HomeMy WebLinkAbout05080119 Revision Info
REVISION / PLAN AMENDMENT
For New Single Family or "Other" Residential type permit projects
City of Carmel; Department of Community Services
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Permit has been issued:
Yes
No,
If yes, PERMIT #:
50'i)oi
\
BUILDER of
RECORD:
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NAME:
PHONE:
FM:
STREET AD RESS:
.~~ J/
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ZIP:
Vt Y-3/
BUILDER'S EMAIL ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT #: grS/
SECTION:
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
o
NEW ESTIMATED COST
OF CONSTRUCTION:
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST & BEAM 0 BASEMENT (Walkout _Y _ N )
IF PLANS FOR REVISIONI AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE # lID OF
PLAN SPECIFICATIONS FOR THIS WORK:
DESCRIPTION OF REVISION:
,
J'-
NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE:
BASEMENT 1" Floor 2"" Floor 3'" Floor Front Rear Porch Total Sq. Ft. TOTAL
(Finished and Porch or of Garages
Unfinished) Sunroom
*
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if constru~~commences
within 180 days ofche date of issuance ofche building permit, and must be completed (Certificate ofOccu . j' _' ~ths ofche
issuance date. Class I structure permits are subject to the General Administrative Rules of the 0 ~(.f~~ l~ B expiration
time frames for begmning and completlng const c: ~./) L:.=J___
L the undersumed, agree that any constructIon, reconstructIon, enlargement, relocation, or alteratlO~1 \ f cture, or any change in the
structures requested by this applicauon will comply WIth, and conform to, all applicable laws of the Indiana, and the "Zc:.~~~Or
Indiana -1993" (Z~289) and amendments, adopted under authOrIty of I C 36-7 et seq. General Assem e St<1A~In~~, ~ Ac
thereto I also certify that only kitchen, bath, and floor drams are connected to the samtary sewer. I ertilYf Ji\der the penalties
Code 35~44~ 2~1) that aD of the informanon I have provided In this Apphcanon and other docum a is true and accurate est 0 my
knowledge and belief, and that I have not knowingly or intentionally provided or omitted any' orma au tend to hide, obscu
otherwise mislead the Dept. of Community Services regarding the truth of the matters addresse I also agree that the construction
or cupie until a Cert' of 0 cy has been issued by the Department of Community S rvi a.
;1j.1//l/t9#/"-1'ir;rA? rJ-~
Print I
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ate
OFFICE USE ONLY: ** ** * * * * * *rtfi'g'J\~ EO* FC)R co'N*sTRL1cr'i'oN * * *** * * * *** * * * * * * * * * * ** * * *** ** * **
NEW INSPECTIONS RE~mb~ complianc'Prti.\lr all1l!lW/J/fiRWREVISION FEE: - () ---
. of State and Local'Codes. II J . /
Upper Footing Lower Footing D~'l!30MM ~~~~~E FOOTAGE: (vQ /\/:J..---
~[,'(OF~RMEL/~}t.[$~I~QUIRED: - 0 -
. I NDIANA1Jtlonallnspe ns other than what already remain on the existing permit are required.)
Rough in
Meter Base
ro ed: Dept. of Community Services (Date)
jPlan Amend Residential
TQTAL:
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Fee ReceIved by:
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,
Date
ENCOMPASS NOTEPAD - 04/27/06
NOTES FOR: 05080119 SLOG 3 - PR
DATE TIME NOTE TEXT
---------- -------- ----------------------------------------
2006-04-27 10:49:30 could not find application and plans.
approved verbal on phone. inspected and
to code.
TOTAL LINES OF NOTES: 3
PAGE 1
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RELEASED FOR CONSTRUCTION
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