HomeMy WebLinkAbout0170.85 Application�� -��
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!parcment of
O/b
ZIP
7
�'33
ZIP
7.b4
IN
. RE_O4AINAGE SUALES
, Ail requtred dratrtage swales wust Ee shorn on t1�e p)at plen ana --
�onstructed in all subdivisions prlor to the papartment of
��CIJPIY DEPAR'iT�TP pF gp�q�I�� D� CO����y �Ye��D�ent pertormtng a final tnspection of any stn/twi
�CQ�I11Q�(r per plans on f11e or per the folloNing:
BJILUI:VG PF�MIT
RDQiiIRID PIpI' PLAN INF�.IRMATION
Constructed SMdlti shall be a mt�lpayp pf ���+ drep witA side Sloptf
of not less than 4 to 1.
The below listed inforniation must be includeci on all site or plot.plans which ara to be
svbnitted to the Caxmel/Clay Uepartment of Corm�unity Development as a part �f the
Building Peznit review proccss,
If iimited, pertinent inforn�ation is desired from the Department af Carmunity Devele�xnent,
a five (5) day waitit�g period MAY be required in order to ssarch files for the
desired irforn�ation.
The below ii�77QUIRI� ; nfarmation can be secured frflm the landowner or land developer:
. Lot drawn to seale
All dimensions
Scale and North arrow
. All roads, alleys, etc., right-of-way
. All other utility and drainage right-of-way ancl ease�nts
� • Any applicable flood plain area
Y • Buildin� pad elevation and lot corner elevations
..
anychange '
'the State of
�Iic Law 17$
sued by the
. All accessory buildin�s �- existing or proposed
. All sidewalks and driveways
. Sewer and wa,ter lines, septic syst�n and well location
. Drainage flow �rrows
. All drainage swal�s and fAcilities (retention/detention area,� etc.)
. Dimensional cross sections of all drainage swales
. All subsurface drainage facilities
I certify that all of the above listed inforn�ation is shown completely and accurately
on the attudhed plot or site plan as submitt�d wlth a building pennit application
to the Carnfel/Clay Departrnent of Conmunity Developr►ent
SIGNAZq7ftE; t °�,(� �
nnDt�ss : ��S /��.v �/ 3 / S' ��A,� � ��%-� �v.2 � %
PIiONE: �7��" ' �/
�'��f G k, l3c< <� a c K
b+3 p �n�,�/ � s J�L u m/3i.vG,,,
NAME OF PLUI�iBING COtJTRACTOR: �}����_
VALID STATE LICENSE NUMBER: / p J,� �¢
.�
►
��-c�ay Imp�ouement Location Permit PermttNo. ��cS�
�Township Date_ �-�/—��
This permit i� valid only if construction is started withln 120 days o(tssuance date; aII construcHon ts completed (c%issued) within
(2) iwo years of lssuar�ce date unless an extension of dme has been �fftcially granted by letter by the D(rector, Department af m
Community Development.
BUIL6ER
OWNER
LOCATION
NAL
,Qox ��orrz. cr
A. TYPE Ofi CONSTRUCTION
1. �Residential (One or Two Family) �
Z. O Residentiai (Multi•family) '� .'o
3. O Commercial o o? .�
4. Q In�ustrial U�.� a �
5. Q Institutiona) �� �-. 1 �
B. TYPE OF SEWAf E DISPOSAL
1.0 Public
2� Private (Septic Tank, etc.)
C• TY� OF [MPROVEMENT
1. New Structure
2.0 Addition Porch___
3.0 Remodel
4. 0 Foundation Only
5.0 Demolition
6. O Accessory Building
7. O Swimming Pool
- q,� G,
STATE ZIF
4�5. T/� 41e.z.2
��a - 08'33
� �lJ �L� ?�, �
D. PRESENT USE Or PROPERTY
1 �Farm/Vacant
2. O Residential (One or Two Family)
3. Q Commercial
4. Q Industdal
5. Q Other (Speci[y) _
E. PROPOSED USE OF PROPERTY
1. � One or Two Famlly Dwelltng
2. O Multi•family
3. O Commercial
4. O [ndustdai
5. Q Otl�er (Sepcify)
F. ZONING CCASSIF[CATlON OF PROPERTY
Present _ S �
G. ESTIMATE COST OF CONST CTION
(Excluding Land Value) t�? c7 �
8. Q Garage Detached AttachecL____ H. Lot Spl1t Yes Na ✓
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures requested by this applicadon will comply with, and comform to, all applicable laws of the State of
(ndiana, and the "Zoning Ordinance of Carmel, Indiana -1980", adopted under the authoHty of Acts of 1979, Public Law 17$
Sec. 1 et seq, General Assembly of the State of indlana, and all Acts ame�datory thereto.
I further certify that the construction will not be used or occupled until a certificate of occupancy has been issued by the
Depadment of Community Development, Carmel, Ind(ana.
I further certify that only kitchen, bath, laundcy and floor dralns are connected to sanitary sewer.
�1�!_ ''� — Inspections Needed:
1�d�_
I na ure of Owner or AuthoHzed �gent FooNng/Under Slab Temp Pole
---�-as-��'__-�-�-__���,�--
A ress �J� �� Rough In Meter Base
� �i��n�ti�0�-GG �ile 2.�'�
Ctty � State Zip7�P�°�/n Final ----- C�p ---
Flood Zones: Yes�_�� No____� A /
A• B• C• Square Footage �L�� L
Sump Pump: Yes �� No--_- Permft (Sq. Footage) . . . . . . . . . . . . _ � U� � -----
G t rm H t Pum Yes N�_ c!'-" Inspections. . r-----
_ �*�`����. � Certificate of Occupancy. . . . . . . . . _� _ /�," �v -----
-�-�._.�___..._�_--_ -- ---._v.
- _�._ Total ................. '
• Dlrectq�De�rtment of C mmun(ty Development ' ' ' ' ' ' ' ' ' _ Z-� `�' �"�---
�/�� J � Plan Comm. Approved (Date)
Board of Zoning Appeals
Received By Approval (Date)
PAID ApR111985 —