HomeMy WebLinkAbout19030013 ApplicationOFFICE USE ONLY
�F �� 'A � � 1 33331 3
yA, CITY O F CARM E L PERMIT
COMMERCIAL / INSTITUTIONAL / MULTI -FAMILY
PERMIT APPLICATION
�Ip11 Please complete form and email to tsermits(ccarmel.in,clov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAMEHNHRealty
PHONE317-435-4056
RECORD
ADDRESS580 E Carmel Drive Ste 100
CITYCarmel
STATE In
ZIP46032
E-MAIL
ADDRESShnhrealtyllc@gmall.COm
BEST METHOD OF
CONTACT ❑ PHONE E-MAIL
PLUMBING
NAME
Patton Plumbing
STATE OF INDIANA
LICENSE NUMBER
CONTRACTOR
PROPERTY
OWNER
NAMEHNHRealty LLC
PHONE317-569-5410
ADDRESS580 E Carmel Drive Ste 100
CITYCarmel
STATE IN
ZIP46032
PROJECT
LOCATION
PARCEL 16-10-31-00-00-022.002
NUMBER
ADDRESS (INCLUDING
SUITE NUMBER) 580 E Carmel Drive, 4th FLoor
CITY
Carmel
STATE
IN
ZIP
46032
TYPE OF
STRUCTURE
Q COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:_ --
PROJECT
DETAILS
NAME OR DESCRIPTION
OF PROJECT 580 E Carmel 4th Floor
❑ NEW STRUCTURE * TENANT FINISH ❑ REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF
(EXCLUDING LA D)CTION $ 1 00
SQUARE
FOO AGE 6500 SF
STATE OF
INDIANA CDR
PROJECT4O5616
NUMBER
DATEASE
3/1/2019
CONSTRUCTION
TYPE II-I3,SPK
OCCUPANCY pp
CLASSIFICATIONp
SCOPE OF RELEASE El El STIR ARCH ELEC MECH
* 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 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 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 Occupanry nr of substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
3/1 /19
Signature of Owner or Authorized Agent _1_,1V__ __ Date__ __