HomeMy WebLinkAboutRevision Plan Amendment Formr �
REVISION / 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: Yes X No. If yes, PERMIT #:
BUILDER of
NAME: PHONE: FAX:
219-405-0217
RECORD:
Gilliana Pools LLC
STREET ADDRESS:4501 Airport Dr. Unit 101 cm. Valparaiso STATE' IN ZIP: 46383
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
jason@gilliana.net email
LOCATION
PROJECT NAME LOT # and SUBDIVISION NAME: (If applicable)
Midtown Development Mixed -Use
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
350 Moron Blvd. Carmel, IN 46032
NEW FOOTAGE OR
AFFECTED 1,482.9
NEW ESTIMATED COSTEW
$421,000 same
NUARE S N jE
TYPEBASEMENTA
AREA BY REVISION:
OF CONSTRUCTION
POST & BEAMN (Walkout—Y
STATE COMMERCIAL
DATE OF AMENDED RELEASE:
NEW SCOPE(S) OF - FDN - STR - ARCH - MECH - PLUM
DESIGN RELEASE #: 404686
4/29/2019
RELEASE: - ELEC - SPKLR OTHER(S):
# of Floors:
Elevator/Lift: YES - • NO
BLDG. CONSTRUCTION TYPE: Swimming POObCCUPANCY CLASSIFICATION:
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
Created an overflow ledge on one long side of the wall
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 constntction.
],the undersigned, agree that and con�truaion, reconstructinat,enlargement. relocation. or alteration of a stricture, or any change in the uric of ]and or
structures requested by thisapplication �,vili comply ►with, and eonfnrm to, all app1Jcah1E! laws of the State of lnc1i:uta, anti thrCarmd Unified Develnpmtnt
0i7dinancc (Z 625 17) and amcnthncnn, adopted tinder atithority of I.C. 36 7 ct seq, General Assembly of the Statt of'] ndiana. and all Acts aniendatory
rhereto, I also certify tlt:tt only kitchen, bath, and Roor drains aft: connected to the sanitary wver. I Further certify, under the penalties or Perjury (Indiana
Code 35-44.2.1) that all of the information I have provided in this Application and other documentation is true and amurate to the best of my
knowledge stnd belief, and that I have not knowingly or intentionally provided or omitted any inform at ton that would tend to hide, obscure, or
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I Aso agree that the construction will nvt be used
or occupied u n� rtific:aty qLoce�cyhas been issued by the Department of Community Services, Carmel, Indiana.
Signakur Owner or Authorized
ICE USE ONLY: ***�
Jason Gilliana
Print
4/30/2019
Date
*****************************************************************
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:
Reviewed/Approved: Dept. of Community Services (Date)
S:Pennits/Forms/Plan Amend Commercial, Ind, Inst, Multl Fee Received by:
Date