HomeMy WebLinkAbout19030058 Application/t T /� �/� OFFICE USE ONLY
04111A,1*
4I 1F 4D/"l 1. lPERMIT# � �D'5 no �5—RESIDENTIAL PERMIT APPLICATION
Please complete form and email to permitspcarmel.inAov as an attachment.
If you have any questions, please call Building $ Code Services at (317) 571-2444.
RECORD °F'
NAME
PHONEDesign/Remodeling PHONE3178462600
STREET s99 E Carmel Dr, Suite 100
CITY
STATE STATE IN
ZIP46032
E-MAIL
ADDRESSCdice@caselndy.com
BESTMETHOD
OF CONTACT ❑ PHONE E-MAIL
PLUMBING <
NAME
STATE OF INDIANA
CONTRACTOR 's
TBD
LICENSE NUMBER
UTILITIES `. . `.
NAME
SEWER
WATER
EXCAVATOR
UTILITY
UTILITY
PROPERTY
NAME
Peter C & Margaret B Hertz
PHONE
317-337-3517
OWNER
ADDRE55STREET
Shelbourne Rd
CITY
Carmel
STATE
IN
ZIP13919 46074
--
PROJECT
°,
PARCEL
NUMBER17-09-20-00-00-018.005
LOCATION
LOT N
A
SUBDIVISION
NA
FLOOD
NED
-
NUMBER
STREET Shelbourne Rd
CITY
STATESTATE IN
ZIP46074
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) [] NO
TYPE OF .
EACH UNIT WILL REQUIRE
8 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME
STRUCTURE'..
SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
ADDITION 10 Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION TYPE El El Walkout ❑ SLAB R CRAWL ElPOSTAl ElPOSTIPIER
COST OF
CONSTRUCTION $248 000
ENERGY
CODE 8 PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
`
EXCLUDING LAND r
741
PORCHES I I GARAGES
BASEMENT 1ST ! 741
FSQUARE OOTAGE
FLOOR FLOOR
L
as
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 tresses) in Class I and Class If 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 Are 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
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 6751AC 12) regarding expiration time frames for beginning and
complegng construction.
(, the undersigned, agree that any Construction, reconstruction, enlargement, rebcation, or atterellori of a structure, or any charge 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 at "% General Assembly of the State of Indiana, and all Acts amendatory
; thereto. 1 further ce" that only kitchen,bal and floor drains are connected to the sanitary sewer:; I further certify that the Construction will not be
used or occupied until a Ceri ficale of Occupancy or of Substantial Completion has been issued by the Departmer of Community Services, Carrel, Indiana.
6gnatureofOwnerorAWhor¢edAgerrt Cra4�*A. 17l.CP/ 3/11/2019
Date