HomeMy WebLinkAbout19060053 ApplicationOFFICE USE ONLY
CITY 4F CARMEL 1PERMIT# r90(0(30063
( RESIDENTIAL PERMIT APPLICATION
Please complete form and email to permitsAcarmeLin.Dov.
If you have any questions, please call Building & Code Services at (317) 671.2444,
BUILDER OF
NAME CMH Builders, Inc,
PHONE317-714-6536
RECORD
STREET ADDRESS 8847 Commerce Park PI Suite J
Dmindianapolis
STATE IN
ZIP46268
E-MAIL ADDRESS .
lenity@cmhbuilders.com
BEST METHOD
OFC04TACT ❑ PHONE ® E4MIL
PLUMBING
HAMS
STATEOF
R UCENSE PC89100075
CONTRACTOR
Ronald C. Turner
NUMBER
UTILITIES
NAME
EXCAVATOR
PROPERTY
NAMEMark& Kathy Holcomb
PHONE317-230-6158
OWNER
�x�
STREET ADDRESS 1868 White Ash Drive
CITYCarmel
STATEIN
ZIP46033
PROJECT
PARCEL NUMBER 16-10-20-04-01 -015,000
LOCATION
LOT NUMBER 18
DIVISION
SUBJohnson Acres
1
FLOOD ZONE
STREET ADDRESS 1868 White Ash Drive
CITY Carmel
STATEIN"46033
DOES SUBDIVISION HAVE A
❑ ❑
HOMEOWNERS ASSOCIATION? YES (LETTER OF HOA APPROVAL REQUIRED) NO
TYPE OF
STRUCTURE
W SINGLE FAMILY
I
❑ TWO FAMILY
EACH UNIT WILL REQUIRE
❑ TOWNHOME SEPARATE APPLICATION
PROJECT
❑ NEWSTRUCTURE W REMODEL ❑ ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Oock
❑ GARAGE ❑ Attached ❑ Detached
COST OF
ONSTR CTIO $ 361385
ENERGY
CODE Cis] PRESCRIPTIVE El TOTAL UA ❑ PERFORMANCE
ND
I[EXCTOTAL
SQUARE 586
FOOTAGE
BASEMENT
586
FLOOR
FLOOR
PORCHES
GARAGES
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 I•jolsts 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
'fills does not Include a structural assembly, joist or truss that provides at least 1 hour of fire resiatmnco underASTM El10'
Does this project Include any Advanced Structural Components? ❑ Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) j Location(s) In Structure
❑ Lightweight FJolsts l
❑ Lightweight Roof Trusses
Class 1 structure permits are subject to the State of Indiana General Administrative Rules (GAR 075 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, recanstruction, 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 taws of the State of Indiana and the Carmel Unified Development
Ordinance (Z-626.17) and amendments, adopted under au froHty of LC. 36.7 at a", General Assembly of the State of Indiana, and all Acts amendatory
thereto, I further certiythat only kitchen, bath, and floor dralmLam cc netted to the sandary sower. I further oorft that the construction win not be
used or occupied until a Certificate of Occupancy or of Substantial Com has been issued by the Department of Community Services, Cannel, Indiana.
Signature of Owner or Authorized Agent LC W Date
4