Loading...
HomeMy WebLinkAbout05110048-RevisionREVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE For Commercial, Institutional, Industrial, or Multi-Family Projects City of Carmel; Department of Community Services Permit has been issued: BUILDER of RECORD: LOCATION & PRO3ECT INFO: _~___ Yes __ No. If yes, PERMIT #: ~ NAME: PHONE: :AX: STREET ADDRESS: EUILDER'S EMAIL ADDRESS: PROJECT NAME: ADDRESS OF CONSTRUCTION: STATE: ZIP: B~cT METHOD OF CONTACT: LOT # and SUBDIVISION NAME: (If applicable) NEW SQUARE FOOTAGE OR AREA AFFECTED BY REVISION: NEW ESTIMATED COST OF CONSTRUCTION: ~b STATE COMMERCIAL DATE OF AMENDED RELEASE: )ESIGN RELEASE #: Eievator/Uft: [] YES ~ NO BLDG. CONSTRUCI'ION TYPE: V~ ~ © POST&BEAM © BASEMENT (Walkout__Y__N) NEW SCOPE(S)OF [2 FDN © STR C ARCH X MECH .~,~ PLUM RELEASE: ~ SPKLR OTHER(S):__ OCCUPANCY CLASSIFICATION: DESCP~PT~ON OF AMENDMENT/REV~STON, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION: Class I structure permits are subject to the Gener~J Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and completing construction. 1 the undersi -ed, agree that any construction, reconsr:mcr~nn, enlargement, re/ocation, or alteration of a structure, or any change in the use of land or structures req,u, ested by r.h/s appl/cadon will comply vdth, and con[orm to, all appl/cable laws of the State of Indiana, and the "Zoning Ordinance of Carmel lnddana - 1993 (Z~289) and amendments, adopte~l undm authority of I.C. 36-7 et seq, General Assembly of the State of indiana and all Acts amendatory thereto. I also certify that only kitchen, bath, and floor drains are connected to the samtary sewer. I further certify, under the penalties of Perjury (Indiana Code 35-44-2-1) that all of the information ! have provided in this Applicatinn and other documentation is true and accurate to the best of my lmowledge and belief, and that I have not knov/mgly or intentionally ~rovided or om/rted any hfformation that would tend to hide. obscure, or otherwise mislead the Dept. of Community Se~rices regarding the truth of the matters addressed, I also agree that the construction will not be used or occupied until a CerrJt'icare o£Occup~mc?has been issued by the Department of Community Services, Carmel. Indiana. Date OFFTCE USE *****--*********--**************************************-- ./'" NEW tNSPECTJONS REQUIRED: ~5)~'~C'PLANv?.;-~" AMENDMENT/REVISION FEE: · . 0t~ ' DD[TIONAL S UARE FOOTAGE' Upper Footing Lower Footing Under Slal~ .~ ;ipi ~ Q · J'~' NEW INSPECTIONS REQUIRED Rough ~11 ~eter Base Finel Site (If additional inspections other than what altec remain on the existing permit ~re reauired. TOTAL: f Communit, Services (Date) S:~erml~/llorms/PAn Amend Cor~merciaL ind, Inst, Nu~t Date