HomeMy WebLinkAboutGN010 (1)OFFICE USE ONLY
°'`ARMF CITY OF CARMEL PERMIT#
RESIDENTIAL PERMIT APPLICATION
rxmnnp Please complete form and email to permitst7g.carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571.2444.
BUILDER OF
RECORD
NAME Old Ton Design
wn Group
9 P
PHONE
317-605-8796
ADDREs81132 S. Rangeline Rd. Ste 200
CITY
STATE STATEIN
ZIP 6032
E-MAIL
ADDREssmindi@oldtOwndeSlgngrOUp.COfll
BEST METHOD
I OF CONTACT ❑ PHONE ® E-MAIL
PLUMBING
CONTRACTOR
NAME
Steg Plumbing
STATE OF INDIANA
LICENSE NUMBER C051100028
UTILITIES
EXCAVATOR
NAME
Elevation Excavation
SEWER
UTILITYCarmel
WATER
UTILITYCarmel
PROPERTY
OWNER
NAME
Kosnoff & Sara Powell
PHONE
PHONE
317-407-7370
ADORES Danforth St.
CITY
STATESTATEIN
ZIP
46032
PROJECT
LOCATION
NUMBER 16-09-25-12-01-042.001
LOT
SUBDIVISION
FLOOD
NUMBER
ZONE
STREET
ADDRESS126 3rd Street NW
DlryCarmel
CarmelLP46032
STATE
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION7 ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑' NO
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 ® BASEMENT ❑ Walkout ElSLAB ❑ CRAWL ElPOST/BEAM ElPOSTIPIER
TYPE
COSTOF
CONSTRUCTION $ 700 331
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA 8 PERFORMANCE
EXCLUDING LAND)f
TOTAL
SQUARE -5569
FOOTAGE'..
1ST 2ND
BASEMENT 1 797 FLOOR 1 797 FLOOR 957 PORCHES -.452 GARAGES '566
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 El19'
Does this project include any Advanced Structural Components? ® Yes (Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) Location(s) in Structure
8 Lightweight Woists -flooring
❑ Lightweight Roof Trusses assess
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 6751AC 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.) 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.
I; 7) G If)G I )
Signature of Owner or Authorized Agent X'(" l �' �.( L1 A'/ Date D • f A 1 i q