HomeMy WebLinkAbout19070138 Application (2)/� ®R/ OFFICE USE ONLY c,
41o
CI 4F CARM L PERMIT#(Cib% b 1DRESIDENTIAL PERMIT APPLICATION
Please complete form and email to Dermits&Mcarmel.1n.goy as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BU14IPER OFF'. f
v, k
NAME PHONE
F, 31i-ta QRLl2
d
a 1 mn s.
uhi"A .,ra'° r'r`
STREET
ADDRESS
O
J'J I O
h�7y��1.
CI
it
S��E
4t4o(00
C3
q yr,ra�ylviz
cam'
V()bletdtI
..LTA,
E-MAIL 1 BEST METHOD ts�
ADDRESS COT T ❑ PHONE K E-MAIL
fs}>i n7��>.
'.a..r"��
v°�hg1i<'.� .?kl kc�t
vI�Q�`!
' �5�S r}
S e: t ki
NAME
STATE OF INDIANA
LICENSENUMBER
CI'1.1CIYIESre r?SyT';
NAME
SEWER
WATER
T=J�C�/,1i'TURmp�.h
UTILITY
UTILITY
R(YPEjT` £
NAME 1P-)HONE
e fine
Cr STATE ZIP
ASTREET DDRESS �320 one i�t,crn l �ta032
^T
�f.24`'xC'm
PARCEL
LOCATlOTr
NUMBER
LOT SUBDWI
NUMBER
FLOOD
ZONE
r 3i s e
¢Y
-
STREET �7
ADDRESS t32
_
CI STATE, 1 ZIP
!mG mt4 to 7.
#(r kfsi°rzv4% ra, .,.
HOMEOWNERS ASSOCIATION? CI YES LETTER OF H2O,A. APPROVAL REQUIRED NO
h'..�„;.��
EACH UNIT WILL REQUIRE
' SINGLE FAMILY El TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
ySTRDG'T7.
C `�/�fitY r.:«, ° -"
❑ NEWSTRUCTURE REMODEL ❑ ACCESSORY BUILDING
II..N fit -
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
1r{.
I, a rN ra v t
T aF.frt -:
FOUNDATION
BASEMENT ❑ Walkout ❑ SLAB ❑ CRAWL ❑ POSTIBEAM ❑ POS7fPIER
bra p
TYPE
COST OF
CONSTRUCTION Ll (�'t
$S_1
ENERGY
CODE ❑ PRESCRIPTIVE TOTAL UA ❑PERFORMANCE
'vile r r r�T rTrr ,�,
(EXCLUDING LAND
TOTAL
SQUARE
BASEMENT 1ST �T"f 2ND , PORCHES , GARAGES
FLOOR �i
FOOTAGE
j i FLOOR
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section Is required In order to comply with the requirements of IC 22�11-21 (Public Law 104, 2018) as It relates to the use of Advanced Structural
Components (lightweight 14olsts or lightweight mof trusses) In Class I and Cass II Construction that:
1. Have less mass cross-witonal area than sewn lumber of equivalent proportions used In an equvalent application; and
2. Are assembled from Combustble or noncombustible materlals, or both
'Thls does not Include a structural assembly, Joist or truss that provides at least 1 hour of Are resistance under ASTM El19'
Does this project Include any Advanced Structural Components? ❑ Yes (Section Below Requirod) He
Type of Advanced Structural Component (Select all that apply) Leradon(s) In Structure
❑ Lightweight IJolats
_
❑ Lightweight Rcof Trusses
" 2L`T�asq PalFS�dkF$� _�4 su�lecyylR tfn:511148frnrl�f9niHc�nqu¢p.Adm�7flfsttartt!s?'RlufsyG'AT4�f�k1'CK21'�te5a�RSe�riralloriUgEBirsn%i't�Ue�loMi`1�yrd w'i�"a`•.
e.�D.xYd✓p1C f^l-1+"��>�� ax-vA AR :4�lgr,•i YyihSVilf �.tt' ,$` tL '¢F^^.,�?.�^. ^ifN €�4Yx� "I 5$•� �"`{t
>rf�� a5'�S tr4nX oe'Facon ' x` i et
n .1 Spus eh�rnlir0eo alr�14r
VA,,,ar''�ia�'pr Uu „o aRX oieoC,�f��s(m,.
'1 �.�atrY4tuSd4"rsq�Itld lSXftr1#aPPI°rs�wiq wrbpl�WNheM cattaryYl�Ff!C4eg'Yxnevi�w¢t�n�6C�
Ga "s'^Ykli�ai"Tr�h'�4^ lldvkAn1R (v Cl$}�itWgC�fii'r If ��r� "�
��
�(k�./r rSi �
•�..T, �j,�plun"it�a�+MfRe4ta f '` ;°tats>< °�015�,a#I'Mf�M�i`�'foes �Ckflno!..l�Ita1�.: ty}�.
Lily r� i � t r t^r 1g. 5 3�' i r � � `� S ♦y '� aY i+ 7` - � �
s �
'f^ i.
.C+lf'I-.'rt 1`!ir,.5 fi A.4 rA !n :.31d [.Y} , •(4 [C SW�. 4[:. �., ei ��,�i��.A 3 S w) M1 �}J�4(}eS .a�� '�i�<][