HomeMy WebLinkAbout19090170 ApplicationOFFICE USE ONLY
Of
("I.NTY OF CARM L PERMIT #
RESIDENTIAL PERMIT APPLICATION
�anl�tt�f Please complete form and email to permits(aD-carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME
Forgey
PHONE
PHONE
317-508-7960
RECORD
STREET
DDR Ss3730 Power Drive
�ITMCArmel
STATE
z►P46033
E-MAIL
ADDRESSCforgey@tmcrowley.com
BEST METHOD
OF CONTACT ❑ PHONE ❑ E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
�/�
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
I N/A
UTILITY
UTILITY
PROPERTY
NAME
PHONEForgey PHONE
317-508-7960
OWNER
STREET
IRE ss3730 Power Drive
CITY
STATESTATEIN
Z'P46033
PROJECT
NUMBER 16-14-08-01-04-019.000
LOCATION
LOT
NUMBER16
SUBDIVISION
Williamson Run
FLOOD
N/A
ZONE
STREET Power Drive
CITY
STATE
ZIP46033
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
❑ NEW STRUCTURE ❑ REMODEL ,C3 ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached A Detached
FOUNDATION ❑ BASEMENT ❑ walkout ❑ SLAB ❑ CRAWL ❑ POST/BEAM /ck' POST/PIER
TYPE
COST OF
CONSTRUCTION $ 9 000
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND r
TOTAL
SQUARE 224
BASEMENT FLOOR FLOOR PORCHES GARAGES
FOOTAGE
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 kjoists 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? X Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) Location(s) in Structure
❑ Lightwe,ght I -Joists
Lightwe;ght Roof Trusses
Class I structure permits are 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 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 at seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify 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 Occupancy or of Substantial Completion has been Issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent
Data � a / I 7