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19030109 Application
cull 0P OABAIFv yenTrbr'Rr4reE a k61pN OFFICE USE ONLY CITY OF CARMEL PERMIT# d�0 RESIDENTIAL PERMIT APPLICATION Please complete form and email to permits@a carmel.ln.gov as an attachment. If you have any questions, please call Building & Code Services at (317) 571-2444. BUILDER OF NAME PHGNE 317, 669. 8604 RECORD ADDRESS 9310 N. Mer i di an St °" I n d i a n a p STATE N 21"46261 E-MAIL ADDRESS L L EVV S a�pV HOMES. c O HOMES. BESTMETHO OF CONTACTTD ❑ PHONE © E-MAIL PLUMBING NAME L u n a r Const r u s t I C STATE OF INDIANA LICENSE NUMBER P C 1 94001 1 0 CONTRACTOR ;- UTILITIES EX6AVATOR NAME LUNAR unuTv TRI CO Wnuiv TRI CO PROPERTY Davi d M e k l e Homes PHONE 317,669.8604 OWNER FA y Sa 9310 N Me r i d i a n, STICITY I n d p l S STATE I N zIP4626 1 PROJECT PARCEL LOCATION NUMBER LOT13 SUBDIVISION wlJodside at west CIa Y PLOOD NUMBER ZONE ADDRESS 13780 Woodside Hollow CITY Carmel STATE IN ZIP DOES SUBDIVISION HAVE A HOMEOWNERS ASSOCIATION? ❑ ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) NO TYPE OF - STRUCTURE Q SINGLE FAMILY ❑ TWO FAMILY CD TOWNHQME SACH UNIT WILL REQUIRE EPARATE APPLICATION PROJECT ® NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING DETAILS ❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached FOUNTYPE TION ® BASEMENT ❑ Walkout ❑ SLAB ❑ CRAWL ❑ POST/BEAM ❑ POSTIPIER COSTOFTYPE / �y CONSTRUCTION ,$ }�©yam �Fl V CODE ENERGY ❑ PRESCRIPTIVE ❑ TOTAL UA PERFORMANCE ✓ V EXCLUDING LATOTAL ING I 1 ,r IST 2ND BASEMENT l" 1 FLOOR? FLOOR r� �7 i � � PORCHES vc, / GARAGES /n FSQUAREOOTAGE { I / l( 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 tha8 1. Have less mass cross-sectional area then sawn lumber of equivalent proportions used in an equivalent application; and 2. Are assembled from combustible or noncombustible materials, or both `This does hot include a structural assembly, joist or rues that provides at least 1 hour of fire resistance under ASTM E 119 - Does this protect include any Advanced Structural Components? ❑ Yes (Secllon Below Rogrlred) No Type of Advanced Structural Component (Select all that apply) Locat7on(a) In Structure ❑ Lightweights-Joisls ❑ Lightweight Poor Trusses i class 1 structure permits are subject to the State of Indiana General Administrative Rules (GAR 6761A6 12) regarding expiration time frames for beginning and completing construction. - - I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ora structure, or any change 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 Cannel Unified Development Ordinance (2.626.17) and amendments, adopted under authority of 1.0.36-7 at seg, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor dro na are connected to the sanitary sewer, l further certify that the eonstructlon will not tie used or occupied until a Certificate of Occupano prof. tantial Completion has been Issued by the Department of Community Services; Carmel, Indiana, 3-20-19 Signature of Owner or Authorized Agent Date V