HomeMy WebLinkAbout19090184 ApplicationOFFICE USE ONLY
G�j,°tlCkRF� CITY OF CARM E L PERMIT #
RESIDENTIAL PERMIT APPLICATION
\ ,�yutaNA Please complete form and email toper its(a-.carmelJn.gov as an attachment.
If you have any questions, please calf Building & Code Services at (317) 571-2444.
BUILDER OF
NAME PHONE
Old Town Design Group 317-605-8796
RECORD
__[Z46032AD
DSCITMCarmel STATEIN
s1132 S. Rangeline Rd. Ste 200
E-MAIL BEST METHOD
ADDRESSmindi@oldtowndesigngroup.com I OF CONTACT ❑ PHONE ® E-MAIL
PLUMBING
NAME STATE OF INDIANA11 OOQ2S
Steg Plumbing LICENSE NUMBER iCQr 5
CONTRACTOR
UTILITIES
NAME
Elevation Excavation
SEWER
UTILITYCarmel
WATER
UTILITYCarmel
EXCAVATOR
PROPERTY
NAME
Scott Kosnoff &Sara Powell
PHONE
317-407-7370
OWNER
ASTREET DDRESs639 Danforth St. CITY Carmel STATE I*' 1"P46032
PROJECT
PARCEL
NUMBERI6-09-25-12-01-042.001
LOCATION
LOT SUBDIVISION FLOOD
NUMBER ZONE
ADDR SS126 3rd Street NW GITY Carmel STATE IN ZIP46032
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ' NO
TYPE OF
® SINGLE FAMILY ❑ TWO FAMILY ❑ 70WNHOME EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
STRUCTURE
PROJECT
8 NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ® Attached ❑ Detached
FOUNDATION TYPE ® BASEMENT ❑ Walkout ElSLAB ElCRAWL (IPOSTIBEAM ❑ POST/PIER
COST OF ENERGY
CONSTRUCTION $ 700 33 1 CODE ❑ PRESCRIPTIVE ❑ TOTAL UA 8 PERFORMANCE
EXCLUDING LAND)
SQUARE 5569
IST 957 452 566
BASEMENT 1797 :FLOOR 1 797 FLOOR ' PORCHES GARAGES
FOOTAGE
ADVANCED STRUCTURAL COMPONENTS REPORTING
s 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 1-joists or lightweight roof trusses)in Class I and Class II Construction that:
ave less mass crass -sectional area than sawn lumber of equivalent proportions used in an equivalent application; and
re 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*
Fthis
clude any Advanced Structural Components? 8 Yes {Section Below Required) ❑ No
d Structural Component (Select all that apply)Locatlon(s} in Structureeight
I-Joistsflooring
eight 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.
1, 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 et 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 Certifrcat of Occupancy ar of Substant' I Completion has been Issued by the Department of Community Services, Carmel, Indiana.
. pC
Signature of Owner or Authorized Agentx Date r