HomeMy WebLinkAbout19050217 ApplicationOFFICE USE ONLY
C1,JV'D
"°'"CITY QF CARMEL. PERMIT# 9c? Qat_]
RESIDENTIAL PERMIT APPLICATION
A Please complete form and email to permits(fcarmel.irl as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
""ME Old Town Design G
g Group p317-605-8796
PHGNE
ADDRESS 1132 S. Rangeline Road Ste 200
CITY
STATE STATE IN
ZIP46032
E-MAIL
ADDRESSkristi@oldtowndesigngroup.com
I BEST METHOD
OF CONTACT 8 PHONE H E-MAIL
PLUMBING
NAME Ste Plumbing
9 g
STATEOFUMBEAC051100028
LICENSE NUMBER
CONTRACTOR
UTILITIES
NAME
Elevation Escavation
SEWER
UTILITY
WAITER
UTILITY
EXCAVATOR
PROPERTY `
NAME
Theresa and Michael Chalmers
PHONE
561-427-4570
OWNER <-
ADDRESS8520Tidewater Court
CITY
STATESTAITEIN
ZIP 46280
PROJECT
PARCEL
NUMBER 17-09-34-00-12-011.000
LOCATION
LOT C
NUMBER250
SUBDIVISION
Jackson's Grant
FLOOD
ZONE No
ADDRES3529 Terhune Lane
CITY
STATEsTATEIN
ZIP46032
-
DOES SUBDIVISION HAVE A
❑' H.O.A. APPROVAL REQUIRED( ❑ NO
HOMEOWNERS ASSOCIATION? YES (LETTER OF
TYPE OF
STRUCTURE
EACH UNIT WILL REQUIRE
8 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT-'
8 NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION IN BASEMENT ❑ walkout ❑ SLAB ❑ CRAWL ❑ POS7IBEAM ❑ POST/PIER
TYPE
COST OF
CONSTRUCTION $492,450.00
CODEGY ❑ PRESCRIPTIVE ❑ TOTAL UA 8 PERFORMANCE
EXCLUDING LAND
TOTAL
SQUAREL.!
_
BASEMENT 1350 ' FLOOR ;1969' FLOOR 1 121 6 ! PORCHES 374 ' GARAGES ; 653
FOOTAGE' cXr
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 -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? R Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) Location(s) in Structure
B Lightweight I -Joists _ Flooring
❑ Lightweight Roof Trusses
Class 1 structure permits are subjeetto 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, 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 (Z-625-17) and amendments, adopted under authority of I.C. 36.7 at seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto.) further certify that only kitchen, bath, and floor drains ant connected to the sanhary 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 or Authorized AgaM 7 't= Date/29/1