HomeMy WebLinkAbout19060182 ApplicationOFFICE USE ONLY
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o°;=CkMFI CITY 4F CARMEL PERMIT #
RESIDENTIAL PERMIT APPLICATION
1NoiaN . Please complete form and email to permits(a_carmel.in.nov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME
Eilerald Glick
k
LOCATION
PHONE
317-796-5307
RECORD
SUBDIVISION
Jordan Woods
FLOOD
ZONE
STREET Rushmore Dr
ADDRESS11102 Timber Lane
CITY
STATE STATEIN "'46074
ZIPZ'P46032
E-MAIL-
ADDRESSglickmusicJg@gmail-com
BEST METHOD
OF CONTACT ® PHONE ❑ E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
STRUCTURE
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
UTILITY
UTILITY
FOUNDATION
TYPE 1:1 BASEMENT ElWalkout W SLAB ❑ CRAWL ❑ POSTIBEAM ElPOSTIPIER
PROPERTY
NAME Calvin Field
PHONE
317-844-6528
OWNER
EXCLUDING LAND
STREET11102 Timber Lane
ADDRESS
BASEMENT PORCHES GARAGES
"Carmel
STATE
IN
"P46032
PROJECT
rPiUM ER 291406404001000018
LOCATION
LOT
NUMBERPT 112 & PT 13
SUBDIVISION
Jordan Woods
FLOOD
ZONE
ADDRESS11102 Timber Lane
c CarmelITY
STATE
ZIPZ'P46032
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H-O.A- APPROVAL REQUIRED) NO
TYPE OF
EACH UNIT WILL REQUIRE
SINGLE FAMILY ❑ Twp FAMILY ❑
STRUCTURE
TOWNHOME SEPARATE APPLICATION
PROJECT
Q NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Parch ❑ Deck W GARAGE ❑ Attached Detached
FOUNDATION
TYPE 1:1 BASEMENT ElWalkout W SLAB ❑ CRAWL ❑ POSTIBEAM ElPOSTIPIER
COST OFQ
ENERGY
Q
CONSTRUCTION 3�800
CODE E] PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND
TOTAL
SQUARE
BASEMENT PORCHES GARAGES
FOOTAGE'
FLOOR FLOOR .624
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-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 4nclude any Advanced Structural Components? ❑ Yes (Section Below Required) ® No
Type of Advanced Structural Component (Select all that apply) Location(s) in Structure
.., .... .................. ,......--.....---. __.-.-...-.. - - _..--...... _ __ — .— .._ _ ... _-.-_.-._..- - ---- ----- —•-•- —
❑ Lightweight 1 -Joists
❑ Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 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 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•625-17) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 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 Pa*wlal ReU
6-24-2019
Date