HomeMy WebLinkAbout0001.92 ApplicationFaCarmel -Clay Permit No.
- r ship Improvement Location Permit
Date
Roll File
This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (c/o issued) within (2) two
years ofissuancedate unless an extension oftime has been officially granted by letter by the, Director, Department of Community
'Development. -
NAMME
M .d wG.
PHONE
773-4170.
BUILDER
STAEET
0,/3oX 624
CITY STATE ZIP
1A+ 1/Lo3Z
TENANTNAME<
/9..IA
(if S rpikable)
NAM
/aE
PHONE
773-4170
OWNER
- V
STRBSr
13 62_4
CITY STATE ZIP
C X, 'Yc03-Z
DEC3 0
im
'p,D c
MEz
LOT SUBDIVISION
� / SECTION
LOCATION c t, -
/33 W000 4
Jevf7e�-
ADDRESS OFF�•Q NSTRUCTION
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13U0' WOO'DPO wO
IOUNO 7-
A. TYPE OF CONSTRUCTION
1.,91, Residerttial.0neor Two Family)
2. 0 Residential (Multi -family)
3.0 Commercial
4.0 Industrial
5.,Q Institutional
B. TYPE OF -SEWAGE DISPO SAL
1. ®. Public (Name of System I PIt rL ).
2. 0. Private (Septic -Tank; etc.).
C. TYPE OF WATER �t
1. ® Public System (Name of: System ` "Z mE)
2.0 Private (Well )
D. TYPE'OF IMPROVEMENT
1 0. New Stucture
2.0 Commercial Tenant: Space
3. 0• Addition Porch . Room
4 0, Remodel
_ 5.`0 Foundation Only
6.0 Demolition
7.0 AccessoryBuilding
8.0 Swimmingj'ogl ,ten tCTR11CMON
The
�{ of 1`
V..!
E. ZONING CLASSIFICATION.OF PROPERTY
F.
G.
2.0 Residential (One orTwo Family)
3.0 Commercial:
4.0, Industrial
5. 0 Other (Specify).
One
S. U Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION 200, OOG -
(Excluding LanS Value)
L Lot Split: Yes No A
J. Flood Zones: Yes No X
A. B. C.
K. Sump Pump: Yes X No
L. Geothermal Heat Pump: Yes No if,
enlargement, relocation or.alterauon*of structure, or any change in the use
with„and comform to, all°applicable laws,of the State of Indiana, and the
the authorityof Acts of 1079, Public Law.478 Seel ct seq, General Assembly
certificate of occupancyhas been,issued by the`Department of
I'further certify tliat only kitchen, bath, laundry and. Floor drains are
connected io sanitary sewer.� J//�
. (, V4Q 41C Inspections Needed: _ n Under
'Signature of Owner or Authorized! Agent
too ,BOX .i 1'/ qug Jn Ter Ba
Address
Drainage Site
CA-+Pe�Ec. �.r ./Go32 773-v/70
State 41p rnone
al
ityAllott -3390
Square Footage
_ Permit (Sq. Footage) ...................... -? . DO
D_irector,, partm�ounit�Dvelopment Inspections .... .
CertthcateofOccupancy- - :. / •0Total .... ......... ... J7..V
jA�� 6 9 �8�� Plan Comm./BZA Docket #
PAID
BUILDING PERMIT INFORMATION
CARMEL-CLAY TOWNSHIP
Department of Community Development
CARMEL ZONING ORDINANCE Z-160, SECTION 29.4.2(3): The Building Commissioner (Director, Department of
Community Development or staff) shall approve or deny the improvement location'permit (building permit) within five (5)
Lor 'n days of the, receipt,of the written application Toni•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.
1. ONE completed Improvement Location Permit (Building Permit)' application.
2. TWO,(2) complete sets of,construction plans. In compliance with the State Energy Code, must list
R-values on walls, ceilings, etc. If a,commercial construction, plans must be stamped approved__ the
Indiana State Department of Fire Prevention & Building Safety. Indicatetotal height of building on plans:
3. ONE copy of sewerpermit. (from City of Carmel Engineering Dept., Hamilton Western Utilities or Clay
Regional Sewer District whichever applies), or septic perm¢ •(Hamilton County Health Department).
4. ONE(l) copy of plot plan from subdivision development plan.
5. THREE (3) copies of'a site plan or plot plan showing the following REQUIRED information (can be
obtained from the landowner -or developer):
--Lot drawrtto°scale --all dimensions
-Scale and north arrow
--All roads, alleys, rights -of -way, etc.
--Ail other utilities, and, drainage rights -of -way and' easements
-Any applicabieflood'plaimarea
--Building pad elevation and lot corner elevations
---All accessory buildings -- existing or proposed
--All sidewalks and driveways
--Sewer and water lines, septic system and well location
--Drainage flow arrows
-AII drainage swales,and subsurface facilities (retention/detention areas, etc.)
-Dimensional crosssections of all'drainage swages
--Sump pump (sump pump pits) showing, discharge locations
--Geothermal heatpump discharge locations
,Drainage Swales: All required drainage: swales must be shown on the plot' plan and constructed in .all
subdivisions prior to the Department•of Community Development performing a,final inspection of any structure
perplans on file or per the:following: Constructed swales•shall be,a minimum of 1'6°'deep,with'side slopes of not.
less than 4.1o'1.
If this information'is,not submitted,`it-will extend the time it takes to get an approved building permit.
I CERTIFY THAT ALL OF THE ABOVE,LISTED INFORMATION IS SHOWN COMPLETELTAND ACCURATELY ON THE
ATTACHED PLOT OR SITE PLAN AS SUBMITTED WITH A'BUILDING PERMIT APPLICATION TO THE• CARMEL-CLAY
DEPARTMENT OF. COMMUNITY DEVELOPMENT. I FURTHER_ CERTIFY THAT THE JOINING° OF WATER SUPPLY
PIPING SHALL BE MADE, WITH LEAD-FREE SOLDERS AND FLUXES. FAILURE -TO COMPLY WILL RESULT IN A
REPLACEMENT OF THE SYSTEM. PLUMBING CODE P-509-5.
NAME OF PLUMBING CONTRACTOR: ✓/M I U e AZ" NM8/&/ G Co - CODE: BOCA or CABO
STATE PLUMBING, LICENSE NUMBER: /D 60
n
ae &1u1 /We //VG PHONE:.773-W70
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