HomeMy WebLinkAbout14040201 Application ..�� '°�W'�qG�!�..;
� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # I
�RESIDENTIAL IMPROVEMENT LOCATION.PERMIT APPLICATION Sewer / Watqr U, �lity�. I
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�xoux> - For New Structures�Additions,Remodels�and Accessory Structures Permit $� I I
BUILDER "a"'E BHONE Fp7�
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RECORD STREETADDRESS � CI7Y STATE ZIP
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E-MAfL ADDRE55 � BEST�MEfHOD OF
CONTACf
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PLUMBING NAME SfATE-0FINDIANA PLUMBINGCODE
CONTRACTOR ���� LICENSE NUMBER (�/� ID � L IRC 0 UPC
YC_ �
PROPERTY NAME PHONE FA%
OWNER L � �-��S U-� �J6'�-57 -t-I !"I- lGto'3-�3
STRE ADD 55 - CITY STATE ZIP
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PRO]ECT �OT NUMBER SUBDIVISION NAME SECfION
LOCATION � # � ,
STRE ADDRE55 . CTfY STATE ZIP
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TA7(MAP PARCEL NUMBER ZONING ROOD ZONE/S
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LOTSPLIT SEWE`RUTILITY WATER'UTILITY SEWER/WA�T7(E�Ry�,�p^1
q YES q NO QU�J�6G P(Z,l�I� 7 L ��J;�RUV-�`181� ��. �tJ����
TYPEOF TYPEOFCONSTRURION SphjeClmC w� FLOORPLAN
PERMIT � SINGLE FAMIIV � fW0 FAMILY �SOWNHOME of S ate andj��CO l�'
TYPE OFIMPROVEMENT ' EANLY RELEASE
"�, NEW STRUCTURE 0 REMO�PT OF�CR ����A�NS�IPACCESSORV BUILDING
O. ADDI710N-O Room/s 4 Porch. �Deck .O BAS I A A GE � DEMOL[T10N O YES NO
PRO]ECT P�N COMMISSION/BZA/BFW'DOCKET NUMBER 5'AND/OR E OST Q!� SQUARE FOOTAGE
TAC DATE/S � . �C UU NG LANDN�FP 12,� a�'G,� ,
tC 0 A�LS� IL�t► i 1 '1�C
PDFPWNS TYPE.OPFOUNDATION MANUFACTURED SUMPPUMP PORCH
❑ CD O E-MAIL F'�SLAB 0 BASEMENT-0 WALK-OUT 7RUSSES
q CRAWLSPACE O POSf&'�BEAM O POST&PIER �YES O NO 0 YES � NO f9J YES 0 NO
STATE OF CDR NUMBER RELEASFDATE CONSTRUCTION TYPE OCCUPANCY CLASS
INDIANA 22 -11r'13 �-d fipw/J�ei)'�
CDR SCOPE OF RELEASE � TYPE OF RELEASE
FOR70WNHOMES I�L�FDN fiY�iR ��CH Cp!�LEG�G7!MECH�'B"PLUM � SPKL T� � IC � ,��
For Sin�le Family and Tvvo Pamily Dwellings this.�ermit ie valid only if mnstructio o me � � 1 s of te of issuance olthis permit and
�ft"�2'g �'
must be com�le[ed�havieg thc Certificaie of OceuPancy issued�within IB monffi5 . h ate oC�ssuance. s I St re PermiFS are subjec[to the State
of Indiaw General Adminisvative Rules,(GAR 675 IAC 12)regarding exPi�ation ti e Games forbeginninP and complet g cons[ruc[ion.
I,[he undersigned�a�.ree that any constructioq reconstruc[ion�enlargement,relo tion�or alteration'ofa stmeture,o any chan�c in the use oLland or
struRUresrcyucstcdbythisapPli�ationwillcomplywithandconform�toallaPPli {�t�lawsMtheSta4oflndianaandthc°ZOningbrdinanccofCartncl
Indiana-19%"(Z289)and amendments�adopted�under authority uf I:C.36J et s diana�and al�Acts amendatory
thereto. 1 Further certiFy that only kitchen�6ath�and��floor drains are connected to the saniGry sewer. ffurther certify that the consVUCtion will m[be
used or occupied un�[il a CertiFcate of Occv/pancy 6as 6een issued by the DePartment ofCommunity Servicrs;Grmel�lndiana.
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Signatureo/OwnerorAUthorizeGAgenC � PrintetlName Date
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REQLIIRED BASE INSPEGTIONS * � P.ERMIT FEES f
*AdditionaPinsPections may be reyuired. : Filing/Review � , ` �`� Re-Review
� : Base Inspections 3 a� 5.� �
� ❑. Lower Footing �Rough-In Final ��%j/�
t Cerh of Occupancy '�� O[her
: �IIpPer Footing Meter Base Site I , ,�--�a -
�( ' P.RLF. �-�1—�
: fp Underslab 2 7'\
� TOTAL ���/1� . / V
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� R ew d/Releaaesl DePartment (Com unity Seivices Date ; Pee Heceive -De rtma�[olCu�mmunity Services �� Date
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S1Penni�s�POimeNpplicaiiouslRenidenC�sNLP Appticeiion�2009-OR Las�Upda[ed 08/132009
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I/ SINGLE FAMILY/ TOWN HOME / TWO-FAMILY
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\ PERMITTING PROCEDURES
\xo�ax> Ne�v Structures, Additions, Remodels, Garages,'& Accessory Structures
SUBMI"I'1'AL REOtI[REMENTS:
1. COMPLETED RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION, (ILP) which also
includes the reverse side (or 2nd page) of this procedure sheet.
2. CONSTRUCTION PLANS: At least one set of the plans should be on paper no larger than il inches by 17
inches. If this is not possible an electronic PDF copy of plans should be emailed to nmishlerC�o carmel.in.qov , or a disc
containing the electronic PDF copies shall be submitted, in addition to the paper copies.
NEW MAIN STRUCTURES / ADDITIONS / ACCESSORY STRUCTURES, TWO SEfS OF PLANS FOR SINGLE FAMILY,
TWO-FAMILY, AND TOWN HOMES, MUST BE SUBMITTED.* THESE SHOULD INCLUDE:
-Building Elevations -Foundation Plan -Floor Plans -Typical Wall Section
-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 REQUIRED 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 lot corner elevations
n. All accessory buildings / structures -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. Geotfiermal heat pump discharge locations
*NOTE: If land is not within a platted subdivision, a legal description is required.
-ONE (1) COPY OF THE SUBDIVISION CONSTRUCTION/DEVELOPMENT PLAN IS REQUIRED—FOR NEW DWELLING
UNIT STRUCTURES 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)571-2441.
*NOTE: For all 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) SETS OF PLANS MUST BE SUBMITTED AND SHOULD INCLUDE:
-Floor Plans -Typical Wall Sedion
3. SEWER AND WATER PERMITS FOR NEW STRUCTURES OR ADDITIONS OVER 1,000 SQ. FT. Please
determine which utility company provides services to your const�uction site, and provide a copy of the utility permit.
a. Carmel Utilities: (317) 571-2443. A sewer and/or water permit should be purchased at the office of Building &Code
Services, prior to or,at;the timeyou are submitting your,building permit application. � .
b. Clav Townshio Reqional VJaste District; (317) 844-9200.
c. Hamilton Countv Health Deot. (for wells and/or septic permits); (317) 776-8500
FL[RTHER NOTES / NOTICES: " ,
- CARMEL ZONING ORDINANCE Z-289, SECiION 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 i[s location conform in all respects to this ordinance."
� IN ADDITION TO THE ABOVE-LISTED SUBMITTAL REQUIREMENTS,THE BUILDING INSPECTOR SHALL BE PROVIDED INFORMATION
RELATP/E TO COMMITMENTS MADE IN THE ZONING PROCESS FOR THE'PROPERTY INVOLVED. THIS INCLUDES ANY PLAN
COMMISION, BOARD OF ZONING APPEALS,AND/OR DEPT.OF COMMUNITY SERVICES ADMINISTRATIVE APPROVALS REQUIRED.
� ADDifIONAL INFORMATION MAY BE REQUESTED BY, AND SHALL BE PROVIDED TO THE BUILDING INSPECiOR, IF THE
SUBMITTED PLANS ARE NOT OF SUFFICIENT IN CLARITY OR DEfAIL,TO INDICATE THE NATURE AND IXTENT OF THE WORK
PROPOSED AND TO DETERMINE COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. PLEASE NOTE: IF ADDITIONAL
[TEMS FOR REVIEW ARE REQUESTED, REVIEW TIME MAY BE EXTENDED.
% ALL CONSTRUCTION IS SUBJECT TO FIELD INSPECTION,AND SHOULD NOT BEGIN PRIOR TO THE ISSUANCE OF THE
BUILDING PERMIT. ONCE THE PERMTf IS ISSUED,WORK SHOULD NOT BE POURED, INSULATED/COVERED,AND/OR OCCUPIED
PRIOR TO THE APPROPRIATE INSPECTION. Beginning prior to obtaining a building permit and/or proceeding with construction
beyond the stage of a required inspection without approval constitu[es Late Fee penalties, per Z-289 of the Carmel/Clay Zoning
Ordinance; 29.06.07, and 29.06.08.
BUILDING & CODE SERVICES; CI7Y OF CARMEL. One Civic Square; Carmel, IN 46032. Ph. (31 7) 571-2444.
Provide Sq. Ft. for entire structure for new sin9le family home, if remodeling or adding an addition / accessory structure
provide Sq. Ft. of work area:
BASEMENT 1�` Floor 2n° Floor 3r° Front Rear Total Sq. TOTAL
(Finished and Floor Porch Porch or Ft. of
Unfinished)
sun�oom Garages
Na� 5�t `� �►� r�� i �� — �j t ,�zo
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: htto://www.carmel.in aov/ )
Presaiptrvemost restridrve)a �'-` - -
Y�'��a'fn�' 6 � :�°` ¢+s .:ai�. ^r ��y�„ � xa :�.���.
s .n...'d� � 4..�.: � x� Y� �
Total UA(allows building
envelope trade-offs) ��
aP�rm�'a'n,e(m�st;flexible) � �� s �+�^"�"0����y,4, t4
ar��" w#t��',-"��N§ � �`ys�y ,�1.� �,� �'- '�" e-
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 documentation, submitted with the building permit application to the City of
Carmel/Clay Township Department of Community Services. I further certify that tlie joining of water supply piping shall be made with
lead-free solders and Fluxes. Failure to comply will result in a replacement of the system. (Plumbing Code P-509-5) Under the
penalties of Perjury (Intliana 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 otherwise mislead the Dept. of Community Services regarding [he truth of the
matters addressed therein.
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APPLICANT'S SIGNATURE � DATE
12-C X h�. ���Y C, No ri ht of wa
Print 9 y permit needed.