HomeMy WebLinkAbout0664.02 Application Permit No.4"F4 v Oa
lir (6).� Application for l') 7Date
( ti Improvement Location Permit Roll File
This permit is valid only if construction is started within 120 days of issuance date;all construction must be completed(c/o issued)within 2 years of issuance,
date unless an extension of time has been officially granted by letter by the Director,Department of Community Services.
NAMEQ PHONE FAX
BUILDER / 4�J7- /ne ,4,7- _79 - I7/.3 3/7"S799 -g7/9
STREET CITY STATE ZIP
//O 79 .'i 's A,e ,ram-7 - /=is,4 44,e3 s'
TENANT NAME
(if applicable)
NAME PHONE FAX ,, ;; I, 11 �\,�� `1
OWNER S/9-
STREET CITY STATE ZIP
JUN 1 8 2002
LOT SUBDIVISION SECTION '
LOCATION a S 4/4.f a"— 7 /�Ll6
ADDRESS OF CONSTRUCTION
7 37 EJ))S 6 4) W si-y a-11-72, ----e___ 444 e3- _--
A. TYPE OF CONSTRUCTION Do plans includ a porch? F. TYPE OF IMPROVEMENT
1. ) Single Family 0 Ye No 1. /' New Structure
2. ❑ Two Family 2. 0 Addition Porch Room
3. 0 Multi-Family Type of Foundation: 3. 0 Remodel 0 Commercial Tenant Space
4. 0 Commercial/Industrial ! ►'. space 4. 0 Foundation Only
5. 0 Farm ■'7,s,.- s'i t 5. 0 Demolition
6. 0 OTHER Q ❑S1a , 6. 0 Accessory Building
(Specify) C%��A i. O,c A\ 7. 0 Swimming Pool
B. SEWER: n_ Q S/ /,d OA 8. 0 Garage Detached Attached
1. Public (Name of System `__ °'�' �f y � � �� t G. Lot Split YES NO
2. 0 Private(Septic Tank,etc.) 14, 04",> ,r^Z �`'�- ., Flood Zones YES NO �
C. WATER: n 4f 4J (q,��,�I.`�` Sump Pump YES ,/ NO
1. 1 Public (Name of System a . 07- C' �,` iC9� 1Vlaqufactured Trusses YES NO
2. 0 Private Well a„D. ZONING: -' /1/,9 �. sz.1. Ikti011 ig Contractor A- Z.. E-. .c-il/
E. ESTIMATED COST OF CONSTRUCTION 1' "r� ' ', di =KCPf
(Excluding Land Value) e2-3-5, Da mbing License#Fie)i 7 7 7/li fligiR or❑cam)
********************************************************** �((,,�6********************************************
The undersigned agrees that any construction,reconstruction,enlargement,rel6�ifbion,or alteration of 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,laundry,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 has been issued by the Department of Community
Services, Carmel,Indiana.
���� Inspections Needed:
)4 .."---e''''''LV. I'' �e t't{ 47—es' Footin nderslab 'ough-r eter Base
Signature of Owner or Authorized Agent Ca S f.-,.,.c��`o h f''Z G e,.-
g y
nn /�� �is j---79 9i7L
� Site Final C/O)
X) /Yr-a,(Print) (Phone Number) Permit(Square Footage) l e? 3 I u Q
Sewer Capacity Allotted (/ Inspection Fees: 4 3 S 0
Plan Commission/BZA Docket#: Certificate of Occupancy: Ilt°�_..,.d
Q P.,X F. 4 �
TOTALS 'a (i 48
D®
n2 lifie,,
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Reviewed/Approved: Dept.off
munity Services Fee ived By s:\orms .tea rev I2/96
•
BUILDING PERMIT INFORMATION
CARMEL-CLAY TOWNSHIP
Department of Community Services
If the information required (listed below) is insufficient, it will
extend the time it takes to get an approved building permit.
CARMEL ZONING ORDINANCE Z-289, SECTION 29.4.2(3): The Director, Department of Community Services (or staff)
shall approve or deny the improvement location permit (building permit) within five (5) working days of the receipt of the
written application form and accompanying materials. The improvement location permit (building permit) shall be issued
when the proposed structure, improvement or use and its location conform in all respects to this ordinance.
The following must be received by the Department of Community Services before any building or remodeling permit can
be reviewed or issued by staff:
1. ONE completed Improvement Location Permit (Building Permit) application.
2. TWO (2) complete sets of construction plans. Building elevations, foundation plan, floor plan and typical
wall section must be shown. All cross-sections must be properly detailed and labeled. At lease one cross-
section must show R-values of building materials to ensure compliance with the Indiana Energy Codes. If
minimum R-values are not met on cross-section an Energy Code Compliance Worksheet must be
completed. If manufactured trusses are used, a diagram must be included with building plans for all
trusses being used. Truss diagrams must be stamped with the seal of the registered architect or engineer
who is responsible for that design. Only Indiana registrations will be recognized. If a commercial
construction, plans must be stamped approved by the Indiana State Department of Fire Prevention &
Building Safety. Indicate total height of building on plans.
3. ONE copy of sewer permit (from City of Carmel Engineering Dept., Hamilton Western Utilities or Clay
Regional Sewer District whichever applies), or septic permit (Hamilton County Health Department).
4. ONE (1) copy of plot plan from subdivision development plan.
5. TWO (2) copies of a site plan or plot plan showing the following REQUIRED information (can be obtained
from the landowner or developer):
--Name and address of designer of plan with date
--Name and address of owner
--Lot number and subdivision or applicable general description
--Lot drawn to scale -- all dimensions
--Scale and north arrow
--Lot/Property lines
--Minimum front building setback line per approved development plan (include all front yard)
--All roads, alleys, rights-of-way, etc.
--All other utilities and drainage rights-of-way and easements
--Any applicable flood plain area (Elevation Certificate if necessary)
--Building pad elevation and lot corner elevations
--All accessory buildings -- existing or proposed
--All sidewalks and driveways
--Sewer and water lines, septic system (tanks&filed system) and well location
--Drainage flow arrows
--All drainage swales and subsurface facilities (retention/detention areas, etc.)
--Sump pump (sump pump pits) showing discharge locations
--Geothermal heat pump discharge locations
If land is not within a platted subdivision, a legal description is needed.
ALL CONSTRUCTION IS SUBJECT TO FIELD INSPECTION