HomeMy WebLinkAbout06070063 Revision Info
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects DCrJo 7cc5b
City of Carmel,' Department of Community Services Cxt CYl (:()~ 7, au,O'7 cc&8i. eXeo 760lf!
,&oUJOllXtd-\ 01..007000'5 iexco 70M
Permit has been issued: / Yes No. If yes, PERMIT #: OU010c:/JJ1 , C(c0700w~f!:![9iIr;) ,,~'f
PHONE: FAX:
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BUILDEPi\S ~MAJL ADDRESS: , ' BEST METHOD OF CONTACT: I
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PROJECT NA : LOT # an? ~UBDIVISION NAME: (If applicable)
Sh-O-t rd- O\OlU \J '\\0 of ~1-(iQ t;-~
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NEW SQUARE FOOTAGE OR NEW ESTIMATED COST NEW FOUNDATlO E: 0 SLAB 0 CRAWL PACE ,~ 0
AREA AFFECTED BY REVISION: OF CONSTRUCTION: 0 POST &. BEAM 0 BASEMENT (Walkout _Y _ N ) UI <.::
rt,
C-'
FDN 0 STR 0 ARCH 0 MECH 0 PLUM (l; ~
BUILDER of
RECORD:
j
LOCATION
&. PROJECT
INFO:
STATE COMMERQAL
DESIGN RELEASE #: 3 i 8q \l
DATE OF AMENDED RELEASE:
NEW SCOPE(S) OF
~/&~
RELEASE:
o ELEC 0 SPKLR OTHER(S):
# of Floors:
ElevatorJUft: c;J YES ~o
BLDG, CONSTRUCTION TYPE:
OCCUPANCY CLASSIACATlON:
[fjG
~~
I
I
DESCRIPTION OF AME~MENT/REY,ISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMAl"ION:
~iJ'(\d()~ \()'(\ ~ . \clv-C\\ i::tI~'i'€K,
E' l"'C:'] fno CONSTRUCTIUN
t\E.l n-....-..'-~ . " .~\_\ ali r80U10,lIUl ,3
. . ""mnll,2.n~;e ~""Iu . ::J
il' 'hJPd 10 C,--, t~.." , o....c.--<r)a
of Stnt8 ana U)!...o.,.... S
~ . I':' 1~c:RV\CE
'I '':1' TOWNSH
s
Class I structure pennies are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regar~~... ~~fQr
. beginning and completing construction. _ ,____--~ r~~ U \0.:,Ij ,.:;::;::1 \ \ \ \
". 1. the und~ilmed, agree that any construction, reconstruction, enlargement, r,elocation, or alteration'of a s,truc~:ar ~ ~~JiiJ:he:use-or~ \ ,.- ,\ \ \
structures requested by this application will comply with, and conform to, all applicable laws of the State of In~,\h~- "Zoning Ordinance of C . - el\ \
lndiana -1993" (Z.-289),and amendmen,es. adopted under authority of l.c. 36-7 et seq. General Assembly of the ~St\i~JflI diana. and all Acts 'llA~tOI,!\ \
thereto, I also certily that only kitchen. bath, and floor drains are connected to the sanitary sewer, I further ce r th'iPfll.!alf\es pf ii>l!jI\ry (11\,
Code 35~44~ 2# 1) that all of the information I have provided in this Application and other documentation is accinl~ to the best of my \ \ \
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 Community Services regarding the truth of the matters addressed. I also agree! a coon will not be used
occupied until a Certificate of OCCUP8.1lcy has been issued by the Department of Community Services, CUrbel, Indiana. ___-.------
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Print Date
o FI E USE ONLY: ****************************************
**
I.b r1 NEW INSPEqIONS R~QUIRED: ,PLAN AMENDME IREVISION FEE:
ffJ{lS assess<U1 /,IJ,#v;Jt'8,'l/i3lpefJl'l-,r .
Upper Footing Lower Footing Unde~ Slab ADDmONAL SQUARE FOOTAGE.
NEW INSPECTIONS REQUIRED:
{If additional Inspections other than what already remain on
Fee Recetv
?d~
~e---
Date
Rough In
Meter Base
Final
Site
Reviewed! proved: Dept. of Community Services
S:PermJts/FormS/Plan Amend Commercial, Ind, Inst. Multi
TOTAL: