HomeMy WebLinkAbout14050035 Receipt/Permit r��o��
`������ CITY OF'CARMEL / CLAY TOWNSHIP PERMIT #
t-,-�
RESIDENTIAL IMPROVEMENT LOCATION.PERMIT APPLICATION Sewer / Wate Utility
.�MOUN�. � For NewStructures,Additions,Remodels;and Accessory�Structures Permit$$ ��I$�
'BUIL'DER � , � NE Fau
oF N �E��z.-�- � Tu� I P5� -�t� 3i`7- ��3-�83
� ��RECORD� ��REETADDRESS �: - .CITY SfATE ZID
, 5 -1� � � 12D � �32
'E-MAIL ADDRESS 1 � BEST MEfHOD OF
�'-�L`J , L�,hl�q2.��/C CONTAR '�MYkL'�
PLUMBIN6 NAME STATEbFINDUINA PLUMBINGCODE
CONTRACTOR � ��s-�,� LICENSE NUMBER�l�] �n ���� JRC O UPC
YC.. /
PROPERTY NAME PHONE FAX
OWNER L� � u S� I-' � LI.� . - �`�'�!!D � Is� -L`
SfREFf DRES CITY STATE ZIP
� ` � C '-�1�D L
PROJECT �OT NUMBER �y SUBDIVISION NAME SECTION
LOCATION � - (�'� L�:L�l
�STRE ADDRE55 . CITY STATE ZIP
l 3 - ' , � �u. �-!�D 3
TAX.MAP PARCEL NUMBER ONING FLOOD ZONE/S
17- -- -D-b-a -c� �U l� e
LOTSPLIf 'SEWER�U7ILI7Y W�ERUTILITY�� SEWER/WATER
� YES O NO - �V C. 2 .� UTILI7IE5 EXCAVATOR 1.\ _, (� ��
W{. A,
TYPE,OF �TrPEOPCONSTRUCfION � MASfERPERMIT FLOORPLAN
PERMIT � SINGLE FAMILY O TNO FAMILY TOWNHOME 0 YES NO ' -T� �
PEOFIMPROVEMENT - EARLV RELEASE
NEVJ STRUQURE � REMODEL ATTACHED GARAGE O ACCESSORVBUILDMG
O ADDCfION-O Room/s O Porch O.Deck O BASEMENT FMISH DETACHED GARAGE 0 DEMOLITION ❑ YES � NO
PRO7ECT P�N COMMISSION/BZA('BPW DOCKEf NUMBER/S AND/OR ESTIMA7ED CO57 SQUARE FOO7AGE
TAC DATE/S OF CONSTRUCTION,� 1 4-], .��C.C"L
� ' � � - EXCLUDING LAND � % � � � I�i
PDFPLANS TYFEOFFOUNDATION� � MANUFAGTURED SUMPPUMP PORCH
❑ CD q E-MAII SU1B O BASEMEM-O�WALK-OUT TRUSSES
O CftAWlSPACE O POST&BEAM � POST&P1ER �i YES 0 NO � YES NO �'YES 0 NO
STATE OF CDRNUMBER RELEASE DATE CONS7RURION TYPE OCCUPANCY QA55
INDIANA �D �'�-l l� - '�- PJ �
CDR SCOPE OF RELEASE �� � TYPE OF RELEASE
FORTOWNHOMES �D �TR- �RCH �LEG.4!�1ECH ,yvv�UM O� _ �.��
For Singlc Pamily and Two Family Dwellings this�emiit�s valid only.i �t oBimFi�es in I80 ilay � e date of issuance of this Pcrmit and
must 6e cumPleted�6aving the Ccrtificate o(O�cupancy�scued�with�n �Rn� � lass cture Permits are subject to the Statc
of Indiana Ceneral Adminisiretive Rules(GAR 675 IAC,12)regarding xpirati � �tap�e �' y������ Ieting construction.
1,the undersignedq agree that any�construction,reconstruction�enlazgement,r 1- ot��f��,I�t��o�a,, ur or any change in[he use o(land or
structures requested by thie aPPli�atiov will comply with and conform to all a lica �w9'0!q{/��/,e�e�n � nd the°Zoning brdmance of Cxrruel
Indiana-1993"(Z-289)and amendmeuis�adoPted under authority o1l.0 36-7 {� G �AS e 1 ¢j[ �L�l�`4 t diaua�and all Ac[s amendatory
[hereto. Pfurther certify thal only kitchen�bath�and(IooF drains are connecte . 'y the construction will noc be
used or«cupied until a CertiPcate of OceuPancy has been issued by the Department of ���u �e,' cA �SFme�
ZQS �'-�' CFeR �I'L \+q2T� (L� !V F� V� °S 4 zu-�4
5�9�a�.�aF�,�e�o.p��,o��d.9e� P����Name � F Date
..............................................:......................................... .............................................�?'l.A...........................................,
REQUIRED BASE INSPECTIONS * � PERMIT FEES � 3� �
*Additional inspections may 6e rcyuired�. c Filing / Review � Rc-Revicw
i Base Inspections ��+
� ❑ Lower Footin ou h-In Final �
-g � g � : Cert.of Occupancy �� O[her
�Upper Footing �eter Base �Site� � .
/ ; P.R.I�.F.
�Underslab TOTAL CJ���O • � I
��.� ��� � � , 5-(9' - �—��
[ . .... .................P................:....Y...:.:...�..�.....................i i............ ,P� �mmuvity5ervices UAte ;
:.Reviewed/Releesed—Deartme�to(Commueut Services 6ate Peeliueived—De rt.ent....o:.........................................................
S:�Permhs�FOrmSApplicationsLL2esWentiaR[LP Applkaiiov�2009-08� I.ast Updazed OSl13R!109
xdY!''li',�•:�.��.:!�.'.�l�.� .4�L1"O.i �I.:i�.iM1e��� ..ewr'f,�.•q -• ._ __-_ x _.:'tY:�r.�x✓J.. �V:T�.� a�.�: �:—. � . .,�,.. ... �. n.. .r,.l tin '�:l�Y:.,��r �... . � � �.ir.a
��.�1
� �
� �
� aS �� � } so -...� E � � .� , 'd' A �v � •�'�n �t�.� �tl4P
� � � �. x�i �w �i� y ♦ � � n� ,� . 14 * �i; ,
'j+ . ,Y .
. ^�i� .�1.�
\,..
�. ,� •':
� �' .
�)�` i.� . .:\`�'� .
� � ' � .. .. Y ` . . . . � �`. . .
� 4`'an'•CkpMf!
SINGL� FAMILY/ TOWN HOME / TWO-FAMILY
' PERMITTING PROCEDURES
\�NOIAN� New Structures, Additions, Remodels, Gara�es, & Accessory Structures
SUBMITTAL RE�UIREMENTS:
1. COMPLETED RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION, (ILP) which also
includes the reve�se 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 11 inches by 17
inches. If this is not possible an eledronic PDF copy of plans should be emailed to nmishlerCa�carmel.in.qov , or a disc
containing the electronic PDF copies shall be submitted, in addition to the paper copies.
NEW MAIN STRUCTURES / ADDITIONS / ACGESSORY STRUCTURES; TWO SETS OF PLANS FOR SINGIE FAMILY,
TWO-FAMILY, AND TOWN HOMES, MUST BE SUBM17TED.* 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 registe�ed arcliiFed or engineer who is responsi6le',forthat 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 scale—all dimensions: Including Lot/Property lines
d. Minimum front building setback lirie, 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/o� 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 lo¢ations
I. Geothermal heat pump discharge locations
*NOTE: If land is not within a platted su6division, 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 Engineerin9 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 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 wfiich utility company provides services to your cons[ruction site, and provide a copy of the utility permit.
a. Carmel Utilities: (317) 571-2443. A sewer and/orwater permit should be purchased a[the o�ce of Building &Code
Services, prior to or at the time.you are submitting your building.permibapplication.� -
b. Clav Townshio Reaional Waste Dis[rict; (317) 844-9200.
C. Hamilton CounN Health Deot. (for wells and/or septic permits); (317) 776-8500
FURTHER NOTES / NOTICES: ,,
: CARMEL ZONING ORDINANCE Z-289, SECi10N 29.04.02 (3): 'The.DireRor shall approve or deny the Iinprovement Location Permit
within five (5)working days of thie receipt of the written application form and attompanying ma[erials. 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 PROPERTY INVOLVED. THIS,INCLUDES ANY PLAN
COMMISION, BOARD OF ZONING APPEALS,AND/OR DEPT..OF COMMUNITY�SERVICES ADMINISTRATIVE APPROVALS REQUIRED.
: ADDI'fIONAL INFORMATION MAY BEREQUESTED BY,AND SHALL BE PROVIDED TO THE BUILDING INSPECTOR, IF THE
SUBMifTED PLANS ARE NOT OF'SUFPICIENT IN CLARTTY OR DETAIL,TO.INDICATE THE NATURE AND EXTENT OF THE WORK �
PROPOSED AND�TO DETERMINE'COMPLIANCE WITH ACL APPLICABLECODES AND�ORDINANCES. PLEASE NOTE: IF ADDITIONAL
ITEMS FOR REVIEW.ARE REQUESTED, REVIEW TIME MAY BE DCfENDED.
. ALL CONSTRUCTION ISSUB7ECT TO FIELD INSPECTION,AND SHOULD NOT BEGIN PRIOR TO THE�ISSUANCE OP THE
BUILDING PERMIT�. ONCE�THE PERMIT IS ISSUED,WORK SHOULD NOT BE POURED, INSULATED/60VERED,AND/OR OCCUPIED
PRIOR TO THE APPROPRIATE INSPECTION. Beginning prior to obtaining�a building permit and/or proceeding�with construc[ion
beyond the s[age 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: Dne Civic Square; Carmel, IN 46032. Ph. (37 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 l�t Floor 2n° Floor 3rd Front Rear Total Sq. TOTAL
(Finished and - FI00� Porch Porch or Ft. of
Unfinished) Sunroom Garages
Nl� �j21 �D �1Gt l� ►J!k 7.Gtg5 �, �lC(
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 cfioose 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 ouroffice or found at: htto://www:carmel.in:gov/ )
+Prescriptive(most restnctrve)�[h�e �� p�}'��x'
�1' � °+� � `�� �S ,�5������
f�"� �h . a� ..I#�: "�4�.�1".,�:'�ei 4ii L�Gs��� �}ry
Total UA (allows building
envelope trade-offs) ✓
� n svsr� a.r�r-.rv 'rirY .f'TS
;Performance(most Flexible)��i �`� x.��' ,
'rK��A`fx�F�Y i a x F.z`ri "rt�ei'�k ��Qr' L ,<j��`fd �'e Jt_�v'1�E}!"S
.._ � s.° (..c_iyf°. .w�..�..��'i��i1Ft..f.Y .l `�.�..����r�w�r�.�Yielsy.
I, the undersiqned, 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 Townshlp Department of Community Services. I further certify that the joining of water supply piping shall'be madewith
lead-free solders and fluxes. Failure to comply will result in a�eplacement of the system. (Plumbing Code P-509-5) Underthe
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, to the best of my knowledge and belief, and that I have not knowingly or intentionally provided or omit[ed
any information that would tend to hide, obscure, or othenvise mislead the Dept. of Community Services regarding the truth of the
matters addressed therein.
�� 1� '�� �!-02 Sc FfA(Lr� �f—L�F—/�l
APPLICANT'S SIGNATURE � DATE
�7� �- �+�6 No right of way permit needed.
Print