HomeMy WebLinkAbout13010047 Application 1
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L. • CITY OF CARMEL / CLAY TOWNSHIP PERMIT # 13010047
COMMERCIAL/INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
�yo®y For New Structures,Additions,Tenant Finishes,Remodels,and Accessory Structures
ILDER //!J� ,•;- 11 /A' )/ �j/}
NA PHONE an 51, l/Lt 1 L�J Co r k PHONE 3t 7 b gcta246 FAX 4ggo S'I 5
CORD STREET ADDRESS CITY 7 STATE ZIP
30,i{6 i7/ chit at/any atio-pts .3zu 46Z2-(p
E-MAIL ADDRESS BEST METHOD OF
CONTACT e-s c. 6l1 1 , Ae 2"--"al/ Z A --
BMBING ,NAME l �(� STATE OF INDIANA mil
INTRACTOR 1001 y /I' biA// "sit LICENSE NUMBER
tOPERTY NAME PHONE 7 /f -nom PHONE FAX
NNER TlUID 1ge-aI 0-4- 'e S ic-7.7s1000 c/$ LZS /3 /•
STREET ADDRESS CITY STATE ZIP
'7000 J1:l-er AL kI-e Sr be Mohr?� ! .s4 So z ea 5 LOORS ELEVATOR
tOJECT PROJECT OR TENANT COMPLEX AND/OR BUILDING NUMBER OF FLOORS
)CATION /'r /J
.L //S -cr.S b4-l; / ❑YES *NO
STREET.ADDRESS,-INCLUDING SUITE NUMBER CITY STATE ZIP
2355 E. ////Oi M ia. Carpt,e/ 2)'1/ 9603'Z_
•
HAMILTON COUNTY PARCEL NUMBER [ FLOOD ZONE/S
' E ° � n7f�
iT SPLIT rrqLA SEWERUTILITY WATEI LITT'^N 1 5.Z Sa .f /WATER .�
'❑ -YES'W No J/4 013 �1 s t ,
1FPE OF T,;YYttPE OF CONSTRUCTION Number of.Units
ERMIT id COMMERCIAL ❑INSTITUTION• a Ma •"sal/Public Building ❑ hool ❑Church ❑MULTI-FAMILY
EARLY RELASE 'TYPE OF IMPROVEMENT
❑YES �t�/1((NO ❑NEW STRUCTURE ❑'NEW TENANT FINISH .I• •TTACHED GARAGE ❑ACCESSORY BUILDNG: ❑ CELL TOWER
7r ❑ADDITION-❑Room/s..❑Porch❑DeckAp,'Cy MODEL ❑DETACHED GARAGE' ❑DEMOLITION ❑ CO-LOCATE
'ROJECT PLAN COMMISSION/,BZA/BPW DOCKET NUtQ S AND/OR ESTIMATED COST - SQUARE FOOTAGE
TAC DATE/S O sob �F OF CONSTRUCTION, d45 p
/2-4.-12-, Z. lam/ COQ EXCLUDING LAND q P 1.�
DF PLANS TPE OF FOUNDATION 0404./�ej�l cD.� (45) MANUFACTURED ,SUMP PUMP PORCH
0 BASEMENT I CD E-MAIL ❑CRAWLSPACE '❑POST&BEAM VFL P fd p/,, C•Qq„�RUSSES
'YY�V ��ii,, .YES ❑NO ❑:YES �NO ❑YES %NO
/TATE OF CDR NUMBER RELEASE DAT /I /�.dv 54'4/r C %SJRUCTION TYPE OCCUPANCY CLASS
INDIANA 36017406 �Fl�,I,i4% s°,4;�,pp��/��//� -B /} -Z.
':DR SCOPE OF RELEASE •Or r c%. ❑/�. H�OOD TYPE OF RELEASE
elFDN, L"STR C371RCH Et ELEC.el MECH M A, .0,• , OTHER' a
r GLP
�tiP
"Class I-structure permits are subject to'.the State of Indiana General AdministrativeRules (GAR 675 IAC'12) regarding
expiration time frames 1•or beginningand completing{construction.
J;the-undersigned,agree that any construction,reconstruction,cnlvbemen_G rel ,cation,or.alteration ofa structure,or.any change in;the use of land'or
structures re lu ested by this application nil!comply with and conform to all appli able lints of the State of Indiana and the°Zoning Ordinance of Carmel
Indiana-:1/93"(Z-289)and amen eats;adopted under authority of l.C.36-7 et sect,General Assembly of the Stale of Indiana,and all Acts amendatory
th .- u.her certif that on kitchen,bath,an 7 fo r. Irons ar connected t tl a sanitary:ater. I lurtl •r ustify'that the construction will not be
i ed or occupied until • rtif ate of Occupancy'or od Substantial Completion bee •
issued by the 9�partm nt ofCommunity Serrr Cm
s, arel,Indiana.
�� k i - vi G C vrravl //-/`t-/7-
Sig i re of Ow er or Authoriz_•'gent Printed Name Date
REQUIRED BASE-INSPECTIONS * PERMIT FEES
*:Additional inspections may be required. Filing./ Review _ 13 Z6"�rC( ` - Re-Review
Base Inspections 11)Of OV
❑ Lower Footing X:Rough-In X Fire 123.00-
Cert.of Occupancy
XUpper Footing ❑.,/Meter Base 1�/ Forestry P.R.I.F. —
❑ L nilerslab LH Finals/� 'j U61 Site 1vo p
7 ' I ` T'OTT L 1 1
it tone /R l a ed-De4 art n nt , Cn n tits Scnrc Date I`Reins ti )apartment ofC nunity Strnccs Date,
isle lApyll[( 1R_ denliNll APPt nintlafaW 3 'se-t-S 'art,J1--s l t Updated 07/19t2Q