HomeMy WebLinkAbout19090111 ApplicationOFFICE USE ONLY
Gtt{oKCq CITY OF CAS "t EL PERMIT #
-1 INSTITUTIONAL / MULTI -FAMILY
PERMIT APPLICATION
`�HniAt►a Please complete form and email to permits(c?carmel.in.ciov as an attachment.
If you have any questions, please call Building & Code Services at' (317) 571-2444.
BUILDER OF NAME \ PHONE
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ADDRESS CI STATE ZIP
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MBING NAME STATE OF INDIANA
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PROPERTY
OWNER
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ADDRESS �j
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CITY
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STATE
ZIP
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PROJECT
PARCEL
LOCATION
NUMBER
ADDRESS (INCLUDING
SUITE NUMBER) L ���tv )�
CITY
STATE
ZIP
TYPE OF
STRUCTURE
COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
DETAILS
NAME OR DESCRIPTION
OF PROJECT
❑ NEW STRUCTURE ❑ TENANT FINISH L!Y REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION
(EXCLUDING LAND) $ /ZD 060
SQUARE /
FOOTAGE
STATE OF
INDIANA GDR
PROJECT
NUMBER �lQj 1 7
RELEASE
DATE �� 3 /�
CONSTRUCTIO
TYPE /1, n
�
OCCUPANCY
CLASSIFICATION
SCOPE ❑ FDN ❑ STR ARCH [+ ELEC E
RELEASEE L./r MECH
EiY'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 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 El19*
project include any Advanced Structural Components? ❑ Yes (Section Below Required) No
dvanced Structural Component (Select all that apply) Location(s) in Structure
Lightweight I-JoistsLightweight
rEl
Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 6751AC 12) rc
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a str
structures requested by this application will comply with and conform to all applicable laws of the State of In
Ordinance (Z-625-17) and amendments, adopted under authority of LC. 36-7 at seq, General Assembly of the
thereto. i further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further
used or occupied until a Certificate of Occupancy or of Substantial Completion has been issued by the Depar
Signature of Owner or Authorized Agent
expiration time frames for beginning and
e, or any change in the use of land or
and the Carmel Unified Development
of Indiana, and all Acts amendatory
y that the construction will not be
t of Community Services, Carmel, Indiana.
Date q LG / /