HomeMy WebLinkAbout0004.91 Applicationay Improvement Location Permit permit No.
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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 of issuance date unless an extension of time has been officially granted by letter by the Director, Department of Community
Development.
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BUILDER
STREET
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CITY
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STATE ZIP
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TENANT NAME
(if applicable)
DOW
NAME
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PHONE
OWNER
STREET
CITY
STATE ZIP
LOT. /
SUBDIVISION
SECTION
LOCATI(rk
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A. TYP F CONSTRUCTION
1. Residential (One or Two Family)
2. Residential (Multi -family)
3. Commercial
4. Industrial
5.0 1 titutional
B. 1. SEWAGE DISPOSAL /) T�
1- UUU Public (Name of System C� . •1;..
it
2. Private (Septic Tank, etc.)
C. TYP_F.OF WATER
1.00rl Public System (Name of S
2. Private (Well i :r
D. TYPF,OF IMPROVEMENT
QJ '.- OCAt ert'..
1. NewStucture `�yr �:. .,•., �..�''.';
2. Commercial TenaRpace {'
3. Addition Pord2hfl`Room
4. Remodel 0 - ,, '• --�
5.Q Foundation Only
6. Demolition �(
7. Accessory Builg7p6�
8. Swimming Poo -
9. Garage Detached Attached
E. ZONING CLASSIFICATION OF PROPERTY
F. PRNT USE OF PROPERTY
1. arm/Vacant
2. V Residential (One or Two Family)
3. Commercial
4. Industrial
5. Other (Specify)
{3 ,PRO ED USE OF PROPERTY
1. One or Two Family Dwelling
jMulti-family
_ 33Commercial
4Industrial
5IOther (Specify)
H. ESTIMATE COST OF CONSTRUCTION
(Excluding Land Value)
✓
I. Lot Split: Yes
No
J. Flood Zones: Yes
No�
A. B. C.
K. Sump Pump: Yes ✓
No
L. Geothermal Heat Pump: Yes
No�—
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change in the use
of land or stuctures requested by this application will comply with, and comform to, all applicable laws of the State of Indiana, and the
"Zoning Ordinance of Carmel, Indiana-1980", adopted under the authority of Acts of 1979, Public Law 178 Sec.1 et seq, General Assembly
of the State of Indiana, and all Acts amendatory thereto.
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 Development, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and Boor drains are
connected to sanitary{ sewer.
(�Ji-cl7f/ Inspections Needed: Footin Under Slab
Signature-df Owner or Authorized Agent
I' 73 9 TJ Q G j, ^TM b FQ . ugh n Meter Base
Address (/ f
riina Q-t
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Square Footage
Permit (Sq. Footage) ...................... (50
Inspections.....................................
Certificate of Occupancy .............. 15-,or->
Total................................................
Plan Comm./BZA Docket # n
I/'
RUT T-D T NO PERM T T T N FORMAT T ON
Carmel-Clray Tow"""Jp
Dapartmsnt oP Connnunity Davoloprnant
CARMEL ZONING ORDINANCE Z-160, SECTION 29.4.2(3): THE BUILDING COMMIS-
SIONER (DIRECTOR, DEPT. 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 IBUILDING
PERMIT) SHALL BE ISSUED WHEN THE PROPOSED STRUCTURE, IMPROVEMENT OR USE
AND ITS LOCATION CONFORM IN ALL RESPECTS TO THIS ORDINANCE.
1. A 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 pproved by the Indians State Department of Fire
P reventiaon 6 Buildina Safety. Indicate total height of bui.
ing on plans.
3. A copy of sewer permit (from City of Carmel Engineering
Dept. or Hamilton Western Utilities, whichever applies), or
septic permit (Hamilton County Health Department).
4. One (1) 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 drawn 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
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 inspec-
tion 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 CAMEL -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 TILE SYSTEM. PLUMBING CODE P-509-5.
NAME OF PLUMBING CONTRACTORt k .T. Moo le- 5—
STATE PLUMBING LICENSE NUMBERt
BUILDER'S SIGNATUREt
ADDRESSt 117 S <_�) Th) `c4t
PHONEt J ZJ-Z096
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