HomeMy WebLinkAbout14050114 Application �u rC�q4
� ` � REVISIOIV � PLAN 11MENDN�NT
��� �� �� For New Single Family or "Other" Residential`type permit projects
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�a���a`�� City of Carn:el;Departinent of Comneunity Services
Per;mit has been issued: Yes \o. If..yes, PF,FL�IIT#: � �"� C�S�����
PnoNE: Fnx:
BUILDER of """'E` � �_ oM� �, � 3(�- t 0 I �S
RECORD: �`
STREET ADDRE55: CifY: STATE: ZIP:
3 . � '� ����s G-��e( �,� �03 � I
BUILDER'S EMAIL ADDRE55: BEST METHOD OF CONTAQt ��(l I
�a-� C� ��. C.o.�-�e se��:ce .c
LOCATION LOT# SUBDIVISION NAME SECT70N:
& PROJECT
INFO: A�DRESSOFCONSfRUCTION: I /I /' �//�
/ 5('�- � plC�2 �TL'/ �I L0.(��\ —Ila �� �
NEW SQUARE FOOTAGE OR NEW ESTIMATED COSi NEW FOUNDATION TYPE: •� SLAB �_ CRA'Nl SPACE
AREA AFFEQED BY REVISION: DF�CONSRUCIION: - POSf&BEAM -� BASEMENT (Walkout_Y_N)
IF PLANS FOR REVISION/AMENDMEN_ A E �I� MIT PROGRAM; NAME OF MODEL AND REfERENCE #/ID OF
PLAN SPECIFICATIONS FOR THIS�WOR :
DESCRIPTION OF REVISION: P'�� � �� r G�� e"
RELEASED FOR C `` � U U 1�
� Subject to comp iance w� .
NEW DESIGNATION OF ARE ��A`A�HIP 4
BASEMENT i°° IN �A 3'" Floor ear Porch To al Sq. Fk. TOTAL
(Flnishetl and Porch o Garages
Unfinished Sunroom
Eor Single.Pamily nnd T�vo Family devellings,addiiions,remodels,nnd/or acccssory s[nm[ures,[his permit is valid only if consm�c[ion mmmences
�n�[hin l60 days uf che date of issu:incc o([hc building permic,and mus't be completed(Certificate of Occupancy issued)wi[hin IB mon�hs oF chc
issuancc da[e. Class I s[ruceure permits are subject[e the Gcneral Administrative Rules o([he State.o[Indiana(See fi75 IAC l2)revarding��expirnciun
� � [ime Framcs for beginning and completin�mnscruction.
I [he undersia�ed,ngree tha[any mns[ruccion,recoosemc[ion,enlacgeme�[,relocation,or alteru[ion oF a;cnicm�e,n�any change in the use of land or
a[mcnrzes�eques�,ed by dii�applica[ion�vill eomply�vich,ancl confu�m m,all opplica6(e luws of�he Sence af[ndiana,and ehe onlno O�dinance of Csrmel
[n�Lana 1993'(ZdS9)and amendmenc.c,adopCed under au[ho�iry o[f C ifi-i�c[�cy Gencnl:�sxmbly ot�he Scuce pE Indi.in�.�,and.ill Ac[s amend�aeory
tlierec5:. fatso certity[h�ronlv l<[¢hen,b�ch,aod Floor dcni�s are mn�ecced m rhe s�am�ary sewec. I[urcher certi[y,undec the penalcies o[Perjury(Indiunn .
Code 15-44-2-1)[hat all o[the in(orm�acion I have provided in chis�Applicacion:md oeher ducumcn�acion is crue:ind accurn[e m che best uf my
knrnvledge�niid belie[,ancl thac I have mc kno�ving(y or inecnciomilly pmvided or omicced any in(ormuion[hac would cend m hide,obscure,or
u[hen�ise mislr.id the�Dept.of Communicy Servicesrega�ding[ke trud�of the ma�eers addressed. l also agrec[hat d�e conscruaion will noc be uscd
or nccupicdpn[it� Certificace olOccup:mc has� gcnJssue<I.bg[he-Depar[men[of Commmiity Services,Carmel,Indiana.
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,i�s� f � 7' Ir' �-`baif ('i Z
Sig tur` woer orAuthorized Ageut
P nt � DaYe
OFFICE USE ONLY: ********«*x*«*******»*********«*«s*****x**x*****************x**«*x*x*«zs
NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/REVISION FEE:
Upper Footing Lower Footing Under Slab ADDITIONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
. ough.In �Meter Base � Final Site �tbatlditional inspections other than wha[already remain on the existing permi[are required.)
_.- � �� � TOTAL:
Revl�� ed/App�oved: Dept. of Community Services (Date)' oate
�SlPerffiiLS(Potms/Glan Amentl Residen[ial F2E R2C2iV24��hy:
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RELEASED FOR CONSTRUCTION
Subject to compliance with all regulations
(� of State and Local Codes
�-- DEPT OF COMMUNIiY SERVICES
� CITYOf CARMEL/CLAYTOWNSHIP
�O f� INDIANA
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