HomeMy WebLinkAbout08020001 ApplicationPermit # : 0 10') , in OD ?
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY PaROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME:
Alz2 efe PHON FAX:
7 7Z/
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RECORD: STREET ADDRESS:
84/'d Z T CITY: STATE:
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BUILDER'S EM L RESS: BEST METHOD OF CONTACT:
0 7 7Zi
PROPERTY NW4? I
7,4
(0 PHONE: FAX:
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l- 77 7
Sll 77 7
OWNER: e t
STREET ADDRESS:
lS 00 /: ZZ C CITY: STATE:
/x"'/w/5 /X/ ZIP:
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LOCATION ADDR?SS OF CONSTRUCTION: ?? 5 U SUITE #:. (If Applicable)
& PROJECT
INFO'
u aa) ? Lot* and Subdivision: (If Applicable)
Address of Shell Building: (If different than Address of Con
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y
BUILDING, PROJECT, OR TENANT NAME:
P 0 477o4C1_E s ZONING:
;6 -? TAX MAP PARCEL
3 /poooo 6ees-
STATE COMMERCIAL
DESIGN RELEASE #:
/ SCOPE(S) OF p FDN r? STR o ARCH MECH PLUM
RELEASE: Q' ELEC e? 5PKLR OTHER(S): SQUARE
FOOTAGE: ??11
WATER UTILITY
PROVIDER:
A? SEWER UTILITY +
PROVIDER: ESTIMATED COST OF CONSTRUCTION.
(EXCLUDING LAND VALUE) /
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; ANDiOR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): -?
# of Floors: Elevator or Lift YES 0 NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION:
TYPE CONSTRUCTION:
COMMERCIAL
(Privately owned hospitals and medical
offices/centers are commerciaq
O INSTITUTIONAL
O Municipal/Public Bldg
? School
? Church >.jSTI
O MUM-FAMILY - all
Iawter of uri?ts:
Co
FOUNDATION TY!%t (Check all which-y c
apply for the new construction area) p
L? SlA6 fRAWI SPACE'S
O NEW STRUCTURE
O ADDITION
? Room(s)
? Porch
/ ? Mezzanine or Deck
P&WTENANT FINISH
ACCI?SS0RY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
CELL f;Q?UER (New)
Cal WER CO-LOCATE
DEMOLITION ?
O POST & BEAM Piov'OL' BASEMENT (WALKOUT: Y N)
PROJECT INFORMATION:
Early Release /
Permit: Y ? N
Lot Split: _Y ?I I?
r ? F Manufactured
Trusses: _Y ?.
Sump Pump: -.Y ,/
TION S R T
a
R•
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Plumber's Indiana State License #: L
?c b'k'7?o1 / 3 ? a
Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by
Ordinance of Carmel Indiana -1993" (Z 289) and amendments,
:his application will comply wish, and conform to, all applicable laws of the State of Indiana, and the Zoning
adopted under authority of I.C. 35-7 et sec, 61eneril Assembly of the S:ate cAndiana, and al'. Ac:s amer_ratory thereto, 1 further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewg_I further Vrtify that the construction will not be used or occupied until a Certificate of0ccupiwcy or Sabs=tia/Comp/edon has been
J 7ew i e?' • sL y? /' jo --ew
Print Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: 17 "-i, n O
O Upper Footing ? Lower Footing
O Under-Slab Rough-In
O Meter Base Final Building
O Final Forestry Final Fire Dept.
'NOTE: Above ceiling/grid inspection requirements will be
i icated an your permit placard.
r t
Reviewed/Approvect Dept. of Community Services (Date)
S:PermiWForms/ILP ODWERQAL Aug.20W
Base Inspections: 20:?• DO
Cert. of Occupancy: ///,()0
Tn-vk 1 - /l1 , / / ,56. U 0
# Charged Re-
Reviews
Additional Fees
Fee Received by: