HomeMy WebLinkAbout18110083 Application
OFFICE USE ONLY
18110083
PERMIT #________________
CITYOFCARMEL
CITYOFCARMEL
RESIDENTIALPERMITAPPLICATION
RESIDENTIALPERMITAPPLICATION
Please complete form and email to permits@carmel.in.gov.
If you have any questions, please call Building & Code Services at (317) 571-2444.
NAME PHONE
BUILDER OF
RECORD
STREET ADDRESS CITY STATE ZIP
E-MAIL ADDRESS BEST METHOD
PHONEE-MAIL
OF CONTACT
NAME STATE OF
PLUMBING
INDIANA LICENSE
NUMBER
CONTRACTOR
NAME
UTILITIES
EXCAVATOR
NAME PHONE
PROPERTY
OWNER
STREET ADDRESS CITY STATE ZIP
PARCEL NUMBER
PROJECT
LOCATION
LOT NUMBER SUBDIVISION FLOOD ZONE
STREET ADDRESS CITY STATE ZIP
DOES SUBDIVISION HAVE A
YES (LETTER OF HOA APPROVAL REQUIRED) NO
HOMEOWNERS ASSOCIATION?
TYPE OF
EACH UNIT WILL REQUIRE
SINGLE FAMILY TWO FAMILY TOWNHOME
SEPARATE APPLICATION
STRUCTURE
PROJECT
NEW STRUCTURE REMODEL ACCESSORY BUILDING
DETAILS
ADDITION RoomPorch Deck GARAGE Attached Detached
COST OF ENERGY
CONSTRUCTION CODEPRESCRIPTIVE TOTAL UA PERFORMANCE
$
192,640
(EXCLUDING LAND)
TOTAL
STND
12
SQUARE BASEMENT PORCHES GARAGES
FLOORFLOOR
FOOTAGE
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 E119*
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
floorsystem
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 _______________________________________________________________ Date__________________________________