HomeMy WebLinkAbout0672.02 Application 1
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?0 Application for
Improvement Location Permit j _ Permit it No.
70?,
� � Z Date
Roll File
f construction is started within 180 days of the date of issuance for residential construction;and for commercial projects,within one(1)
Vince of the State Commercial Design Release. All construction must be completed(c/o issued)within 2 years of the issuance date.
'1ME . PHONE FAX
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STREET CITY STATE ZIP
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TENANT NAME
(If applicable)
NAM PHONE. FAX
OWNER 114 v iSAM/ES. RELEASED FOR CONSTRUCTION
STREET CITY Subject to compliance with bill Retriildliot=
of State and Locsodes ZIP
DEFT OF (':fM UNI 'Y SERVICES
LOT SUBDIVISION CFr� OF CAR EL f C EAINTO NSH
IP
LOCATION ,F- ,,M 'IAA c- H
g f I NDI ANA O? ,
ADDRESS OF CONSTRUCTION
S7/O • A Qup MAR/A D1 ,
A. TYP OF CONSTRUCTION Do plans incl de a porch? F. TYPE OF IMPROVEMENT
1. ingle Family CIYes o 1. New Structure
2. Two Family 2. 0 Additi h Room
3. 0 Multi-Family Type of Foundation 3. 0 RemodI�1''' ,6mrp ial1Tendrit=Spec 1
4. 0 Commercial/Industrial 0 Crawlspace 4. ❑ Found tt r�Qnly - -— 1
5. ❑ OTHER Basement 5. 0 Demol ofl"' f i 1
i /�f�
(Specify) Slab (�7- Gnu 6. ❑ Access() furl• •• ,. - 2Qo- 1 H
li
B. SE R: ` ` ' �� ' 7. 0 Garage e the - 'g �a Attached J 1
1. Public (Name of systemmAR Mg-L ) if 1 T-1
2. 0 Private(County permit# ) G. Lot Split YES _ NO
C. WATER: H. Flood Zones I O�",�"—"--'
1. Public (Name of systemC4-/ill IS. L. • ) I. Sump Pump X- NO
2. Private(County permit# ) J. Manufactured Trusses it: 2C NO
R D. ZONING: I K. Plumbing Contractor R T , Vjoo, .. ,
E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: 0 Plumber's
(Excluding Land Value) Y 000 Indiana Plumbing Code: License#: �QQ0 o705
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I,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 has been issued by the Department of Community Services,Carmel,Indiana.
qzi__r: CALL P +TSIl PaSTIONS NEEDED:
Signature caner or Authorized Agent D -der Slab `ug•- • i eter Base
F® -le aC/o'
I// II6I0 G 5959 r S .Ft. �L�
(Print) (Phone Number) 3 j q
�) . Filing Fees: 3 l
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E-Mail: -:4C-/Kso,ti fl iiis, 4dn&c . comf . Inspection Fees: .36_1)
y Cert.of Occupancy: I
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Plan i 1 nunissi cu, : • -:PW Docket#'s; TAC Dates) V ((� L : �7XJil.\ 1i� � T a
Reviewed/App , : Dept. of Community Services Fee Received by S:Permits/Forms/ILP2; /
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 buildingpermit1
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