HomeMy WebLinkAbout06070062 Revision Info
REVISION / PLAN AMEND:MENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects OGo 7ed!).
City of Carmel,' Department of Community Services C& 01 6()~ 7, CU07 ccG8 , Cft,o 76(JifR
~o(oOlcrt,L\ OUi07CD05 OisJo 70CXJ(
Permit has been issued: / Yes No. If yes, PERMIT #: Ouo 7 OCx.Af(jjfidjio6i:jji)JJ~67(f)3
BUILDER of
RECORD:
11\,
~qsR~\~~ S4Iee-\-
BUILDEII\S ~MAlL ADDRESS:
j\ec.rlJ\.U\\li(;.\'(\ (\
PHONE:
3il-5s:;2-
CITY:
rOf\'Y\ e \
FAX:
00 31l-5Sd-crlCbi
~~\O~ ~nl03J
1
LOT # an~ ~UBDJVISJON NAME: (If applicable)
010\.0 \J \1\0 of' \Jx,-\(i",
AODRESS OF CONSTRUCTIO. IdqCJG - ';lq '"'u('S"'l~.qSJ~;';??9~3' -*,~'}'C\; 100Q -ldiLJl. i"'" PI.
\;;n;n-ldl'-lSill<(\'\::>~'C'e. ';;lq::O-idJ'1SSi<<; Ie g l;)q '""':i;:)Qi\7-~~~-..'\'lIld.q53-8q71s:',,,~bx ct
NEW SQUARE FOOTAGE OR NEW ESTIMATED COST NEW FOUNDATlO E: 0 SLAB 0 CRAWl PACE
AREA AFfECTED BY REVISION: - OF CONSTRUcnON: 0 POST & BEAM 0 BASEMENT (Walkout _Y _ N ) ,
LOCATION
&. PROJECT
INFO:
(tm
BEST METHOD OF CONTACT:
e 'fI\C\\ \
STATE COMMERCIAL
DESIGN RELEASE#: 31Bg 11
DATE OF AMENDED RELEASE:
NEW SCOPE(S) OF
FDN 0 STR 0 ARCH 0 MECH
o PLUM
- (
'0-
"
.3t
c' .
~ ~
~<2 .,
,,~
1""
a;~
Jig
<}.'1
~/(; ti..p
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
# of Floors:
Elevator/Ufl: 0 YES ~O . BLDG. CONSTRUCTION TYPE:
OCCUPANCY ClASSIACATlON:
I
,
DESCRIPTION OF AME~MENT/R~SIONI AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMAl'ION:
\=(;lJ'(Ii\O\ 10'(\ ~ \Y'1u-a\ u,~'("12E\, ,(" n F'0Q r:ONSTRUCTIUN '
AEL-Cr\.....E.~" '~l. .-.q rc;,gulo.UVll3
" 'Onln!!an~;e \;\I'tlil ;':'1.1, -..1_,
~llhlPr.t \0 C. )-" , : 6~~'?ii:
of State 3110 lJ).....o. '-- -,' CES
~ H 1"'1 '-,r::RV\
'" -" Y TOWNSH
s
Class I structure pennits are subject t.o the General Administrative Rules of the State of Indiana (See 675 lAC 12) regar~~~~-for
begmnmg and completIng construction. _, "..----;:~ Ip \~ ~iJ '~-==-;\ \ \ \ \
--I. the undersbmed, agree that any construction, reconstruction, enlarg~ent; relocation, or, alteration-of a strU~~' ~. _ ~~d ,,,\ \\
sttu ctures requested by this application will comply with. and conform to, allapplic. able laws of.the State of In . . '.' Zoning Ordinance of C 'I el\J'
Indiana -1993" (Z-289) and amendments. adopted under authority of LC. 36-7 et seq, Genecal Assembly of the St\tlt diana. and all Acts 'ilJ\~tOl'l\l. \
thereto. I also certify that only kitcben. bath. and floor drains are connected to the sanitary sewer. I further ce . th'i.I'll!!a1!\es pI i!al';\\Iy (11\~
Code 35...44...2...1) that all of the information I have provided in this Application and other documentation is accfttY.M to the best afmy . \~ \
knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information d tend to hide . r
otherwise mislead the Dept. of comm. unity Services regarding the truth of the matters addressed. I also ~,i~~~~. coon will not be used ._
ccupied until a Cerci{icateo{Occuplll1cyh"" been issued by the Deparonent of Community Services, __~ ___.--
~\t C\}'~\'0,-:J~ B/r~/~
Print Date
E USE ONLY: ****************************************
11 tJ NEW INSPECTIO~S REQ~IR~D: I PLAN AMENDME T/REVISION FEE:
"}\J {IS ~5'5CL.d kJt'ih- 6rprY13 "felnz' ,
Upper Footing Lower Footing Under Slab If ADDmONAL SQUARE FOOTAGE.
NEW INSPECTlONS REQUIRED:
Rough In Meter Base Final Site (If addl~onallnspec\jons other than what already remain on the exlstln
~ ~ ;1h LJt(\~bH~ A~.&~.D(,
Reviewed/"pproved: Dept. of Community Services ( te)
S:Permlts/FormS/Plan Amend Commerdal,lnd, lost, Multi
TOTAL:
Fee Received by:
Date