HomeMy WebLinkAbout18070099 REVISION Application` REVISION / PLAN AMENDMENT
`;. For New Single Family or "Other" Residential
.�„•. ••' 9 Y type permit projects
City of Carmel; Department of Community Services
Permit has been Issued: -Yes No,
Ifyes,PERMIT#H 190700e15
BUILDER of
NAME''
;V! //Oh,4
PHONE: FAX:
RECORD:
I Total Sq. Pt.
TOTAL
(FInished andPorch
S�TyR.E�ETADDRESS; /� �
cm: �- wzK4
BUILDER% EMp/�L ADDRESS:
BEST METHOD OFF..yC.00NTAC :
of Garages
/NIC' T C�e/✓•'t
41.06't
LOCATION
LOT M: sU MSIONJ NAME.
SECTION:
zw%
& PROJECT
28 lelco
ADDRESS OF CONSTRUCTION: ,
INFO:
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
N ESTIMATED COST
OF CONSTRUCTION:
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V
NEW FOUNDATION TYPE: ❑ SLAB ❑ CRAWL SPACE
O POST & BEAM D BASEMENT (Wa&our —Y—N)
IF PLANS FOR REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE A/ID OF
PLAN SPECIFICATIONS FOR THIS WORK:
,
DESCRIP7ION OF REVISION
NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE:
BASEMENT
iat Floor
2 Floor
3 Floor
I Front
I Rear Porch
I Total Sq. Pt.
TOTAL
(FInished andPorch
or
of Garages
Unfinished
Sunroom
rr��
V
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 IS 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.
1. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any changein the use of land or
structures requestedby 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.: 1 further certify, under the penalties of Perjury (Indiana
Cale 35.44.2-1) thatall of the information 1 have providedin this Application and other documentation is true and accurate to the bat of my
knowledge and belief, and. that I. have norknowingly or intentionally provided or omitted any information that would tend to hide, obscure, or
otherwise mislead the D of Community Services regarding the truth of the matters addressed. 1 also agme that the construction will not be used
este o101-cupancyhas been issued by the Department o ty/ ces, Carmel, Indiana
--7�/ .2
or AWbarized Agent Print Date
OFFICE USE ONLY:**********************************************************************
NEW INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final Site
Reviewed/Approved: Dept. of Community Services (Date)
S:P&mkVFangNlan Amed Residential
PLAN AMENDMENT/REVISION FEE:
ADDITIONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If additional Mspedlore oUwi than what already remain on the e)dsdng pennit are required.)
TOTAL:
Fes Recdved by: Date