HomeMy WebLinkAbout07060199 Application
City of Carmel/Clay Township Permit #: tJ70w O(q~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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BUILDER NAME: PHONE: FAX:
OF Justus Home Builders, Inc. (317) 353-8311 (317) 352-1570
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
1398 N. Shadeland Avenue Indianaoolis IN 46219
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT:
travmond@~ustus.net email
PROPERTY NAME: PHONE: FAX:
OWNER: Justus at Westfield, LLC (317) 353-8311 (317) 352-1570
STREET ADDRESS: CITY: STATE: ZIP:
1398 N. Shadeland Avenue Indianapolis IN 46219
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
&. PROJECT 1071 Villaae of West Clay Block Q PUD
INFO: ADDRESS OF CONSTRUCTION: SQUARE
2433 Glebe Street, Carmel, Indiana 46032 FOOTAGE: 3,054
SEWER UTILITY Clay Twnshp .1 WATER UTILITY I ESTIMATED COST OF CONSTRUcnON:
PROVIDER: .. ,PROVIDER: (EXCLUDING LAND VALUE) S 286, 500. 00
Reclolnal Waste Dlst Carmel Water
NAME OF IJTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE): All Star Excavating
FLOOD ZONE AREA DESIGNATION(S) ~ I TAX MAP PARCEL #:
FOR THIS PROPERTY: Zone X ,,0 r:? 16-09-29-00-23-013.000
,'.~Y
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
[J<) 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~N
_Y ---.LN
TYPE OF IMPROVEMENT: ,i~~UM~I~~,CONTRACTOR:
D: NEW STRUCTURE ~<"t~;',C~{@\_~~lUmblng
o ROOM ADDITION(S) o"i:/<~'<z'Plumber~s'tridiana State License #:
o PORCH ADDnION{s)3~-~:~('<_~\~\:;,(::.~~l,
o DECK ADDmONl$;..j. Q&~st~'--\.., '\';'OC(-.19400058
o REMODEL (~'\,.~'V\'r'::':; "J. ~,,~\'-t. '..J . h,
_ Baseme.~~i~~~~10y:'-\~~~h_.~\~~bi~9 codes ~i11 be ~PPlied to the co~struction:
o ~~:SS~~~N,G,:~:'U\'S~~Jematlonal ReSidential Code w/Ind,ana Amendments
g A~~~G~~OO~ Uniform Plumbing Code wi Indiana Amendments
o DE ION ~(,- ""''< ~
:\ (XD FOUNDATION TYPE: (Check all that apply for the new
Manufactured "fJ ~ construction area)
Trusses: $Y _N 0 CRAWLSPACE 0 POST & BEAM _PIER
S P V_y ---.LN =
ump ump: "'" SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the UZoning 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 by t e artment of Community Services, Cannel, Indiana.
Thomas L. Raymond 6/6/07
OFFICE USE ONLY: ****** *************** ****** * * **.~************* ** * ***~n**t:!J{j* ***************
I CTIONS REQUIRED: Filmg Fees: ,I. LJ
Base Inspections: 'I ~ / I 60
Cert. of Occupancy: 5,5 " ,-')0
P,R.I.F.: ~ Additional Fees
1 h_ ~Ja ~3/31jN07
Fee ~eceived b~ ~ te '
Signature of Owner or Authorized A
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