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HomeMy WebLinkAbout14060010 Resubmittal Info C�q �.� �°'� REVISION / PLAN AMENDMENT � '�'��+,� For New Single Family or "Other" Residential type permit projects ��s+"'' City of Cnrmel; Deparbnent of Co�rimurrity Services Permit has been issued: l'es Yo. �IGyes, PEIL�II'P#: ���7 f>QQ � � BUILDER of NAME: � PMONE: FAX: RECORD: ' 7`33 `�� 3 � 3 � STR�ADDRESS: CITY: SfATE: P� �� . � N �U � BUiIDER'S EMAIL AD�RE55: BEST METHOD OF CONTACT: � � C 33 - , LOCATION LOT#', SUBDNISION NAME SECTION: & PROJECT C INFO: A�E55OF CONSTR�N: � �� e� i civ NEW SQUARE FOOTAGE OR ,, / NEW ESTIMATED COS',T�!( —���� NE pOST&BEAMN TYPE:BASEMENTA(Walko��VyL SPN;E �AREA AFFECiED BY REVISION: /� / �— OP CONSTRl1CTI0N:L.G J� ! `F �IF�PLANSFOR,REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE#�ID OF PCAN�SBECIFICATIONS FOR THIS WORK: DESCRIPTION OFREVISION: � �/ � 1^ «� I �C-t����v NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE: BASEMENT 1" Floor 2nd Floor 3rd Floor Front Rear Porch Total Sq. Ft. TOTAL (Finished and Porch or of Garages Unfinished Sunroom �4-1 � � � Fo(Single Family and Two Fn�iiily devcllines,addicions,remodcls,and/or acccs'sory strucmres,[his permic is valid only i[mnstnic[iun commences wi[hin 180 dxys of the dn�e of issuance of[he building permit,and mus'[be comple[ed(Cer[ificate of Occupancy issucd)within 18 mun[hs ol[he issuance date. Class I strucmre permics are subjec[m[he General Administrn[ive Rules o[[he 5[ate af Indiana(See 675 IAC 12)regarding e�cpiratiun time Frnmcs Por 6eginning and mmple[ing mnstruccion. I .[he nndersianed,agree[hat unp conscruc[ion,remnsmiction,enlargement,reloca[ion,or alteracion of a s[memre,ar any chunge in thz u;z of land or scruco.ves rer{ues[ed hy chis application will comply��i[h,und conform m,all applicabte la�vs of che Stace nf Indiana,and ehe Zoning Ordinance oE Carmet Indiaw-199i"(Z-269)und amendmen[s,udop[ed under uuehoriry o[LC.36-7 c[sey,Genzral Assembly oE[he Scare of[�diuna,and ull Accs ame�damry [hececo. I also certify[haronly Iuechen,bach,and flaor drains are conntc[ed m�hz sani[ary�se�ver. I further certify,under the pen:ileics oC Perjury Qndiana Code 35-4{-2-I) chac all of the informacion 1 have pmvided in[his Applica[ion and ocher documentacion is tnie and uccurace co[he besc of my knowlcdge:md belief,and thac I haye no[knowingly or in[en[ion:illy provided or umit[ed xny informa[ion ehac would[end co hide,obscurc,or ocherrvise misle2d che Depc.of Communiry Services�regarding che cruch of[he m:i[[ers addressed I also agree that[hc constniccion will no[be used �nr occu un[il a Certificare o(Occupancyhns been issuect by[he Dcparcmen[af Co munity Se iccs,Carme� /L /�-L- �1� l�l/� i��� -5� �-Z3 Signature of�Owner or authorized Agent Print Date OFFICE USE ONLY; e#********»x**s*a**s*****�*****x*******x*********s*»****s****x*rr*+xss** NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/REVISION FEE: Upper Footing Lower Foating Under Slab ADDITIONAL SQUARE FOOTAGE: Rough In Meter Base Final Site NEW INSPECTIONS REQUIRED: Qf adtli[ional inspeQions o[her than what already remaln on the exis[ing permi[are required.) TOTAL: Reviewed/Approved: Dep[. of Communicy Services (Date) oa[e 5',Permi6/FOrms/Plan Amentl ResiGen[ial F2P$EC¢N2d by: