HomeMy WebLinkAboutApplication 19010118OFFICE USE ONLY
CITY OF CARMEL 1PERMIT#
RESIDENTIAL PERMIT APPLICATION
Y
Please complete form and email to permits(a)carmel.in.Qov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571.2444.
E(LDER of
"
NAME
Everett
PHDNE
HONE
317-656-7343
RECORD
R
ADDREss231 North Guilford Road
°IryCarmel
STATE IN
"P46032
E-MAILµµ
ADDRESSjeffwevereft@gmall.Com
BEST METHOD
OF CONTACT 8 PHONE 8 E-MAIL
PLUMBING - - -
NAME
STATE OF INDIANA
CONTRACTOR
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
UTILITY
UTILITY
PROPERTY
NAME
Jeff & Ana Everett 1
PHONE
317-656-7343
OWNER .
STREET
CITY
STATE
ZIP
ADDRESS
PROJECT
NUMBER 16-09-25-01-02-014.000
LOCATION
LOT
NUMBER14
SUBDIVISION Wildwood Estates
FLOO
ZONE NO
STREET North Guilford Road
CITY
STATE STATEIN
"P46032
DOES SUBDIVISION HAVE A
❑ REQUIRED) ❑' NO
HOMEOWNERS ASSOCIATION? YES (LETTER OF H.O.A. APPROVAL
TYPE OFEACH
UNIT WILL REQUIRE
8 ❑ ElTOWNHOME
STRUCTURE
SINGLE FAMILY TWO FAMILY SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE 8 REMODEL ❑ ACCESSORY BUILDING
DETAILS
8 ADDITION IY Room ❑ Porch R Deck R GARAGE 13 Attached ❑ Detached
FOUNDATION
TYPE ❑ BASEMENT ❑ Walkout ElSLAB I9 CRAWL ElPOST/BEAM ElPOST/PIER
COST OF
CONSTRUCTION $125,000
ENERGY
CODE 8 PRESCRIPTIVE [] TOTAL UA C] PERFORMANCE
EXCLUDING LAND)r
TOTAL.
SQUARE ;483
IIST��)t QQ QQ ! '
BASEMENTIPORCHESa GARAGES 1335
1483
FOOTAGE.
FLOOR jFLOOR
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is requlred 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-Jois(s 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 El 19*
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required) 8 No
Type of Advanced Structural Component (Select all that apply)
Location(s) In Structure
❑ Lightweight I -Joists
...._.-.....-_._.—_____
❑ Lightweight Roof Trusses
........-.--_-_..-_.—_— ....._......._—_._._......__---------
j
Class l structure jtermits are subject to the Slat00'I
of Indiana General Administrative Rules (GAR 571 AC 72) regarding azpiretlon time frames for baginntng ant
' complsdng co '"S I, the untlerelgnad, agree "M aM1y construction, rawnatruction, enlargemaM, relocation, or aheretion of a structure; or any change in the use of IaM or
;tru4lYres requested by flus applicatbn will comply with and conform to all applicalNe laws of tlw State of Indiana and tM Carmel UniRed DeralopmeM
`Ordinance (Z 52517) and amendments, adopted antler authority of I.C. 367 N seg. Go�ral AssemEy of the State of Ind'una, and all. Acts amerMalory
thereto.) furt[ter ceNty thei:Only kitcheM1, bath, Intl Boor III are connected to the sanhary sewer: I tuNrer certlty Urat the construction will not ba
used or occupied uMil a Certificate of Occupancy or of Substantial Completion has been issued bN Na Departmem of Comnunily. Servkas, Carmel, Indiana. `
Signature of Owner or Authorized Agent J �Verett Dare 1 /3Q/2019