HomeMy WebLinkAbout14050033 Application I.y.�o3 '
` CITY OF CARMEL / CLAY TOWNSHIP PERMIT # --
RESIDENTtAL IMPROVEMENT.LOCATION PERMIT APPLICATION Sewer / W er Utility
�yo��M�, For�NewStruc[uresy Ad5litionsyRemodels,and Accessory Structures PermiY#
BUILDER NAME PHONE FA%
oF JC �«- 5� -`f�a0 ��?- 1���-0083
RECORD � �REETADDRE55 CITY STATE ZID
8D5 � _ #�2U �e 3s�. �1�032
E-MAIL ADORES BEST ME7HOD OF
I 'y CONTACT �m� �
l�.bm�2
PLUMBING NAME SfATE OF INDIANA �/ PLUMBING CODE
CONTRACTOR `t �Yl,�yg�,� LICENSE NUMBER P�I Dhu.V"J ! � �RC � UPC
PROPERTY NAME � PMpNE FAX
OWNER �_ 'L 31 - ? -'�I�SDI� �i"I - (o�3-Ofl6�
STREET A DRE55 CTfY SfATE ZIp
� � �izv �c��3�
PRO]ECT �Oi NUMBER �� SUBDIVISION NAME SECTION
LOCATION �J� ,2,�j
STRE ADDRE55 , CITY STATE ZiP
2 � .D3
TAk mav PARCEI NUMBER ^ � � � G_. FLOOD ZONE/S
►�1- 0-2 -or�-o�-o xv = ' a�a zcu� x
LOTSPLIf SEWERUTILlfY WATERUTI SEWER/
Q YES O NO �VblL�s U7ILITIE E VATOR 1 . 1 .•f �
�.tye.�.�.y
TYPE OF TYPEOFCONSfRUCfION /�J� `r�7 MASTER IT FLOORPLAN
PERMIT � S[NGLE FAMILY O TWO FAMILY TOWNHOrqP�,ry VES NO ':'r1,�.x
TYPEOFIMPROVEMENT y C . EARLY REIEASE
NEVJ STRUQURE GE 0 ACCESSORY BUILDING /
ADDRION—O Room/s O Porch q Deck Q E F� ED C,l DEMOLITION 4 YES rYNo
PROJECT TA DAOTE/SISSION/BZA/BPW DOCKET NUMBER/ � d/� �`/ SQUARE FOOTAGE
t lODiO�p �Ir b '1 5 �R �u ���'6e���p �{I¢D,oG 1 77�
PDP PLANS TYPE OF FOUNDATION D n SUMP PUMP PoRCH
SLAB O BASEMENT—4`�'ALK-OUT �$ - ��
O CD O E-MAIL �''��W�PA� O POST&BEAM Q POST&PIER ��V YESTB '/CFS � YES NO � YES qQ NO
STATE OF �DR NUMBER RELEASE DA7E CONSfRUCTION TYPE ANCY CLA55
INDIANA Z - 10 - v-� '�
CDR ��PE OF RELEASE TYPE�OF RELEASE
FORTOWNMOMES m�FDN TR �RCH ��ELEC GYFiECH �LUM Q SP T��iFR rr' r
� �
For Single Family and"P�ro Family Uwelliny.s this permit is valid only ifconstructi c mf���{�{t A�d�ys o aM ufissuan this permi�and
must be mmrleted�having the Certififa[e of OccuPancy issued,wi[hin 18 monffis t d�t�dd{issba�d � s I ure Permits are subjca to the Slate
of Indiana Generel Administrafive Rules(CAR 6751AC 12)regarding expira�ion t c fr.nmes for beginniny.and comp e ing cnnstruc[ion.
1�Ihe undeni�.ned,agree that any consVUCtioq reconstruction�enlargement,rel calion,or altcration ofa structuir� any chan�.e in[he use ofland or
strucwres rcquested by[his aNPlication Hill rnmply with and conCurm}o all apP Ic laws o([he State of Indiana an [he°%onins brdinance o(Carmel
Indiana—1993^(Z-289)and amendmenb,adoplcd undcr authority ofl.C.347 et ndiana�and all Ac[s amendatory
theretu. I funher certiLy that unly,kitchen,ha[h,and Iloor drains are connec[ed to the sanitary eewer. I further cert�y that the conslruction will not be
used or�xcupied until a CertifcaM of Occupancy has bcen issued hy[he Department ofCommunity Services�Carmel,Indiana.
� a 4� ,�F�� `-�`;_c,�.�.�zr R-ex N . 1��-u� i�-a�-�3
Signahre of Owneror Authotlxetl pg¢nC -_i ; PNntetl Name Dafe
�......................................................................................� ;.............................................................................................�
REQUIRED BASE INSPECTIONS * � PERMIT FEES / ,.,�'''� �Q�
*Additional inspections may bc reyuired. E Filing/ Review SY�s�.c>�lJA Re-Revie�v
� E Base Inspections ����V �
i ❑ Lower Fouting ouph-In �Final �p3 �
t Cert.of Occupancy Other
UPper Footing eter Base �te ^^
� � ; P.R.I.F. �l�Ct. w
�Underslab . T�TAL ��r�.��� D .
: �.L).�� ` ���j-� , , ��-(�] -1 �
; Reviewed/Relea�r I—DePattment ofConvnunity Semces 1)a:e : � Fee Ricei:ed—Department f Commwity$enires Date ;
�.........................�...........�......................... .............................................................................�
S1Pennu��FOrmsW pplica�ion�Utesidentu�fl.P ApPlica�ion�2009-08 Is��UpJUeA OB/I 1Y10p9
. _ _ �
i
� .
�
-ed _ e.�� �` �+" ' r .� p.- .h, ��.-.- w'�'.. ,Z k*y {-��j� f, k'��1a .
(�� .`e.'+ti..� 4 .( i s � y ' -
.'k �'{rrf$'��i+ v v. 4�� 'd�q��.��'.,��a � •c.�.:� Si•'�e.2v!YQ ;<��
¢M�
�'.��'.
:i�
.. � ' . „t.�:
,�
� .'1
FLIRTHER 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 antl its location conform in��all respects ro this ordinance."
: IN ADDITION TO THEABOVE-LISTED SUBMITTAL REQUIREMENTS,THE BUILDING INSPECfOR SHALL BE PROVIDED INFORMATION
RELATIVE TO COMMITMENTS MADE IN THE ZONING PR06ESS�FOR THE PROPERiY INVOLVED.� THIS.INCLUDES ANY PLAN
COMMISION, BOARD OF ZONING APPEALS, AND/OR DEPT..OF COMMUNITY�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 FOR REVIEW ARE REQUESTED, REVIEW TIME MAY BE'EXTENDED.
. ALL CONSTRUCTION IS-SUBJECT 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/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 �equired inspection without approval constitutes Late Fee penalties, per Z-289 of[he Carmel/Clay Zoning
Ordinance; 29.06.07, and 29.06.08.
BUILDING & CODE SERVICES; CITY OF CARMEL. One Civic Square; Carmel, IN 46032. Ph. (317) 571-2444.
Provide Sq. Ft. for entire stcucture for new single family home;,if remodeling or adding an addition / accessory structure
provide Sq. Ft. of work area:
BASEMENT 1�` Floor 2nd Floor 3'd Front Rear Total Sq. TOTAL
(Pinished and Floor Porch Porch or Ft. of
Unfinished) Sunroom Garages
Nu- Q�-,3 s��/ ��- � ►�►�- 3c� l 1,�t7�
Per the Adopted Indiana Energy Code that will be in effed 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 fPom the following:
(Handout for Compliance of Energy Code can be picked up in our office or found at: http://www:carmel.in.QOV/ )
Presc Ptive mostarestrictrve) �+; 'S�'�$.:���;:m"°�
�� �+�:�j`7t '�'a� � n�.�g�� ���F' tid ��a#'-rn7F'e
h .��.t£�d+4^:a" L.� a a..�� � .t��`�:.
Total UA (allows building /
envelope trade-offs) ^�
�.Perf�o mance (mo�st�:'�fle ible)`�«; ,� `'" ik� ''r�r'�^=
�r�r��������:'�..�aa�dt ��i�-'��.y.��:,�?.4,��.
I, the undersigned, certify that all of theabove listed information is shown completely and accurately on the attached plot or site
plan(s), construction plans, and any other submitted doNmentation, submitted with the building permit application'to the City of
Carmel/ Clay Township Department of CommunityServices. I further certify that the joining of water.supply piping shall be made with
lead-free soiders a�d fluxes. Failure to comply'will result in a replacement of the system. (Plumbing Code P-509-5) Under the
penalties of Perjury (Indiana Code 35-49-2-1), 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 thaE 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.
. �•, v —'�� ��n- J'c ia.4tz�� I��z) -�3
APPLICANT'S SIGNATURE � DATE�
{L�=}c, t} _ K��C, No right of way permit needed.
Print
/`\`i ov CAB,yF ..
oDR'.'lR.�rii./ �
� - � SINGLE FAMILY/ TOWN HOME / TWO-FAMILY
�
PERMITTING PROCEDLIRES
\N0—'�� New Structures, Additions, Remodels, Garages, & Accessory Structures
SUBMITTAL REOUIREMENTS:
1. COMPLETED RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION, (ILP) which also
indudes the reverse side (or 2nd page) of this procedure sheet.
2. CONSTRUCTION PLANS: At leastone 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�carmel.in.qov , or a disc
containing the electronic PDF copies shall be submitted, in addition to the paper mpies.
NEW MAIN STRUCTURES 1 ADDITIONS / ACCESSORY STRUCTURES, TWO SEfS OF PLANS FOR SINGLE FAMILY,
TWO-FAMILY, AND TOWN HOMES, MUST 8E SUBMITT�ED.* 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 musTbe
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 scale—all dimensions: Including Lot/Property lines
d. Minimum front building set6ack 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 flowarrows (retention i 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 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 Section
3. SEWER AND WATER PERMITS FOR NEW STRUCTURES OR ADDITIONS OVER 1,000 SQ. FT. Please
dete�mine which utility company provides"services to yourconstruciion 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 tlie office of Building & Code
Services, priorto or atttie time you are submitting your building.permit application.
b. Clav Townshio Reqional Waste District; (317) 844-9200. �
c. Hamilton Countv Health Deot. (for wells and/orseptic permits); (317) 776-8500