HomeMy WebLinkAbout19030068 ApplicationOFFICE USE ONLY
CITY OF CARMEL IPERMIT# m
RESIDENTIAL PERMIT APPLICATION
wnlax! Please complete form and email to permlts0.carmel ingov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME
DAVI D VIEEKLEY HOMES
PHONE
317. 669. 8604
RECORD
A DRESS 9 31 0 N. Me r i d i a n St
CITY I n d i a n a p
STATE IN N
ZIP
46261
ADDRESS L L E VN S (a Wi OME S . col
of CONTACT ❑ OD PHONE B E-MAIL
PLUMBING
NAME
L u n a r Co n s t r u c t i 0
STATE OF INDIANA
LICENSE NUMBER P C 1 9400110
CONTRACTOR
uTILITIEs
NAME LUNAR
'UTILITY TRI CO
WATER
TRI CO
EXCAVATOR
PROPERTY
NAME Da v i d Vb e k l By Homes
PHONE
31 7. 6 6 9. 8 6 0 4
OWNER.
ADDRESS 9310 N Me r i di an, S T
CITY n d p l S
STATE I N
21P4 6 2 6
PROJECT
PARCEL
LOCATION
NUMBER
LOTNUMBER I
SUBDIVISION Woodside at West Clay
Zp�D
1
STREETADDRES13736 Woodside Hallow
DITM Carmel
ST"rE IN
zIP 46032
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
EACH WILL REQUIRE
SEPARATE APPLICATION
8 SINGLE FAMILY El TWO FAMILY ElTOWNHOME SEPARATE
STRUCTURE
PROJECT
NEW STRUCTURE El REMODEL ❑ ACCESSORY BUILDING
DETAILS
�-t
-"[3--AD[ilTi6 Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
_
FOUNDATION ® BASEMENT ❑ Walkout ❑ SLAB ❑ CRAWL ❑ POSTIBEAM ❑ POST/PIER
TYPE
COSTOF r�
CONSTRUCTION 1 I' �O �j
ENERGY % �,..�
CODE ❑ PRESCRIPTIVE ❑TOTAL UA 1kPERFORMANC
V'P
EXCLUDING LAND VV v
TOTAL
SQUARBASEMENTE
, 1j 12ND I PORCHES,r
qJ GARAGES v
LOI
FLOOR
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section Is required in order to comply with the requirements of IC 22-11-21 (Pudic Law 104, 2018) as It relates to the use of Advanced Structural
Components (Ilghtwelght I -joists or lightweight roof trusses) In Class 1 and Class II Construction that:
1. Have lessmass cross -sectional area than sewn lumber of equivalent proportions used In an equivalent applloatien; and
2. Are assembled from combustible or noncombustible materials, or both
'This does not Include a structural assembly, joist or Was that providesat least 1 hour of Are esistan nder ASTM Ell g'
Does this project include any Advanced Structure[Comaponents? ❑ Yes(Sactiun Below Required) 8 No
Type of Advanced Structural Component(Selactall thatappl)()
Locationts)In Structure
❑ Lightweight bJoists
❑ Lightweight Roof Trusses
Cis" I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement relocation, or attention of a structure, or any change In the use of land or
by this will comply with and confoml to all applicable laws of the State of Indiana and the Carmel Unified Development
structures requested application
Ordinance (2}626-17) and amendments, adopted under authority of I.C. 36-Y at seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto, I further certify that only kitchen, bath, and oc r drains am connected to the sanitary sewer, further certify that the construction wtll not be
of Occupancy Sub ntial Completion has been issued by the Department of Community ervicea; CamI, Indiana.
mood or occupied until a Certificate of
Signature of Owner or Authorized Agent. Date