HomeMy WebLinkAbout20010149 ApplicationCCIITTYY OOFF CCAARRMMEELL
RREESSIIDDEENNTTIIAALL PPEERRMMIITT AAPPPPLLIICCAATTIIOONN
Please complete form and email to permits@carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
RECORD
NAME PHONE
STREET
ADDRESS
CITY STATE ZIP
E-MAIL
ADDRESS
BEST METHOD OF
CONTACT PHONE E-MAIL
PLUMBING
CONTRACTOR
NAME STATE OF INDIANA
LICENSE NUMBER
UTILITIES
EXCAVATOR
NAME SEWER
UTILITY
WATER
UTILITY
PROPERTY
OWNER
NAME PHONE
STREET
ADDRESS
CITY STATE ZIP
PROJECT
LOCATION
PARCEL
NUMBER
LOT
NUMBER
SUBDIVISION FLOOD
ZONE
STREET
ADDRESS
CITY STATE ZIP
DOES SUBDIVISION HAVE A HOMEOWNERS
ASSOCIATION? YES (IF YES, LETTER OF H.O.A.
APPROVAL REQUIRED) NO
WAS SUBDIVISION OR LOT GRANTED A VARIANCE? YES (IF YES, LETTER OF GRANT(S)
REQUIRED) NO
WILL ANY EQUIPMENT THE SIZE OF A BOBCAT OR
LARGER BE USED? YES NO
TYPE OF
STRUCTURE SINGLE FAMILY TWO FAMILY TOWNHOME
EACH UNIT WILL REQUIRE
SEPARATE APPLICATION
PROJECT
DETAILS
NEW STRUCTURE REMODEL ACCESSORY STRUCTURE DEMOLITION
ADDITION Room Porch Deck GARAGE Attached Detached
FOUNDATION
TYPE BASEMENT Walkout SLAB CRAWL POST / BEAM POST / PIER
COST OF
CONSTRUCTION
(EXCLUDING LAND) $
ENERGY CODE PRESCRIPTIVE TOTAL UA PERFORMANCE
ELECTRICAL
CODE 2020 INDIANA RESIDENTIAL CODE 2009 INDIANA ELECTRICAL CODE
TOTAL
SQUARE
FOOTAGE
BASEMENT 1ST
FLOOR
2ND
FLOOR PORCHES GARAGES
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 II 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 E119*
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 I-Joists
Lightweight Roof Trusses
OFFICE USE ONLY
PERMIT #____________
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__________________________________
20010149
Mark Spencer (Legacy Window and Door LLC)317-488-1464
Carmel IN
mark@legacywindowanddoor.com
Adam & Lisa Washburn 317-200-6399
13699 Royal Saddle Drive Carmel IN 46032
56 Saddle Creek
13699 Royal Saddle Dr Carmel IN 46032
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25000
225 225
Lisa Marie Washburn January 27, 2020