HomeMy WebLinkAbout19070171 Application/� r OFFICE USE ONLY�� �' ]
CITY OF CARMEL PERMIT#1�-�-L
�epTnikrNpi
RESIDENTIAL PERMIT APPLICATION
Please complete form and email to Dermitstdcarmei.1n.nov as an attachment
UI�N� N you have any questions, please call Building & Code Services at (317) 671-2444.
BUILDER OF
RECORD
NAMEL le & Kelli Fait
Y
PHONE
E317-431-8177
Ss12084 Bennington Trace
DmrCarmel
STATE IN
7P46032
Ao FtESSkelli.fait@ymail.com
OFCONT� PHONE ❑ E-MAIL
PLUMBING ` " `
CONTRAFTOR
NAME
STATE OF INDIANA
LICENSE NUMBER
UTILITIES
EXCAVATOR
NAME
SEWER
UTILITY
WATER
UTILITY
OO,,,,ER PROPERTY,NAME
& Kelli Fait
PHONE
PHONE317-431-8177
STREET ADDRESS12084 Bennington Trace
°C`"CarmelA'EINEl
PROJECT
LOCATION
PARCER#97-49004
NUMBER64
°"Laurel Lakes 2
NE°Not within Special Flood H
ADS DERE 512084 Bennington Trace
CITY Carmel
18TATEIN
zP46032
:
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? i] YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
STRUCTURE
EACH UNIT WILL REQUIRE
B SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
DETAILS
❑ NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
ADDITION ❑ Room R Porch ❑ deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION ❑ BASEMENT ❑ Workout ❑ SLAB ❑ CRAWL R PosTIBEAM ❑ POSTIMER
TYPE
COST OF
CONSTRUCTION $10000
00 EOY ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
(EXCLUDING LAND)r
:.
TOTAL
SQUARE
SQUARE1255
BASEMENT (IST 3 PORCHES !GARAGES
!FLOOR (FLOOR 1 �� '
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in order to comply with the requirements of IC 22-11.21 (Public Law 10d, 2918) as it relates to the use of Advanced Structural
Components (lightweight Foists or lightweight roof trusses) in pass I and Gass It Constnution that
1. Have teas mass noes-sec8onal area than sawn dumber of equivalent proportions used in an equivalent application; and
2. Am assembled from combustible or noncombustible materials, or both
•This does not Include a structural assembly, )oW a truss that provides at least 1 hour of fire resistance under ASTM E119`
Does this project inducts any Advanced Structural Components? 8 Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Sled all that apply)
Location(s) In Structure
❑ Lightweight ]Jews
Lightweight Roof Trusses
Addition to roof from exfsting deck for the srxeened porch
:Cap I atructum pemdts a subject fothe 84b d dna om waf AdmNdsftvd a Rubs (GAR b'T5 IAC 12) repaMMy eaphatlan tune hangs for beahsdng and
gni
I, the underalgeed, ayr-"a conahrrdlon, reeoesWetlon, ardargenrsnt, Moufloe, or aha = of a strudura, or any ehanae M tine used land a
eadam 6o aS oradfM Ce IN
WlterMNnair
" 'a4udurse(Z-62r ted band
etpci,debws,dtMBaa tbrdlena
end Acts
Ordlywnes (L425.17) and amendmerrb, adopted under tuthodty d I.CJS6.7 d aeq, Oenpal Assembly et the Shore d Indiana, and atl Ade amendalory
sno
thereto, l hunter certify that only Idtehen, Io b, and floor drains are coruredad to the sanitary sewer, 11~ certify that the tonshuofion will ryct be
used or occupied until a Certificated Oecuparcy or of Substantial Completion has been issued by the Depadvieni d CommuMty Services, Cam W, Indlans.
Kelli D. Fait 24 -Jul -2019
.Slgnalm of Denier of Autharhad Agent Dora