HomeMy WebLinkAbout08020026 ApplicationCity of CarmellClay Township Permit #:?, OD a
C014L%4ERCI4,L/INSTITUTIONAL/MULTI-FAM LY MPROVEMENT LOCATION PERMIT
;rr?3?Ha, APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME: PHONE; FAX:
DEi-`.SON STE E+euic " - 0 -qL7 - ?? 4 '31-7 -?C7-Z` _yc4 'S
RECORD: STREET ADD ZESS: CITY: STATE: 71P:
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301 01W ON
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
6
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nL064 qN Cam
PROPERTY NAME. PHONE: FAX.
317 - 51C - 2 3 317 - S80 - Cq 7-7
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STREET ADDRESS: I • r?/?if ?Cl? CITY: STATE: ZIP:
d 6! N ERIOIA t?J,?4n?R oC,S iJ ifsZc3d
LOCATION ADDRESS Of CONSTRUCTION: &.4-4 SUITE #: (If Applicable)
& PROJECT DLUnrO/5 7~(?
INFO: Address of Shell Building: (If drtrent than Address of Construction) Lest # and Subdivision: (If Applicable)
i
BUILDING, PROJECT, OR TENANT NAME:
ZONING: i
EI
TAX MAP PARCEL x:
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STATE COMMERCIAL SCOPE(S) OF FDN tiARCH 9IMECH PLUM SQUARE f
DESIGN RELEASE #:
?r RELEASE: ELEC 1] SPKLR OTHER(S):
FOOTAGE: 1?-J J
WATER PROVIDER: UTILITY
lei nu PRSEWER OVIDER ?
C J ' t+ L f (EXCLUDING M TED COST OF CONSTRUCTID : ?) /y 1 VALUE)
ff f
PLAN COMMISSION I BZA; BPW OCKET NUMBERS; AND,(OR
COUNTY VV!! N6,{QR SEPTIC PERMIT #'S (If Applicable):
1! of Floors: Elevator or Lift: Q YES ?}( NO
_
BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
t2F STRUCTION: TYPE O F IMPROVEMENT:
COMMERCIAL ;9 NEW STRUCTURE
(Pnvately owned hospitals and medical O ADDITION
offices/centers are commercial) C Roorn(s)
C INST1TLF ZONAL C Porch
Q Municipal/Public Bldg C Mezzanine or Deck
Q School J REMODEL , -
O Church n NEW TEithh FINISH
? MULTI-FAMILY ,_ „ _, j-, ; 0 ACCE55(]RY BUILDING
Number of units- f °1 DE'T'ACHED GARAGE
aply for the new construction area) D CELL TOWER t0UATE
SLAB Ili CRAWL SPACE ? DEMOLITION
? POST& 'REAM -PIER ? .BASEMENT (WALKOUT:_YN)
PROJECT INFORMATION: r - Q
- t=
Early Release _ / Manufactured
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Permit: _Y Trusses: Y_ N
LotSpiit: _Y y ""N Sump Pump: Nc?
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PLUMBING CONTRACT:
R. V. HALC/4M P1-U41b1AJ4 Lam, C,
Plumber's Indiana State License *:
Glass 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.
L the undersigned, agree tliat any construction, reconscrucoon, enlargement, relocation. or alteraban of a sr: ucture, or anp change in the use of lane ar structures requested by
this application will comply.vith. and conform to, all applicable laws of tie State of Lnbana, and the "Zoning Chdinanee of Carmel Lndiatsa - 199 Y (2-269) std a-nendmenrs,
adopted under authority oh C. 36-7 et seq, General Assembly of the State of Intlara, and all Acts amendatory thereto. I fu=rher certfy chat only kitchen, bath, and floor trains are
connected to the sanitary sewer. I further certify that the construction w ill not be used or occupied until & Cerdfieate, of Occupancy or Substantial Comipletion has Seen
issued by the r)t trucut of Community Services, Carmel, Indiana.
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?111?Su?+l ?'DOE?Q j f
Sinnature o0bwner or Auth Agent Print
OFFICE USE ONLY: ********* ***************************?***?***********w***.,%
INSPECTIONS REQUIRED: Filing Fees:
Upper Footing 0 Lower Footing
Base Inspections: r ? ? # Charged Re-
Reviews
Under-Slab % Rough-In
nal Building
F
Meter Base Cert. of Occupancy: •?
L
in
Final Forestry al Fire Dept.
ditiDndl Fees
*NOTE: Above ceflingigridion requirements will be
indicated on your permit placard. TOTAL : ?i
C
t7
Reviewe Approved: Dept. of Community Services' (Date) Fee FIVE may: Day=
S:PermilsJForrr,s;1LP COMMERCIAL Aug.2007