HomeMy WebLinkAbout19060173 ApplicationOFFICE USE ONLY -y G\.tq ar CgyMF CITY OF CARMEL PERMIT#
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RESIDENTIAL PERMIT APPLICATION
4
rNeIANN Please complete form and email to permits(cDcarmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571.2444.
RECORD OF
NAMETheSmart Pergola
PHONE317-987-7736 ease
STREET Brighton Ave
CITY
STATE STATEIN
"P46032
E-MAIL
ADDRESSCIBudio@TheSmartPergola.Com
BEST METHOD
I OF CONTACT ❑ PHONE E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
NA
LICENSE NUMBER
UTILITIES -
NAME
SEWER
WATER
EXCAVATOR
NA
UTILITY
UTILITY
sa
PROPERTY -
NAME
PHONEMiller PHONE
317-418-8271
OWNER
ADDRE5s2510 Colony Ct
71ndianapolis
STATEINZIP46280
PROJECT
PARCEL
NUMBER17-14-07-04-01-018.000
LOCATION
NUMBER2•f
SUBDIVISION
LAKEWOOD GARDENS
FLOOD
ZONE
ADDRE5s2510 Colony Ct
CITY
STATESTATEIN
ZIP46280
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑' NO
TYPE OF
EACH UNIT WILL REQUIRE
M SINGLE FAMILY ElTWO El70WNHOME
STRUCTURE
FAMILY SEPARATE APPLICATION
PROJECT.
❑ NEW STRUCTURE ❑ REMODEL 8 ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION TYPE El ElWalkout ElSLAB ElCRAWL ElPOSPBEAM 8 POSTIPIER
COSTOF
CONSTRUCTION $ 1 7 740
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND)r
TOTAL
SQUARE 11 92
:PORCHES (GARAGES
BASEMENT 1192
FOOTAGE`
iFLOOR
ADVANCED STRUCTURAL COMPONENTS REPORTING
This sectlon 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 -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 structural assembly, joist or truss that provides at least 1 hour of fire resistance under ASTM El 19`
Does this project Include any Advanced Structural Components? ❑ Yes (Section Below Required) 8 No
Type of Advanced Structural Component (Select all that apply) Location(s) In Structure
❑ Lightweight I -Joists
❑ Lightweight Roof Trusses
-Class I structure permits are subject to the.
.completing construction.
As of Indiana General Administrative Rules (GAR 6751AC 12) regarding expiration time frames for beginning and
Ordinance (Z-625-11) and amendments, adopted under authority of I.C. 36.7 et 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 certfy that the construction will not be
Used or occupied until a Certificate of Occupancy or of: Substantial Completion has been Issued by the Department of Community Services, Carmel, Indiana.
C1auzU&'8e*t&U 06/21 /2019
Signature of Owneror Authorized Agent' Date