HomeMy WebLinkAbout07120052 Applicationn1-M C4P
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City of Carmel/Clay Township Permit #: on S
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
oitae. APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER wM ?PHJO-N_E:
$3o C)
7 FAX:
v
OF 78
;
RECORD: STREETADDRESS:
2 ?? ?? I t IKm CITY:
_Z Jam, STATE: ZIP'
_7A)
BUILDER's EMAIL ADDRESS:
el k„ Cgs y? 4a?. Cis- BEST METHOD OF CONTACT:
e? 11 sLe25--
PROPERTY
OWNER: E' PHONE: FAX:
STREETADDRESS:
%D l /? i.?tU'Ile CITY:
rfLs STATE: ZIP:
-//U /Go3
LOCATION
& PROJECT ADDRESS OF CONSTRUCTION: ?nf/?
//1/00 10e,;4,4 /'9irl ie !Y SUITE #: (If Applicable)
ISO
INFO: Address of Shell Building: (If different than Address of Construction) Wt # and Subdivision: (V ApPlcable)
BUILDING, PR JECT, OR TENANT NAME: ?2 13
/M4, ?? ZONING:
g?? TAX MAP PARCEL
17J O 000oo3 30-
PYIe, -,
STATE COMMERCIAL ?.,??-[
DESIGN RELEASE #: 33
5i (7-1 SCOPE(S) OF r) FDN 7 STR
RELEASE: ?C D SPKLR F2" ARCH •3-MCCH
OTHER(S): o PLUM
I SQUARE
FOOTAGE: 3O /
lp
0 -
WATER UTILITY i
PROVIDER: C SEWER UTILITY/ A/
PROVIDER: LIG?
-,6,A t
rP ESTIMATED COST OF CONT ON:
(EXCLUDING LAND VALUE) l00 006
GC L I ?
PLAN COMMISSION J BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL ANDJOR SEPTIC PERMIT #'S (If Applicable):
of Floors: I Elevator or Lift Q YES NO BLDG. CONSTRUCTION TYPE '11-8 5PI F 1L_ OCCUPANCY CLASSIFICATION:-3
TYPE F CONSTRUCTION:
COMMERCIAL
(Pnvatey owned hospitals and medical
offices/centers are commercial)
O INSTITUTIONAL
O Municipal/Public Bldg
O School
O Church
O MULTI-FAMILY
Number of units:
FOUNDATION TYPE: (Check all which
apply F r the new construction area)
IJ SLAB B D CRAWL SPACE
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ADDITION
? Room(s)
O Porch
? Meaanine or Deck
O REMODEL
.
t?<
J NEW TENANT FINISH
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
O CELL TOWER (New)
O CELL TOWER CO-LOCATE
O DEMOL.TTION
O POST&_BEAM -PIER 0 BASEMENT (WALKOUT: Y_N)
PROJECT INFORMATION:
Early Release / Manufactured
Permit: YNN Trusses: _Y N
Lot Split: _214 Sump Pump: _Y ?F!
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
X- arts aa-0 d
PLUMBING CONT CTOR:
Plumber's Indiana S e License #:
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construcncn, :eccnstrucuor, enlargement, relocatiun, or alteration of a structure, or any change in the use of land or structures requesred by
ins appbcancn will comply with I'd conform m, all applicable laws of the State of India: and Sc -Zoning Ordinance of Cannel Indiana - 1993' (Z-239) and amendments,
adopted under author;.' :. . 36-7 et o, General Assembly of the State of Irdimat and all Acts amendatory thereto. 1 further certify, that only kitchen, bath, and floor drains are
connected to th . Lary sever. I er certify that the construction will not be used or occupied until a Cerdb are of0ecupancy, orSubsantial Completion has been
issued by IN - partment of mmunity Services, Carmel, Indiana
4 p?_ Act vi e? 2 ,7
signatu d l e<o,Authorized Agent PHnt o >7_7/__Q 3 Date
)Z
OFFICE USE ONLY: **s***********s*sa::x::=:fi=:==??-----------
INSPECTIONS REQUIRED: Filing Fees:
Upper Footing Lower Footing Under Slab Base Inspections:
Cert. of Occupa
Rough In Meter Bas Final Site
TOT L:
1 0"?
Reviewed/ proved: Dept. of Community Services (Date)
5:Permlts/Fornt5/1LP COMMERCIAL Fee Received by:
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"708,60
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Date