HomeMy WebLinkAbout19080055 ApplicationOFFICE USE ONLY
�s °` CA9F CITY OF CARM E L PERMIT #
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COMMERCIAL / INSTITUTIONAL / MULTI -FAMILY
PERMIT APPLICATION
NOOF
Please complete form and email to permits(cDcarmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME George Bilansky - Peterson Construction
PHONE317-714-3322
RECORD
ADDRESS7132 Zionsville Road
CITYIndianapolis
STATEINZIP46268
E-MAIL
ADDRESSGBIIansky@Peterson-const-COM
BEST METHOD OF
CONTACT W PHONE E-MAIL
PLUMBING
NAME
I FERRER Mechanical
STATE OF INDIANA
LICENSE NUMBER pc11300068
CONTRACTOR
PROPERTY
OWNER
NAMEAPAHolding / Owner Paul Brock
PHONE317-863-0538
ADDRESS101 East Carmel Drive
CITYCarmel
STATEINZIP46032
PROJECT
LOCATION
PARCEL
NUMBER
ADDRESS (INCLUDING
SUITE NUMBER) 101 East Carmel Dr., Suite 202
CITY
Carmel
STATE
IN
ZIP
46032
TYPE OF
STRUCTURE
A COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:
f I
PROJECT
DETAILS
NAME OR DESCRIPTION
OF PROJECT Build out suite 202 on the 2nd floor for 3RG
❑ NEW STRUCTURE * TENANT FINISH ❑ REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION
(EXCLUDING LAND) $ 65
SQUARE
FOOTAGE 1 ,600sf
STATE OF
INDIANA CDR
PROJECT
NUMBER
RELEASE
DATE
CONSTRUCTION
TYPE
OCCUPANCY
CLASSIFICATION
SCOPE ❑ FDN ❑ STIR ARCH ❑ ELEC ❑� MECH
RELEASEE
❑� 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 El19`
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 (� eA(�I_rO�el '8 / Date 8/07/2019