HomeMy WebLinkAbout19100022 ApplicationT Ap i OFFICE USE ONLY
of a, CI 1 Y OF I�lRMEL� PERMIT#
rays `�!
COMMERCIAL / INSTITUTIONAL / MULTI -FAMILY
PERMIT APPLICATION
Please complete form and email to as an attachment
If you have any questions, please call Building & Code Services at (317) 571-24".
BUILDER OF
NAME Alderson Property Services, LLC
PHONE317-889-3800
RECORD
ADDRESS
South Street, Suite 100
CITYW
�I�`
lndianapolis
S TATEIN
IP46225
E-MAIL BEST METHOD OF
ADDREssbnftanig@aldersoncommercial.com CONTACT ❑ PHONE EMAIL
1PLUMBING
NAME
Leach & Russell Mechanical
STATE OF INDIANA
LICENSE NUMBER
CONTRACTOR
PROPERTY
NAME Parkwood Crossing c/o SCP Management, LLC PHONE
OWNER
ADDRESS600 E. 96th Street, Suite 150
CITY
TMlndianapolis STATEIN'
IP46240
PARCEL
E
NUMBER
SUITE NUMBER) DRESS (INCLUDING
E. 96th Street, Suite 350
CITY
�ITMIndianapolis
STATEIN
�P46240
TYPE
STRUCTURE
!, COMMERCIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
NAME OR DESCRIPTION
OF PROJECT Brighton Hospice
DETAILS
❑ NEW STRUCTURE a TENANT FINISH ❑ REMODEL ❑ ACCESSORY BUILDING ❑ CELL TOWER
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
COST OF CONSTRUCTION
(EXCLUDING LAND) $ 133,824
SQUARE
FOOTAGE 2935
STATE OF
PROJECT NUMBER 41 01 53
DATE 8/22/1 9 SE
TYPE rRtJCisCN
II-BSPK
OCCUPANCY
CLASSIFICATION
S, REM,
UNDIANA CDR
SCOPE OF 0 FDN ❑ STR ElARCH ❑ ELEC ❑
RELEASE 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 104, 2018) as it relates to the use of Advanced Structural
Components (lightweight 1-joists or lightweight roof trusses) in Class I and Class 11 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 W1 No
Type of Advanced Structural Component (Select all that apply) Location(s) in Structure
❑ Lightweight Itiloists
❑ Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding explration 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-62547) 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 Occupancy or of Substantial Completion has been Issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent 3 r-6tta - - ��Worff
Date 10/3/ 19