HomeMy WebLinkAbout19060179 ApplicationOFFICE USE ONLY
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CITY O F CARM E L PERMIT #
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COMMERCIAL / INSTITUTIONAL / MULTI -FAMILY
PERMIT APPLICATION
!N6laNp Please complete form and email to permitsAcarmel.in.00v as an attachment
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
RECORD
NAME qq
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da.)t= S o
PHONE
ADDRESS
I 1 S7l Ii-► i..-izij Flo - ill un
CITY 1
r—i'w
STATE
I Its
ZIP
1 4603'"
E-MAIL
ADDRESS C&P Lj L-1 L - tl� A L�.6
BEST METHOD OF
CONTACT ❑ PHONE 27 E-MAIL
PLUMBING
NAME • t pl
STATE OF INDIANA
LICENSE NUMBER
TY
E
"AMEGarmong Development CompanyPHONE
317-518-5768
ADDRESS211 W. Main Street, Suite 10�L
CITY Carmel I
STATE IN
I"p46032
PROJECT
LOCATION
NUMB R 16-09-25-16-01-007.001
ADDRESS 211 W. Main Street Suite C
CITY
STATESTATE IN
�P46032
TYPE OF
STRUCTURE
B COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
DETAILS
OFPROJ DESCRIPTION
Restaurant
❑ NEW STRUCTURE 8 TENANT FINISH ❑ REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION
(EXCLUDING LAND) $ 650,000
SQUARE
FOOTAGE 5520
STATE OF
INDIANA CDR
PROJECT
NUMBER
RELEASE
DATE
CONSTRUCTION
TYPE II-B
OCCUPANCY
CLASSIFICATION A2
SCOPE OF RELEASE ❑ FDN 8 STR ® ARCH 8 ELEC B MECH
M PLUM ❑ SPKLR 8 HOOD ❑ OTHER
ADVANCED STRUCTURAL COMPONENTS REPORTING
FTN's 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:
ave 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 El 19'
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required) 8 No
Type of Advanced Structural Component (Select all that apply) ! Location(s) in Structure
❑ Lightweight I -Joists i
... ...... ...... ..............................................................._...._....................................................................
❑ Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 676 IAC 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 Carmel Unified Development
Ordinance (Z-626.17) and amendments, adopted under authority of I.C. 36-7 at 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 Occupa cy or of Substantial Completion has been Issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agents I "L'- Date _ l� / l