HomeMy WebLinkAbout05100069-Revision (2)
REVISION / PLAN AMENDMEN;I' (,J(.,~~ cg ~ 0 \1// ~"~F.;\l
'For New Single Family or "Other" Residential type perri1it.projeCts'?-''=-~-. ---, I Ilil
'City afCarmel; DepartmentafCammunityServices \\~\ I ?nn II II.
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If yes, PE 1lf\'SbP'~\~~q ,t:::I
Permit has been issued:
-/
Ves
No.
. BUILDER of
RECORD:
NAME:
F";
STREET ADDRESS:
BUILDER'S EMAIL ADDRESS:
~..
LOCATION
& PROJECT
INFO:
LOT #:
SUBDIVISION NAME:
'-\4
\
NEW SQUARE FOOTAGE OR
AREA AFFECfED BY REVISION:
IF PLANS FOR REVISION/AMENDMENT
PLAN SPECIFICATIONS FOR THIS WORK:
DESCRIPTION OF REVISION:
NEW DESIGNATION OF A
BASEMENT
(Finished and
Unfinished
2" Floor
PHONE:
FAX:
;-I.."
Q ,.~
STATE:
ZIP:
ellY:
BEST METHOD OF CONTACT:
SEmON:
"
CRAWL SPACE
out Y N)
",..r,r
LUVJ
-
3' Floor
Rear.l!orch- -Total'Sq. Ft.
or of Garages
Sunroom
TOTAL
For Singl<; 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 lAC 12) regarding expiration
time frames for beginning and completing construction.
I. the undershmed. 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 ~Zoning Ordinance of Carmel
Indiana - 1993''' (Z~289) 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 kitchen, bath. and floor drains are connected to the sanitary sewer. I further certify, under the penalties of Perjury (Indiana
Code 35~44~ 2~I) that all 'of the information I have provided in this Application and other documentation is true and accurate to the best of my
know e and belief, an t I have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure, or
oth m' ead the ept, f Community Services regarding the truth of the matters addressed. I also agree that the construction will not be used
or: ccup' nti! a ertific e of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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FFICEUSEONLY: ************************************************************************
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NEW INSPECTIONS REQUIRED:
Upper Footing lower Footing Under Slab
IN I;"'" '" ;;;L;ilu ';re
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormsjPlan Amend Residential
PLAN AMENDMENT/REVISION FEE:
ADDmONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If additional Inspections other than what already remain on the existing permit are required.)
TOTAL:
Fee Received by:
Date