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HomeMy WebLinkAbout07120101 ApplicationMCA,? Permit #: D! ©I City of Carmell Clay Township CONEMERCIAL/L',?STITUTIONAL/MULTI-FAMII Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER NAME, I ? PHONE: S_1 FAX; t - A' S?1 15y& + A OF ? .: -, S 1 C i 16 vu j RECORD: STREET ADDRESS: CITY: STATE: ZIP: BUILDER'S EMAIL ADDRESS: p JGW e r o (E TA-4 y awn I . C.? On BEST METHOD OF CONTACT: PROPERTY NAME: fJvS+ h i ?.?? PHONE: FAX: (d `-7 23 `d? V ) OWNER: CILe- e- L 02 STREET ADDRESS: ZZ3J ?7 CITY: ? ias `614 ge j3 STATE: - P: ec5f V Yd '? 61 ? ., i> , LOCATION & PROJECT ADDRESS OF CONSTRUCTION. I w: (IfAppliCable) a1 ?ti1 -, n' ' INFO' Address of Shell Building: (If different than Address of Construction) Lot # and It b BUILDING, PROJECT, OR TENANT NAME: ZONING: - TAX MAP PARCEL: 600,4 1 C61f;CY . 1 S,s.. S"Jd 3 STATE COMMERCIAL DESIGN RELEASE 0: ;S050 SCOPE(S) OF ? FDN ? STR J< ARCH ;9 MECH >i( PLUM RELEASE: 7C ELEC C SPKLR OTHER(S): SQUARE / 0 4) FOOTAGE: ?? WATER UTILITY PROVIDER: C(Lrlr t I SEWER UTIL PROVIDER: ITY '? 1W V '•' 1 ?- ESTIMATED COST OF CONSTRUCTION- (EXCLUDING LAND VALUE D PLAN COMMISSION / BZA / HPW DOCKET NUMBERS, AND/OR COUNTY WETLAND/OR SEPTIC PERMIT #'S (if Applicable): of Floors: Elevator or Uft: Q YES NO ., ' .,'IILDG. CONSTRUCTION TYPE: - OCCUPANCY CLASSIFICATION: 1? TYPE OF CONSTRUCTION: -? COMMERCIAL 0 INSlrRMONAL - C ` 1' --: ` tD Muitfi<ipal/PuWC Bictp -4 0 School ?r Q ? Churell •1i ?•v 1--_ ?ti-?'' ? MULTI-FAmi LY Number of units: )UNDATION TYPE: (Check all which ? )ply for the new construction area) 0 SLAB ? CRAWL SPACE ? ? Mezzanine or Deck REMODEL NEW TENANT FINISH ACCESSORY BUILDING DETACHED GARAGE ATTACHED GARAGE CELL TOWER (New) CELL TOWER CO-LOCATE DEMOLMON ? LOST & ---BEAM -PIER ? BASEMENT (wALKOUT:_YiN) Early Release Manufactured Permit: Y N Trusses: Y _N Loft Split: Y N Sump Pump: Y >,/ N FLOOD ZONE AREA DESIGNA--TION(SI FOR THIS PROPER PLUMBING CONTRACTOR: { M c6,,.rAV MtiLi"i'tsL/ Plumber's Indiana State 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 construction, recnAsrmcdor., enlargement, relocation, or alteration Of a s-EMCEnre, or anv change in the use of land or scraecures requested by this applica=on will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana -1993" (2.209) and anendments. adopted under authority of LC. 36-7 et seq. General Assembly of i=re State of ind:ana, and ail Aces amendatory Lhereta. I further cerciiy that anly kitchen, bath:, ar_d floor drains are conrecred to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cera3ffcare of OcctrpancyorSubsesadil C.omp"au has been issued by the Depart njnt of Community Services, Carmel, Indiana. ( /p f/ y Signature of Owner or Authartted Agent Print Date ****************************************************************? OFFICE USE ONLY: ' 100 INSPECTIONS REQUIRED: Filing Fees: l `f Upper Footing Lower Footing Under Slab Base: Inspections: --2o g, 6 0 augh In Meter Base Site Cert. of Occupancy: Z/ 1 - d Fina - fiOTAL : 0 2 06 Reviewed/Appro ed: Dept. of Community Services (Date) S:Permds/Form!WllP COMMERCIAL Fee ived by: Date