HomeMy WebLinkAbout19060051 ApplicationOFFICE USE ONLY
CITY OF CARMEL
PERMIT# 0cpoo5f
RESIDENTIAL PERMIT APPLICATION
,VDI 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.
RROF
RECORD
D
"AME Custom Woodworks Inc.
PHONE
317-847-3725
STREET
ADDRESS 17440 Westfield Park Dr
CITY
Westfield
STATE
IN
ZIP
46074
E-MAIL
ADDRESSwdwkcwl@frontler.com
BEST METHOD
OF CONTACT 8 PHONE ❑ E-MAIL
PLUMBING -
CONTRACTOR
NAME
Mr Plumber
STATE OF INDIANA
LICENSE NUMBER C050800249
UTILITIES
EXCAVATOR
NAMESEWER
Busses Exc.
UTILITY Busse's Exc.
WATER
UTILITY Busse's Exc.
PROPERTY
OWNER
NAME
Boyd and Kalen Jackson
PHONE
260-668-9052
STREET
ADDRESS Hoover Rd
`ITMCarmel
STATE IN
ZIP 46032
PROJECT.
PARCEL
LOCATION
NUMBER
LOT
SUBDIVISION
FLOOD
NUMBER
ZONE
ADDRESS12095 Hoover Rd
TYCarmel
STATE IN
zIP46032
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑' NO
TYPE OF:'._.
STRUCTURE8
EACH UNIT WILL REQUIRE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
DETAILS
❑ NEW STRUCTURE ❑ REMODEL 8 ACCESSORY BUILDING
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
'.
FOUNDATION ElBASEMENT ❑ Walkout 8 SLAB ❑ CRAWL ElPOSTIBEAM ❑
TYPE POSTIPIER
COST OF
CONSTRUCTION $220,000--
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA 8 PERFORMANCE
EXCLUDING LAND
-.
TOTAL s
SQUARE ; 750
FOOTAGE
BASEMENT I FLOOR 1750 'FLOOR i ;PORCHES ', I GARAGES
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-jolsls or lightweight roof trusses) in Class I and Class II Construction that;
1. Have less mass cross-sectlonal area than sawn lumber of equivalent proportions used in an equlvalent 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] structure permits areSubject to the State of Indiana General Administrative Rules (GAR 6751AC 12) regarding aspiration time frames for beginning and
complethv constnwtion.
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-825.17) and amendments, adopted urWer ai toft of I.C. SS -7 it seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchens bath, and floor drains; are connected to the sanitary sewer. I further certify that the construction will rat be
Used or occupied until a Certificate of Occupancy or of Substantial Completion has been Issued by the Department of Community Services, Cannel, Indiana.
Tooryw }�A•�' 'ice 6/7/19
Signature of Owner or Authofited AgentDate