HomeMy WebLinkAbout19060195 ApplicationCITY
�ACr OFFICE USE ONLY
�vexr a M@ GI1.. 1 OF CARMEL PERMIT#K 1 `70W �.5
RESIDENTIAL PERMIT APPLICATION
M
HblaNp Please complete form and email to permitspcarmel.in.aov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444,
BUILDER
RECORD OF
NAMEFirebaughConstruction LLC
PHONE 3177506128
Ano ETs4320 W. 500 North
QITMFairland
STATE IN
Z'46126
E-MAIL
ADDRESSFIrebau3@aol.com
BEST METHOD
OF CONTACT ❑ PHONE 8 EMAIL
PLUMBING
CONTRACTOR
NAME
None
STATE OF INDIANA
LICENSE NUMBER N/A
UTILITIES
ExcavAroR
NAME
None
SEWER
UTIunN/A
WATER
UTILITYN/A
I
PROPERTY
OWNER
NAME Josh Adams
PHONE 3176178095
STREET Adios Pass
"Y
STATESTATE IN
Z1P46032
PROJECT
LOCATION
PARCEL �,r�
NUMBER �—� 3 ^� -
LOT—
SUBDIVISION
FLOOD
NUMBER
L
) ftwGITMCarmel
ZONE
ZONE
ADDRESS14337 Adios Pas
STATE
ZIP46032
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑' NO
TYPE OF
STRUCTURE I
EACH UNIT WILL REQUIRE
8 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
8 ADDITION ❑ Room ® Porch M Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION
TYPE El Elwalkout ElSLAB ElCRAWL 8 POST/BEAM ElPOSTIPIER
COST OF
CONSTRUCTION $15,000.00
ENERGY
CODE ® PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND
-.
TOTAL
SQUARE 450
FOOTAGE;
.1ST 2ND I
BASEMENT ;0 iFLDON i0 FLOOR 10 'PORCHES_450 !GARAGES _0
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? ❑ 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
Ctsss'I struitum permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding expiration time frames for beginning and
c6mpleting construction.
I,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 wnfomn to all applicable laws of the State of Indiana and the Carmel Unified Development
`Ordirhance (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
-thleheto. I further certify that only kitchen; bath, and floor drains are connected to the sanitary 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 Agent j 3. f we i Onte06/25/2019