HomeMy WebLinkAbout13040194 Application (2) v 1\
et CITY OF CARMEL,I CLAY TOWNSHIP PERMIT # 1304&I11
COMMERCIAL/INSTITUTIONAL IMPROVEMENT LOCATION;PERMIT APPLICATION
rive. For New Structures,Additions,Tenants Finishes,Remodels,and Accessory Structures
BUILDER NAME RTh-" PHONE FAX
OF c P Y, TNC-e bAM IAt)raba..) 3 317- F1ggZ- g'd go
RECORD 'STREETADDRESS CITY STATE ZIP
10053 ,4{ NH0G6 'RD —7-A1MANRl'OL/S • • 1/46214,
E-MAIL ADDRESS BEST METHOD OF
CONTACT
blej 56.3NQCP M C6 NS"T7e-otrf DAL Co M t-Mfi,I t
PLUMBING'. NAME /) STATE OF INDIANA•
CONTRACTOR H/� LICENSE LICEE'NUMBER
PROPERTY NAME ! �. o PHONE FAX
OWNER /DM Q90 -4 Arc, 57/'6/.3- 373-989.-
STREET`ADDRESS CITY STATE ZIP
Dil
3003 E. Cl8' jST So/TEo26I /ND/l7NNPOL/S //✓ q d2sO
PROJECT PROJECT ORTENANT COMPLEX AND/OR BUILDING NUMBER OF FLOORS ELEVATOR
LOCATION ./One Woe,r CncuS/ON „f A/re' Ot�' E I ❑YES MINA
STREET ADDRESS,.INCLUDING'SUITE N n STATE ZIP
97 7 iSAuEK c N i4. Potts IN 446.780- /9651
HAMILTON COUNTY PARCEL NUMBER - •ZOwN FLOOD ZON S
APR 2 9 2013 Zak/
LOTSPLIT SEWER UTILITY WATER 1TILITY SEWER WATER
❑.YES ❑ NO UTI ES EXCAVATOR
nor
TYPE OF TYPE('CONSTRUCTION Number of Units
PERMIT EtOMMERCIAL ❑INSTITUTIONAL-❑Municipal/Public Building ❑School'❑Church ❑MULTIFAM_ILY
EARLY'RELASE TYPE OF IMPROVEMENT R
❑YES ❑NO ❑NEW STRUCTURE ,a ENANT FINISH ❑.ATTACHED GARAGE ❑:ACCESSORY BUILDNG ❑ CELL TOWER
❑ADDITION-❑Room/s ❑Porch❑Dec m •eEEL ❑DETACHED,GARAGE ❑DEMOLITION1 I C.CO-LOCATE.'.
PROJECT PLAN':COMMISSION/1BZA/BPWFACKET t.4 B' C ;.,ND/OR ESTIMATED COST t, SQUARE FOOTAGE-
TAC.DATE/S C,j�_` f,O /O1fSes,"10'2, 'Clue r -EXCLUDING LAND N� �' l� 760
PDF PLANS TYP .FOUNDATION ,/'O/� , rft -CsOr//Cep. Vi ANUFACTURED SUMP PUMP. PORCH
❑CD ❑E-MAIL SLAB ❑ BASEMENT-u�,t oftzgl/" t e, SSES ,.,
❑CRAWLSPACE! ' ❑ POST&BEAM �iy,4p5T %-% �r-;-y,�l4A ❑YES L' O ❑YES, EP N6 ❑YES IL3'NO':
STATE±OF CDR NUMBER' RELEASE DAT.�/p`�ZO, . CONSTRUCTION TYPE OCCUPANCY CLASS
CDR
INDIANA L2$Z - -O2'q- II*/7-i0�N - I,-o/ 5PIC BQEOevi PA--/ ,/iDD
:SCOPE OF RELEASE � � � � SS((�� .
❑FDN' STR ARCH C91LEC l YM1IECH ❑ PLUM❑ SPKIINCEFOTHER STRNpR R i)
Class,'structure permits are subject to the State.of Indiana'General Administrative:Rules,(GAR'675 IAC 12) regarding I
I expiration time frames for_beginning:,and completing.construction
I,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 this'application will comply with and conforni to all applicable laws of the State of Indiana and the"Zoning Ordinance of Carmel
Indiana-1993"(1-289)and anjendinents,adopted tinder authority.ofIC.36-7etasey General Assemblyofthe'State of Indiana,and'all'Acts amendatory
thereto. I.further certify,that only kitchen,bath,and Uoofdrains are coiiiiected to the sanitary sewer.:tfurther-'ertil'y that the netrecthin will not be
used or- ied lint',a Certificate. lOccup cy.ch of Substantial Completion etas been iissiied'b9 the-Department of Community S ry ices,Carmel.Indiana.
9 �]"L.Il9 `idName. S.l,�. S)' sri4 fa /-/3
Si nature of Own r r Mat orired A ent
Printed Name -Date
REQUIRED BASE INSPECTIONS * PERMIT FEES -y
Filin / Review 4 2,,.S-D
*,Additional inspections'may be required. g Re-Review
Base Inspections 2.3 3'..00
❑' Lower Footing. X Rough-In X:Fire 125-.00
Cert.of Occupancy
❑, tlnper Footing ❑ Meter-Base ❑ Forestry
. P.R.I.F.
❑ Underslab Final ❑ Site '
TOTAL g 3�•SO
I • ��Ut1� \art s`g.,,���. �rA.•a' .a� •
-,Rc re ed/,R le I Department of Commw 1L Services D t F .R d t C a �,p Seri acs Date. .
„ ................ ........,....FOmu\Applmatiiins�R r dcmidl\ILP Appl cai on\201DA] - l_ 4 - Lam Updated 09/10/2010