1, C. 367 e: seq, General Assembly eS:ae oandiana, Gad alLACts am not .thereto. 1fuaher cerly that Dnfj kitchen, each, and floor drams are
connected the savra^i sever. Ifutther certify that thet ?ilFeee-6e+m?sre until a Cera6cate of Occupancy' or5ubstantud Completion has been
issued 6 he Department of Comm Services, Carmel, Indiana.
7Nc?A fitALl(Z !t Iv /o
Signature of Owner or AU 'zed Agent Print Date
OFFICE USE ONLY ************** ******************************************
CAD +nfPe?'°F" Fees: 77/. O U
INSPECTIONS REQUIRED. re 9
Upper Footing Lower Footing nder Slab Base Inspections:
Rou In Meter Base ((final ` I Site 7
ffS1?i?'f1fY?C?DA_P7 Noy.,e01
Reviewed/App : Dept. of Community nnces (Date)
S:Permta/Formal' COMMERCIAL
7 - leFf vlv? A olc-*, -"yam-'
Cert. of Occupancy: ( / I . C) D
TOTAL: -$
Gm oo lal-7L
Fee Reteivn b . Date