HomeMy WebLinkAbout07060195 Application
, City of Carmel/Clay Township Permit #: 07()(PJ)/qs-"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER NAME: PHONE: FAX:
OF Justus Home Builders, Inc. (317) 353-8311 (317) 352-1570
RECORD: STREET ADDRESS: my, STATE: ZIP:
1398 N. Shadel and Avenue Indianapolis IN 46219
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
traymond@justus.net email
PROPERTY NAME: PHONE: FAX,
OWNER: Justus at Westfield, LLC (317) 353-8311 (317) 352-1570
STREET ADDRESS: CnY: STATE: ZIP:
1398 N. Shadeland Avenue Indianaoolis IN 46219
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
&. PROJECT 1067 Villaoe of West Clav Block 0 POD
INFO: ADDRESS OF CONSTRUCTION: SQUARE
2457 Glebe street, Carmel, Indiana 46032 FOOTAGE: 3,849
SEWER UTILffY WATER UTILITY T ESTIMATED COST OF CONSTRUcnON:
PROVIDER: Clay Twnshp. . PROVIDER: Carmel ',later (EXCLUDING LAND VALUE)~365 000.00
Renional waste DIS . NAME OF UTlLTIY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): All star Excavating
FLooO ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
FOR THIS PROPERTY: Zone X 16-09-29-00-23-009.000
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
IZI 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 ---2LN
_Y ---2LN
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
OJ: NEW STRUCTURE ~~n Plumbing
o ROOM ADDITION(S) PI .,'~ndiana State License #:
o PORCH ADDITION(S) P'
o DECKADDITION(S) <(-,V 19 0058
o REMODEL F' . h .....J...;::,.SA.;......~~i~.PI..~..In es will be applied to the construction:
_ Basement InIS o~', ..Y.......oXJ o..~~
o ACCESSORY BUILDIN&) ""'~ (jio!I (!iJte~..vnal Residential Code w/Indiana Amendments
o DETACHED GA~'<' 0'0 0>,..,,1, -J ~. .
o ATTACHED~IIA'tE ,,<ere ,->, ~,!{ rm Plumbing Code wI IndIana Amendments
o DEMOUTI "'~ 06 0~ , \>'
,..,\>-' cVe,,'o '2i.;s.~ \ (;":~NDA:nON TYPE: (Check all that apply for the new
M uf ct ...... V ,-,-0 <}6- 0' -'v ",<;!> structlon area)
an a uJ;.'I!V eC' ~ (i . lIv 0-' .
Trusses: '<' "'v'O~ ---2LO(OV !'\'~' ~<:) 0 CRAWLSPACE 0 POST & BEAM ---,PIER
Sump Pump: {J'\Y #' fa SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remo 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 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 of land 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 -1993n (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 the tment of Community Services, Cannel, Indiana.
OFFICE USE ONLY: **************************************************** r-p"****/O*****************
ECTIONS REQUIRED; Filing Fees: /
Base Inspections: 0
Cert. of Occupancy: S -f , SO
P.R.I.F.: / ;;2ioJ . () 0 Additional Fees
~t];;;t!-~~3 p;<
Signa re of Owner or Authori
Thomas L. Raymond
Print
6/6/07
Date
# Charged Re-
Reviews
Site
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