HomeMy WebLinkAbout14040198 Application G`4�� / .
�'� •CITY OF CARIVIEL / CLAY TOWNSHdP PERMIT # I �(fl�� I Q �
RESIDENTIALIMPROVEMENT LOCATION PERMIT.APPLICATION Sewer / Water Utility
�noux� For New Structures,Additions,Remodels,and Accessor.y Structures Permit�$ I�.�1
BUILDER NAME PHONE FA%
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RECORD SiBEETADDRE55 C1TY STATE ZIP
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E-MAIL ADDIRE55 . 1 BEST MEfHOD OF +
WbM�I'S C�N�Y17C-�� L�.Y.�'�'� CON7ACT �/�'Y/1vl
PLUMBING NAME .STA7EOFINDIANA PLUMBINGCODE
CONTRACTOR LICENSENUMBER.M �� `•��
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PROPERTY NAME � t PHONE FAX
OWNER L.�G '�$WI-3�� H�1�t � LLC_ , . 7 —+�0 ��?- -f� . -L��3
STREETADD CITY STATE ZIP
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PROJECT LO7 NUMBER SUBDIVISION NAME SELTION
LOCATION I�L�#C �� �$ I�L ii�r]� �,�j
STRE TADORESS �, CITY STATE IIp
I�C� � ` �Jt� � �'-�-1 . L`v
TAX MAP PARCEL NUMBER. R� SED F � � � G FLOOD ZONE/S
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LOTSPLIT SEWER�UTILIT/ WATER $�y(yyp ATER p
� YES � NO �V � �L�G P � � MMUNI�(Y:.� � ��VATOR � � q n I, �, /i__,,,� I I _ \
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TYPE OF TrPE OF CONSTRURION (` OF MASTER PERMIT FLOORPLAN
PERMIT O SINGLE FAMILY � PNO FA41�� TO�y9�AANA O YES� NO l-=�� 1
�PE OFIMPROVEMENT EARLY RELEASE
NEW STRUCTURE O REMODEL 1��`ATTACHED GARAGE 0 ACCESSORY BUILDING
� ADDlTION-q Room/s O Porch O,DeCk 0 BASEMENT FIMSH O DETACHED GARAGE q DEMOLIT[ON O YES �NO
PRO]ECT P�N COMMISSION/'BZA/BPWDOCKET NOMBER/5 AND/OR ESTIMATEU COST SQUARE FODTAGE
I cGlL`-CID� �L5`� 13ClCCl1 ',J`Y� E%CWDNGLANDN � I��J� `�'�� �1-` 1�(QIQ
PDFPLANS TYPEOFFOUNDATION� .MANUFARURED SUMPPUMP PORCH
❑ CD O E-MAIL �SLAB q BASEMENT�-�WALK-OUT� 7flU55ES
�O CRAWLSPACE � �POS7&�BEAM 4 POST&PIER '�YES O NO 0 YES � NO �(YES q NO
STATE OF �DR NUMBER RELEASE DATE CONSTRUGTION TYPE OCCUPANCY CLASS1
INDIANA �(v�52Z l'1,—11��'—I 3 1/_ ��CW iJl�tCt �C
CDR ' SC�O�PE OF RELEASE / � � � / TYPE OF RELEASE
FOR TOWNHOMES L�l FDN �TR J ARCH 1S ELEC �'.MEGi �PWM � SP �O R C II
For Singic Pamilyand Two Family Dw�ellings th s permit is valid only ifmnstrucli mt�t�.'��U�'n9�days t date of issuance o t is Permit and
must 6c romPleted�having the CertiPcate ofOccupancy issued,within 18 month f c date o �ssuance lass t c ure Permits are su6ject to[he StaM
of Indiana General Admi�istra[ive Rules(GAR 675 IAC 12)regarding expiration t me frames for be�inning and comPl inb mnstruction.
1�the undcr5ibned,agree that any construction,reconstruction�enlargement�rel cation�or alteration oLa structure� r any change in the use ofland or
struRUres reyuested by this aPPliwtion will comply with and mnform�to all app le laws ofthe State oflndiana�a the°Zoning ardinanee o(Carmel
Indiana-1993"(7 289)and amendments�adoPted undcr authori[y of LC.36-7�e[s . Indiana,and all Ac[s amendatory
[hereto. 1 further cer[ify[hat only kitchen,bath�and tloor drains are connected[o[he sanitary sewer. I furthm cer[iCy that the construc4on will not be
used or xcupied�u � Certifinte of Occupancy.has becn issued b the Department o(Community Services�Carmel�Indiana.
ZS�y d���E�2 J'c N�+2T� (�x,c f/ � K,•.[ ce 4-L4 -��F
S�gnature of owner or AuMOrized Agent Pdntetl Name Data
:......................................................................................: :.............................................................................................�
REQLIIRED BASE INSPECTIONS * � PERMIT FEES
*Additional insPections may be�rec�uired. : Filing / Review �/�`��'O� Re-Review
�/ [ Base InsPections ✓���
E ❑ Lowet Footin�. LH1 Rough-In � Final �3 e 50
/ f Cert.of Occupancy Other
UpPer Footing � Meter Base �Si[e y `-�
; P.R:I.F. ` �w
•�llnderslab i] �Q�/ �.[]�
1 E '• TOTAL Ol D �/ �
: � -/ ��� ��.�t—,��.t� � I a•,�4'
; Iie��ewed/`Released Depainne�rtofCommunrtyScrvices late , ; FeeRemrved-Uepartmentut¢upnmunrtyServices Da[e
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i '' � ) SINGLE FAMILY/ TOWrI HOME / TWO-FAMILY
' PERMITTING PROCEDLIRES
\�!N01AN" New Structures, Additions, Remodels, Garages, & Accessory Structures
SLIBMITTAL� RE�tIIREMENTS:
1. COMPLETED RESIDENTIAL IMPROVEMENTlOCATION`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 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 SETS OF PLANS FOR SINGLE FAMILY,
TWO-FAMILY, AND TOWN HOMES; MUSTBE SUBMITTED.* THESE SHOULD INCLUDE:
-Building Elevations -Foundation Plan -Floor Plans -Typical Wall Sedion
-If Manufactured Trusses are used, trussdiagrams 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. ONCY 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 scale—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, eta...
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, septicsystem, (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
L Geothermal"heatpump discharge locations
*NOTE: If land is notwithin a platted subdivision, a legal description is required.
-ONE (1) COPY OF THE SUBDIVISION CONSTRUCTION/DEVELOPMENT PLAN I5 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 Permitfirom City of Ca�mel 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 5tate Design Release.
REMODELS. TWO (2) SETS OF PLANS MUST BE SUBMIl-fED AND SHOULD INCLUDE:
-Floor Plans -Typical Wall Section
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: (3ll) 571-2443. A sewer and/or waterpermit should be purchased at the office of Building &Code
Services, prior to or atYhe�time you are submitting your building permit application. ' .
b. Clav Townsliio Reaional UJaste District; (317) 844-9200.
C. Hamilton CounN Health Deot. (for wells and/or septic permits); (317) 776-8500
, � .. •: -. .
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PLIRTHER NOTES / NOTICES: �,.
. CARMEL ZONING ORDINANCE Z-289, SECTION 29.0492 (3): "The Director shall approve or deny the Improvement Location Permit
within.five (5)working days of the�receiptof the written application form and accompanying materials. The Improvement Location
Permi[shall be issued when the proposed strudure, improvement, or use and its location wnform in all respects to this ordinance."
. IN ADDIfION TO THE ABOVE-LISTED SUBMITTAL REQUIREMENTS,THE.BUILDING INSPECTOR SHALL BEPROVIDED INFORMATION
RELATP/E TO COMMITMENTS MADE IN THE ZONING PROCESS FOR 7HE PROPERTY INVOLVED. THIS�INCLUDES ANY PLAN
COMMISION, BOARD OF ZONING�-APPEALS,AND/pR DEPT. OF COMMUNITY SERVICES ADMINISTRATIVE APPROVALS REQUIRED.
% ADDITIONAL INFORMATION MAY BE REQUESTED BY, AND SHALL BE PROVIDED TO THE BUILDIN6 INSPECTOR, IF THE
SUBMITTED PLANSARE NOT OF SUFFICIENT IN CLqRIfY OR�DETAIL,TO INDICATE THE NATURE AND EXTENT OF THE WORK
PROPOSED AND�TO DETERMINECOMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES�. PLEASE NOTE: IF ADDITIONAL
ITEMS FOR REVIEW ARE REQUESTED, REVIEW TIME MAY BE EXTENDED.
> ALL CONSTRUCTION IS SUB)ECT TO FIELD INSPECTION,AND SHOULD NOT BEGIN PRIOR TO THE ISSUANCE OF THE
BUILDING PERMIT. ONCETHE PERMIT IS ISSUED,.WORK.SHOULD NOT BEPOURED, INSULATED/COVERED, ANDjOR 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 constitutes Late Fee penalties, per Z-289 of the Carmel/Clay Zoning
Ordinance; 29.06.07, and 29.06.08. �
BUILDING & CODE SERVICES; CITY OF CARMEL. One CivicSquare; 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
►J4 r.�'1-1 ��-0 rJ Y� 1 �1 IJ A- '11-ti� �i ��(
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 qov/)
�Prescrip�*t��lves(�os'�'°°t,�"'s ri�ctive): s ' � F:
. r y •rxr�,5"�-��`� *� s�-t'���e `+,�:'
� ' -� .°-'.��..: '��,'�.`�.s.�,.���
Total UA(allows buildirig �
envelope trade-offs) �
�P��mauce (mo�fle ible) y,� �«?�q ��'� y �+n
�t,. 'ra�!'sks�' 'r-?`v�yB ��.x'S, d +�`-�"�I�y� �tx�S��
..� '��"�t�37�&e�. j°�!^C �� e atltsCAM :..�
I, the undersigned, certify that all of the above listed information is shown completely and accurately on the attached plot or site
plan(s), mnstruction pians,and any other submitted documentation, submitted with the building permit application to the Ciry 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 affrm, 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.
Z�> � �Feri J'c k+h2r) 4-L4--i y
APPLICANT'S SIGNATURE � �� DATE.
�'x �• �"� No right of way permit needed.
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