HomeMy WebLinkAbout19030057 REVISION2-Application,�°FRMF CITY OF CARMEL
Fy�,cTFear�j4 C�
RESIDENTIAL REVISION / AMENDMENT TO EXISTING PERMIT
Please complete form and email to DermitsCdcarmel.1n.nov.
No1AMk If you have any questions, please call Building & Code Services at (317) 571.2444.
PERMIT HAS BEEN ISSUED: W YES ❑ NO IF YES, PERMIT #: 19030057
BUILDER
RECORD
O
NAME Restoration
PHONE
317-791-3862
STREET ADDRESS 3610 Shelby Street
I Cfry Indianapolis
STATEIN
I
ZIP46227
E-MAIL ADDRESSB
rcrouch@rT100rerestoration.com
EST METHOD OF
CONTACT 8 PHONE B E-MAIL
PLUMBING
NAME
N/A
STATE OF INDIANA
LICENSE NUMBER N/A
PROJECT
LOCATION
PARCEL NUMBER
16-14-08-01-03-027.000
ADDRESS1SUITE NUM BER) 10388
10388 Briar Creek Place
CITY
STATESTATEIN
"P46033
PROJECT
DETAILS
❑ NEW STRUCTURE
B REMODEL
❑ACCESSORY BUILDING
❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck
❑ GARAGE ❑ Attached ❑ Detached
NEW COST OF CONSTRUCTION NEW
(EXCLUDING LAND) $589216.09 FOOTAGE
SQUARE
DESCRIPTION OF CHANGES TO SCOPE OF WORK FROM ORIGINAL SUBMITTAL:
Submitting final drawings/architect plans
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-lolsts or lightweight root busses) 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 s atrualural assombly, joist or tales that provides at least 1 hour of tiro resistance unbar ASTM El Ig`
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required) ❑ No
Type lot Advanced Structural Component (Select all that apply) I Location(s) in $fracture"
.............. J --__. ._ .-.... ....... ._...._.._. ...... _ ......._..........
ElLightweight 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 Ume frames for beginning and
completing construction. - -
I, the undersigned, agree that any consbructfon, 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. 56-7 at serf, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify Owl only kitchen, bath, and floor drains are connected to the sagoary sewer. I further certify that the construction will not be
used or occupied until a Certificate of 717
Intal mpI if has iwuad by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent Date �70