HomeMy WebLinkAbout19060208 ApplicationOFFICE USE ONLY
°Fd"* PERMIT#qn CITY OF CARMEL i (o�
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RESIDENTIAL PERMIT APPLICATION
M
rNDIFNN Please complete form and email to permits(D)carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME
Reformation LLC
PHONE
317-414-0015
RECORD
ADDREss501 Oak BLVD S Dr,
D11lyGreenfield
STATEINzIP46140
E-MAIL CF
ADDREssOffice@reformationllc.com
BEST METHOD
OF CONTACT ❑ PHONE 8 E-MAIL
PLUMBING
NAME r I ^
STATE OF INDIANA
CONTRACTOR
I V/„
LICENSE NUMBER
UTILITIES
NAME
NIA
SEWER
UTILITY
WATER
EXCAVATOR
UTILITY
PROPERTY "'
NAME
Scott Renner
PHONE
OWNER
STREET Rolling Springs Dr.
CITY
STATE STATE IN
Z'P46033
PROJECT
PARCEL
NUMBER I - 4 ( boo
LOCATION
. ,
LOT
SUBDI SIGN
FLOOD
NUMBER
I
/j �j
L
ZONE
ADDREss4220 Rolling Spring Dr.
D'ryCarmel
STATE
Z1P46033
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑a NO
TYPE OF
STRUCTURE r
EACH UNIT WILL REQUIRE
17, SINGLE FAMILY [I TWO FAMILY El70WNHOME SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE 8 REMODEL ❑ ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION
TYPE 8 BASEMENT ❑ Walkout El SLAB El CRAWL ElPOSTIBEAM ElPOSTIPIER
COST OF
TIO
$25000
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
(EXCLUDING ND
TOTAL
SQUARE ;2280
- - Q
BASEMENT 300 !FLOOR '980 FLOOR '700 PORCHES 'GARAGES
"
FOOTAGE;
i JOO
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 lightwelght 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) Locadon(s) In Structure
❑ Lightweight I -Joists
_ ___ .___..............
---- ... _............. ..__._._.._
❑ Lightweight Roof Trusses
as i0ject to the State of Indiana General Administrative Rules (GAR 6751AC 12) regarding exi
uacu or u uprw unur a ueruncaw or vuuuparruy or or auvawmrai vompreeon m s Dean rssueo Dy me ueparvnern or bomrnunr
r/Vyy� /
TRay � Signature of Owner or Authorized Agent Vt&Mar, L91 Dace6/4
ID,.. w.0 n-r os
ervices; Carmel, Indiana.
1019