HomeMy WebLinkAbout19010027 Application
OFFICE USE ONLY
19010027
PERMIT #____________
CITYOFCARMEL
CITYOFCARMEL
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY
PERMITAPPLICATION
PERMITAPPLICATION
Please complete form and email to permits@carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
NAME PHONE
BUILDER OF
NAZCOEnterprises240-476-2371
RECORD
ADDRESS CITY STATE ZIP
Gaithersburg
6CessnaCtMD20879
E-MAIL BEST METHOD OF
PHONEE-MAIL
ADDRESS CONTACT
NAME STATE OF INDIANA
PLUMBING
LICENSE NUMBER
CONTRACTOR
NAME PHONE
PROPERTY
OWNER
ADDRESS CITY STATE ZIP
PARCEL
PROJECT
NUMBER
LOCATION
ADDRESS (INCLUDING CITY STATE ZIP
SUITE NUMBER)
TYPE OF
COMMERCIAL INSTITUTIONAL MULTI-FAMILY NUMBER OF UNITS:______________
STRUCTURE
NAME OR DESCRIPTION
PROJECT
OF PROJECT
DETAILS
NEW STRUCTURE TENANT FINISH REMODEL ACCESSORY BUILDING CELL TOWER
ADDITION RoomPorch Deck GARAGE Attached Detached
COST OF CONSTRUCTION SQUARE
(EXCLUDING LAND) FOOTAGE
$
PROJECT RELEASE CONSTRUCTION OCCUPANCY
STATE OF
NUMBER DATE TYPECLASSIFICATION
INDIANA CDR
SCOPE OF
FDN STRARCH ELECMECH
RELEASE
PLUMSPKLRHOODOTHER ________________________
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in order to comply with the requirements of IC 22-11-21 (Public Law 104, 2018) as it relates to the use of Advanced Structural
Components (lightweight I-joists or lightweight roof trusses) in Class I and Class II Construction that:
1. Have less mass cross-sectional area than sawn lumber of equivalent proportions used in an equivalent application; and
2. Are assembled from combustible or noncombustible materials, or both
*This does not include a structural assembly, joist or truss that provides at least 1 hour of fire resistance under ASTM E119*
Does this project include any Advanced Structural Components?
Yes(Section Below Required)No
Type of Advanced Structural Component (Select all that apply) Location(s) in Structure
Lightweight I-Joists
Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding 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 conform to all applicable laws of the State of Indiana and the Carmel Unified Development
Ordinance (Z-625-17) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy or of Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent _______________________________________________________________ Date__________________________________