HomeMy WebLinkAbout14040204 Application � `��"`�� CITY OF CARMEL / CLAY TQWNSHIP PERMIT # -a b,�0
� � RESIDENTIAL�IMPROVEMENTLOCATIONPERMITAPPLICATION Sewer�/�Water�Utili
�rp��p* For New Structures�Addition's�Remodcls;and Accessory5tructures PCrinit#�� �� �� � t �
BUILDER� NAME PHONE FAX
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RECORD STREETADDRESS CITY STATE IIP
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PLUMBING NAM STATEOFINDIANA pLUMBINGCODE
CONTRACTOR � � LICENSENUMBER ��� �I IRC q UPC
PROPERTY "a"7E � _ PHONE FAX
OWNER L �k . LLL 4 - '4 �v61- (o%'J'G�3
SfRE �ADDR � CITY STATE YIP
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PROJEGT �OT NUMBER - SUBDIVISION NAME SEGTION
LOCATION � I - 42 2
STRE ADDRESS � � „�n STATE 2IP
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7AX MAP.pARCEL NUMBER �ZO FLOOD ZONE/5
i�-lU-,23-trO-c95- 0�2.,t�d � /-1-� n�} z.�w�k
LOTSPLIf SEWERUTILI7Y WATER L SEWER/ ATER
0 YES O NO � �'C. i . UTILITI E7(CAVATOR� � •�� •
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TYPE OF TYPE OF CONSTRUCf[ON' BY ERMIT FLOORPLAN
PERMTT � SINGLEfAMILY � TWO PAMILY WNHOME � YES 1� NO � — T�k-�
TYPE OFIMPROVEMENT EARLYRELEASE
�,� NEW STRUCTURE O REMODEL. ATTACHED GARAGE 0 ACCESSORY BUILDING � �
O ADDITION-qRoom/s ��POrch ODeck O BASEMENTFINISH � DETACHEDG � DEMOLITION O YES i(mV
PROJECT P�N COMMISSiON/BZA/BPW-0OCKET NUMBER/S AND/OR SQUARE FOOTAGE
TAC DATE/5
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PDFPCANS TYPEDFFOUNDATION VICE UMPPUMP PORCH
❑ CD 0 E-MAIL � SIAB O BASEMEN7-O WALK-0UT OS SY ����$�
CR%1WLSPACE 0 �POST&BEAM O POST ��j ��VII��� � IP O YES � NO YES � NO
STATE OF . COR NUMBER RELEASE DA7E ,.0�.p p . N TYPE OCCUPANCY CLASS
INDIANA ��- lv'l'3 '��� er� � �
SCOPE OFRELEASE / � � - � RELEASE
OR OWNHOMES q/�DN �TR���ARCH'�LEC ,�1ECH Ili"PLUM � SPK :OTHER ��
For Single Pamily and Two Family Uwellings this Permit is valid nnly if construc[ion ommences wiLNin I80 days of t e d te of issuance of this pertnit and
must 6e com�leted,fiaving the Ceitifiiia�e of OccuPancy issued,within IB mmths o thc date of issuanee. Class 1 Struclu c Permits are subject to the 5[a[e
of Indiana General Administrative Rules(GAR 6751AC 12)regardin� Pirarion tim {�r`a•me�s Cor beginning and com�leti g rnnstruction.
1{the undereigned�agree that any construc[ion,reconetrucCion�enlugement�reluc �m�-ekeretiert eCe. � ny changc in thc use of land or
stn�e2ures requcsted_by this aPPliwHon will comPly with and confortn to all applicatile laws oFthe State ollndiana and the"'l.oning brdinance ofCnrmel
Indiana-�1993"(Z289)and�amendments,adovted under authority ofl.C.36-0 et sey�General Assemb�y of the Sta[e of Indiana�and all Acts amendatory
�thercto. I�Further certify that onl��kitchen�bath,and Iloor drains are connected to the saniGry,sewcr. 1 further certify tha[the ennstruction will not be
used or.occu(�ied unlil a Certifcate ufOccupancy has becn issued by.the DcParlment o(Community$ervices�Carmel�Indiana.
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Signetureo�OWnerorAUthonxetlpgent -� PrintedName Date
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REQUIRED BASE INSPECTIONS * '• PER'MIT FEES
*Ad�litionxl.inspections may be required: c Filing/Revicw' '�� Re-Review
E�.Base�Inspections _��3��
� ❑ Lo�ver Footing Rough-In � Final . . —/_-�F��"�
M ����......qqq ���...qqq C-Cert.of Occupancy S(l `�' Other
: � Apper Footing qF� Meter Base. ¢I Site M
,tf! / � � P.R.I.h .✓w
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p j p� en of C mumty Servlec Dare �
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S:�PesmitAFOrmnNppGaeiioncVte.vidental\ILP Apptica�tonVA09-0R Lne�Opdered OSI132009
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- SINGLE FAMILY/ TOWN HOME / TWO-FAMILY
. PERMITTWG PROCEDURES
�xo�ANp New Structures,.Additions, Remodels, Garages, & Accessory Structures
SIIBMI"I'TAL RE�UIREMENTS:
1. COMPLETED RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION, (ILP) which also
includes the reverse side (or 2n° page) of this procedure sheet.
2. CONSTRUCTION PLANS: At least one set of the plans should be on paper no larger than 11 inches by 17
inches. If this is not possible an electronic PDF copy of plans should be emailed to nmishlerC�a carmel.in.gov , or a disc
containing the electronic PDF copies shall be submitted, in addition to the paper copies.
NEW MAIN STRUCTURES / ADDITIONS / 'ACCESSORY STRUCTURES, TWOSEfS OF PLANS FOR SINGLE FAMILY,
T1N0-FAMILY, AND TOWN HOMES, MUST BE SUBMITTED,* THESE SHOULD INCLUDE:
-Building Elevations -Foundation Plan -Floor Plans -Typical Wall Sedion
-If Manufactured Trusses are used, truss diagrams must be included with the building plans. Truss diagrams must be
STAMPED with the seal of the registered architect or engineer who is responsible for that design. ONLY Indiana
registrations will be recognized.
-A SITE (OR PLOT) PLAN SHOWING THE FOLLOWING REQUIR.ED INFORMATION:
a. Name and address of designer of plan, with date, Name and address of property owner
b. Lot number and subdivision name, or applicable general description
c. Lot drawn to scal�all dimensions: Including Lot/Property lines
d. Minimum front building setback line, per approved development plan (include all front yard)
e. All roads, alleys, sidewalks, driveways, rights-of-way, etc...
f. Any applicable flood plain area (Certificate of Elevation, if necessary)
g. Building pad elevation and lotcomer elevations .
n. All accessory buildings / strudures –existing or proposed
i. Sewer and water lines, septic system, (tanks & filed system) and/or well locations �
j. All drainage swales and subsurface facilities, drainage flow arrows (retention / detention areas, etc...)
k. Sump pump -- Show sump pump pit(s) and discharge line locations
I. Geothermal heat pump discharge locations
*NOTE: If land is not within a,platted subdivision, a legal description is required.
' -ONE(1) COPY OF THE SUBDIVISION CONSi'RUCTION/DEVELOPMENT PLAN IS REQUIRED—FOR NEW DWELLING
UNITSTRUCTURES ONLY. Sometimes referred to as an "as-built,"this plan should show the lot, the surrounding lots,
the building pad or building pad elevation, and the ground topography lines. °Plans for the entire subdivision are NOT
required.
-If large equipment is being used, an approved Right of Way Permit from City of Carmel Engineering Office is required.
Please contact the Engineering Office at: (317)571-244L
*NOTE: For aII Town Home submittals two full sets of construction documents need submitted per Building covering all •
options of each unit within the building, along with the State Design Release.
REMODELS, TWO (2) SEfS OF PLANS MUST BE SUBMITTED AND SHOl7LD INCLUDE:
-Floor Plans -Typical Wall Sedion
3. SEWER AND WATERPERMITS,FOR NEW STRUCTURES OR ADDITIONS OVER 1y000 SQ: FT. Please
determine which utility company provides services to your construction site, and provide a copy of the utility permit.
a. Carmel Utilities: (317) 5712443. Asewer and/or water permit should be purchased at the office of Building &Code
Services, prior to or.af the.time you are submitting your building permit appli�ation.. , ,'
b. Clav Township Regional Waste District; (317) 844-9200. � ' �
c. Hamilton Counri Health Deot. (for welis and/or septic permits); (317) 776-8500
FL[RTHER NOTES / NOTICES: : � •- � � '
� CARMEL ZONING ORDINANCE Z-289, SECTION 29.04.02 (3): "The Director shall approve or deny the Improvement Location Permit
within five(5)working days of the receipt of the written application form and accompanying materials. The Improvement Location
Permit shall be issued when the proposed structure, improvement,or use and its location conform in all respects to this ordinance."
� IN ADDITION TO THE ABOVE-LISTED SUBMITTAL REQUIREMENTS,THE BUILDING INSPECTOR SHALL BE PROVIDED INFORMATION
RELATIVE TO COMMITMENTS MADE IN THE ZONING PROCE55 FOR THE PROPERTY INVOLVED. THIS INCLUDES ANY PLAN
COMMISION, BOARD OF ZONING APPEALS,AND/OR DEPT. OFLOMMUNITY SERVICES ADMINISTRATIVE APPROVALS REQUIRED.
% ADDITIONAL INFORMATION MAY BE REQUESTED BY,AND SHALL BE PROVIDED TO THE BUILDING INSPECTOR, IF THE
SUBMiTTED PLANS ARE NOT OF SUFFICIENT IN CLARITY OR DETAIL,TO INDICATE THE NATURE AND..EXTENT OF THE WORK
PROPOSED AND TO DETERMINE COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. PLEASE�NOTE: IF ADDITIONAL
ITEMS FORREVIEW ARE REQUESTED, REVIEW TIME MAY BE EXTENDED. -
� ALL CONSTRUCTION IS SUB7ECT TO FIELD INSPECTION,AND:SHOULD NOT BEGIN PRIOR TO THE ISSUANCE��OF THE
BUILDING PERMIT. ONCE THE PERMIT IS ISSUED,N/ORK�SHOUID NOT BE POURED, INSULATED/COVERED, AND/OR OCCUPIED
PRIOR TO THE APPROPRIATE INSPECTION. Beginning,priorto obtaining a building permit and/or proceeding with construction
beyond the stage of a required inspection without�approval constitutes Late Fee penalties, per Z-289'of the Carmel/Clay Zoning
Ordinance; 29.06.07,and 29.06.08.
BUILDWG & CODE SERVI6E5; CITY OF CARMEL. One.Civic 5quare; Carmel, IN 46032. Ph (31.7) 571-2444.
Provide Sq. Ft. for entire structure for new single family home, if remodeling or adding an addition/ accessory structure
provide Sq. Ft. of work area:
BASEMENT 1�` Floor 2nd Floor 3rd Front Rear Total Sq. TOTAL
(Finished and Floor Porch Porch or Ft. of
Unfinished)
sunroom. Garages
n�� St�`l, 5 `1 as,5 ►�r� ua r�� 2.�1� 1 �Ro�1
Per the Adopted Indiana Energy Code that will be in effect for all New Buildings, Additions, Accessory Structures, and
Remodels. There are three methods of compliance to choose from. It is REQUIRED to indicate which compliance
that will be used at time of submittal. Please select from the following: �
(Handout for Compliance of Energy Code can be picked up in our office or found at: http://www.carmel in aov/ )
�Prescriptive3(mos"'Y stridrve) �a �Y,;���M�`,
��c°ws�,�` ����';�� �� .� , � ,,� �� �
Tofal UA,(allows building '
envelope trade-offs) 1/
� Performan�(�" mostflxible)���, +�'�� , • �a, .,}� „ry�� �
[ a �'' .�'i ��yisr,�' ��y u»Q.;� �� y�.q9r'f �.��"'#�'.:., "A#��c'
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I, the undersigned, certify that all of the above listed information is shown completely and accurately on the attached plot or site
plan(s), construction plans, and any other submitted doamentation, submitted with the building permit application to the Ciry of
Carmel/Clay Township Department of Community Services. I furtfier certify that the joining of water supply piping shall be made with
lead-free solders and Fluxes. Failure to comply v�ill result in a replacement of the system. (Plumbing Code P-509-5) Under the
penalties of Perjury (Indiana Code 35-44-2-1), I also hereby a�rm, under oath, that all of the information I have provided in the table
below is true and accurate, to the best of my knowledge and belief, and that I have not knowingly or intentionally provided or omitted
any information that would tend to hide, obscure, or othenvise mislead the Dept. of Community Services regarding the truth of the
matters addressed therein. �
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APPLICANT'S SIGNATURE � DATE
Print
�n �' ��'`i�' No right of way permit needed.