HomeMy WebLinkAbout19100017 ApplicationOFFICE USE ONLY
wcft CITY OF CA R M E L PERMIT #
RESIDENTIAL PERMIT APPLICATION
/ND WAN Please complete form and email to permits(a)carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME
PHONEGrimme PHONE
317-670-1036
RECORD
STREET 4914 Austin Trace
ADDRESS
�I�`Zionsville
STATE
IN 7
IP46077
E-MAIL
ADDRESSjg rl m me @ I ndy. rr. co m
BEST METHOD
OF CONTACT 8 PHONE ❑ E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
LICENSE NUMBER
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
I
UTILITY
UTILITY
R n
PROPERTY
NAME
William &Beverly Ma
P"ONE317-989-4955
,,,
STREET
ADDRESS11997 Sparrow Hawk PI
:IT
STATESTATE IN
z1P46077
PROJECT
NUMBER I7-09-31-00-10-011.000
LOCATION
LOT
NUMBER 1 95
SUBDIVISION
SanctuarySTREET
OD
rZOON
E
ADDRESS 11 997SparrowHawk PI
CITY
Zionsville2
YZionsville
STATE
1P
46077
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? ❑' YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
10 EACH UNIT WILL REQUIRE
SINGLE FAMILY El TWO ElTOWNHOME
STRUCTURE
FAMILY SEPARATE APPLICATION
PROJECT
❑ NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
® ADDITION ❑ Room ❑ Porch 8 Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION TYPE El Elwalkout ElSLAB ElCRAWL N POSTIBEAM ❑ POST/PIER
COST
ENERGY
CONSTRUCTION � 18 00o
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA ❑ PERFORMANCE
EXCLUDING LAND 7
TOTAL
SQUARE 442
BASEMENT 2ND
GARAGES
FOOTAGE
FLOOR FLOOR1ST
ADVANCED STRUCTURAL COMPONENTS REPORTING
This section is required in orderto 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 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 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
❑ Lightweight (Joists
❑ Lightweight 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 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.
Signature of Owner or Authorized Agent � Date