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HomeMy WebLinkAbout19060071 ApplicationOFFICE USE ONLY 4\11 or cAq� CITY OF CARMEL 1PERMIT# jgoboCi-71
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RESIDENTIAL PERMIT APPLICATION
Please complete form and email to permitssoJcarmel.in.gov as an attachment.
If you have any questions, please call Building $ Code Services at (317) 571-2444.
BUILDER OF
RECORD
NAME David Nemeth
PHONE
317-435-5943
STREET
ADDRESS 3029 Lucann St
DITY Carmel
STATE IN
ZIP46033
E-MAIL /�
ADDRESSdaVe@dnemeth.net
BEST METHOD
OF CONTACT @9 PHONE ❑ E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
I
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
UTILITY
UTILITY
PROPERTY
OWNER
NAME 11 Did Nemeth
PHONE
317-435-5943
STREET
ADDRESS 3029 Lucann St
CITY Carmel
STATE IN
zIP46033
PROJECTPARCEL
LOCATION
NUMBER 16-14-06-02-05-005.000
LOT pp
NUMBER 9p
SUBDIVISION
Woodland Springs
FLOOD
ZONE
ADDRESS 3029 Lucann St
CISTREET TY Carmel
STATE IN
ZIP 46033
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑' YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
STRUCTURE
El SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
PROJECT
DETAILS
® NEWSTRUCTURE SHEI) ❑ REMODEL ❑ ACCESSORY BUILDING
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION El BASEMENT El Walkout ❑ SLAB ❑ CRAWL ElPOSTIBEAM ❑ PO5TIPIER
TYPE
COST OF
CONSTRUCTION $ 2500.001
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND
TOTAL 160
SQUARE
FOOTAGE!
BASEMENT
1ST 2ND
FLOOR FLOOR I PORCHES i (GARAGES
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section Is required in order to comply with the requirements of IC 22-11-21 (Public Law 104, 2016) as it relates to the use of Advanced Structural
Components (lightweight (-joists 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 stmcturel assembly, jast or truss that provides at least 1 hour of fire resistance underASTM El19`
Does this project include any Advanced Structural Components? ❑ Yes (Section Below Required) No
Type of Advanced Structural Component (Select all that apply) Locallon(a) in Structure
❑ Lightweight blasts
❑ Lightweight Roof Trusses
USE
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a 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 Carmel Unified Development
Ordinance (2.626-17) and amendments, adopted under authority of I.C. 36.7 at seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occu of Substantial Completion gas been issued by the Department of Community Services, Carmel, Indiana.
71
Signature of Owner or Authorized Agent 06/10/2019
" 1 " l Date