HomeMy WebLinkAbout19030160 Plan Revision
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Please complete form and email to permits@carmel.in.gov.
If you have any questions, please call Building & Code Services at (317) 571-2444.
PERMIT HAS BEEN ISSUED: YES NO IF YES, PERMIT #:
BUILDER OF
RECORD
NAME PHONE
STREET ADDRESS CITY STATE ZIP
E-MAIL ADDRESS BEST METHOD OF
CONTACT PHONE E-MAIL
PLUMBING
CONTRACTOR
NAME STATE OF INDIANA
LICENSE NUMBER
PROJECT
LOCATION
PARCEL NUMBER
ADDRESS (INCLUDING
SUITE NUMBER)
CITY STATE ZIP
PROJECT
DETAILS NEW STRUCTURE REMODEL ACCESSORY BUILDING CELL TOWER
ADDITION Room Porch Deck GARAGE Attached Detached
NEW COST OF CONSTRUCTION
(EXCLUDING LAND) $NEW SQUARE
FOOTAGE
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 I-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 Occupancy or of Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent _______________________________________________________________ Date____________________________________
DESCRIPTION OF CHANGES TO SCOPE OF WORK FROM ORIGINAL SUBMITTAL:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
19030160
Justin Lawhorn 317-914-7608
14487 Plymouth Rock Dr.Carmel IN 46033
justin.m.lawhorn@gmail.com
NA NA
16-10-21-00-08-010.00
14487 Plymouth Rock Dr. Carmel IN 46033
15,000 513 (all existing SF)
Electrical scope shown (addition of (4) can lights, (1) quad receptacle, possibly (2) wall sconce lights and switch)
Justin Lawhorn 06/25/2019