HomeMy WebLinkAbout19090174 ApplicationOFFICE USE ONLY
°`�"" CITY OF CARMEL
PERMIT #
RESIDENTIAL PERMIT APPLICATION
rNDIAN� Please complete form and email to permits(cDcarmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME ones Building Group, LLC
PHONE 317-538-0887
RECORD
STREET
ADDRESSPO BOX 3741
CITY
STATESTATE INE-MA
ZIP46082
A DRIEss jlogan2086@aol.com
I BEST
I OF CONTACOTD PHONE ❑ E-MAIL
PLUMBING
NAME
Randy Richie
STATE OF INDIANA
LICENSE NUMBER IN
CONTRACTOR
UTILITIES
NAME
Happy Valley Sand & Gravel
SEWER
UTILITYTrico
WATER
UTILITYCarmel
EXCAVATOR
PROPERTY
NAME Steven Roth
PHONE
317-557-9443
OWNER
STREET
Laurelwood Lane
CITY
STATESTATE IN
1"P46032
PROJECT
LOCATION
PARCEL
NUMBER 291310001020000018
LOT NUMBER 1 3
SUBDIVISION Laurelwood
FLOOD NONE
ZONE
STREET
ADDRESS1009 Laurelwood Lane
CITY
Carmel
STATE IN 1"P46032
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 ElTOWNHOME SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE ❑ REMODEL ® ACCESSORY BUILDING
DETAILS
M ADDITION ❑ Room M Porch ❑ Deck M GARAGE M Attached ❑ Detached
FOUNDATION ❑ BASEMENT ❑ walkout ® SLAB ® CRAWL ❑ POSTIBEAM ❑ POST/PIER
TYPE
COST OF
CONSTRUCTION $ 1 O2 OOO
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ® PERFORMANCE
EXCLUDING LAND
TOTAL
SQUARE 1202
FOOTAGE
BASEMENT O FLOOR O FLOOR O PORCHES 6O2 GARAGES BOO
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 11 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? ❑ Yes (Section Below Required) M No
Type of Advanced Structural Component (Select all that apply) Location(s) In Structure
❑ Lightweight I -Joists
❑ Lightweight Roof Trusses
Class I structure, pil _ is are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding expiration time frames for beginning and
completing conftrtlgt 11
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 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 Certificate of Occupancy or of Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
J&e-1 09/24/2019
Signature of Owner or Authorized Agent