HomeMy WebLinkAbout05090048-ApplicationSTREET ADDRESS
13099 Parkside Drive
IMPROVEMENT LOCA~ON PERMIT APPLICATION
Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
FAX
(317) 577-O286
=
C1Tf STATE ZIP
Fishers Indiana 46038
OWNER:
& PRO3
INFO:
Jeff Martin
STRL~ETADDR~SS ~ Fountain Squape Plaza
ADDRESS OF CONS~UCiION
14585 Hazel Dell Parkway
· NANE:
PHONE FAX
513- 534-0692
cn~ Cincin~ti SrAT~ OH mP 45263
SUITE # (If Applicable]
N/A
PLUM
m~OWDEm John Duffy 317-5~ (EXCLUDING LAND VALUE)
PLAN COMMLS~[ON / BZA ! BPW ~ NUMBER~; AND/OR DOc~,e-~ # 05020033 DP/ADLS
COUNTY WELL AND/OR SEPTIC PERNIT #'S (If Applicable):
of ROO~: 1 BLDG, CONb'FRUCTION TYPE: V-B OCCUPANCY O. AS$1F[CAT[ON:
Early Release
Permit: Y '~N Trusses:
and mecil~al of~ce~/cen~
are commercial) LOt Split: Y x N Sump
Does any part of the
designation area: Y._.~_N
.' PE F ~' :--ME
[] NEW b-i'R.UCTURE
[] ADDTHON
C3 Room(s)
[] Porch
(:] Mezzanine or Deck
[] REMODEL
FINISH
(~ CRAWL SPACE
[~) POST &. BEAM [] BASEMENT []
(or POST & PIER) WALKOUT:~N [] DEMOLITION
Flood
Plumbers Indiana State Ucer~e #:
rc
further ce~gy that the construction
issued by the Department of
Print
# ~a~ Re-
Revie~