HomeMy WebLinkAbout17100075 Plan Amendment Application
REVISION / PLAN AMENDMENT
For New Single Family or “Other” Residential type permit projects
City of Carmel; Department of Community Services
OFFICE USE ONLY: ************************************************************************
BUILDER of
RECORD:
NAME: PHONE: FAX:
LOCATION
& PROJECT
INFO:
STREET ADDRESS: CITY: STATE: ZIP:
BUILDER’S EMAIL ADDRESS: BEST METHOD OF CONTACT:
LOT #: SUBDIVISION NAME: SECTION:
ADDRESS OF CONSTRUCTION:
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
NEW ESTIMATED COST
OF CONSTRUCTION:
NEW FOUNDATION TYPE: SLAB CRAWL SPACE
POST & BEAM BASEMENT ( Walkout __Y __ N )
IF PLANS FOR REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE #/ID OF
PLAN SPECIFICATIONS FOR THIS WORK:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 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 “Carmel Unified Development
Ordinance (Z-625-17) and amendments, adopted under 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 sanitary sewer. I further certify, under the penalties of Perjury (Indiana
Code 35-44-2-1) that all of the information I have provided in this Application and other documentation is true and accurate to the best of my
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 truth of the matters addressed. I also agree that the construction will not be used
or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
_______________________________________________ _______________________________________________ _________________
Signature of Owner or Authorized Agent Print Date
NEW DESIGNATION OF AREA OF WORK SQUARE FOOTAGE:
BASEMENT
(Finished and
Unfinished)
1st Floor 2nd Floor 3rd Floor Front
Porch
Rear Porch
or
Sunroom
Total Sq. Ft.
of Garages
TOTAL
_____________________________________________________
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/Plan Amend Residential
NEW INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final Site
PLAN AMENDMENT/REVISION FEE: _____________________
ADDITIONAL SQUARE FOOTAGE: ______________________
NEW INSPECTIONS REQUIRED: ______________________
(If additional inspections other than what already remain on the existing permit are required.)
TOTAL: ___________________
____________________________________________
Fee Received by: Date
DESCRIPTION OF REVISION:___________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Permit has been issued: ______ Yes ______ No. If yes, PERMIT #: ________________________