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E. 0 NOW 'a'" Ili vow S 0 Odes opw*A
4 0 ceaeae.rcel r E PROPOSED USE OF PROPERTY
S 0 kistwA ors' yb/e I / One or Two Few* Dwefrp
L TYPE OF SEWAGEd y 0 COWAWMW
1.0 Pebhr Manx 51 ie kWOMW
E. 0 PtWrt (Sega Tank wc.1, pf// b o Other rjw*)
c. TYPE of g4PRiOvEpENT ,�FaM,/sr»Iw F ZOMV0 cuss�llO�l Of PROPERTY
I. WNW %gehoe 1
30 AdlRten PTensa r •onds Gpyi1: " OTMATE COST OF CONSTRUCTION
4.0 Refsai,l 1:EioEA� �J ' , Q
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6 0 FwAWMim DaesMmn Ofdyr'• 11* % •. •-' f.. 0 pi Let Spla Yas— -- TIO "
q �' ' ` e' 3 C Als.dP I Flood Zones Yes
B O StatnaealA
autoGI 'i Tn~• j� Y. to A B - 90 Gage `-' -� �O= J Sump Pump Ya _� �—
0. FRE.SENT U!E OF PROPERTY K Geattsad m
Mat Pumlp YM- - No ✓
1.0 FWNNstsns
wA=momdwomdo ow ngmwvdwL tatrarMeeossass, eniwgem@K rslscatson on alteration of sumdure, or any chance
InntiheRmisawes "WAM d by tiro a lobse son cad essf *4'
veli, and eonelix to. a0 applicable to" Of the Stae of
lawless. ofd the "asoma Ordaeaeo I d Ca eeaL he/lana • I "DIV. @doped weds the aathorny of Ads 011979. Public Low 178
Sat I a Sep. General Amml* Of on, Star of Indiana ad a0 Ads asendwaNy tlerOo
I Isetleer cel* the the corerrr„constructionsrO eel be end ee esoepld wry a cart" to of occupancy has been asued by the
poem o4 Com m urray Development. Cafnd, lnd m
I 'A'tlat only krden bath Wunby and iloor l"aVad1O^s Needed Drainage
aeesaV ar00/ SW amp Ie
WOscarM AP -
Adis
4w" !eo ADtr SAJ - -Awe Square Footage fmmlpwWyr ?�
Permit (Sp Footage)B�Q!+
IrapettionS
Certificate of Occupw,ry
DnecNo, Dsparm w n of Comrnunay Development Total
Plan Cones Approved (Dae) - -
zone" A"Pan's
secommd Ry
PAID e �% BoardApprou l Vale) - -
onw_ — _ - oWVV Y — ._ _ .
cQnOF occuMNcr
Cf1MINLICUW 701111111111111111111
awmilg Perrnn No. 1-B 1 --- CIO No. I -1
pea__ 1-941 —_-- Coelftwd_/2-/-�7
saalat sastaesl dttasMttsas LOCATigM tat to "@*We
anlN$ON fMIIw1IT Mo. 11-67 am ISSM:
Typg cp cougn Lrico HMma YMMY
rooJILT c06lfilg towocT IMcoNrLan 100011
IMc01lLM COMMONS, Ib a,Ms .lace is boom mtlJWOMJ floor
tootoo
In=s SSIRUT ATTACKID 7OR THE DATE ON MHICH 719"z
IT=S4m ARi TO Ds COMPLETED
This CMMFICATI Of OOWfNIM Is granted with the wsI DLWaly that the
aNw-Neild coditleno M enelotod within • r ble loneth of ttm as sitter -
sin" by the Direeta of the Cornell Department of caasoaity Dsroloprt, that a
rp" AFTWAL H WDL AT ONVIL ION and a MMPWT CDKIPICATI 01 OCC&AtICY H
lfh � an
MTI of FINAL
MTI PMUMOR CQfInCATD.OF OCCIRAtICT ISStIRD
IF C"=CIAL ON MARTHOfr feWMe LIST CONDITION OF GCII UNIT AND aIICM UNITS ARI
APPSOrtD FOR OCCUPANCY.
jIIIII�
Charles I. [syhort. Director D.co
Dgartmant of Coame,lty Do lopaet
The above listed int late items shall be ready and scheduled for an
inspection by
If an inspection 11 DI schedul4rd by that date, our office will send
an inspector to sake sure these items have been completed. If any
of the items are still incomplete at that time, a gZC= trip will
cost $25.00 for residential and $50.00 for commercial. This charge
would have to be prepaid before a second inspection will be made
or scheduled and a final Certificate of Occupancy issued.
PLE-&SE NOTIFY THE D.O,C.D. PRIOR TO THE
DEADLINE DATE I F ANY ITEMS CANNOT DR
COMPLETED FOR ANY REASON.
To schedule your inspection, call 244-6433.
Rev. 4-14-06
CITY OF CARMEL
APPLICATION FOR SEWER PERMIT
+ —4
PERMIT NO:___ F?A f7 F 0 Q E DATE:1L�iA �J 7
APPLICATION IS HEREBY MADE FOR PERMISSION- TO CONNEC TT HE BUILDING AT:
SUBDIVISION: LOT NO: / SECTION NO:
ADDRESS: STREET:
WITH THE PUBLIC SANITARY SEWER ON STREET,
THIS APPLICATION IS MADE BIC: i�l .n , i .L., L _ rill
BUSINESS ADDRESS: TELEPHO--i
THE PLUMBER MAKING INSTALLATION WILL BE: JI N
PHONE:_ PLU ',S BOND EXPIRES:
PERMIT ISSUED BY:� (SIGNATURE)
THE BUILDING SEWER SHALL BE PVC SEWER PIPE MEETING ASTM SPECIFICATIONS
3034 SDR 35 OF LATEST REVISION OR VITRIFIED CLAY PIPE, MEETING ASTM
SPECIFICATIONS C-700-74 FOR EXTRA STRENGTH CLAY PIPE OF LATEST REVISION
WITH JOINTS MEETING ASTM SPECIFICATION C-425-74 OF LATEST REVISION UNLESS
OTHER MATERIALS ARE HEREBY PERMITTED IN WRITING. THE SEWER SHALL BE
INSTALLED IN ACCORDANCE WITH ASTM C-12-74 FOR EXTRA STRENGTH CLAY PIPE
AND ASTM 2521 FOR PVC PIPE AND THE UNIFORM PLUMBING CODE FOR THE STATE
OF INDIANA. ALL INSTALLATIONS SHALL BE IN STRICT COMPLIANCE WITH
PERTINENT CITY OF CARMEL ORDINANCES, ALL BUILDING SEWERS SHALL BE 6%
DIAMETER. ALL INSTALLATIONS SHALE. Ht? wnocw
THE
AND/OR DENIAL OF FUTURE SEWERYPERMITSVAND/ORrDENIAL OFRWATERALLATION CONNECTIONS,
NO FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES OF GROUND WATER OR
STORM WATER SHALL BE PfRMITTED TO ENTER THE PUBLIC SEWER. SEWER
INSPECTIONS SHOULD BE REQUESTED AT 8{6-731{--1 TO { HOURS 1N VAN
IU Igly
INSTALLAI
A" DAY 8k
HOLIDAYS UNLESS ARRANGEMENTS ARE MADE AT LEATErIff-TTIFST 24 HOURS IN ADVANCE,
ALL PLUMBERS OR CONTRACTORS INSTALLING SEWER (OR WATER) LINES SHALL
HAVE A PLUMBERS BOND POSTED WITH THE CLERK -TREASURER'S UFFICE, 1F ANY
STREET MUST BE CUT, A SEPARATE STREET CUT PERMIT SHALL ALSO BE OBTAINED,
SPECIAL CONUITIONSt
1 NAVE READ TMg C(NI 1T1ONS OF THIS PERMIT AND AGREE TO ACCEPT THR
&ZSPONSl_Yll(ITY FOR L RK &bkE UN ER THIS PERMIT.
SIGNED 1 \\ ,
WILDQ;
1,AMpN:
Lsnimton
Lot
Cona�rvction
9 WOPala ;atm S- 1
(1504 Dorchester
Place)
gUILDTNG
PERMIT NO
1 1-87
DATE ISSI)FJ)•
1-9-87
ZrR OF cows _
11
® FOOTINGS: UPPER:
Sinatl• Family
rrAKW%ia
MI
c.� .� 1
OW I
11 ROUGH -IN: Qd II pcty S16 a n{f.
❑ INSULATION: Side balls:
Attic .
Crawl Space:
ON I'
FMARL
Sump Line Discharge:
Drainage:
TEMP. C/O:
`• ISSUE FINAL C/O:
OTHER:
14
DATES
TO s
FROM:
SUBJECT,
'1 f � .7t, *I owlfIMT I
onto
i.
This is to certify that the (type of inspection)
�n
for lots) q
subdivision or application
has been completed and done accordingly to 811 s licable�it) nether
following: OI» i Two Fa� Parts of the
t Family Dwelling Code, The National Electric and/or the Netionsl
Energy and/or the Uniform Plumbing Codes; and for Uniform Mechanical Cade/ all
I certify that 1 an executing this documentas maettd.
7 for myself or that I here amd
the authority W
�� the
entity I represent to sign it std that this document shall bind that entity and all further
reference to "I" herein shall be considered to refer to such entity.
I further certify that I have executed this document in order that I may complete this
project without further delay due to the Cities' inability to inspect the project at this
time. In further consideration of the City accepting this document in lieu of inspection.
I agree to assume and accept any and all liability for said project mrd will hold the
City of Carmel, it's employees' and agents, the
Department of Community Development and
the building inspector harmless from any and all liability to may person or entity for
the failure to make such inspection and I further agree that I will pay the City for any
and all expense, including attorney fees, resulting in any may from the lack of said imgect-
ton or items not inspected.
DATE: 2--2 f 7
State of Indiana, County of Hamilton,ss, -1
Subscribed and sworn to before an thisiday of 1� /
--
a-G�a.Ga•
Notary Public s.�a
My Commission expires
� �I-tr� {
Witness: � A a m-�J
ING
DEPT
CARMEL
OF�COMIhUNIT1fORDINANCE
pEyE10-1PM6FbT �L1FF)ECTION 9SIiALL3): THE BUILDDIC APPR0YE OR DDKTBEI�M (DIEECTOR.
PERMIT (BUILDING PERMIT) WITHIN FIVE (S) iiORKI.YC D,tYS OF THE R LOCATION
APPLICATION FORM AND ACCOMPANYINC MATERIALS. THE LNFROVL4Wr LOCATIdI LUM (SulLIDDIC
���
PERMIT) SHALL BE ISSUED WHEN THE PROPOSED STRUCTURE, IIPROVEIEft Olt USE AND ITS LOCATION
CONFORM IN ALL RESPECTS TO 'THIS ORDINANCE.
a. A Completed Improvement Location Permit application.
2. Two (2) complete sets of construction plans. In compliance with, tela State E:aarsy
Code, must list E -values at walls, tailings, etc. If a commsrclal a State I em.
Plans rut be stamped approved by the Ina,. -anti State Department of Fire
Prevention and Building Safety, .
3. A copy of sewer permit (from City of Carmel Engineer
ing Western Utilities, whichever applies) or sn tic fit' or Hamilton
Department). P permit (Hamilton County Nealth
4. Three (]) copies of a site or plot plan ahowang the following REQUIRED
information (can be obtained from the: laudownur or land developer):
Lot drawn to scale
- All diewnsion*
Scale and North arrow
All roads. alleys, right-of-w.•y*, et;,
• All other utilities and drainage right-of-ways atld_easwments
- Any applicable flood plain .arwa
Wilding pad elevation and lot corner ulevations
All accessory buildings -- uxastane we proposed
- All sidee.Alks arwt drivewya
Sewer and water line*. sekI sy*tuu .,n1 call location
Drainage flow arrows
- All drainage &wales and subsurface iacilities (retention/detention areae. el
Dimensional eruss sections of all drauwYu *wales
V,Sump pump (Sump t (SumpFop pits) showing liacharge locations
CsotPump discharge locations
Qsalna_ .. sem
and im
A11 required devinage w
ales must be shown on the plot plan
eonsGructud all subdtIto" prior to the Department of Community
Development•pecforming a final inspection of any structure per plans as file
QC per t►s tollowiag: Constructed
&plea shall be a Minimum of 1'6e
with aide alopes of mot less than 4 to 1. deep
I; this "formation Is fat Submitted.
it will extend the tier it takes to get an .germy pegnitit.
I CMUT =&T ALL a UK "C" LISTED INFORMATION IS SHOWN COMPLEMY AID ACCMATELY
= ATUAM Nf)K OR =ITR RM AS SUBMITTID WITH A BUILUMC pDRIT APPLICATION TO Ta
�i Nd11R' NW OA' CONNRIITY DLNELUPMXNT.
ADOREBBI '1 r � �
NOS OF FLINGING CONTRACTORi
VA1.IG SUM PLUNGINC LICENSE llla4aERs (� g'��