HomeMy WebLinkAbout19050010 ApplicationOFFICE USE ONLY
CITY OF CPERMIT # AR E:L. 00
RESIDENTIAL PERMIT APPLICATION
tknlaw Please complete form and email to pormitstfcarmel.in.gov as an attachment.
- If you have any questions, please call Building & Code Services at (317) 571-2444,
BUILDER OF
RECORD
NAMEJOhnn YY (�
Y heelin ton
PHONE
317-604-7249
STREET
994 West 200 North
CITY
Connersville
N
F�'47331
ZIADDRESS
E-MAIL BEST METHOD
ADDRESSindybsmnts@aol.com OF CONTACT 8 PHONE ❑ E-MAIL
PLUMBING
CONTRACTOR
NAME
Ciriello Plumbing
STATE OF INDIANA
LICENSE NUMBER C019700125
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
UTILITY
UTILITY
PROPERTY.
OWNER
NAME Jitshesh Ramachandraw
PHONE
617-691-7202
STREET
ADDRESS 14121 Larson Drive
CITY
Carmel
STATE IN
ZIP46033
PROJECT
PARCEL
LOCATION
NUMBER
LOT
NUMBER
SUBDIVISION
FLOOD
ZONE
ADDREs514121 Larson Drive
D Carmel
STATE IN
ZIP46.33
U V
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H2O,A. APPROVAL REQUIRED) 51 NO
OF
CTURE
F
SINGLE FAMILY❑ TWO FAMILY ❑ 70WNHOME EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
PROJECT
DETAILS
NEW STRUCTURE 0 REMODEL ❑ ACCESSORY BUILDING
El ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION 8
TYPE BASEMENT ❑ Walkout ❑ SLAB ❑ CRAWL ElPOSTIBEAM ❑ POSTIPIER
COST OF ENERGY
CONSTRUCTION $ 30 800.00 CODE ❑ PRESCRIPTIVE ❑ TOTAL UA B PERFORMANCE
EXCLUDING LAND)LOO}
SQUARE
FOOTAGE;
BASEMENT 1485 FR ST �NogR PORCHES !GARAGES
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in order to comply with the requirements of IC 22-11-21 (Public Law 164, 2018) as it relates to the use of Advanced Structural
Components (lightweight 1 -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 appilcation; and
2. Are assembled from combustible or noncombustible materials, or both
*This does not include a structural assembly, joist or truss that provides at least 1 hour of fire resistance under ASTM E118*
project include any Advanced Structural Componentsi ❑ Yes (Section8afawR6quirad) 8 NoAdvanced
LD,oes
Structural Component (Select all that apply) Locations) in Structure
Lightweight I -Joists
Lightweight Roof Trusses }
Class I structure permfts are subject to the State of Indiana General Administrative Rules {GAR 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, ar 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 (Z-625-17) and amendments, adapted under authority of li 36-7 et seq, General.Assembly of Lha State o#Indiana; and all Acts amendatory
thereto. I further certify that only kitchen, Bath, and floor drains are connected to the sanitary sewer. I further certifythat the construction will not be ".
used or occupied until a Certificate of Occupancy or of Substantial C�o�mp%teflon has been issued by the Department of Communfty Services, Carinal, Indiana.
Y 7J �
511/2019
Signature of Owner or Authorized Agent Date