HomeMy WebLinkAbout19100155 ApplicationOFFICE USE ONLY
"`iF CITY OF CARMEL PERMIT#
RESIDENTIAL PERMIT APPLICATION
l Please complete form and email to permitsCdcarmel.in qov as an attachment.
!kuopw?. If „O , have anv nuestions. Dlease call Buildinq & Code Services at (317) 571-2444.
BUILDER OF
NAME
Centennial Construction &Remodeling
PHONE
317-491-8768
RECORD
STREET
ADDRESS940 3rd Ave. SWE-MAIL
CITY Carmel
STATEINq1'L
ADDRESSInfo@centennlalremodelers.col
BEST METHOD
OF CONTACT � PHONE ❑ E-M
PLUMBING
NAME
STATE OF INDIANA
LICENSE NUMBER
CONTRACTOR
UTILITIES
NAME
SEWER
UTILITY
WATER
UTILITY
EXCAVATOR
PROJECT
PARCEL
LOCATION
NUMBER
FLOOD
LOT
SUBDIVISION
ZONE
NUMBER
STREET
ADDRSTREET Brandt Lane
CITY
Carmel
STATE
IN
ZIP
46074
DOES SUBDIVISION HAVE A ^.
HOMEOWNERS ASSOCIATION? YES (LETTER OF H.O.A. APPROVAL REQUIRED) __J NO
TYPE OF
EACH UNIT WILL REQUIRE
® SINGLE FAMILY TWO FAMILY ❑ TOWNHOME SEPARATE APPLICATION
STRUCTURE
PROJECT
❑ NEW STRUCTURE ❑� REMODEL a ACCESSORY BUILDING
DETAILS
❑ ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE ❑ Attached ❑ Detached
FOUNDATION BASEMENT ❑ Walkout ❑ SLAB ❑ CRAWL ❑ POST/BEAM POST/PIER
EM
TYPE
COST OF
CONSTRUCTION $ 30, 000.00
ENERGY
CODE ❑ PRESCRIPTIVE ❑TOTAL UA PERFORMANCE
EXCLUDING LAND
TOTAL
SQUARE 1100
BASEMENT 1100 FLOOR FLOOR PORCHES GARAGES
FOOTAGE
ADVANCED STRUCTURAL COMPONENTS REPORTING
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
FThis
Components (lightweight I -joists or lightweight roof trusses) in Class I and Class II Construction that:
ave less mass cross -sectional area than sawn lumber of equivalent proportions used in an equivalent application, and
2. 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 El19'
this project include any Advanced Structural Components? ❑ Yes (Section Below Required) ® No
[Does
pe of Advanced Structural Component (Select all that apply) Location(s) in Structure
El Lightweight I -Joists _ ..... . ..--_..... _...._. . _ .._......._ _ _.._... _...__. ... ........ _.....
❑ Lightweight Roof Trusses
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 AC 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.
Brent Ash
10/18/2019
Signature of Owner or Authorized Agent