HomeMy WebLinkAbout1312.98 Application Carmel-Glay - = Permit No.
To��;p a Application for._ � ' - pase
•---�• �rovement Zocation Permit R°"F
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Tfiis gertnit is�veli �� if construction is�siarted within 120 days of issuance de[e;�ell'wnstruction must be . ple (c!o issued)within y o �.suance�
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�date un{ess an ea1 nsion�of time has been.officiall �anted'b letter ti .the Director;De�"rtmenCof Communi �Services.
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TENANT NAME / /—
(if�e` lica6le ��I (i� �, � �OG'7� � /I G ���t'G � �)�J p��-// �
N E � PHONE �JI �,�STS � d D d� F� �
owivER �u �. _��ul G.- 't . � t/!e` �` ° i 7��-3��y
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LOT . DMSION �' � ON �
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LOCATION
ADORFSS OF�CONSIRUCIION �
Ov �; � � l�e� �cl/'�IG� �/l� (v J �
A. TPPE OF CONSTRUCTION Do;plans � porch? F. TYPE,OF IMPROVEMENT
l. ❑ Single Family ❑ Yes"t7�o�'� l. ❑ .New SVucture
2. ❑ Two Faznily '�'��v' 2. ❑ Addi[ion Porch_Room_
3, ❑ Mulu-Family Type of Fc��on: �� �4 Remodel ❑ Commercial Tenant Space
4. � Commercial/IndusVial �Cra�l ac� � ❑ Foundalion Only
5. ❑ Farm �Bavs1e � 5. ❑ "Demolilion
6. ❑ OTHER ❑�p,� �/��� 6. ❑ Accessory Building
(SPecif}') �6',a"�`'Y���, Q���T�7 ❑ Swimnung Pool
B. SEWER: Q c�, �,� <Q��ar Garage Detached Attached
1.; �' Public (Name of Systam� �,.�Cy G. �t t YES NO _
2. ❑ Private(Septic Tank,etcJ y� ,� ^e; �,y VN33. Floo es YES NO _
C. WATER: ro°O� �G `�'T r�S Q T �( ,6�mp P�S YES _ NO
I. �' Public (Name of System�4"<e.� l��`��f�.�P'e��ye��' �u�acture�l'russes YES _ NO
2. ❑ Private(Well Ce.,'�'s� , _.�fl� 1 �l,�y �3�,RTjR'd�4p �; / . n �
D. ZONING: � �� �tl��r�., ��. �Mj��tctor /7i1�/Y�Y'�
E. ESTIMATED'COST OF CONSTRUC7�(��Y''� f'�', ''!?,.� �y+r�"psy�� g/y
(Excluding Land Value) �°]�Uf�U `�'x ` `�„�'s'� �>�.�, Plumb�I�`�ce�e#10�L.7�2 �BOCA or❑CABO
trt*wsssa*�s*���*rs+ewa**a»#rt*t*iss#i+s*s#tt+'�itttk.'r,+���#�Rrr�«��s�s�*srW..i*Sr�&',p�s�ss+skrsr�a*rasssa*ass..es�s.��*�
The undersigned agrees that any.construction,reconsvuclion,enlarg����rgl�`oc�io¢,,oralteralion oE swcture,or any change in the use of land
or strvcwres requestedby dvs applicalion will comply with,and confoan to,�atfqit�`aBlg�awsof ttie State of Indiana,and the"Zoning Ordinance
of Cazmel Indiana�-1993"(Z-289)and amendments,adopted'under authonty o ��'.�611y��seq,General Assembly'of the State of Indiena,and all
Ac[s amendatory thereto: I�fiuther ceRify that only_kitchen;bath,laundry,;and�tloor�r4&n��,are coanected to the sanitary sewer: I�furt6er certlfy
that�the�construction will'�pot be used,or occupied,until,a Cerdific6te'ojOccupancy has beeo�issued,by t6e DepartmenC.of:Community�
'Servicea;�Carmel,Indiana
_ Inspections; e :
- Footing/[7nderslab . o � _ _ Meter Base
�gna Owner or Autt�orized Agerit
7 S Srte inal C/O L
AY1, �`t c;� ^ h 7 .s�:�j .: � �-�/L(
(Print) o 'Number �� uareFootage) ��
NOU - 5 ��,�t�o F�s: ✓—�
Sewer Capacity-Allotted � �„
Plan Commissio A Docket . BY�----__Certifica e of Occ cy:
TOTAL: ' ��
R ' pprov '. epf: Community Services Fee Received By s:��a� m�
�
�'""� APPLICATION FOR INTERIM " 's �� pFF�E;USEONLYi
z 3 ..'..:s, E. . ..M,�-:.1 ��.�.:.?.:
t REMODELING RELEASE P�o�ec���moe�
' State Fortn 26137(R3/a-96) � ^ ,� �
•� � r ApProved by Slate Board of Accounts.1996
� Filing tlare �" -v �
Indiana Department of Fire and Building Services _ -,� �
PLAN REVIEbV DIVISION
OBice of the Stare Building Commissioner Occupancy nassilication
402 west Washingron Street. Room E245 g �(^'!" y� ?V��
Intlianapolis, Indiana 46204
ConSW[tion Iype
INSTRUCTIONS:See reverse side lor minimum qualifications and filing �� �
procedures Por an Interim Remodeling Release. ���r��H FN�/ou"e
Name ol Archiiect/Engineer Action tlesiretl:
`�'lOIf1dS R. Stra er �, Pick-Up ❑ Mail-0u1
Atltlress(numeeranC stree�.city,s7ate,ZiP codel
9335 De1 ates Row Indiana olis, IN 46240
Telepnone number Contact indivitlual
� 317 l 573-3583 Ke11y Hughes
a. = OIHNER'SCEKi:3FICATE; �?I > 3g�, '�y�yx:�.
,., c•: .. �� �..,,, , . .,.� .y.. ._.. .,.,. . ... ._ . . ,�.:.,. .., ...> :�. . . .,. .,. , ,�a. ,,.. ... _.
� I accept full respons�6iliry tor removing and replacing-any_consiruction wor Auth z signamre(owne�
found by plan examination or by inspection, to be in violation of ihe rules of�the
Fre Prevention and Building Safery Commission. P further agree not to occupy ame(ry ea or pdnre �
or allow occupancy until a full release has been issued 6y the State B ' ' �
Commissioner and all known code violations have been corrected. I unders�and Ka hL'1!II DdV15
that failure to provide adequate plans and specifications or requested Teiepnone numoer
corrections merero is a code vioiation. ( 317 ) 574-3585
.. :' .,,? .. `' .�:`s§P.RO.tECT.kNFORMATIOIJ '"�.` � ::: '.,. >` ` �-•,� ��,a�a .'z z:
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Name of prolect Faciliy use
Eli Liily S Company Executive Suite Office
Adtlress(numbe�anGSVeeL suife o�floor,city,srate,Z/PCOde) � . Counry
500 E. 96th Street Parkwood Four Hamilton
est intersening sireet or roatl Direclion FROM intersection to project
96th S Meridian ❑ N � E ❑ s ❑w
.,, _.;�� �.. .,. .,�:: ' .�` ��:: 33 .<;::� ' IN'fERtM'REL£ASECONDFTIONS(dFFICE,115E;QNC3'�. 5 -� �,�'„'„.u;�+ . ��.�_. -�I,,.`�.�.� Z:�:
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This partial release for remodeling is granted pnor to full plan review and is subject to all the rules of the Fre Prevention and Building Safety Commission
and any local rules forissuance of a building permit by the local oflicial.As such, Ihis release does not allow occupancy ol said project until a standard
release is issued by the State Building Commissioner.THIS PARTIAL RELEASE IS NOT A PERMIT.
Comments:
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� ' ,:;SCDPE OEREUEASE.�(OFF(CE USE ONLYj ; ,r�, r �, ,-� x .�s ,,;;g? Release Siamp ; '
,�� �Archirectural ❑ Structural Electrical ❑ Olher
I_y'rNmbing ❑ Mechanical ❑ Panitions ❑ Other . _,_ ,
IiiTE+�iid xEa1QDEic;�y ttttz,iac
Code re�ie otlicial �� S4(y,eL�.,�p,pp1p�13i1CN ri!�(il
�,�G/ /o-�9-S� tonditions herein ana ail Apalica6le
Lotal builtling otticiai Rules�af ffie r'IftE�R�'�ENi;4N.4NQ
k7Ui191NG SAF:Tf COMMISSION�4�D
ss(�umber a�d streer,ciry,s�ate.z�a code) �TN�LflCAL AU�:9fl�1
. �, ,,. - .
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�ale(mon(h,tlay,yea� I.D. number
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