HomeMy WebLinkAbout19060182 REVISION-Application�i r �iAy
REVISION / 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 #: /i O �6
BUILDER of NAME'..,.",, PHONE:
RECORD: �J of etc FAX'
STREET ADDRFSSr r ,-i inc 77 J _
LOCATION LOT*: SUBDWSION NAM/
&PR03ECT � JOCOIAI W,
INFO: ADDRESS OF CONSTRUCTION: �l
1lo,2 „ttw
NEW SQUARE FOOTAGE OR NEW ESTIMATED COST
AREA AFFECTED BY REVISION: 62 s�; OF CONSTRUCTION: r"; /
IF PLANS FOR REVISION/AMENDMENT ARE PART OF THE
PLAN SPECIFICATIONS FOR THIS WORK:
OF
NEW DESIGNATION OF AREA OF WORK SOLJARE FOOTAGE:
(Finished and
O?
BEST METHOD OF CONTACT:
SECTION:
NEW FOUNDATION TYPE: g,'i SLAB C7 CRAWL SPACE
❑ POST&BEAM o BASEMENT (Walkout_Y_N)
PERMIT PROGRAM; NAME OF MODEL AND REFERENCE #/ID OF
Front Rear Porch Total Sq, Ft.
Porch or of Garages
(O `%
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within iso days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within c 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
I the undersigned, agree that any construction, time
frames
ram snfor�� ning and completing construction,
e in the use of land or
structures requested by this application Will comply with, and conform mall applicable lawnt, rolotation, or softhestate of tion of a Indiana, and the"CCarmel Unified Development
Ordinance (Z-625 d7) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify that only kircheu, 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 bide, obscure, or
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed i also agree that the. construction will not
or occupie errff'car of •cupancyly been issued by the Department of Cbe used
/oom uu'nit Services, Carmel, Indiana.
C
natur�M wa
` Ott t�Y f
Sig Agent Print t t.
Date
NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/REVISION FEE:
Upper Footing Lower Footing Under Sfab ADDITIONAL SQUARE FOOTAGE:
Rough In Meter Base Final Site NEW INSPECTIONS REQUIRED:
(If additional Inspections other than what already mmaln on the existing Permit are requimd.)
TOTAL:
Reviewed/Approved: Dept. of Community Services (Date)
SPeM&/F.WPlan Amend RaskJeitial fee Received by;
Date