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HomeMy WebLinkAbout08010101 Application?`iy t ?F\ ti ? ?v ! C11 C) City of CarrmelfClay Townskip Permit #: CONU4ERCLkL/INSTITUTIONAL/MULTI-FAMELY MPROYEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME. PHONE: FAX: 16-1391 3117-8?(v,-9070 RECORD: STREET ADDRESS: CITY: STATE: ? Sc'(,-? Si Sx,;TIac_UO Crlyrl 'IZ-/11 ZIP; tl b03 suiLDER'S EMAIL ADOFLESS: BEST METHOD OF CONTACT: 1 PROPERTY FA NAME: PHONE: 3 f 1 ? X t ! 0?0?0 OWNER: • C. 'rb r f. STREET ADDRESS: Cl7Y: STATE: ZI ' 3R LOCATION & PROJECT ADDRESS OF CONSTRU 0 9? ' SU S v iTQ- ? 0z1r&'J j"J'i i. , (If Applicable) ?: saw' / ,3 INFO' Address cf Shell Building: (If different than Address of Construction) Lot # and Subdi 4 oK BUILDI PROIECT, OR TENANT NAME: ZONING: [_) TAX MAP PARCEL #: STATE COMMERCIAL DESIGN RELEASE at. .? ??- - J{ SCOPE(S) OF ? FDN ? STR ARCH ? MECH PLUM RELEASE: ELEC O SPKLR DIVER(S): SQUARE FOOTAGE: R ti J WATER UTILITY if rMt W-0-P-r SEWER UTILITY CT IZ W ESTIMATED COST OF CONSTRUCTION: PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) J, PLAN COMMISSION / BZA, BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floors: Elevator or Uft: 0 YES x NO BLDG. CONSTRUCTION TYPE i OCCUPANCY CLASSIFICATION: 1 TYPE OF CONSTRUCTION: COMMERCIAL (Privately owned hospitals and medical offices/centers are comrrerdal)i O INSTITUTIONAL ? Municipal/Public Bldg ? School O Church TYPE OF IMPROVEMENT: D NEW STRUCTURE O ADDMON O Roorn(s) l? Porch Q -14dmanine or Deck ? MULTI-FAMILY YU °'-;}_wrCa VJ''•t? T FINISH BUILDING Number of units: i] DETACI-TEDGARAGE =OUNDATI TYPE: (Check all whlo CELL HED GARAGE Ipply for they -new constfuition area) • O CELL TOWER New) 0 CELL TOWER CO-LOCATE PftziSLAB 3 CRAWLSPACE- Q DEMOLITION © POST & BEAM -PIER. ? BASEMENT (WALKOUT: Y?N) Early Release Manufactured ?;?, Permit: Y N Trusses: Y_ 'J Lot Split Y N , Sump Pump: .-Y FLOOD ZONE AREA DE5I6NATION(S) FOR THIS PROPERTY: V ? d ' ??y / _ J F66r' 1 PLUMBING C9!4jMCT0Rs ?Ja (nay r? Lo Plumbers Indiana State License c 6' Class I structure permits are subject m the General Administrative Rules of the State of ludiana (See 575 LAC 12) regarding expiration time frames for beginning and completing construction. I, the tmd migned, agree that any Construction. reconsrucnon, enlargement, reloeanan, or alterdCOn o; a stzucrum, or any change in the use of land cr st-uctures mquested by this application will comply with, and conform cc, all appbcablc laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z-289) and atneadments, adopted under authonri of LC. 36.7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only kitcher„ hash, and Boor drains are cenrnected to the sanitary sewer. T further certify that the construction will not be or occupied until _a Certificate of0ceupancy orSulasrwria/Comp&don has been issued by the Department of Community Services, Carmek Indiana. Si9^ - / l rr 7 n ,99 Cate aUure of Owner or 0.utfiflzi"3 print '-? -7 **********?*?**********?**?*****a*???????a«??????fi??fiafi????rtt;?????TrTTT OFFICE USE ONLY: INSPECTIONS RE 1 IRIS: Fili : 12 L? 0 F ees ng # Charged Re- O Upper Footing ? Lower Footing Base Inspections: 60, Reviews 0 Under-Slab Rough-In O Meter Base Final Building Cert, of Occupancy: D Final Forest Final Fire Dept. tY uirements will be e tion re ili id i * TQ ? L ' / r Additional Fees t q ng/gr n NOTE: Above ce indicated on your permit placard. f t I T A rv lv? bl"wha ro_')o LJ4 Reviewed/Appro ed. Dept. of Community Services (I Date) Fee Received Date 5:Permit5,1FarmsfU COMMEROAL Aug.2W7