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HomeMy WebLinkAbout19020073 ApplicationCITY OF CARMEL PERMIT 1 RESIDENTIAL PERMIT APPLICATION �ao�Aa'f Please complete form and email to permits@carmeLin.Gov as an attachment If you have any questions, please call Building & Code Services at (311f) 571-2444. BUILDER OF NAME 1� / Ma (-1 PHONE 3 j Soo 0,�� RECORD (i O CO C DDRES AS 7 1 2(j'o/� w 34 ?L O.�"n `Sq 61M �Ib LW ADDRESSMG l\C [�i0��1�nC �,�(, (�6,1 OFCONTACTp ❑ PHONE JW EMAIL ,.0 PLUMBING NAME STATE OF INDIANA CONTRACTOR ...NAME I LICENSE NUMBER UTILITIES SEWER WATER EXCAVATOR UTILITY UTILITY futME phwc E' l PHONE 165 63 665 i o , vc� �c E 1 ADDRESS�(0 EILL s STREET �� L4v PROJECT PARCEL 04 003, (j 0,9 LOCATION LoTI, ki+\ SUB N. f FLOOD TONE �'lqa ti y�2�� DOES SUBDIVISION HAVE A HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF KOA APPROVAL RE ED) ❑. NO TYPE OF STRUCTURE EACH ❑ SINGLEFAMILY to TWO FAMILY ❑ TOWNHOME SEPARAfEAPLICATIOE SEPARATE APPLICATION PROJECT 0 NEW STRUCTURE C4 REMODEL ❑ ACCESSORY BUILDING DETAILS ❑ Aw1moN ❑ Room ❑ Parch ❑ Deck ❑ GARAGE ❑ Adaenea ❑ Detached FOUNDATION SASEIIIENT ElWallout ElOS SLAB ❑ CRAWL ❑ POSTIBEAM ❑ PMER TYPE COSTor l� $ I GUO { CODE Y ❑ PRESCRIPTIVE ❑TOTALUA ❑PERFORMANCE .FOOTAGE TOTAL r �2, r 00 ., 2ND i EASEMENT ISTFLOOR FLOOR PORCHES :GARAGES. ADVANCED STRUCTURAL COMPONENTS REPORTING Ties secoon is regaled in order to conyly wkh the requirements d IC 22-11-21 (PdAe Law 104, 2018) as it relates to the use of Advanced Swicaxal Componems (6gMweight I-jdsm a 8 t and mases) in Class I and Class 8 Conswaion Own; 1. Have less mffisaces-serAorW auea Ilan sarin Wmber W egivalrnnt pmportiona wed man equw4dent appGcabon, and 2 Are assembled from combus" or noncemhus" matenwa, a both `ills doss not tnckWe a stnxxural assembly, joist a Miss *.I pmvides at least 1 hour of Tve resistance under ASPM El IW Does 4t project innckIde any Advanced Structural Components? ❑ Yes (Section BdowR"Wned) �, No Type of Advanced Structtrral Component (SeWal dud appy) 1 Locations) In Structure ❑ uotweigle F.lo m t ❑ Lighhve#* RoofTnwes CWasiaouWrre Waft aresub)eatothe Stag of lodiarIa General.AdmW4sCaHve Rules (GAR 87BM 12) isgwd" wWaftathneframes1w beSM Ing and mmpMflrgcon}truotlon.. ..