HomeMy WebLinkAbout19040169 ApplicationINSTITUTIONALOFFICE USE ONLY
elf PERMIT # 19040169
COMMERCIAL /
PERMIT
IYW APPLICATION
@104 Please completeform and 1X. § N NIf you have any questioins, please call Building & Code Services at (317) 571-2�444.
PROPERTY
NAME ,. �• PHONE
in ' -7 -� z
R
OWNER
ADDRESS
CITY STATE
ZIP
PROJECT
NUMBERI, 7-1 - " 0'" 00"001
LOCATIONPARCEL
.603
ADDRESS f BER, °ING7241 e �146 � s CITY������ STATE 7lP`"#VtJlu t�
SUITE llll( 0
TYPE OF
STRUCTURELegacy
®I COMMERCIAL INSTITUTIONAL MULTI -FAMILY NUMBER OF UNITS:
PROJECT
} r � �^�
ORDESCR1PTlOhJLegac — Chiropractic Tenant# Build -Out
NAMOF
OF PROTECT
��T���.�
D NEW STRUCTURE TENANT FINISH El REMODEL 0 ACCESSORY BUILDING El CELL TOWER
ADDITION Room 13 Porch El Deck 0 GARAGE r I Attached ci Detached)
COST OF CONSTRUCTION SI UARE
(EXCLUDING L.ANID,) 80,000 FOOTAGE 1 41 3'
T � :.
CCUPAN
NUMBER40 13T DATEPROJECT ASE0:4/16 1 TYPETRUCTI,'gN '"L),... SrK CO LASSIFCATIO'NB't t.EM
INC��,�N�LCDR .
INDI
SCOPE.
RELEASE F'ON STIR 0 ARCH ® EL.EC MECH
W PLUM, El SPKLR 0 HOOD 0I OTHER
ADVANCED STRUCTURAL G01MPON NTS REPORTING
This secfion is required 'In order to comply mouth the requirements of IC 22-11-21 (Public Law 1104, 2416) as It relates to the use of Advanced Structural
Components (lightweight I••joists or liqlhtweight roof trusses) in, Class I and Class II Construction that:
1. Have less mass cross -se Tonal area than sawn lumber or equivalent proportions used in an equivalent appficatonr and
2. Are assembled from combustible or noncombustible materials„ or Loth
'this does not 'include a structural assembly, joist or truss that provides at least hour of fore resistance under, ASTM Ei 19'
Does this project include any Advanced StructuralComponents? ® Yes ('Section Below Required) No
T e of Advanced Structural Component Select aIt that a I
yp P ( pp yj
Lure
( in Structure
..ataon s.�
L
..._
0I Ughtweightl-,foists
a
El Lightweight Roof Trusses
. ... .. .... .. ..... . ..... ......
Glass I structure permits are subject to the State of Indiana General Administrative Runes (GAR 675 lAC 12) regarding expiration tim-e'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 supplication will comply with and conform to all applicable laws of the State of Indiana, and the Carmel Unified Development
Ordinance (Z-625-1 ) and amendments, adopted under authority of 1. . 6-7 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 untila Certificate of Occupanoy`or of Substantial Completion has been issued by the Department of Community Services, Carmel', Indiana.
04(1 9(2e)1 9 i
Signature of Owner or Authorized! Agent Date