HomeMy WebLinkAbout18120034 ApplicationOFF ca use cxly
CITY OF CARMEL g l�003 f
PERMIT q
RESIDENTIAL PERMIT APPLICATION
\!xmaxa= Please complete form and small to pgrmlts(dcarmol In nov as an attachment.
Ifyou have any questions, Please call Building & Code SarYlces at (317) 671.2444.
RECORD of
N�EKent Shaffer Builders, Inc,
P"°"E317-409-4750
STREET 58649 East 250 South
DUTY
STATE aTATBIN
='P46077
E.MIAIL BEST METHOD
ADDREsskentshafferbuilders@tds.net I ❑ III
OF CONTACT PHONE E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
LICENSE NUMBER
UTILITIES
NAME
N/A
SEWER
UTIUTYN/A
WATER
tmUTYN/A
EXCAVATOR
OWNER T'�
NAME
Toombs
HONE
PHDNE630-363-1400
ADDRESS1721 Wood Valley Drive
01TYCarmel
6TATEIN
P46032
PROJECT
t 7-
4- b b- D 1' I COO
NPARCELUMBER UMBER t
NMBER12
9BB°IVI9IQ"Wood Valley Estates
MWKI
STREET
ADDRESS1721 Wood Valley Drive
CITY
Carmel
9TAR
IN
21P
46032
DOES 9UBDIVI5I0N HAVE A
❑
HOMEOWNERS ASSOCIATION? YES (LETTEROFH.O.AAPPROVALREQUIREEG Q NC
TYPE DF
$TRU CTU RE
[�] SINGLE FAMILY ❑ TWO FAMILY Cl TOWNMOME EACH UNIT WILL REgUIRE
SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE REMODEL ❑' ACCESSORY BUILOIND
DETAILS
® ADDITION ❑ Room N porch ❑ pack ❑ GARAGE ❑ ANached ❑ GefecOed
FOUNDATION
TYPE ❑ BASEMENT ❑ W.Noul ❑ SLAB B CRAWL ❑ POSTMEAM C]POSTIPIER
COST OF
CONSRUCTION $750000
IEROY
COC. ❑ PRESCRIPTIVE ❑ TOTAL UA A PERFORMANCE
EXCLUDING LAND)q
SQUARE '5003
/�
BASEMENT !.0 iiLOOR ;5003 !0 PORCHES 0 GARADES 40V
FOOTAGE;
FLOOR
ADVANCED STRUCTURAL COMPONENTS REPORTING
This ae,don IB requ r d In order Io comply with the requireme.s of IC 22-11-21 (Public Law 104, 2018) as It m1ales to the use of Advanced 9evafural
LiampUndnlB (Ilehb'IaAhl {0IB[6 0! gh1w819I1Lr0]f Wi8e6) n ('i9661 and C9E81 COI15tNCAnn thEl:
L Have lass mass crnssmsdlonnl arca Nan sawn lumlwr 0foqulvalant prq:emons g6etl to an equlvelenf applirsilgn; end
2, Are assembledfrnm cambustiblo ar noncombmtlhin metedals, or bath
"This dons net Include n etnuhaal as6enbly, foist Or trues @eiprONdac of least 1 hour of Oro raelsten,ra under ASTM Ei19`
Doeat,ispmleclincludesny Advanoed5twoWral Compmme 7 ❑ Yes (Stcaan &nlowfleyoLatlJ R No
Type of Advanced Structural Component (holed allllwt apply) I LocatiOnis) In Structure
l-Jofais
❑ Llgheigyhl
❑ LlyhlWweifi}u6ses
RoOm
pass I Inme pra permits or. subject to the State of India no General Adminhatratoo Rules (OAR $76 AO 12) rogardirg expired. Oma Names for bagfnning end
oompbting coratrucilon.
1, Ole undersigned, agree that any Oeustmadi., reconstruction, enlargement, relosatlon, oraaeration a. structure, or MY change In the use of land or
slruct,,n a raqueated by in), applieatfon will ao.ply wth end confer. to all applicable Iowa efihe ent a of inshore and iha Carmel Undlwd Oavelopmant
Ordinance (Z-626-07) end e.andmenaa, adopted under aumority of I.C. 38h7 at sen, General Aesembiy of the State of Indiana, and an Acha amendatory
Ihemto.I further eeNfytd[arty Alfonso. bath, and Door drains are tanneMad to the sannerysewer.Ifurther c.rUfy that the cartstrucflon will not be
used or sesupted until a Cerdicate of Ou7.nay or Of Substantia`ll Completion has been Issued by the Department of Com1mr/uunittyrSaHilses, Cannel, Inalana.
9lgneturz ofOwner or Authotlzed Agent rL�"e7 1 -"+—� C. I vl C�//
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