HomeMy WebLinkAbout06040185 Revision Info
REVISION / LAN AMENDMENT
For New Single F mily or "Other" Residential type permit projects
City of Carmel,. De artment afCommunity Services
Permit has been issued: ~ s
No.
If yes, PERMIT #: QC::>O 1./0 I '65
BUILDER of
RECORD:
FAX:
6'16~31
ZIP:
BEST ~~;"'OD OF CONlAcr:
I
LOCATION
& PROJECT
INFO:
SECTION:
I
~ U Cf407C/
NEW SQUARE FOOTAGE OR
AREA AFFEerED BY REVISION, 10'6 ;l.
NEW FOUNDATJON TYPE: 0 SLAB C CRAWL SPACE
o POST & BEAM a-sASEMENT (Walkout __ Y ~ .
NEW DESIGNATION OF AREA OF
1 st Floor
2nd Floor I 3'd Floor
~.
Front
Porch
~
)ip?) 'd
For Single Family a~ld Two Family dw lings, additi)l..~ ~qdels, and/or accessory structures, thjs permit is valid only Lf construction commences
within ]B,g"d.'l.}'1io')kt~MeFbRl: tQ~~~Wb'"ft. and must be completed (Certificate of Occupancy issued) within 18 montbs or the
issuance dafi.~~rntf.ure Ren~~s 'ff.~utJFIj'~~Jat~Tal Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
, Subject to camp Ian ~Wey:ames far beginning and cample~ing construction.
L the underl?igned, ag~ ~bate.!a;aQsth-. ~~l~Ycon:.t\\l~F~~argemeht, rdo~ation, or :.Utcration of a 5truC~.1Te, or <l.11}' c~.anp;{':. in [be l:se o( land or
str~ctures rew.tr;::s~~ rn~. MbHij ~'lidtl)$6tf\~bih?orm to, al1l1pplicable laws of the State. of Indlrtna, and t~e Zonmg Orelll1ancc of Carmel
lndlana ~ 1991iJ~2~9)-t{~cl fl.men p.ltnq;,~~ ~~iP1.c. 36~7 ct -"eq, General A.~sembl)' of the State of Inchana, and all Acts amendatory
thereto. 1 ;flff'hefTaGA . I*ft ~a " l ilo'o?t!rains are connecte:d to the sanitary sewer. I further certify, under the penalties oFPc:rjury (Indiana
Code 35-4.:r2,'1) that all of the ilfQI1i)\'A .l\hil.VC provided in this Application a.nd other documentation is true and accurate to the bel'it of my
knowledge and beljef, and that I h;w: no _ knowingly or intentionally provided or omitted any infannat.ion that would teml to hide, obscure. or
otherwise mislead the Depe. of communjty Services regarding the truth of the matters addressed. J also agree that the construction wi11 not be used
9::;~aCjflCateoIOCC"P.' 'Y~aSbeenjSS\ledbC: Depa~;entof3t;~;~~:;~e~lndjana 6 ('ijx~_
Si ature of Owner or Authorized Agent. P mt Date'
OFFICE USE ONLY: ********,) * ** ** * ** ***** ******* ** ** ******* ****** * * * * ** ******* * ** * * ** ** ** **
NEW INSPECTIONS R~QUIRED: PLAN AMENDMENT/REVISION FEE: - fl___~
Upper Footing Lower Footir g Under Slab ADDITIONAL SQUARE FOOTAGE:
Rough In Meter Base Final Site NEW INSPECTIONS REQUIRED: --
(IF addlt!anallnspectlons other than what already remain on the existing permit are required.)
c.... ~
Reviewed/Ap roved: Dept..oF Communil
5:Permlt~/Form5!Pllln Amend Rcsldentiai
'5-("2." oiQ
Services (Date)
TOTAL:
Fee Received by:
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303 WEST MAIN STREET KNIGHTSTOWN, INDIANA
(888) 593-2667 (765) ~4S.5943 FAX#: (765) 345-5692
DATE: 05f08/06 JOB #2004-250.031 REVISIONS: 1
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PLOT PLAN
Prepared For:
LaNGRIDGE ESTATES,
SECTION ONE
PC 3. SLIDE 729
INSTRj/200500063316
LOT # 31
136JB FOSSil DRIVE
WESTFIELD,IN45074