HomeMy WebLinkAbout07120027 Application1
City of Carmel/Clay Township Permit #: 07 /Zoo Zl
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (Far New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME:
1(? LL( PHONE: FAIL:
31"1- o'ob0 317-1311-031v2-
OF a fey v
RECORD: ADDRESS:
5
-6 CITY: STATE: ZIP:
0 L4 W3Z
C
X
20
1
Au p-noia, NJ 1
400 A
B BEMAIL ADDRESS: BEST METHOD OF CONTACT:
VW ( s
PROPERTY
OWNER: NAME.
CocmO T-5 LL PHONE: FAX:
en-oil-03 - 2D 6 -37 (0 5
STREET ADDRESS:
C_
- CITY: STATE: ZIP:
4W37
7 fit) c 1
r
LOCATION ADDRESS OF CONSTRU CTION: SdTfE-> (If Applicable)/G?o? ?e
& PROJECT &k1l'ift' A n1 y(pO?iL
INFO: Address of Shell Building: different than Address of Cotistrucid on) Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
a Q rK ZONING:
G -Z TAX MAP PARCEL tl
3003 0/00
FI or-
3?
STATE COMMERCIAL \ /?
A SCOPE(S) OF O FDN C I
SPKLR
ELEC X ARCH 9 MECH JC PLUM
OTHER(S): SQUARE
FOOTAGE: 7,4-7e
DESIGN RELEASE N ?
RELEASE: A
WATER UT[U-rY
PROVIDER: Carte SEWER UTILITY
PROVIDER: f'
rytp
I ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) g y 0o
t
.
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
A of Floors: Elevator or Lift: A YES O NO BLDG. CONSTRUCTION TYPE: I(?S OCCUPANCY CLASSIFICATION: M
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
COMMERCIAL ? NEW STRUCTURE Eariy Release
Y ?
N Manufactured
T
es: Y )? N
(Privately owned hospitals and medial ,t.p ADDITION _.
1
'
' y,
Permit: _ russ
o cg. commeta2l)TL-
i!` :
•
? Room(5)
t..-?--
W
.
Lot Split: YN
Sump Pump: _
Y K N
A
CD Porch
? f- uICW?rtS ? Memnlne or Deck
tut"""q?i7g 3#:
B6]:Ohiur4dWp
c
dr
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)
R THIS
ROPERTY
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d 1 rJ.C.B.(
Sc3roQ, a
Q
REMODEL S
FO
FLOOD ZONE AREA DESIGNATION :
Cg
s
/
e ?Church `.N irli`!'r-! I?? EW TENANT FINISH
'
N
i
1 ^
IX-
11LY
,.
?
?PRRl4'A
??y ESSORY BUILDING
vr? DETACHED GARAGE
C
I r ?- l _
G C
NTRACT
OR
. , .+
?
FOUNDATION TYPE: (Chectl'a0 which 0 ATTACHED GARAGE
? CELL TOWER (New) PLUMBIN
O
r
M
6 :
l lhC
i
apply for the new construction area) O CELL TOWER CO-LOCATE ?Cl1?
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9 SLAB ? CRAWL SPACE D DEMOLITION Plumber's Indiana State License i#:
O POST&-BEAM -PIER O BASEMENT (WALKOUT:_Y_N) C050W0037-
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Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
of laid or stractures requzsced by
I, the undersigned, agree that any construction, retonsiraotioa, enlargement, rel«arion, or alteration of a xruccure, or my change in -,aease
this apphtanor will comply with, acid conform to, all applicable laws of the State of Indiana, and the -Zoning Ordinance of Catmd Indiana -1993' (Z-289) and amendments.
adopted under authority, of I.C. 36-7 et seq. General Assembly of the Sure o: Indiana, aad all Acts amendatory thereto. I fur Cher certify that only kitchen, bath, and floor drains are
connected co eht sa-unarysewer. I further certify that the construction w-i8 not be used or occupied until a Certi(iare of 0ccupnncywSubsmmia/Comp/etion has been
issued by the Depaztm nt of Community Services, Carmel, Indiana T ?-l ?
/ tMONV 0
Unn Mnwwr ?A.fl? ris AE.tr Pnnt -
vrraa.c v.a? vr.u.
INSPECTIONS REQUIRED:
Upper Footing Lower Footing er Slab
Rough In Meter Base Inal Site
0
Reviewed/Ap oved: pt. of Community Services (Date)
5:Permas/Farm 00MMERCIAL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
TOTAL:
Fee Received by:
7,U 6 0
;2 0 b' on
I/(4,(o?1
e6"f-0612
Date