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GITY OF CARMEL / CLAY TOVVNSHIP PERMIT # I �{'O4'�a I �-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION Sewer /-Wa�t1e�r�Utilitx
�xoux> � For New Structures,Additions,Remodcls�and Accessory Structures P¢CIDit �$��'t'�-F�
�BUILDER' NAME �PHONE FAX�
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RECORD �REETADDRESS � - � CIT,Y STATE ZIP
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E-MAIL A DRES BEST MEfHOO OF
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PLUMBING NAME STATE OF INDUINA r�,�, PLUMBING CODE
CONTRACTOR � �� LICENSENUMBER 1D� �DL�C��� IRC 0 UPC
PROPERTY NAME + PHONE FAX
OWNER � C i�— 5� —� 3� - Lo����t�3
STRE ADD E 5 ' CITY STATE ZIp
�iN. #f� � �
PROJECT �OT NUMBER � SUBDIVISION NAME SECfION
LOCATION � I,,EI' J� �„�
STRE ADDR S , CITY STATE �ZIP
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7AX.MAPPARCELNUMBER ZON FLOODZONE/S
l'1- t(�-23-(2'j- -b[t,o �� �o►.� X
LOTSPLIT SJE�WERUTILITY WATER�U I - �EW ATER �7
q YES O NO }�vblLL �,21�. .�+, L EXCAVATOR I I le{�� /I� ,, I „ �, I D,\
IA.X. I,CUaYYGX t'l a�
TYPE OF NPE OF CONSfRURION MASTER ERMIf FLOORPLAN
PERMIT � SWGLE FAMILY O PNO FAMILY B S �NO I -"t U(�,
TYPE OF(MPROVEMENT EARLY RELEASE
� NEW STRUCTURE 0 REMODEL Q�j ATTACHED GARAGE � ACCESSORYBUILDING /
ADDITION-O Room/5 �Porch �Deck T �2AGE O DEMOLITION O YES ��NO
PRO]ECT P�N COMMISSION/BZA/BVWDOCKEf _ AND OR �1��I��?ST SQUARE FOOTA6E
7AC DATE/5 � � Il JBC o comp�and Lo �C/bI��NG LpND�� I���aBO�d(� ( °�"',�
. � `� � 17�Q�1
PDF PLANS 7YPE OF FOUNDAT(ON �nOF : � SUMP PUMP PORCH
❑ CD q E-MAIL � SLAB q BASEMENT-OWALK y�p�� 1�{S� n�I(`�J�p
CRAWLSPACE � POSf&BEAM C� eji ry�y�EL/ IHI �.I V �4E5'i�] NO � YES �Q NO YES O NO
STATE OF CDR NUMBER RELEASE DATE NSTRUCTION TYPE OCCUPANCY CLA55
INDIANA 7�"Z2 Z -�lB-l3 '�-
CDR SCOPE OF RELEASE � ('N (� � n/� I� OF RELEASE ,
FORTOWNHOMES �DN 6"�R fjYARCH.ft}�.ELEC 5YFECH �ELUM O 5 OFNEq� �'� � �(J
Fur Single Family and T�vo Family'Avellings lhis permit is valid only'if construct mmences wit in 1 i ays date of issuance of tfiis Pcrmit and
must be comNleted,having the CertiFcate of OccuPancy issued,within 1 B month of the date of issuance. Class I Stru �ure Permits are su6jea to the State
oflndiana Gcneral Administrative Rules(GAR 6751AC 12)regarding expiretion me&ames for beginning and comPl tin�.mnstruction�.
1�the undersigned,xpree that any construc[ion�recons4ucNon�enla�emenq rel ioq or alteradon oCa structure, r any ehanpe in[he use ofland or
strunures re�uested by t6is appliurtiou will comPly with and conform to all app'-� . . . d the°ZOning brdinance of Carmel
Indiana-I993°(Z-289)and amcndments.adopted under au[hority.of].C.36-7 et seq�General Assembly ofthc State of Indiana�and all A�YS amenda[ory
themto. I furlher certify[hat only Ri[chen�bath�and Iloor drains are connec[cd to the sanita�y se�ver. IYurther certify that the construction will not bc
used or occupied until a Certif pte of Occupancy�.6as been issned hy tfie DePartment of Cummunity Services�Carmel�Indiana.
ZQ. d �—� �F R S c. �1a.21'� �-L-� H- �L-.�.�1 V 1�-L�-i3
Signa[ure of Ownar or AulAOrized Agen pdnt¢d Name Da[e
�......................................................................................� ,..............................................................................................�
REQiIIREDBASE INSPECTIONS * � P�RMIT FEES j
*Additional.inspections may be required. : Filing/ Review � � � �� Re-Review
E Base Inspections � .
: ❑ Lower Footing �.Rough-In � Final ? Cerl.of Occupancy _� � �-►��Q / _.��y,, Other
:�J Upper Footing � Meler Base � Site ; p,R.I.P. I l0 / -I rW
'�3 Ilnderslab ��--7�^�
T�TAL �. I mLl-70
� _ . �i�— �� :`�-'�c�� �—�9-1 s�
e ewed/R IeaseJ�-6parmient of Commuriity Services D te ; ;�F�li: eived- p�ar nent�of Coimnunity Services Dare
� liev� � e • :
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S9Pemu�e\Rrms\Applicuiion�ResidemuNl.PApplicminn\2009�00� \ Las�Updated08/13/2009
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Ft[RTHER NOTES / NOTICES: " ' ' -�
. CARMEL ZONING ORDINANCE Z-289, SECTION 29.04A2 (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 struc[ure, improvement, or use and its location conform in all respects to this ordinance."
: IN ADDITION TO THE ABOVE-LISTED SUBMITTAL REQUIREMENTS,THE BUILDING INSPECfOR SHALL BE PROVIDED TNFORMATION
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.
� ADDITIONAL INFORMATiON MAY BE.REQUESTED BY, AND SHALL BE PROVIDED TO THE BUILDING INSPECiOR, 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 W1TH ALL APPLICABLE CODES AND ORDINANCES. PLEASE NOTE; IF ADDITIONAL
ITEMS FOR REVIEW ARE REQUESTED, REVIEW TIME MAY BE EXTENDED. .
� ALL CONSTRUCTION IS SUB7ECT TO FIELD INSPECTION,AND SHOULD NOT BEGIN PRIOR TO THE ISSUANCE OF THE
BUILDING PERMIT. ONCE THE PERMITIS ISSUED,WORK SHOULD NOT BE POURED, INSULATED/COVERED,AND/OR OCCUPIED
PRIOR TO THE APPROPRIATE INSPECTION. Beginning prior to obtaining a building perinit and/or proceeding with construction
beyond the stage of a required inspection�without approval mnstitutes 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 Civic Square;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 FI00� PO�Ch PO�CI7 or Ft. Of
Unfinished) Sunroom Garages
N►� 5f�1 �t�� Nr� i �7 �►� 3� 7 ►l�h�� �
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:/lwww.carmel.in.gov/ )
Pr�cripti ve(most�restridive)� ,� �'F,x�T P�•�
� �^' �4 . �A}. & �a� � r :� . �
Total UA(allows building
envelope trade-offs) �
Perfo�mance'Y(most`� f"Fl ible)�P°�'�'� � ji�"` �'�' `�,'.
h} �°`.� _: � 4 �,�r�'..,�� ;'Y ; '€ ''� �.;1'r��}, i;* �:,x ..;;
�J 1 _.A�Y «5 N Af ' YL L n
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 plans, and any other submitted documentation, submitted with the building permit application to the City of
Carmel/ Clay Towriship 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 a�rm, under oath,that all of the information I have provided in the table
below is true and accurete, tb 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 othervvise mislead the Dept. of Community Services regarding the truth of the
mahers addressed tfierein.
24� � -'—� �Foa �T-c. H4Q�' 1�� 27- �3
APPLICANT'S SIGNATURE � . DATE
(2c.rx H = K�•v� No right of way permit needed.
Print
I `\xy�T C�p�F� '
� - SINGLE FAMILY/ TOWN HOME / TWO-FAMILY
` PERMIT"I'ING PROCEDtIRES
�!"o!""% New Structures, Additions, Remodels� Garages� & Accessory Structures
St[BMI"I'TAL REOUIREMENTS:
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 11 inches by 17
inches. If this is not possible an eledronic PDF copy of plans should be emailed to nmishlerCalcarmel.in.aov , 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 diagrems must be
STAMPED with the seal of the registered architect or engineer who is responsible for that design. ONLY Indiaria
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 co�ner elevations �
h. 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. 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 requi�ed.
Please contad 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
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 at the office of Building &Code
Services, prior to or aGthe time you are submitting your building permit application., •
b.. Clav Township Reqional Waste Dis[rict; (317) 844-9200. � � '
C. Hamilton Countv Health Dept. (for wells and/or septic permits); (317) 776-8500