HomeMy WebLinkAbout19020049 ApplicationOFFICE USE ONLY
µfyCFR��{ CITY OF CARMEL PERMIT#
- COMMERCIAL I INSTITUTIONAL 1 MULTI -FAMILY
w PERMIT APPLICATION
1Hotaxt Please complete form and email to permits(dcarmel.in.gov as an attachment.
If you have any questions, please call Building Sr Code Services at (317) 571-2444.
BUILDER OF
NAME
PHONE
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RECORD
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ADDRESS
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CITY
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STATE
ZIP
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E-MAIL
ADDRESS
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BEST METHOD OF
Lf� ONTACT ❑ PHONE L� E-MAIL
PLUMBING
NAME
STATE OF INDIANA
LICENSE NUMBER
QL�(D IG�j� ;? o
CONTRACTOR
PROPERTY
OWNER
NAME'-
Jcmc S
PHONE
1 3 f -7 7C)f'o
ADDRESS
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CITY
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STATE
ZIP
PROJECT
LOCATION
PARCEL
NUMBER
ADDRESS (INCLUDING
SUITE NUMBER) - G I G (
CITY � �
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STATE ZIP// v
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TYPE OF
STRUCTURE
COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
DETAILS
NAME OR DESCRIPTION
OF PROJECT &
❑ NEW STRUCTURE ❑ TENANT FINISH REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION
(EXCLUDING LAND) $ (Z �—i)L+ d
SQUARE
FOOTAGE
STATE OF
INDIANA CDR
PROJECT j
NUMBER �� ��U
RELEASE I / CONSTRUCTION
DATE 1 1 Z / !
�l �
OCCUPANCY
CLASSIFICATION
SCOPE OF —__ARCH
RELEASE El El STIR LU' ARCH M- ELEC L� MECH 9 __ PLUM ❑ SPKLR ❑ HOOD ❑ OTHER
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 10 the use of Advanced Structural
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F1.
Components (lightweight 1-joists or lightweight roof trusses) in Class I and Class II Construction that:
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 El 19*
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required)o
Type of Advanced Structural Component (Select all that apply) i 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 6751AC 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 boon issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent �—' -7,�1 6. jJ_ Date l (1 C7
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