HomeMy WebLinkAbout07060189 Application
City of Carmel! Clay Township Permit #: 0 7(1(2.0 tf!Fr
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: CITY: STATE: ZIP:
1398 N. Shadel and Avenue Indianapolis IN 46219
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT:
travmond@-justus.net email
PROPERTY NAME: PHONE: FAX:
OWNER: Justus @ Westfield, LLC (317) 353-8311 (317) 352-1570
STREET ADDRESS: Cl1Y: STATE: ZIP:
1398 N. Shadeland Avenue Indiananolis IN 46219
LOCATION LOT #: SUBDIVISION NAME: SEmON: ZONING:
& PROJECT 1nh1 vi 11 ~no nr [,bd- ('1 ~v 01nnv n PUD
INFO: ADDRESS OF CQNSTRucnON: SQUARE
2491 Glebe Street, Carmel, IN 46032 FOOTAGE: 3,054
SEWER umLITY Clay Twnshp. J WATER umLl1Y I ESTIMATED COST OF CONSTRumON:
PROVIDER: Regional Waste Dist PROVIDER: _ Carmel Water (EXCLUDING LAND VALUE) $ 286, 500.00
NAME OF lJTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION j BZA J BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): All Star Excavating
FLOOD ZONE AREA DESIGNATlON(S) TAX MAP PARCEL #:
FOR THIS PROPERTY: Zone X 16-09-29-00-23-003.000
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
jQ 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 CONTRACTOR:
!Xl NEW STRUCTURE Acorn Plumbing
o ROOM AODITION(S) Plumber's Indiana State LiceNe #:
o PORCH AODmON(S) -<'O\"
o OECK ADDITION(S) PC 1940005~jr, \' <;
o E ,,- \'v?
R MODEL F' _ h I Which plumhu.... ~es w>>t~tjpplied to the construction:
_Basement InIS any C~-a\\'v;:,>,...c.
o ACCESSORY BUILDING O-...,Q,.ri-~~iC!jt3I R'6~d8nti"'!6QPe wIndiana Amendments
o DETACHED GARAGE ,,-~Q~,~'0G" ;ll),~in ,-:Q,'J' .~\A\'(
o ATTACHED GARAGE \..S\>,'-;:J~U)1IT~\l"_I!I~ii\Tg:JSo'd~"("",[Ilana Amendments
o DEMOLITION ?-'2 C\ \0 WI; "IN'.".,.,---;O
s,jO\e 0' sm,..-st'iD~TI()~li'tPE': (Check all that apply for the new
Manufactured '\ O'il:C'" ~~n ~
Trusses: --LY -NoS'? 0<;( Ci>-'?'~~LSPACE 0 POST&_BEAM_PIER
Sump Pump: _Y ---X..t\'\I e9' 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 conunences wi~hin 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 permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 Otdinance of Cannel Indiana -1993" (Z~
289) and amendments, adopted undet authority of l,e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory theteto. 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 artment of Community Services, Carmel, Indiana.
OFFICEUSEONLY:******************************~~********************~****~******************
CnONS REQUIRED: . FIling Fees: L~;7'. t?
Base Inspections: ;< '3 71 ,C::; (]
Cert. of Occupancy: "), -) ,sf)
P.R.I.F.: /l..!e-' , $;0 Additional Fees
.,~Db')~ ;;3(~t~r:.1
S:Permits/Forms/Il
Thomas L. Raymond
6/6/07
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