HomeMy WebLinkAbout0397.79 Sewer/water Permit� PERMIT N0:
CITY OF CARMEL
APPLICATION FOR SEWER PERh11T
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DATE
APPLICATION IS.-HEREBY NiADE FOR PERMISSION TO�CONNECT THE BUILDING AT: �
SUBDIVISION/''�f.<<t,<<.,(C �c.tt:>,�.�,,,
�LOT N0: �'.% SECTION N0: �
ADDRESS �STREE,T � �.i -- 'r� : `— � ;j
WITH THE PUBLIC SANITARY SEWER ON � STREET,
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THIS APPLICATION IS MADE BY:__/,> ��iJ�/�riri� I,�i 1,c�f `�i� f �
� �� �OWNER OR AUTHORIZE PLUMBERT----
BUSINESS ADDR�SS �/f��.._;: ,; i�r_/ TEL• •:l" i!/- o> �=/���- y
THE PLUMBER MHKING INSTALLATION WILL BE: -�i';���-<� ���� - - �
PHONE: PLUMBER�S'BCND EXPIRES: �
PER�4IT ISSl1ED BY; � �'��� ' i �t , . -� iSIGNATURE) �
7HE BUiLDItJG SEWER SHALL BE VITRIFIED CLAY PIPE, 6 INCHES iN DiAMETER
MEET.N6 ASTM SPECiFICATI0N5 C-700-74 FOR EXTRA STREN6TH CLAY-PiPE OR
LATESi REVISiON UNLE55 OTHER MAT�RIALS ARE HEREBY PERMITTED IN WR[TING.� �
THE SEWER SHALL HAVE JOINTP, MEETING pSTM SPECiFiCATION C-425-74 OR
LATEST REVISION. THE SEWER SHALL BE INSTALLED IN ACCORDANCE WITH ASTM
C-12-74 ANU THE UNIFORM PLUMBING CODE FOR THE STATE OF INCiqNA. ALL
INSTALLArI0N5 SHALL BE IN STRICT COMPLIqNCE WITH PERTINENT CITY OF
CARt4EL^ORDINANCES. ALL INSTALLATIONS SHALL BE "OPFN TRFNfN�� rnico�.-r�„
� rvurv—t,uMYLIANCE MAY RESULT IN CIGGING UP THE SEWER INSTALLATiON AND/OR�
DENIAL OF FUTURE SE4lER PER�4iT5 AND/OR DENIqL OF {9qTER CONNECTIONS, �
�� NO FOOTING OR FOUNDATiON DRAINS OR OTHER SOURCES OF GROUND WqTER OR �
. STORM WqTER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWEFc, SEWER�INS—
. PECTIONS SNOULD BE REQUESTED AT 845-1527 — 1 TO 4 HOURS IN ADVANCE.
- NO INSPECTIONS WILL BE MADE ON SATURDAY OR SUNDAY OR HOLIDAYS UNLESS
-� ARRAN6EMENTS ARE MADE AT LEAST 24 HOURS IN ADVANCE. ALL P!UMBERS OR
�� CONTRACTORS INSTALLING SEWER (OR WATER� LINES SHALL HAVE A PLUMBERS
BOND POSTED WI7H THE CLERK TREASURER'S OFFICE, IF ANY STREET MUST BE
- CUi, A SEPARATE STREET CUT PERPIIT SHALL AL50 BE 09TAINED,
�. SPECIAL CONDITIONS:
I HAVE READ THE CONDITIONS OF THIS PERMIT AND AGREE TO ACCEPT THE -�
RESPONSIBILITY�FOR ALL 4lORK ➢ONE UNDER THIS PERMIT� �� -.-
SIGNED_ � �%i.t.f��r•-i �-�t�;;(:,��' % � ...
s
� � � - - ' - L";, J . . .
� �� �OWNER OR AUTNORIZED PLUMBFR)' � � � -
39� �y
. CERi1FICATE OF SEWER INSPECTION - �
'�. CITY OF CARMEL, SEWER DEPqRTMENT �
� / DATE `.��% -.?.:';;�/ `/'.
PERMIT NUMBER �% �`-' �'/�'rt� - � �
7i'-, 7
LOT NUMBEft I,S -' 1 �
� SECTiON N0: /_SUBDIVISION�/ ��..�,j,� � � �±
ADURESS _
STREET,_�-- : . _�..,4.f ,'�� . _..:...
TYPE OF PIPE V C � � —_�%—�
q�, S RE _ �n MFGR' .J_�.c-- t,� , ..
DEPTH OF SEWER: AT TAP: QC� � ;�
�7 AT P��� AT BLDG:��
. TOTAL LENGTH OF SEWER -CS
TYPE OF CONNEC?ION AT 7AP /n "�� �
.� a/�� �f '�, _ _--__'_
TYPE OF CONNECTION AT BUILDING _In X� �� ��,l�� �
LOCA710N OF TqP; � fi � i U�
�� �.� a%G.� � �. ,��
— FEET OF FftONT/REAR) p/�
.� �n FEET al-m7'� OF '.iJZ�-,-.�.(i
�-' �('1 (manhole, Fire hdy[, etc..)
PLUMBER INSiALLING SEWER��_/i� �=�r,j � .
fNSPECTOR ��F i �
(� ��rt
SKETCH OF PLpN AND/OR PROFILE OF SEI�ER
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CITY OF CARMEL
APPLICATION FOR SEWER PERMIT
l . = � , /
PERMIT N0: `��r =' K `; /�.:3. ;_I DATE ' . rft, r,�`,-
% t' -
APPLICATION IS=`HEREBY MADE FOR PERMISSION TO��CONNECT THE BUILDING AT:
�~; � ' 7
SUBDIVISION��rGr ��a�f4 `�� �°=`L'rt°-'-"� LOT N0: ��'� SECTION N0: �
. :, -;,.
ADDRESS �t` STREET f�'�f` .. ;. { ��� _�, ,;.� �-�' ��;
WITH THE PUBLIC SANITARY SEWER ON .STREET�
�..�� J � .. � 1. �
TH I S APPL I CAT I ON I S MADE BY :!� ./����r�tr�JrN a�-� .�',� "� �- J��+
OWNE�Z OR AUTHORIZE� PLUMBER
�, .-,/ 1 , , d;' L�E /; . ! __ �,
BUSINESS ADDRESS �1`� '�• ��a.r-Y� ,�-�-��.% 1'EL: r` r'��- '`'�, tf ;'
� �= �
THE PLUMBER MAKING INSTALLATION WILL BE: -� s'�-.== '� `-`'-r� •{�".,
PHONE: PLUMBER"S�BCND EXPIRES:
PERMIT ISSUED BY: .
,f_-r . ' ,;--, µ,--<_ { .. ,c.. r :� �SIGNATURE)
THE BUILDING SEWER SHALL BE VITRIFIiED CLAY PIPE, 6 INCHES IN DIAMETER
MEETING ASTM SPECIFICATIONS C-700-74 FOR EXTRA STRENGTH �LAY-PIPE OR
LATE�T REVISION UNLESS OTHER MATERIALS ARE HEREBY PERMITTED`IN WRITING.
THE SEWER SHALL HAVE JOINTS MEETING ASTM SPECIFICATION C-425=74 OR
LATEST REVISION. THE SEWER SHALL BE INSTALLED IN ACCORDANCE WITH ASTM
`C-12-74 AND THE UNIFORM PLUMBING CODE FOR THE STATE OF INDIANA. ALL
INSTALLATIONS SHALL BE IN STRICT COMPLIANCE WITH PERTINENT CITY OF
CARMEL ORDINANCES. ALL INSTALLATIONS SHALL BE "OPEN TRENCH" INSPECTED
AND APPROVED BY THE CARMEL SEWER DEPT. BEFORE ANY BACKFILLING IS DONE.
NON-COMPLIANCE MAY RESULT IN DIGGING UP THE SEWER INSTALLATION'AND/OR
DENIAL OF FUTURE SEWER PERMITS AND/OR DENIAL OF WATER CONNECTIONS.
NO FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES OF GROUND WATER OR
STORM WATER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWER. SEWER INS-
- PECTIONS SHOULD:BE REQUESTED AT 846-1527 -- 1 T0 4 HOURS IN ADVANCE._
NO IN3PECTIONS WILL BE MADE ON SATURDAY OR SUNDAY OR HOLIDAYS UNLESS'
ARRANGEMENTS ARE MADE A7 LEAST 24 HOURS IN ADVANCE. ALL PLUMBERS OR
CONTRACTORS `YNSTALLING SEWER COR WATER� LINES SHALL HAVE A PLl3MBERS`
BONd POSTED W.ITH THE GLERK TREASURER'S OFFICE. :IF ANY STREET MUST BE
CUT, A SEPARATE STREET CUT PERMIT SHALL ALSO BE OBTAINED.`
SP_ECIAL CONDITIONS;
T.HAVE`READ THE.CONDITIONS:-OF THIS PERMIT AND AGREE TO ACCEPT THE
RESPONSIBILITY.FOR ALL WORK.-DONE UNDER THI'S PERMIT� '
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SICNED �� ��t � _.�. �.i,�rx<�£� i l:�� � +r•` �� /t !
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�OWNER`OR AUTHORIZED PLUMBER)�