HomeMy WebLinkAbout07060190 Application
City of Carmel/Clay Township Permit #: () 70(a()RO
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 (i17) "~~-lS7n
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
1398 N. Shadeland Avenue Indianapolis IN 46219
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT:
_traymong@justus.net email
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PROPERTY NAME: PHONE: FAX:
OWNER: Justus @ 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 1nc;~ villaoe of west CIa" Block (] PUD
INFO: ADDRESS OF CONSTRUCTION: SQUARE
2487 Glebe street, Carmel, IN 46032 FOOTAGE: 3,054
SEWER lfTILlTY Clay TwnshP.l WATER lfTILlTY T ESTIMATED COST OF CONSTRumON:
PROVIDER: '0" 1 . t PROVIDER: C 1 Water (EXCLUDING LAND VALUE) $286,500.00
Re lona Waste DlS arme
NAME OF UTILllY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET .
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): All star Excavating ,
FLOOD ZONE AREA DESIGNATION(S) I TAX MAP PARCEL #:
FOR THIS PROPERTY: Zone X ~6-09-29-00-23-004.000
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
]Qi TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_ Y ---X..N
_Y -X..N
TYPE OF IMPROVEMENT: PLUMBING CONRhCTOR: :
EX NEW STRUCTURE Acorn ft-:'i!~ ~
o ROOM ADDITION(S) Plumb~~a~'State License #:
o PORCH ADDmON(S) ~~<:>' eF:." '"
o DECKADDmON(S) ,.~;: *941-1'0058 C<':}~ '"
o REMODEl 0. '" \\" ~" ~ ,.- ,,l,\\
B t F. . h ...0' "whi<h pl"niblng~e5 wil12P'e 'applied to the construction:
_ asemen Inlsil ~~ ~. r-::})' ~I~' __N.\
o ACCESSORY BUII,AtI!jS'~. (:>?\'_~ \n;te.""atiqn~I.Rl!sidential Code w IIndiana Amendments
o DETACHED G~'j;l' (,0 1>'" J"'" ","I
o ATTACHED /li;ldGf:,\ \0 \ S\I>\e ~~njf(>Jm Plumbing Code wI Indiana Amendments
o DEMOLITIONS-"'O\V 0 G Cp' <:-\. \ \'\\>>
~ 0' 0~DAnON TYPE: (Check all that apply for the new
Manufactured ~<(;( c,t-: ruction area)
Trusses: -x-~~rP 0 CRAWLSPACE 0 POST & BEAM _PIER
Sump Pump: _P _N Iil SLAB 0 BASEMENT (WALKOUT:_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 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 structu~es
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 by th artment of Corrununity Services, Carmel, Indiana.
OFFICE USE ONLY: ******************************~~*******************~O*
INSPECTIONS REQUIRED: FIling Fees: '""1 ___
Base Inspections: I- ~-:S--', ~4)
Cert. of Occupancy: ~ v V
/~(P/I ':d Additional Fees
OO~fu'\ TOTA,L: ~3~~~
~ved bV:~ Date
Signature of Owner or Authori Ag
S:Permits,/form /ILP RESIDENTIAL
Thomas L. Raymond
Print
6/6/07
Date
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# Charged Re-
Reviews
P.R.I.F.: