HomeMy WebLinkAbout08090096 ApplicationCity of Carmel /Clay Township Permit #: 0
RESIDENTIAL IMPROVEMENT LOCATION PERNUT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
NAME: PHONE: FAX:
SINGLE FAMILY
OF
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STREET ADDRESS: CITY:
STATE:
ZIP:
RECORD:
constructed at this
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RESIDENTIAL (For
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
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PROPERTY
NAME: PHONE: FAX:
OWNER:
sr2rhG e
STREET ADDRESS: CITY:
STATE:
ZIP:
LOCATION
LOT #: SUBDIVISION NAME:
801 [�Ar k"0//
SECTION:
Z
ZONING:
& PROJECT
ADDRESS OF CONSTRUCTION:
(�
SQUARE
FOOTAGE: '1551 7
INFO:
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SEWER UTILITY
WATER UTILITY
ESTIMATED COST OF CONSTRUCTION:
PROVIDER: �'
PROVIDER: /
(EXCLUDING LAND VALUE) 150, 0
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZAI /'BPW DOCKET
NUMBERS; TAC DATE(S); AND /OR COUNTY WELL AND /OR SEPTIC PERMIT #'S (IF APPLICABLE):
LV,fA& (—o jvr2 u -Tidnl
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FLOOD E AREA DESIGNATION(S) 09
TAX MAP PARCEL #:
S E P 19 Z
FOR THIS
TYPE OF CONSTRUCTION:
to
SINGLE FAMILY
O
TOWN HOME
O
TWO FAMILY
# of units being
constructed at this
time:
O
RESIDENTIAL (For
Additions. Remodels. E
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
NEW STRUCTURE `, p /Y1 e 1, 4,t-// «
O ROOM ADDITION(S �'(�� plumber's Indiana State License #:
O DECCH ADD §�ttatijo�s P X10 (o y S y0
6EL. , t.,, °,v, fig.
G-� §e -q 9hich plumbing codes will be applied to the construction:
CACCESSIf>lklf'10.x p>fkEr �`AS1 DlInternational Residential Code w /Indiana Amendments
rDIALIFIEB!GARAGE } ti
;,..,,;;4,�„,,,,�„ k� ❑ Uniform Plumbing Codew /Indiana Amendments
PROJECT INFORMATION:. 'D'-. �� 0Errl "vn 1NQ`Pj��
Early Release 7skactured
Permit: Y _ZC N G Trusses: 1�_Y _N
Lot Split: _Y N Sump Pump: _,X-Y _N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM _PIER
•O SLAB % BASEMENT (WALKOUT:_Y N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
289) and amendments, adopted under authority of I.C. 36 -7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto- I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy be issued by the Department of Community Services, Carmel, Indiana. //
Signature fP5wner or Authorized Agent Print Da
OFFICE USE ONLY: **************************** * * * * * * * * * * * * * * * * * * * * * * * *�: * * * * * * * * * * * * * * * **
INSPECTIONS REQUIRED: Filing Fees:
. Base Inspections: r� Q 5, #Charged Re-
Upper Footing' Lower Footin U lab 00 Reviews
�-_, Cert. of Occupancy: ���
Rough I Meter Ba Final Site A{
P.R.I.F.: � Q�j _\Q l . I' , { Additional Fees
S-11, !--` TOTAL: ci q
Dept. of Comriiunity Services (Date)
,its /Forms /ILP RESIDENTIAL Fee -R ved W: • Date
c. Lot number and subdivision name, or applicable general description
d. Lot drawn to scale —all dimensions: Including Lot /Property lines ** *Continued on page 2...
e. Minimum front building setback line, per approved development plan (include all front yard)
f. All roads, alleys, rights -of -way, etc...
�. g. Any applicable flood plain area (Certificate of Elevation, if necessary)
h. Building pad elevation and lot corner elevations
i. All accessory buildings / structures - existing or proposed
j. All sidewalks and driveways
k. Sewer and water lines, septic system, (tanks & filed system) and /or well locations
I. Drainage flow arrows
m. All drainage swales and subsurface facilities (retention / detention areas, etc...)
n. Sump pump -- Show sump pump pit(s) and discharge line locations
o. Geothermal heat pump discharge locations
*NOTE: If land is not within a platted subdivision, a legal description is required.
FURTHER 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 accompanying 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 WILL BE PROVIDED WITH ANY
INFORMATION RELATIVE TO COMMITMENTS MADE IN THE ZONING PROCESS FOR THE PROPERTY INVOLVED. THIS WOULD
INCLUDE ANY PLAN COMMISION, BOARD OF ZONING APPEALS, AND /OR DEPT, OF COMMUNITY SERVICES ADMINISTRATIVE
APPROVALS REQUIRED.
ADDITIONAL INFORMATION MAY BE REQUESTED BY, AND WILL 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. SUBMITTAL OF ADDITIONALLY
REQUESTED /REQUIRED INFORMATION, AFTER THE INITIAL SUBMITTAL, WILL EXTEND THE TIME IT TAKES COMPLETE THE
PERMIT REVIEW.
THE OFFICE OF BUILDING & CODE SERVICES RECOGNIZES ANY ROOM /AREA DESIGNATED ON CONSTRUCTION PLANS AS A
"BONUS ROOM" TO BE UNOCCUPIABLE, UNFINISHED SPACE. IF AN AREA SO LABELED IS TO BE A FINISHED SPACE,
CONSTRUCTION PLANS MUST BE LABELED ACCORDINGLY. IF IT IS DETERMINED THAT AN UNFINISHED, "BONUS ROOM" AREA IS
TO BECOME A FINISHED AREA AFTER THE ISSUANCE OF THE PERMIT, THE PLANS AND PERMIT RECORDS MUST BE UPDATED AT
THE OFFICE OF BUILDING & CODE SERVICES.
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 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 Civic Square; Carmel, IN 46032. Ph. (31 7) 571 -2444.
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, 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 otherwise mislead the Dept. of Community Services regarding the truth of the
matters addressed therein.
BASEMENT
1St Floor
2nd Floor
3rd
Front
Rear
Total Sq.
TOTAL
(Finished and
Floor
Porch
Porch or
Ft. of
Unfinished)
Sunroom
Garages
eas
)330
7(D
g5g7
9l ®off
APPLICANT IGNATURE� DATE
zi"W No right of way permit needed.
NAME PRINTED
S: Perm its /FORMS /SUBMITTAL REQUIREMENTS Orig- PDF,IRESIDENTIAL PROCEDURES APRIL 2008 2 of 2