HomeMy WebLinkAbout19040247 ApplicationOFFICE USE ONLY
opv or'Agis
CITY OF CARMEL
PERMIT#RESIDENTIAL PERMIT APPLICATION
`�CNDIplease complete form and email to Dermits(BlDarmeLfn.DDv as an attachment.
It you have any questions, please call Building & Code Services at (317) $71-2444.
RECORD OF
NAME Old Town Design Group
PHON 317-605-8796
ADD
ADDRESS 1132 S. Rangeline Road Ste 200
°m Carmel
STA IN
"46032
S4"LBEST METHOD
ADDREsskristi@oldtowndesigngroup.com OF CONTACT B PHONE B EHeAIL
PLUMBING
CONTRACTOR-
NAME
Steg Plumbing
STATE OF INDIANA
LICENSE NUMBER C051100028
UTILITIES - -
EXCAVATOR'
NAMESEWER
Elevation Escavation
DTiLlryTriCo
WATER
ImA Carmel
PROPERTY
OWNER
N"""EChris and Korie Lance
PHONE
765-661-1032
ADDR ss835 E. 78th Street
Dmindianapolis
TE
STA IN
�P46240
PROJECT
LOCATION
PARCEL
NUMBERI7-13-12-00.01-088.000
LOT pp
NUMBER
SUSDMSION
Sunrise an the Moron
FLOo4
zGNE No
.
neo ET Bucklebury Lane
011" Indianapolis
STATE
'P46280
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) 0 NO
TYPE OF
STRUCTURE
MSINGLE FAMILY El TWO FAMILY ❑ TOWNHOME EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
PROJECT
DETAILS
R NIEW STRUCTURS ❑ REMODEL ❑ ACCESSORY BUILDING
❑ ADDITION ❑ Rom ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION BASEMENT ❑ Walkout ❑ SLAB ❑ CRAWL ❑ POSTtBEAm ❑ PosTMIER
TYPE
CONSTRUCTION $ 336,290.00
CODEGY ❑ PRESCRIPTIVE 17TOTALUA 8 PERFORMANCE
EXCLUDINGOTAL NO
-
SQUARE 4101
BASEMENT 1045 '.FLOOR 1178;
(�
FLOOR NO `v753
1 PORCHES 1336 GARAGES 15589
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 Hoists or Ightweight roof trusses) In Class I and Class 11 Construction that:.
1. Have lase mass Ross-sectlonal area than sawn lumber of equivalent proportions used in an equivalent applloatlon; and
2. Are assembled horn combustible or noncombustiNe materials, or both
"This does not Include a structural assembly, jolat or truss that provides at least 1 noir of fire resistance under ASTM El Is -
Does th(s project Indude any Advanced Structural components? Yn (Section Below Required)' ❑ No
Type of Advanced Structural Component (Select all that apply) Loeation(s) in Structure
® Llghtwelght ildsts ; flooring
I� Lighteight Roof Trusses
Class 1 structura permits an subject to the State of Indiana WnerM Administrative Rules (OAR 076 LAC 12) regarding eapbadon Onto (runes for beginning and
aanPNtirtOcdmVUGOcn,
I, the undorsigned, agree that any Construction, recolutrecaon, enlargement, reecetion; or alteration of a structure, or any change in the use of land w
structures requested "is application will comply with and comorm to all applicable laws of the SURE of Mtllana and the Carmel United Oereepment
Ordinance (9426*17) and Rmend ne rds, adapted under suMwity, of I.O. SMT at'aeM1 General A nismbdyof the State of Indiana, and aN Acts dory
Merelo. I NMer cMNythat only klMhen, bath, and four claim are eomeoMd to the sanitary sawsr, I further earthy Mat the Construction Will not be
Initial w occupiad until a Certificate of Occupancy w of Substantial Ownpletian has been Issued by the i sparbnant of Dommd"ItyeMes, Carinal, Intown.
Signature of owner w AuthorUW Agent M1,64/29/19