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0002.92 Application
Permit No. C;?I — / Tew>S5, ip Improvement Location .Permit Date 2 Roll File This permit is valid only if construction is.started.within 120 days of issuance date; all constructiomis completed (c/o issued) within (2) two years of issuance date unless an extension of time has been officially-granted.byletter by'the Director, Department of Community Development. E ^ ( PHONE -� �i41PA�✓-+' BUILDER I C /}Ni �N�' ET CITY © 3v3 jL evi�Kti I ^> STATE ZIP f6 o3z TENANT NAME' (if a licable) ,NAME PHONE OWNER '^^'_ _ STREET CITY STATE ZIP LOCA . 3 0 19% LOT 11 SUBDIVISION n o C�� F�M l� SECTION rADDRESS OF CONSTRUCTION _ - ►J • Z_ r_ A-i2 l ('� Cry_ W ` A. TYPE OF CONSTRUCTION 1.0 Residential(One or Two Family) 2:0 Residential'(Multi-family) 3:0 Commercial 4: 0 Industrial 5: 0 Institutional B.'TYPE OFSEWAGE DISPOSAL GY��� ) 1.49 Public (Name of System 2.0 Private.'(Septic Tank etc.) C. TYPETOF WATER 1.0 'Public System (Name of System 1 ND PAS W/1rrL1)'- 2.0 -Private (Well ) D.TYPE9FIMPROVEMENT q�p ,ciant SS�ace ,,y�ggi(, with al!RegulaUtyr� Y? ( WA0 GRIMy and Local Cade) D�?T Yg DEVELOPMENT ,9' 0 GG =L 'Attached' Ordinance of Carmel, rte of Indiana, and all Tfutther certify that the cor Community Development, I -further certifvthat.ouly kit or N 11) .E. ZONING CLA55IFICATION OF PROPERTY F. 1.U. Farm/Vacant 2.0 Residential (One or Two Family) 5. U Other (Specify) G. PROPOSED USE OF PROPERTY 1. D One or Two Family. Dwelling 2.0 Multi -family 3. U Commercial' 4.0 Industrial 5.0 Other (Specify) H. ESTIMATE COST'OF CONSTRUCTION qD (Excluding Land Value) I. 'Lot Split; Yes' No ✓ J. Flood Zones: Yes- Now A. B. C.- K. Sump: Pump: Yes ✓ No L. Geothermal Heat Pump: Yes No�� reconstruction, enlargement, relocation or alteration of structure; or any change in the use ion will comply with, and comform to, all applicable'laws of the State'of Indiana, and the adopted under the authorityof Acts of 1979, Public Law 178 Sec.1 et seq, General Assembly v thereto. will not be.used or occupied until a certificate of occupancy has been issued by the Department of i, bath, liun and`Flooi:drainsare 11- Inspections Needed: - ng/Under Slab sed ent u eter Base 487oo'j ,�'/ ,/�3i Drainage Site / State Zip -Phone Square Footage SSG Permit(Sq. Footage) ...................... 5,04.00 �rKcnt�oCTjynunity Development Inspections ...................................... Certificate of Occupancy .............. /S•O0 Total ................................................ S.t/.©O JAN 12 1992 Plan Comm./BZA Docket #' i BUILDI NGPERMITINFORMATION CARMEL-CLAY TOWNSHIP Department of Community Development CARMEL ZONING ORDINANCEZ-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) 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 Development 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 ofconstruction 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 by the Indiana State Departmentof 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 fromr subdivision development plan. 5. THREE (3) copies of a site plan or plot plan showing the following REQUIRED obtained from the landowner or developer): --Lot diawn to scale -- all dimensions --Scale and north arrow --All roads, alleys, rights -of -way, etc. --All other utilities and drainage rights -of -way and easements --Any applicable flood, plain area --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 --All drainage swales and subsurface facilities (retention/detention areas, etc.) --Dimensional cross sections of all drainage swales --Sump pump (sump pump,pits) showing discharge locations --Geothermal heat pump discharge locations information (can be Drainage Swales: All required drainage swales must be shown on the plot plan and constructed in all subdivisions' prior to the Department oI Community Development performing a final inspection of any structure per plans on file or per the following: Constructed swales shall be a minimum of 1'6' deep with side slopes of not less than 4 to 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, COMPLETELY AND. 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: � CODE-,(kZ"r CABO STATE PLUMBING BUILDER'S'SIGNATU 20711S PHONE:syEf " 7p0 3 April, 1991 V C:\TEXT\1006 dep