HomeMy WebLinkAbout19010078 Application/� �/� 6 OFFICE USE ONLY
CITY OF CARMEL PERMIT# M%Daa
RESIDENTIAL PERMIT APPLICATION
Mm�x� Please complete form and email to permitsC4carmel.in.Qov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444,
BUILDER OF .
RECORD_,_
NAME
Backyard Living
PHONE
317-826-1956
STRE ss 2345 West 141 st Street, Suite BYL
DIT' Carmel
STATE IN
ZIP46074
E-MAIL I BEST METHOD
ADDREssccarlson@BackYardLiving.biz Living.biz OFCONTACT ❑ PHONE 8 E-MAIL
PLUMBING
NAME
None
STATE OF INDIANA
LICENSE NUMBER NA
CONTRACTOR -
UTILITIES
NAME
None
SEWER
UTILITY None
WATER
UTILITY None
EXCAVATOR:::
PROPERTY '
NAME Jason and Deborah OrganPHONE
OWNER R
ADDREss2105 Burning Tree Lane
DITMCarmel
srnTEIN
ZIP 46032
PROJECT ''
'
PARCEL
NUMBER 17-13-04-03-03-004.000
LOCATION [
LOT
SUBDIVISION
OOD
NUMBER56
Crooked Stick West
ZONE
STREET
ADDRESs2105 Burning Tree Lane
CITY
Carmel
STATE,
In
ZIP
46032
DOES SUBDIVISION HAVE A
^
HOMEOWNERS ASSOCIATION?'❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
EACH UNIT WILL REQUIRE
B El El
STRUCTURE!
SINGLE FAMILY FAMILY SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
_
Iiii ADDITION ❑ Room R Porch Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION ❑
TYPE BASEMENT [IWalkout ElSLAB ElCRAWL 8 POST/BEAM ElPOSTMIER
'.
COST OF
CONSTRUCTION $40,000
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND
.
TOTAL
SQUARE I
IST 2 S
:PORCHES ;224 1GARAGES
BASEMENT :FLOOR `:
>
FOOTAGE':
FLOOR
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 -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 i hour of fire resistance under ASTM El 19'
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) ( Locatlon(s) in Structure
❑ Lightweight I -Joists
❑ Lightweight Roof Trusses