HomeMy WebLinkAbout19090147 ApplicationOFFICE USE ONLY
*FSCRR1,Fr CITY OF CARMEL PERMIT#
RESIDENTIAL PERMIT APPLICATION
Y
Please complete form and email to permits(d)carmel.in.gov as an attachment.
tNUTANh If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
"AM Old Town Design Group
g p
PHONE
317-605-8796
RECORD
ADDRESS1132 S. Rangeline Ste 200
TY
CI Carmel
Carmel"P46032
STATE
j�J
E-MAIL
ADDRESS(TIIndi@OIdtOWndeslgngroup.com
BEST METHOD
OF CONTACT ❑ PHONE ® E-MAIL
PLUMBING
NAME
Steg Plumbing
STATE OF INDIANA
LICENSE NUMBER C051100028
CONTRACTOR
UTILITIES
NAME
Elevation Excavation
SEWER
UTILiTYTriCci
WATER
UTILiTYCarmel
EXCAVATOR
PROPERTY
NAMEErik& Kimberly Hansen
y
7717-437-4657
OWNER
STREETS6957 Oak Lane
CITYlndianapolls�.STATEADDRESIIv
ZIP46220
PROJECT
PARCEL R17-09-34-00-12-023.000
LOCATION
LOT
NUMBER262
SUBDIVISION I,
Jackson's Grant
FLOOD
ZONE no
STREET F
ADDRESS522 Dickson Lane
L
CITY Carmel
STATE
IN
"P46032
DOES SUBDIVISION HAVE A
❑ H.O.A. APPROVAL REQUIRED) [] NO
.011
HOMEOWNERS ASSOCIATION? YES (LETTER OF
TYPE OF
STRUCTURE
EACH UNIT WILL REQUIRE
8 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
PROJECT
® NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ® Attached ❑ Detached
FOUNDATION TYPE ® BASEMENT ❑ Walkout [ISLAB ❑ CRAWL ElPOSTIBEAM ElPOSTlPIER
COST OF
CONSTRUCTION $ 646 557
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA JJ PERFORMANCE
EXCLUDING LAND)t
TOTAL
SQUARE 6130 1
BASEMENT 1962 1962 1202 PORCHES 378 GARAGES 626
FOOTAGE
FLOOR FLOOR
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 (tfghtweight I -joists or lightweight roof trusses) In Cass I and Class II. Construction thal,
1, Have less mass crass -Sectional area than sawn lumber of equivalent proportions used in an equivafenl 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? 8 Yes {Section Below Required) ❑ No
Type of Advanced Structural Component (Select all that apply) Loeatlon(s) in Structure
8 Lightweight I -Joists ', ftOQring
❑ Lightweight Roof Trusses 1
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 constructlon, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this apptication 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. ) further certify that the construclloo will not be
used or occupied until a Certificate of Oc upancy or/Iof�Subeta nt Com&11/
pletion hasbeen Issuedby the Department of Community Serv[ces, Carmel, Indiana.
Signature of Owner or Authorized Agent "" Data ��� r