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HomeMy WebLinkAbout19090148 ApplicationOFFICE USE ONLY CITY Q F CARM E L PERMIT # RESIDEN IAL PERMIT APPLICATION Please complete form and email to permitsCa)carmel.in.clov as an attachment. If you have any questions, please call Building & Code Services at (317) 571-2444. BUILDER OF NAME PHONE RECORD7 �14 av5�,�Cr,. ?I� ill Igt(A PLUMBING CONTRACTOR UTILITIES EXCAVATOR PROPERTY OWNER PROJECT LOCATION STREET ADDRESS E-MAIL ADDRESS NAME NAME NAME 3 fti.. CITY 1 BEST METHOD OF CONTACT STATE OF INDIANA LICENSE NUMBER SEWER UTILITY J 0, STREET ADDRESS Sr CP-ry„te���C'u3 O� NUMBER PHONE CITY C i r -.e rATErj Zip q L -it C PHONE ❑ E-MAIL LOT SUBDIVISION FLOOD NUMBER ZONE STREET /r ? CITY/jl ADDRESS i C-R' �K�yr�pw r (_l.tr DOES SUBDIVISION HAVE A HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) WATER UTILITY L/-? STATE ZIP STATE Zlp AM TYPE OF STRUCTURE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME EACH UNIT WILL REQUIRE SEPARATE APPLICATION PROJECT DETAILS ❑ NEW STRUCTURE � REMODEL ❑ ACCESSORY BUILDING ❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached FOUNDATION ❑ TYPE BASEMENT ❑ Walkout ElSLAB ❑ CRAWL ❑ POSTlBEAM ❑ POST/PIER COST OF CONSTRUCTION 'IE-NERGY EXCLUDING LAND $~©�Q CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑PERFORMANCE TOTAL SQUARE BASEMENT 1ST 2ND FOOTAGE FLOOR I.>,cjy FLOOR PORCHES GARAGES ADVANCED STRUCTURAL COMPONENTS REPORTING This section is required in order to compty with the requirements of IC 22-11-21 (Public Law 104, 2018) as it relates to the use of Advanced Structural Components (lightweight I -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 include any Advanced Structura Components? ❑ Yes Sa ;ror, Balow Required) 19 No Type of Advanced Structural Component (Selig t all that apply) Location(s) in Structure ❑ Lightweight I -Joists ❑ Lightweight Roof Trusses Class I structure permits art subject to the State of Indiana General Administrative Rules )GAR 675 IAC 12) regarding expiration time frames for beginning and completing construction. I, 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 compty with and conform to ail 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 furthercertify 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 Oce�paney or of Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana. Signature of Owner or Authorized Agent 40- T� Date 'dG' 1