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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 3i 7- Z 6 l - RECORD E'>1 ADDRESS ^ILLoi CITY ��e— STATE ZIP �C l 7 c'4)i :y f��� r`t>�'�S �r -�/Li E-MAIL ADDRESS a y rJ� 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 moo sfo;�� C r �s s �� t� I s CITY `�ct�,.n 1rs STATE ZIP PROJECT LOCATION PARCEL NUMBER ADDRESS (INCLUDING SUITE NUMBER) - G I G ( CITY � � �l iC( rcG/1 L �I STATE ZIP// v !� rJ 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 Th 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 I