HomeMy WebLinkAbout08020034 Application_ City n}'Carmel/Clay Township Permit #: 01F02 293?
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY B PROVEMENT LOCATION PERMIT
0ePIANO_ ? APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME. PHOAE: 6 f I? / 9/1 FAX. n U' L
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RECORD: STREET ADDRESS- r CITY: .- STATE: ZIP'
BUILDERS EMAIL ADDRESS:
?_u 1z ish V eQ r Co
x L BEST METHOD OF CONTACT'`
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PROPERTY NAM'
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OWNER:
STREET 91D / RVS?: E ^ T )v 0 :
G `? / - STATE: P V
LOCATION
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L ADDRE OF CONSTRUCTION: n
e 1? on -y SUITE #: (If Applicable)
_
F L S u l TZ- " 12,0
PROJECT
INFO: Address of Shell Building: (If different than Address of Constriction) Lot it and Subdivision: (If Applicable)
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S S g
BUILDING, PROJECT, OR TENANT NAME:
'
rCC
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- ZONING:
-? TAX MAP PARCEL
lA G
W
f
- S
150 L 0
STATE COMMERCIAL SCOPE(S) OF??? DN SIR ARCH
DESIGN RELEASE RELEASE: %poo E? C SPKLR OTHER(S): MECH V,&UM SQUARE /y
FOOTAGE: 2_400
WATER UTILITY SEWER UTILITY
PROVIDER: PROVIDER: G f ESTIMATED COST OF CONSTRUCTION:
ymklu (EXCLUDING LAND VALUE) e6 c-&-o
PLAN COMMISSION / BZA i BPW DOCKET NUMBERS; AND/OR
'
S (If Applicable):
COUNTY WELL AND/OR SEPTIC PERMIT # tc?`
ax of Floors: Elevator or Lift: 4 YES 2,(NO BLDG. CONSTRUCTION TYPE: - OCCUPANCY CLASS CATION: _ 'I`e-nfi
I
7
PROJECT INFORMATION:
STRUCTURE
(Privately owned hospitals and rpHA}?a1?= l„ rAVU1 I !UN
offices/centers are oomrr)er4* ` • v a` ? Room(s)
? INSTITUTIONAL Porch
C Muniopa?) III g` GO665me- nine or Deck
? Sdibol oGa? c?G t U . EL
C3 Chtlydl i,.d
O T f jN \?rl TENANT FINISH
-FAMILY MULTI ACCESSORY BUILDING
Number of units: C DETACHED GARAGE
DA TYPE: jCheck all which O ATTACHED GARAGE
O CELL TOWER (New)
y for Bgeiii'construction area) ? CELL TOWER CO-LOCATE
1 SLAW ? CRAWL SPACE O DEMOLITION
Early Release Manufactured
Permit: Y _kN Trusses: _Y
Lot Split: _Y 4N Sump Pump: Y JLN
FLOOD ZONE`` AREA DESIGNATION(S) FOR THIS PROPERTY:
A (4 T44.-
PLUMBING MB CONTRACTOR:
1 P Go { f ? rl??
Plumber's Indiana State License
POST & BEAM -PIER O BASEMENT (WALKOUT:_Y_N) C
Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiratiL(Z-239 or beginning ana i '
completing construction. ?I (?
he undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a sc uccum or any change in the use res 'k .e
s application will comply with, and conform to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana - d is
opted under auchoricy of I.C. 36-7 et seq, General Assembly of the State of Indiana. and all Acts amendarorv chereto. I further certify shat oand
anected to the sanitary sewer I further certify that the construction will not be used or occupied until a Certihcnre oforcuprocyor
ued ftbthe Department of Comm u qty Se , Carmel, Indiana. 2?-
4 )" zzz
IAa t tint Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: / 7 T? J 0
D Upper Footing ? Lower Footing D v # Charged Re-
0 Under-Slab Rough-In Base Inspections: Reviews
? Meter Base Final Building
? Final Forestry Final Fire Dept.
*NOTE: Above ceiling/grid ins on requirements will be
indicated on your piennit placard.
D a OS
Reviewed/Appr : Dept of Community Services (Dade)
S:Pem+iWFomsgup OM14ERCEALAug.2007
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Additional Fees
Fee Received by: Date