HomeMy WebLinkAbout19060109 Revision AppREVISION / PLAN AMENDMENT
€/ For New Single Family or "Other" Residential type permit projects
City of Carmel; Department of Community Services
Permit has been issued: -)�— Yes No. If yes, PERMIT #: lq o(00 C A
BUILDER of
NAME: PHONE: FAX:
RECORD:
-P%Z)z:>L-S O, � 1 - W9 -_,Z I
Rear Porch
or
Sunroom
Total Sq. Ft.
of Garages
TOTAL
STREET ADDRESS: CITY: STATE: ZIP:
�\
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
34-1:>EtJ `�bC"71,.5 OF FJ -J Gli fes-- Et— 6�,, l
LOCATION
LOT #: SUBDIVISION NAME: SECTION:
&PROJECT
2� WtwJaS il� .aC,�
INFO:
ADDRESS OF CONSTRUCTION:
NEW SQUARE FOOTAGE OR PDO'- `
NEW ESTIMATED COST IJP
NEW FOUNDATION TYPE: SLAB CRAWL SPACE
AREA AFFECTED BY REVISION: t,Jo c \ Nie'
OF CONSTRUCTION:
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:
DESCRIPTION OF REVISION: M�J� -;P'cA—, AP,)
NEW DESIGNATION OF AREA OF WORK SQUARE FOOTAGE:
BASEMENT
(Finished and
Unfinished)
1 Floor
2" Floor
3 Floor
Front
Porch
Rear Porch
or
Sunroom
Total Sq. Ft.
of Garages
TOTAL
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 he 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.
L the undersigned, agree that any Construction, reconstruction, enlargement, relocation, or alteration of a structure, or any i hinge in the use of land or
structures I equested by this applicat ion kill comply to ith,:md conform lo'.111 applicable laws 01 the StntC of Indiana, and the -Carmel I IniGed Development
Ordinance (_ 625 17) and amcndnicnh, adopted undo art luxiq• 01 I.C. 36.7 et sey, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I nlxr certily that only kitchen, both, and luor drainvuc connected to the sanitary server. 1 further certify, under the penalties of Perjury (Indiana
Code 35-44-2-1) that all of the information 1 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. 1 also agree that the construction will not be used
or occupied%til a Certificate of0c,"pancyhas been issued by the Department of Community Services, Carmel, Indiana.
; �� L1NL-,E- -✓gyp°. A -"Lf
Signal:46 f Owner oiAttlIgIAMW Agent Print Da
OFFICE USE ONLY:*************xz********************************************************
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:
K16VII6*01:1iAppfoved: dept. of bdmfhuhity WWtiaa§ (Nb )
5!NH I6/F"Mis/Pldh Aiiiend aesidehual Fee Received
Date