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HomeMy WebLinkAbout19050153 ApplicationOFFICE ?ISE ONLY c'�� CITY OF CARMEL PERMIT#_�J®� RESIDENTIAL PERMIT APPLICATION rrealnelh Please complete form and email to p@rmitsOcarmo Qom as an attachment If you have any questions, please call Building & Code Services at (317)571.2444. BUILDER OF NAME SERVICEMASTER/MARK CROUCH 1 PHONE317-652-8889 RECORD STREET BROOKVILLE WAY SUITE B a O11YINDIANAPOLIS 6TATEIN 2l'46239 E-MAIL BEST METHOD ADDRES$markecrOUCh@yahOO.COm Of CONTACT ❑ PHONE H EMAIL PLUMBING NAME STATE OF INDIANA CONTRACTOR LICENSE NUMBER UTILITIES NAME SEWER WATER EXCAVATOR UTILITY UTILITY PROPERTY NAME PHONEBUHR PHONE 317-669-2037 OWNER STREET PREVAIL DR W CITY STATEsTATEIN 21P46033 PROJECT NUMSER 17-10-20-00-05-008.000 LOCATION LOT NUMBER 15 ]SION FLOOD ZONE ADDRESS14276 PREVAIL DR W C17YCARMEL sTATEIN 1 2IP46033 DOES SUBDIVISION HAVE HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O,A. APPROVAL REQUIRED) ❑ NO TYPE OF STRUCTURE 8SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHtlME EACH UNIT WILL REQUIRE SEPARATE APPLICATION PROJECT ❑ NEWSTRUCTURE 8 REMODEL ❑ ACCESSORY BUILDING DETAILS ❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached FOUNDATION M BASEMENT El 11 SLAB ❑ CRAWL ❑ POSTIBEAM ❑ ROSTIPIER TYPE COST OFENERGY CONSTRUCTION g pgpg� CODE PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE EXCLUDING LAND TOTAL SQUARE '' i00 .1ST -2ND BASEMENT FLOOR :.FLOOR PORCHES -GARAGES FOOTAGE l 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 lgoists or lightweight roof trusses) in Class I and Class II Construction that: 1. Have less mass dross sectional area than sawn lumber of equivalent propomons used in an equivalent applkadon; and 2. Are assembled from combustible of noncombustible materials, of beth "This does not Include a structural assembly, joist or truss that provides at least I hour of fire resistance under ASTM El 18` Does this project Include any Advanced Structural Components? a [j Yes (Section Solo. Required) ® No " Type of Advanced Structural Component (Select ail Thal apply) ' Lacation(s) in Structure ❑ Lightwelghtl4olse ❑ Llghlweight Roof Trusses Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 676 IAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargemeh4 reoc rflon, 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 (Z426.17) and amendments, adopted under authority of I.C. 76.7 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 Occupancy or of /Substantial Completion has been Issued by the Department of Community Services, Carmel, Indiana. Signature of Owner a Authorized Agent1"'" (�..+-'-' Date 5-16-19