HomeMy WebLinkAbout19090191 Application_ OFMCE USE ON
CITY OF CARMEL PERMIT#
b.
COMMERCIAL 1 INSTITUTIONAL 1 MULTI -FAMILY
PERMIT APPLICATION
`-�NzllnNt_` Please complete form and email to permits ftarmel.In. q ov as an attachment
If you have any questions, please call Building & Code Services at (317) 571-2444.
PROPERTY
OWNER
NAME
aAjAJ LGL
Pla�taE sst�
fri LfdAt oar7- ■-(1` Salz
ADD_%ESS T.
Q + 4-'
on,,, STATE TP
L•t jl�
Go G a
PROJECT
LOCATION
PARCEL p
NUMBER
ADDRESS (INCLUDING
SUITE NUMBERy 3U t >t.Ads
CITY STATE
ZIP
TYPE OF
STRUCTURE
COMMERCIAL ❑ INS-nTUTIONAL
❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
DETAILS
NAME OR DESCRIPTION
OF PROJECT a��6rl Ga.�C' �oa1
❑ NEW STRUCTURETENANT FINISH ❑
REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION Cl Room ❑ Porch ❑
Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION
(EXCLUDING LAND) $ ?Qp 400,
SQUARE
FOOTAGE pp
STATE OF
INDIANA CDR
PROJECT
NUMBER �IQ �32,
RELEASE p7/11TYPE
DATE / , ]
CONSTRUCTION OCCUPANCY
! `-6 _Qr CLASSIFICATION $ eaLf
SCOPE OF RELEASE 0 FON ElSTR
e_t ARCH ELEC .Er MECH
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 1D4, 2018) ask 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 crass -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*
I DLmti;hlee prokA;t include any Advanced Structural Components? ❑ Yes (Section Below Required) 'O_No '
Type of Advanced Structural Component (Select all that apply) Location(s) In Structure
❑ Lightweight Waists
❑ Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General AdministraUve Rules (GAR 675 IAC 12) regardhlq expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any con strueftn, 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 (b•525-17) and amendments, adopted under authority of I.C. 38-7 et seq, Go moral Assembly of the State of Indiana, and all Aets 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 untlI a Certlflcate of Occupancy or of Substantial Completion has been issued by the Department of Community Services, Carmal, Indiana.
Signature of Owner or Authorized Agent
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