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HomeMy WebLinkAbout05110047-RevisionREVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE For Commercial, Institutional, Industrial, or Multi-Family Projects City of Carmel; Department of Community Servtces been issued: ~ Yes ~ of ~AME: No, If yes, PERMIT #: ~ PHONE: FAX: STREET ADDRESS: BUILDER'S EMAIL ADDRESS: b-FATE: ZIP: BEST HETHOD OF CONTACT: LOCATION & PRO3ECT INFO: ADDRESS OF CONSTRUCTION: NEW SQUARE FOOTAGE OR AREA AFFECTED BY REVISION: 5-FA~E COMMERCIAL DESIGN RELEASE #: # Of Floors: ~; Elevator/U/t: [~ YES NEW ESTIMATED COST OF CONSTRUCTION: ~ DATE OF AMENDED RELEASE: ~ NO LOT # ano SUBDIVISION NAME: (If aopncao~e) NEW FOUNDATION TYPE: ~.~ SLAB E CRAWL SPACE ~ POST & BEAM ] BASEMENT ( Walkout _Y N ) NEW SCOPE(S)OF ~ FDN ~ 5TR © ARCH ~ MECH ~ PLU~' BLDG. CONSTRUCTION TYPE: V- ~ _ OCCUPANCY CLASSIFICATION: ~ = Class-----I structure p~ subject rot f the State ~ IAC 12 regarding expiration t me frames for beginn~g and completing construction. ~, agree that any conscrucuon~ reconstruction, enIeagement, relocation, or alteration o£ a structure, or any change in the use of land or srvacmres req,u, esred by rh~s application ~ comply with, and conform to, all apphcable laws of the State of Indiana, and the "zomng Ordnance of Carmel Indiana - 1993 (Z-289) and amendments, adopted nnder anthotity of I.C. 36.7 et seq, General Assembly of the State of indiana, and all Acts amendarory thereto. I e2so certify that o~y kitchen, hath, and floor drains are connected to the sanitary sewer. I further certify, under the penalties of Perjury (Indiana Code 35-44-2-1) that all of the information l ha~e provided in this Application and other documentation is true and accurate to the best of ~ny knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure, or otherwise mislead the Dept. of Community Services regarding the troth of the matters addressed. I also agree that the construction will not be used or occupied until a Cettfficaee o£Occupamc, vhas been issued by the Department of Community Services. Carmel. Indiana. Print Date Un.er Font n- '-~-....,i.. n.a.. c,.:¢[t~j~%DD~ONAL SQUARE FOOTAGE:~ NEW INSPE~ONS REQUIRED: / TOTAL: Community Se~ ces~ ~