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HomeMy WebLinkAbout08010079 ApplicationPermit #: OS ? r ocj ' •t k' ° City of Camell Clay Township r COAINMRCIAL/INSTITUTIONAL/MIJLTI-FAMMY BOROYEMENT LOCATION PERMIT 6 aAPPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &Accessory Buildings) BUILDER NAME: PHo Y?'fLE 31 ? E: 1A11' ?v?S?zL 3! OF . I RECORD: ° STREET ADDRESS; CITY: STATE: ZIP: 1101 a?eeq l)e 0 tt!? /r?,Zrnt;L_ 46 D 2. BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: ` ' trh c + ?e G-rAr ??+?;h rye 1) qL40 _gS cell {z._e_ (31 eq PROPERTY NAME: PHONE: FAX: , OWNER: 3 ? 1306 , Tom, b'?C? 9 a a 31 3 ?i (d - D(a STREET ADURE CITY: STATE: ZIP: L= r LOCATION ADDRESS OF CONSTRUCTION: " 9 SUITE #: (If Applicable) & PROJECT IU ; z5 ?. 4- r rntc: 1 (n is k ( T z4 4- 0 3 2 INFO: Address of Shell Building: (If different than Address o Constructton) Lot x and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL #: 6,Lkt`ilt" .+ie - t `, IG --©1-2s-/1.,- U2. -01 S. c;ct-I STATE COMMERCIAL SCOPE(S) OF C FDN STR C ARCH D MECH PLUM SQUARE 5 DESIGN RELEASE RELEASE: _ ELEC C SPKLR OTHER(S) : FOOTAGE: kv50 WATER UTILITY U4; PROVIDER: Cniprik'4i U4; l t `4t SEWER UTILITY PROVIDER: C ?rrKd I ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) 1 o? PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; ANDIOR COUNTY WELL AND(OR SEPTIC PERMIT A'S (If Applicable): r*,f Roars: ' Elevator or Lift: YES. NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: le COMMERCIAL rJ NEW STRIIMRE (Privately owned hospitals and medical NO ADDITIOW q offices/centers are commercial p Room(s) ? INSTITtJTlQNA PteTal l .?!ti 0? ``;, .0 : Mpor:h e?aninao?eck Q 5461 D REMODEL Q Chltdl NEW TENANT FINISH O MULTI-FAMILY t) ACCESSORY BUILDING Number of unites ki,; DETACHED GARAGE Fj2l1NDATI0N TYPE: (Check?all which ATTACHED GARAGE apply for the new c6pstruction area) 0 CELL TOWER (New) D CELL TOWER CO-LOCATE H SLAB ? CRAWL SPACE O DEMOLITION ? POST & BEAM -PIER O BASEMENT (WALKOUT: Y_N) Early Release Manufactured Permit: Y__k11N Trusses: YN Lot Split: Y _,6N sump Pump: Y ?N FLOOD ZONE AREA DE IGNATION S FOR THIS PROPERTY: PLUMBING CONT CTOR: r - JM? ? _ (rte 7?fce-M rd ? ?..? Plumber's Indiana State License Class I structure permits are subjeer to the General Administrative Rules of the State of Indiana (See 675IAC 12) regarding expiration this application will comply with, and conform te, all applicable laws of the State e: Indiana, and the "Zoning Ordinance et Carmei Indiana - 1993" (L-1619) ana ane cimencs, adopted under authority o` LC. 36-7 et seq, General Assernf:'-y of the Scace of ladiana, and all Acts amenda:ory thereto. I Farther cerdry that only kitchen, bath, and loot drains are connected to the sanitary sewer. I furtber certify, that the construction will not be used or occupied until a Cernficate of Occupancy or-Su&unrisl Completion has been issued by the Department of Corn munity Services, Carmel, iodiana- f? ?( / 1 .1, X11 1 B ? UG 1G A, Signature of or Authorized Agent Phut DatC ****>«*************?xak*?t?****?************************?*??****???***??**** OFFICE USE ONLY: INSPECTIONS REQUIRED: Filing Fees: 7 . ® Upper Footing O Under-Slab ? Meter Base O Final Forestry D Lower Footing D Rough-In Final Building Final Fire Dept *NOTE: Above ceilingi grid n pection requirements will be Base Inspections: ?? °& I v - o # ke ewsRe Cert. of Occupancy: _ 1 l 1 r . JJ L -- r---