HomeMy WebLinkAbout19010103 ApplicationOf FICE use QIiLY
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C1W OF CARMEN
PERMIT #
COMMERCIAL t INSTITUTIONAL t MULTI -FAMILY
PERMIT APPLICATION
�1Ae Please complete form and email to Permits rmel.in. ov as an attachm
ent.
If you have any questkms, please calf Building 3 Cade Services at (317) s71-2444.
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NAME
PHONE
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ADDRESS CITY
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STATE ZIP
E44AJL
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STATE OFINDIANA
uCENSE NUMBER r
PROPERTY
OWNER
NAME
C1d
PHONE
ADDRESS
CITY
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STATE
Z1P
PROJECT
LOCATION
PARCEL
NUMBER
ADDRESS (INCLUDING
SURE NUMBER) IA
CITY
STATE, }
ZIP
TYPE OF
STRUCTURE
COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
DETAILS
NAME OR DESCRIPTION
OF PROJECT QWq' a��l��Ons�11
❑ NEW STRUCTURE a TENANTFINISH ❑ REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDMON ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION .� r� SQUARE
(EXCLUDING LAND) 1ZU l v O� FOOTAGE i ► (�QO
OF
PINDIANA CDR
PROJECT
NUMBER `��
RELEASE
DATE 11�L ��
CONSTRUCTION
TYPE >i1 _
OCCUPANCY
CLASSIFICATIOO-N� M
�\e—
SCOPE OF
RERELEASEElFDN ❑ STR Er ARCH Ller ELEC L`1/MECH
PLUM 0 SPIKLR ❑ 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 to the use of Advanced Structural
Components (lightweight 1-joists or lightweight roof trusses) in Class I and Class II Construction that:
1. Have less mass cross -sectional area than sawn lumber ofequivalent 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 feast 1 hour of fire resistance under ASTM Et 191
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required) ,0 No
Type of Advanced Structural Component (Seled all that apply)
Location(s) In Structure
❑ LlghtweigM hlolsts
-----'---- ----� _
❑ Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 6761AC 12) regarding expiration time frames for beginning and
completing construction.
1, 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 Cannel 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 bythe Department of Community Services, Carmel, Indiana.
signature of owner or Authorized Agent
Date I A q