HomeMy WebLinkAbout19090106 ApplicationOFFICE USE ONLY
CITY OF CARMEL 1PERMIT#
RESIDENTIAL PERMIT APPLICATION
rxolaaa Please complete form and email to permits gO.carmel.in.gov as an attachment.
-- - If you have any questions, please call Building & Code Services at (317) 571.2444.
BUILDER
RECORD OF
NAMEOldTown Design Group
PHONE317-605-8796
ADDREss1132 S. Rangeline Road Ste 200
1 CITY
STATE STATEIN
"'46032
E-MAIL
ADDREssmindi@Oldtowndesigngroup.com
I BEST METHOD
OF CONTACT ❑ PHONE 8 E-MAIL
PLUMBING
CONTRACTOR
NAME
Steg Plumbing
STATE OF INDIANA
LICENSE NUMBER C05110028
UTILITIES
EXCAVATOR
NAME
Elevation Excavation
SEWER
UTILITYTriCo
WATER
UTILITYCarmel
I
OPROPERTY"A°IENER
Timothy & Hilary Valentine
P"°"E513-332-8038
A EE55888 East 66th St., Apt 431
`I7Indianapolis
STATE
IN
zIP46220
PROJECT
LOCATION
PARCEL
NUMBERI7-13-12-00-01-094.000
LOT
NUMBER94
SUBDIVISION
Sunrise on the Monon
FLOOD
ZONE no
STREET Windpump Way
CITY
STATE STATEIN
Z'P46280
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑' NO
TYPE OF
STRUCTURE
EACH UNIT WILL REQUIRE
® SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
DETAILS
® NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION TYPE El ElWalkout M SLAB ❑ CRAWL ElPOSTIBEAM ❑ POSTIPIER
COST OF
CONSTRUCTION $355086.00
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA iJ PERFORMANCE
EXCLUDING LAND)�j
TOTAL
TOTAL--2207
FOOTAGE
nnC ,tC
BASEMENT '..PORCHES :GARAGES
FLOOR 1477', FLOOR 730 225 ',459
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 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 Structural Components? 8 Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) Location(s) In Structure
8 Lightweight I -Joists Flooring
IB Lightweight Root Trusses Roof
Class I structure permits am 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 comply with and conform to all applicable Iowa of the State of Indiana and the Central Unified Development
Ordinance (Zd25.17) and amendments, adopted under authority of I.C. 30-7 at seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. ) further cartify that only kitchen, bath, and floor drains am connected to the sanitary sewer. ) 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, Car Indiana.
(msss1,
Signature of Owner or Authortud Agent�t d2 - (O, Date q, I I2/u'' I r