HomeMy WebLinkAbout19080039 ApplicationPERMIT#Ft�
OnNLY
CITY OF GARMEL. (lg0` h0059
RESIDENTIAL PERMIT APPLICATION
xgiaxP Please complete form and email to permitsr@canr l.in qov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
RECORD OF
N'ME Timothy Hull
PHONE 317-696-9595
STREET
ADDREESS12619 Pembrooke Circle
`I" Carmel
STATE IN
Z1P46032
EMAIL BEST METHOD
ADDRESStim.hllll@hull-Cre,Com OF CONTACT ❑ PHONE 8 EMAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR.
UTILITY
UTILITY
PROPEOWN
"U'ETimothy and Molly Hull
77317-696-9595
RRTM
ADDDRESS12619 Pembrooke Circle
`IT Carmel
srATEIN
�'P46032
PROJECT
NPARCEREL 17-09-33-00-04-017.00
LOCATION
NUM13ER181 LOT6uBomsIO"Claridge
Farms
OOD
ZONE
STREET RES12619 Pembrooke Circle
`ITMCarmel
6TATEIN
"P46032
DOES SUBDIVISION HAVE A
❑' ❑
HOMEOWNERS ASSOCIATION? YES (LETTER OF H.O.A. APPROVAL REQUIRED) No
TYPE OF
STRUCTURE
EI SINGLE FAMILY ❑. TWO FAMILY ❑ TOWNHOME EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
PROJECT
❑ NEWSTRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
8 ADDITION ❑ Room M PaGt ❑ Deck ❑ GARAGE ❑ Adached ❑ Detached
FOUNDATION TYPE El Elwalkout R SSLAB❑ CRAWL ElPOSTIBEAM ElPOSTIPIER
COST OF
CONSTRUCTION
$50,000
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA W PERFORMANCE
EXCLUDING LAND
TOTAL
SQUARE
BASEMENT FLOOR PORCHES i.4OO :GARAGES
FOOTAGE
t
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in order to campy 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 cress crasssecdonal area than sawn lumber of equivalent proportions used in an equivalent appfcation; and
2. Are assembled from combustible ornoncornlwstible materials, or both
"This does not include a structural assembly, joist or truss that provides at least 1. hour of fse reslstance under ASTM El 19`
Does this project include any Advanced Structural Components? ❑ yes (SoWon Below Roque(#d) 8 No
Type of Advanced Structural Component (Select all that apply) Locations) in Structure
❑ Lightweight I -Joists
❑ Lightweight Rod Trusses E
Class I structure permits are subjeetto. the State at Indiana General Administrative Rules (GAR 6761AC 12) regarding expiration time frames for beginning and
completing construction,
1, the undersigned, agree that any construction, reconstmcbon, enlargement relocation, or alteration of a structure, or any change in the use of [andor
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 (7$25.17) and amendmems, adopted under authority of I.C. 36.7 at sm General Assembly of the State of Indiana, and all Ads amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer, I further certify that the construction wig not be
used or occupied until a Certificate of Occupancy or of Substantial Completion has been Issued by the Deparbrierd of community Services, Carmel, Indiana.
T%vvwth y C ft UW 8/6/2019
Signature of Owner or AutiwrizedAgent hate