HomeMy WebLinkAbout19090199 Applicationy Q OFFICE USE ONLY
STYAM PERMIT #
RESIDENTIAL PERMIT APPLICATION
t Please complete form and email to permits(aD-carmel.in.clov as an attachment.
If you have any questions, please call Building 8r Code Services at (317) 571-2444.
BUILDER OF
RECORD
NAME
Story Custom Development
PHONE
317-710-2837
STREET Keystone Crossing, suite 250
CITY
STATE sTATEIn
zlP46240
E-MAIL
ADDRESSbryanlacey@gmail.com
BEST METHOD
OF CONTACT ❑ PHONE B E-MAIL
PLUMBING
CONTRACTOR
NAME
BRS Mechanical
STATE OF INDIANA
LICENSE NUMBER PC19300056
UTILITIES
NAME
SEWER
WATER
EXCAVATOR
M
UTILITY
UTILITY
TY
NAME
David Morgan
PHONE
E
STREET
DDR ss3963 Chadwick dr.
cl''�Carmel
STATE In
ZIP
46033
PROJECT `
PARCEL
NUMBER 16-14-05-00-02-016.000
LOCATION
LOT
NUMBER 43
SUBDIVISION
Carolina Commons -Section 2
FLOOD
ZONE Panel 18057CO228G eff. 11/19/201Izone
ADDRESS 3963 Chadwick Dr.
c`TMCarmel
sTATEIn
zI
DOES SUBDIVISION HAVE A
HOMEOWNERS ASSOCIATION? YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
TYPE OF
STRUCTURE
IR SINGLE FAMILY ElTWO FAMILY ElTOWNHOME EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
PROJECT
IR NEW STRUCTURE ❑ REMODEL ❑ ACCESSORY BUILDING
DETAILS
El ADDITION ❑ Room ❑ Porch ❑ Deck GARAGE Q Attached ❑ Detached
FOUNDATION TYPE ElBASEMENT ❑ Walkout B SLAB ❑ CRAWL ElPOST/BEAM ElPOST/PIER
COST OF
CONSTRUCTION $200 000
ENERGY
CODE ❑ PRESCRIPTIVE ❑ TOTAL UA Q PERFORMANCE
EXCLUDING LAND
TOTAL
SQUARE
BASEMENT ' -FLOOR FLOOR PORCHES : GARAGES 1200
FOOTAGE.
ADVANCED STRUCTURAL COMPONENTS REPORTING
is 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 ]-joists or lightweight roof trusses) in Class I and Class II Construction that:
Have less mass cross -sectional area than sawn lumber of equivalent proportions used in an equivalent application; and
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'
FOLightweight
nclude any Advanced Structural Components? ❑ Yes (Section Below Required) No
d Structural Component (Select all that apply) Location(s) in Structure
10 eight Woists
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 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 V Z ( J