HomeMy WebLinkAbout19070175 Application/� p t OFFICE use ONLY
rG ueCRARF`� �TY Q F �'1 RMEL PERMIT # 19 U70i
RESIDENTIAL PERMIT APPLICATION
Please complete form and email to Perm itsAcarmeLln.nov as an attachment.
`NnIAN p'`
If you haveany questions, please call Building &Code Services at (317) 571-2444.
BUILDER OF
NAME
The Lifestyle Group, Inc.
PHONE
1 317.352.9022
RECORD
STREET 6230 Southeastern Avenue
ADDRESS
DITYIndianapolis
6TATEIN
21'46203
E-MAILSEST METHOO
ADDREBBinfo@lifestylegroup.com OFCONTACT ® PHONE E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
Chapman Heating Cooling Plumbing
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
UTILITY
UTILITY
PROPERTYNAMEBill
& Janeen Earwood
PHONE
317,372.2454
OWNER
AooRE5s13845 Forest Terrace
`ITYCarmel
STATEIN
21.46032
PROJECT
PARCEL , /r)5 1 �) OO
LOCATION
NUMBER . ,
LOT
NUMBER
SUBDIVISION
Spring Mill Crossing
I FLOOD
ZONE
ADDR SS13845 Forest Terrace
C'Carmel
6TATEIN
21'46032
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF HA.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
STRUCTURE I
EACH UNIT WILL REQUIRE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
DETAILS
❑ NEW STRUCTURE 9 REMODEL ❑ ACCESSORY BUILDING
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION ®BASEMENT [IWalkout El 1:1CRAWL ❑
TYPE POSTIBEAM ❑ POSTIPIER
COST OF
CONSTRUCTION $ 122,117.01
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND
TOTAL i
41 55
I ,t •. i
BASEMENT 861 FLOOR 1422 FLOOR ' 1 272 PORCHES ` ;GARAGES ;600
FOOTAGE
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 -joists or lightweight roof trusses) In Class I and Class II Construction that:
1. Have less mass cross-sectlenai 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 l9'
Does this project include any Advanced Structural Components? D Yes ($action Below Repaired) No e
Type of Advanced Structural Component (Select all that apply) Location(s) In Structure
❑ Lightweight I -Joists~ _.�....
❑ Lightweight Roof Trusses
Class t structure permits are subject to the State of Indiana General Administrative Rules (GAR 673 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 inthe 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 Cannel Unified Development
Ordinance (Z-626.17) and amendments, adopted under authority of LC. 36-7 at seq, General Assembly of the State of Indiana, and an Acts amendatory
'... thereto. I further certify that only Kitchen, bath, and floor drams are connected to the sanitary sewer.I furfhar certify that the construction will not be -
used or occupied until a Certificate of Occupancy orofSubstantial Completion has been Issued by the Department of Community Services, Cannel, Indiana.
�e cy
e�l W. ROVe4'11
Signature of Owner or Authorized Agent e , Dete07/24/19