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�°`"°`'� CITY OF CARMEL / CLAY TOWNSHIP PER'MIT # I �-f'b�-I'O I �I �O
� RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION Sewer / W�atLe,r�/U/�tility
�xoux� For New Struc[ures,Additions,Remodcls,and Accessory Structures Permit$� I'f�J'I'U�59
BUILDER NAME PHONE FAX
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RECORD �TREETADDRESS CIfY STATE ZIP
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E-MAIL ADDRE 5 BEST ME7HOD OF
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PLUMBING NAME STA7EOFINDIANA PLUMBINGCODE
CONTRAGTOR � m�+,� LICENSE�NUMBER UQG.�1
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PROPERTY NAME t- � " FpX
OWNER L�C' fJy�) " �'ir6q.t�� L� �j jecl lia llregulations — B
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STREETADD ss ,�l D T OF MUNITY SER
ZIP'
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PROJECT LOT NUMeER �. SUBDIVISION NAME SECfION
LOCATION � 2 INDIANA 23
SfRE ADDRES , CIfY STA7E ZIP
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TAX MAPPARCELNUMBER 2 � FLOOD ZONE/5
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LOTSPLIf SEWERUTILITY W TER 5 ATER
O YES O NO � 5 E%CAVATO � '0- \
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TYPE OF TVPE OF CONSTRURION MASTE DERMIT FLOORPLAN
PERMIT Q SINGLE FAMILY 0 TWO FAMILY By es �Q NO , —T��
TYPE OFIMPROVEMENT EARLY RELEASE
�Q NEVJ STRUCTURE O REMODEL � ATTACHED GARAGE � ACCESSORY BU[L�ING
r� ADDITION—� Room/s Q Porch �Deck � BASEMENT FlNISH O DETACHED GARAGE � DEMOLITION ❑ YES �O
PRO]ECT P�N COMMISSION/BZA/BPW DOGKEf NUMBER/5 AND/OR ESTIMATED COST SQUARE FOOTAGE
TAC DATE/5 OF CONS7RUCTION, �
7 l � E%CLUDINGLAND �2���}U+D,CG ►�7'1t3.
PDFPLANS TVPE OFFOUNDATION MANUFACfURED SUMPPUMP PORCH
❑ CD q E-MAIL SLAB O BASEMENT-4WALK-OUT 7RUSSES
CRAWLSPACE O POST&BEAM O POST&%ER YES 0 NO C� YES NO YES ; NO
STATE OF �DR NUMBER RELEASE DATE CONSTRUC7ION TYPE OCCUPANCY CLA55
INDIANA � Z I'Z —I�p� l'� \ll fs' ��,J �Q
CDR SCOPE OF RELEASE ..� � � PE OF RELEASE
FORTOWNHOMES �I�DN 12�iR �CH W�e�EC �ECH �PLUM Ca O OTMER
2
For Single Family anJ Two Pamily Dwellings lhis Permit ia valid unly if cuns[ru ion commences within I80 days of e date of issuance ofthis Permil and
must be comPleted�having the Certificate of Occupancy issued�within IS mon s ofthe date of issuanee. Class I Str qure Permits are subject to the State
of Indiana General Administrative Rules(GAR 6751AC 12)regarding cxpiratio ' c Games for be inn' lctin�construcfion.
1,the unJeragned�.grce that any mnstruction,remnstruction�enlargement,r ter,rtie5lfuYa.vt�u�[ure�or any change in the use of land ur
strucYUres requcsteJ 6y ffiis aerlication�vill comply with and conform�[o all aPPlicablc laws of the State of Indiana and the°'Loning brdinance of Carmel
Indiana—�993^(Z289)and amcndments�adoPtcd undcr au[hority of I.C.36-7 ct scy,f.eneral Assembly of thc Statc o(lodiana�and all Aas amendatory
chereto. I(urther certif��that only kitchen�bath�and floor drains are connceted to the saniUry sewer. I further certi(y that the construction will no�be
used or<KCUpied unlil a Certifipte of Occuranry has been issued by the DeParhnent of Community Sen�ices�Carmel�Indiana.
�i � °� �Fo2 S� �}q.2t�> R�.x N., LL„v` 11 -2?-��
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:......................................................................................: :..............................................................................................�
REQIIIRED BASE INSPECTIONS * � PERMIT FEES y�/
*Additional insPections may bc reyuired. . Filing / Review �55. 5 U
Re-Review
S Base Inspectiona 3 a� • 5c� �
7 ❑ LowcrFootin� Rough-In Final J„3 �
: Ccrt.of Occupancy U� Other
UPPer Footing Meter Base �Site � ( ^� pp
� P.R.I.F. �_�J
� IInderslab
TOTAL ,
; ��Z -/ : -F �(�
; Review /Rele� e8—�Uepartrnent�,�fCommunity crvices Date ; ; FeeRecciv.l—U.�ra.nneniofCo munityServices Uate �
�..................................:........................... .....r �............. ...:.........................................................i
S:Nertnuc�FOrv�sWpplica�ionslRCSideniuNLP APG���ion�2009-08 Lasi UpdvN 0&13rz009
�``�a�C�qMF .
�` SINGLE FAMILY/ TOWN HOME / TWO-FAMILY
`\\ � PERMITI'ING PROCEDURES
\HpIAN? Ne�v Structures� Additions, Reinodels� Garages� & Accessory Structures
SLIBMITTAL REQLIIREMENTS:
1. COMPLETED RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION, (ILP) which also
includes the reverse side (or 2"d page) of this procedure sheet.
2. CONSTRUCTION PLANS: At least one set of the plans should be on paper no larger than li inches by 17
inches. If this is not possible an electronic PDF copy of plans should be emailed to nmishlerCa�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,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 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 fo� 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 (iriclude 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 / 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 CONSTRUCTfON/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 contad the En9ineering Office at: (317)571-2441.
*NOTE: For all Town Home submittals two full sets of construction documenks 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 construction site, and provide a copy of the utility permit.
a. Carmel Utilities: (317) 571-2443. A sewer and/or water permit should be purchased a[the office of Building &Code
Services, prior to or at the time you are submitting your building,pe�mit application. - ,: .
b. Clav Townshio Reoional Waste District; (317) 844-9200. �
. c. Hamilton Countv Health De�. (forwells and/or septic permiLS); (3ll) 776-8500 .
. . ' '�
FLIRTHER 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 acwmpanying 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 PROCESS FOR THE PROPERiY INVOLVED. THIS INCLUDES ANY PLAN
COMMISION, BOARD OF ZONING APPEALS,AND/OR DEPT. OF COMMUNIfY SERVICES ADMINISTRATIVE APPROVALS REQUIRED.
➢ ADDITIONAL[NFORMATION MAY BE REQUESTED BY,AND SHALL BE PROVIDED TO THE BUILDING INSPECTOR, IF THE
SUBMITTED PLANS ARE NOT Of SUFFICIENT IN CLARITY OR DEfAIL,TO INDICATE THE NATURE AND EXfENT OF THE WORK
PROPOSED AND TO DEfERMINE COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. PLEASE NOTE: IF ADDITIONAL
ITEMS FOR REVIEW ARE REQUESTED, REVIEW TIME MAY BE EXiENDED.
� . ALL CONSTRUCTION IS SUBJECT TO FIELD INSPECTION,AND SHOULD NOT BEGIN PRIOR TO THE ISSUANCE OF THE
BUILDING PERMIT. ONCE THE PERMIT 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 cons[ruction
beyond[he stage of a requi�ed inspection without approval constitutes Late Fee penalties, per Z-269 of[he Carmel/Clay Zonin9
Ordinance; 29.06.07, and 29.06.08. -
BUILDING & CODESERVICES; CITY OE CARMEL. One Civic Square; Carmel, IN 46032. Ph. (31 Z) 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 2ntl Floor 3rd Front Rear' Total Sq. TOTAL
(Finished and Floor Porch Porch or Ft. of
Unfinished)
;. Sunroom Garages
Nh 8')3 s�� �f� �3 uR 3t� I i;77g .
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 gov/ )
Prescriptive�m(m s}{res`�t ctive) � ,'�> �,w�"'�
� 3 � �9 � < °. c y,,Pjl � ,'ilib� '
„!>z� '�'—.�'`_2r a_ Ync`_�,,e{ a �s�- y ri.
Total"UA (allows building �
envelope trade-offs)
��,Pe`"� rformance(mosh flewble) :'� •% � r .s- �
`�� ���'S��'��'n''` ���I.���na.��'' r�"'� � '°^44� r 8�.i"..�;,
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 the 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 (Indiana Code 35-44-2-1), I also hereby affirm, under oath,that all of the information I have provided in the table
below is true and accurate, [o 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 Communiry Services regarding the truth of the
matters addressed therein.
7�7 �6��� ��rL- 5���2,T� 1�-z� - i3
APPLICANT'S SIGNATURE� DATE
� x � ' ��� �° No right of way permit needed.
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