HomeMy WebLinkAbout19060094 ApplicationOFFICE U8� E ONLY
CITY 4F CARMEL PERMIT #I gin�
1 41``�1nifN}aFl�! \
RESIDENTIAL PERMIT APPLICATiON
Please complete form and email to pennits(McarniclAn.gov as an attachment.
If you have any questions, please call Building d Code Services at (317) 571.2444,
BUILDER OF
RECORD
NAME
Chucks Conctsruction Co LLC 1
PHONE
3173747337
ADDRes57961 Thornberry Ct
G'TYAvcn
STATE IN
�'P46123
EMAIL
ADDREsSCI)UCk�%Q,Ci1UCkSCOI15trUCt1011.COfT1
SEST METHOD
I OF CONTACT I,...) PHONE 10 E-MAIL
PLUMBING
CONTRACTOR
NAME
n/a
STATE OF INDIANA
LICENSE NUMBER n/a
UTILITIES
EXCAVATOR
NAME
n/a
SEWER
VTILIrYn/a
WATER
UTILITYn/a
PROPEOWNERRTM
NAMEDouglasr-Waldel
PHONE 2032280812
STREET
AODRESS4429 Evergreen Trail
CITY
STATESTATE IN�P46074
PROJECT
LOCATION
PARCEL NUMBER 290919012029000018
y�
NUM13ER70
SUBDIVISION Preserve at Bear Creek
ZONEOn/a
STREET Evergreen Trail
A
ql `Carmel
$TATEIN746074
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) E NO
TYPE OFEACH
STRUCTURE
UNIT WILL REQUIRE
❑' SINGLE FAMILY El TWO FAMILY ❑ TgWNHOME SEPARATE APPLICATION
PROJECT
DETAILS
❑ NEWSTRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
R ADDITION ❑ Roper E) Porch R back ❑ GARAGE ❑ Attached ❑ Dotachod
FOUNDATION
TYPE ur El BASEMENT ❑ WafkoSLAB ❑ CRAWL 13 POSTIBEAM El POSTtPIER
COT $ 1
CONSTRUCTION 000
ENERGY
CODE PRESCRIPTIVE @ TOTAL UA B PERFORMANCE
El
EXCLUDING LAND)1
TOTAL ±�
SQUARE(3337
` i ryp+�
BASEMENT 11000 I FLOOR 2354 i FLOOR v783 PgRCHES (OARAOSS 9
asse
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in order to comply with the rompromonls of IC 22-177.1 (Public Low 104, 2018) as It relalas to the use of Advanced Structural
Components (lightweight I -joists or lightweight roof frostier) In Oleos I owl Class 11 Cotntruction Thal:
1. Mavis lean moss cross•sectlorrnl area than town lumbar of equivalent proportions used In an aqulvalant application; and
2. Are assamtuod from combustible or noncoahustlble materials, or both
`This does not Include a structural assembly, joist or truss that provides at least i hour of fire roslstance under ASTM E119'
Does this project Include any Advanced Structural Compxionls7 ❑ Yes (Suction Satow Requfrcd) ig No A
Typo of Advanced Structural Component (Soloct oil flint apply) Locallon(s) in Structure
❑ Lk htwaghl I,1Wsta
❑ Lightweight Roof Trusses
Class I structure permits are sub)ec{ to the State of Indiana General Administrative Rule (GAR 575 IAC 12) ragording expiration time frame for beginning and
comploting construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration or a structure, or any change In 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 Go pool Unified Development
Ordinance (2825.17) and amendments, adopted under authority of I.C. 367 at sort, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I Further certify that only kitchen, bath, and noon drains are connected to the samkary sewer. I further certify that the construction will net be
used or occupied until a Certificate of Occupancy or of Substantial Completion has been Issued by the Department of Community Services, Carmol, Indiana.
Signature of Owner ar Authorized Agent C (7ean` j�� Da{e 06712-19