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HomeMy WebLinkAbout07030058 Application City of Carmel/Clay Township Permit #: OiD?{'DBk RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION'f For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER OF RECORD: PROPERTY OWNER: LOCATION &. PROJECT INFO: NAME: Justus Homes, Inc. STREET ADDRESS: 1398 N. Shade1and Avenue BUILDER'S EMAIL ADDRESS: traymond@justus.net NAME: Justus Homes, Inc. STREET ADDRESS: 1398 N. Shade1and Avenue LOT #: 31 SUBDIVISION NAME: Westwood Estates PHONE: (317) 353-8311 fAX: (317) 352-1570 CITY: STATE: Indiana olis IN BEST METHOD OF CONTACT: ZIP: 46219 Phon ~v. ",~1C' CTION ptlaNELE' .0 - u '" ~~ ~ ;,11;'- all ~ulalion5 (1i\l,bjec;j::}~ 'a~ \ "col codE(s]17) 352 1570 'V" , c~RV\ CITY: ~O' 'M' IRATE> we , In\}EIiQ;rld~iSi ,";' '; (iN 'of TOWNSH1~219 CI . . SE~\ANA ZONING: R-1 ADDRESS OF CONSTRUcnON: 13997 Quarter Horse Court, Carmel, IN 46032 SQUARE FOOTAGE=] I 084 ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) $292,000.00 I' ,0,03005(0 A ~ Star ExcavatIng TAX MAP PARCEL #: 17-09-21-00-17-031.000 PLUMBING CONTRACTOR: SEWER UTILITY Clay Twnshp WATER UTILITY PROVIDER: R '1 t 't PROVIDER: 1 Water e lna Was e DlS . Carme NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: TYPE OF CONSTRUCTION: ~ SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: Lot Split: _Y -1LN _Y -1LN Zone X TYPE OF IMPROVEMENT: G NEW STRUCTURE o ROOM ADDmON(S) o PORCH ADDITION(S) o DECK ADDITION(S) o REMODEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o AlTACHED GARAGE o DEMOLITION Manufactured Trusses: _y..x..N Sump Pump: ...LY _N Acorn Plumbing Plumber's Indiana State License #: PC 19400058 Which plumbing codes will be applied to the construction: o International Residential Code w/Indiana Amendments '$. Uniform Plumbing Code wI Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) 19 o CRAWLSPACE o POST & BEAM _PIER SLAB 0 BASEMENT (WALKOLrr:_Y_N ) For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180 days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use oEland 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 LC 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 b partment of Community Services, Cannel, Indiana. ignature of OWner or Authorized Thomas L. Raymond print :;.j :Le!O 7 Da" OFFICE USE ONLY: ******************************~~****** **************;* o//7~***** ************* ECTIONS REQUIRED: FIling Fees: <0 , , Base Inspections: ;2;;)d.OO Upper Footln Lower Footing Under Slab ') ]. ;[0 1;;< G I (j 0 Additional Fees F4 TOTAL' 1 c2~-/''' 'rJ-AdJJ 17- L.i h/1 3' /H/tJ~ Fee eceiv, G- L ~te T S:Permits/Forms/ILP RESIDENTIAL # Charged Re- ReViews P.R,I.F,: Cert. of Occupancy: