HomeMy WebLinkAbout06020122 Revision Info
7
Permit has been issned:
V Yes
No,
, If yes, PERMIT #:
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REVISION / PLAN AMENDMENT
For New Single Family or "Other" Residential type permit projects
City of Carmel,. Department of Community Services
BUILDER of
RECORD:
NAME:
PHON'
(;-2yC'c
FAX: ' .
.?r {- '(z,:z y
LOCATION
&. PROJECT
INFO:
STREET )'?DRESS:
'70ZJ
p- '/?c'ife",
ZIP: I
6"<- '( 0
BUILDER'S EMAlL ADDRESS:
IAYh
Lon /0
BEST METHOD OF CONTAct:
SECTION:
I
p~
NEW SQUARE FOOTAGE OR
AREA AFFEctED BY REVISION:
NEW E5T1MATED COST
OF CONSTRUCTION:
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST&.BEAM 0 BASEMENT (Walkout_Y _N)
':'"IF PLANS FOR,REVISION/AMENDMENT ARE PART OFTHEMASTER PERMIT PROGRAM; NAME OF MODEL'ANO REFERENCE#/ID'OF'
, PLAN SPECIFICATIONS FOR THIS WORK:
BASEMENT
(Finished and
Unfinished
1" Floor
2 Floor
3 Floor
Rear Porch
TO~Al
DESCRIPTION OF REVISION:
NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE:
Sunroom
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 18 months of the
issuance date. dass I structure pennies 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 undersi~ed, agree that any consnuction, rec.onsnuction, enlargement, relocation, or alteration ofa stI'ucrure, or any change in the use of land or
structures requested hy this application will comply with, and conform to, aU applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopted under authority afLe. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatoty
thereto. I also certify that only kitchen, bath, and floor drains are connected fa the sanitary sewer. I further certify, under the penalties of Perjury (Indiana
Code 35~44~ 2;1) that all of the information.1 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 tha't would tend to hide. obscure,' or
otherWise mislead the Dept. of Community Services regarding the truth of the matte:rs addressed. I also agree that the construction will not be us"ed
or accu ied until ':,. Cerf!!!9J' of OCCUPRncy has beeu issued by the ~amnent of Community Services, Carmel, Indiana,
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Slgnat re of Owner or Authorize gent prmt Date
*************
OFFICE, USE ONLY: *****************************;rt:1;J****P;:'*:5*****
NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/~FEE:
Upper Footing
Lower Footing Under Slab
Rough in
Meter Base
Final
Site
ADDmONAL SQUARE FOOTAGE:
NEW INSPECITONS REQUIRED:
(If additional Inspections other than what already remaIn on the exIsting pennft are required.)
1)
TOTAL:
()
(Date)
Fee Received by:
Date
LARGE FORMAT PLANS