HomeMy WebLinkAbout19070152 Application9 pF �qR �+ p A OFFICE USE ONLY
CITY
OF CA.R-MEL PERMIT# IOl�iv�
RESIDENTIAL PERMIT APPLICATION
omNP Please complete form and email to permitsocarmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
RE ORD OF
NAME
LLC
PHONEBuilders
P"°"E317-703-9308
STREET
W. Carmel Dr
D'TMCarmel
STATE IN
Z"46032
E-MAIL BEST METHOD
ADDRESSRawleY@I)y Y attbuilders.com OFCONTACT ❑ PHONE 8 E-MAIL
PLUMBING
CONTRACTOR.
NAME
Earl Gray & Sons
STATE OF INDIANA
LICENSE NUMBER PC1059092
UTILITIES
ExCAVATOR.
NAME
T&S Excavating
SEWER
UTILITY
WATER
UTILITY
PROPERTY
OWNER
NAME Todd Pyatt
PHONE
317-714-3719
'
STREET
ADDRESS168 W. Carmel Dr
CITY
Carmel
STATE
IN
ZIP
46032
PROJECT
LOCATION
PARCEL
NumeER J t0
NUM13ER47
SUBDIVISION
Grove at Legacy
FLOOD
ZONE Own j(Lvtl(1
A DREss14285 James Dean Drive
D'ryCarmel
STATEIN
Z1P46033
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) Q NO
assi
TYPE OF
STRUCTURE
EACH UNIT WILL REQUIRE
8 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
DETAILS
NEWSTRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION
TYPE ❑ BASEMENT ElWalkout 8 SLAB ❑ CRAWL ElM El POSTIPIER
COSTOF
CONSTRUCTION $235360
ENERGY
ICODE ❑ PRESCRIPTIVE ❑ TOTAL UA 8 PERFORMANCE
EXCLUDING LAND)TOTAL
i
SQUARE 223H
FOOTAGE
ISTQty
BASEMENT l0 'FLOOR 2ND
' 1 035 FLOOR 12031 PORCHES 1247 GARAGES €430
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in orderto comply with the requirements of IC 22-11-21 (Public Law 104, 2018) as R relates to the use of Advanced Structural
Components (lightweight 1 -joists oriightweight 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 to*
Does this project include any Advanced Structural Components? A 8 Yes (Section Below Required) ❑ No "
Type of Advanced Structural Component (Select all that apply) Location(s) In Structure
8 Lightweight --Joists .2nd Floor System
8 Lightweight Roof Trusses i Roof Trusses
.Class I structure permitsare subject to the State of Indiana General Administrative Rules (GAR 476 LAC 12)regarding expiration time frames for beginning and
completing construction,
I, the undersigned, agreethat 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 ON applicable laws of the State of Indiana and the Catmel Unified Development
Ordinance ((625-77) and amendment adopted under authority of l.0::a6.7 at seq, General Assembly of the Stateq(Indran+,and all Rets emendatory `
thereto. l"fukhe'r"urdfyfh5(only;htch"ak64th,and floonAnins ere"ifirinadied`t the eadltir"rya6'`Vid43Nrther"r rtify lh ttlie"conabUcBon Wdlrii`ot hi'"1,
used or occupied until Certificate of Occupancy or of Substmial Completion has been issued bythe Department of Community Services, Carmol, Indiana.
Rawley Hicks 7/15/2019
Signatureof Owner or Authorized Agent - Date