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HomeMy WebLinkAbout19070149 ApplicationE Use ONLY C\yy op CngyF �a►ITX� OF CARMELPERMIT# C T9APYieRcbip! ... 6 RESIDENTIAL PERMIT APPLICATION x Iso1 Please complete form and email to permlts(c.carmel.In.%ov as an attachment. If you have any questions, please call Building & Code Services at (317) 571.2444. BUILDER OF RECORD NAME A C.j(`��,fQC:1��tt GSTREETj%''''''% K,'),Qr.:� ve S7» PHONE .�a I ADDRESS N OLJ L�, Id l s- -� • %`J / CITVI ,�.�{, fir �,LfJT�t I--� I�vI-.J ^/r�(�..kJ ST�.aN //,r� �% z;lp ,!,3 f E-MAIL . ADDRESS I W1 METHOD El PHONE GR E-MAIL PLUMBING CONTRACTOR NAME STATE OF INDIANA LICENSE NUMBER UTILITIES. EXCAVATOR NAME SEWER UTILITY WATER UTILITY PROPERTY OWNER NAME .� I rr l 77 PHONE STREET �y �/" ADDRESS �� �' ', (1,i �l,.h ' CITY//�� rr^ �i �.- STA7—Eye 2W ISI (P/ 41 ,3 PROJECT LOCATION FARCEL I t _Q 5-b3 a) bob NUMBER "T LOTSUBDIVISI NUMBER q N FLOOD ZONE STREET,�r ADDRESS /- 'P t O CITY S7A�F. Z P DOES SUBDIVISION HAVE A HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO TYPE OF STRUCTURE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME EACH UNIT WILL REQUIRE SEPARATE APPLICATION PROJECT DETAILS ❑ NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING El�/ ADDITION ❑ Room Id Parch ❑ Dock ❑ GARAGE ❑ Attached ❑ Detached FOUNDATION ElBASEMENT 1:1Walkout ❑ TYPE SLAB El [1POSTIBEAM ❑ POST/PIER COST OF CONSTRUCTION j� ENERGY CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE EXCLUDING LAND ) I TOTAL SQUARE ( f FOOTAGE, BASEMENT FLOOR ]FLOOR ( !PORCHES GARAGES ADVANCED STRUCTURAL COMPONENTS REPORTING This section Is required In order to comply with the requirements of 10 22-11.21 (Public Law 104, 2015) as it relates to the use of Advanced Structural Components (lightweight 1-jolsts or lightweight roof trusses) In Class I and Class II Construction that: 1. Have less mass crass-secllonal area then 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, jolst artruss that provides at least 1 hour of fire resistance under ASTM El 19' Does this project Include any Advanced Structural Components? ❑ Yes (Seetlon Below Required) ❑ No Type of Advanced Structural Component (Selec(all that apply) Locatlon(s) in Structure ❑ Lightweight l -Joists _ ❑ Llghtwelghl 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 LC; 36.7 at aeq, General Assembly of the State of Indiana,. and all Acta 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 f Substantial Completion hasbeen Issued by the Department of Community Services, Carmel, Indiana. Signature of Owner or Authorized Agent - 'CIL `t ""-"'�' Date — — /