HomeMy WebLinkAbout06070064 Revision Info
Permit has been issued:
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects OG67C01)
City of Carmel,. Department of Community Services CXt 0, CV~ 7, CYu,07 tr::5&(j , aco 760lsf1
~i$QLO;tiL\-r9Lo07COc,,5 ~070C(j.
If yes, PERMIT #: OlyO 7 0C:0 \ , ClcO 7 OOW, ~07(D :3
/ Yes
No.
BUILDER of
RECORD:
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6UILDEI!(S ~MAlL ADDRESS:
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PHONE:
3n-53J-
CITY'
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FAX: ,
C1) 3Il-5'O;}'-cPo;;l
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LOCATION
&. PROJECT
INFO:
(b'ffi
6EST METHOD OF CONTACT:
e '('(Vti \
STATE COMMERCIAl
DESIGN RELEASE #: 3181:111
DATE OF AMENDED RELEASE:
&. '/& f:4,
NEW SCOPE(S) OF
FDN 0 STR 0 ARCH 0 MECH
,
o PLUM
,
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'(A"
/
LIe
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NEW SQUARE FOOTAGE OR
AREA AFFECTED 6Y REVISION: - -
NEW E511MATED COST
OF CONSTRUCTION:
NEW FOUNDATlO E: 0 SLA6 0 CRAWL PACE
o POST &.6EAM i:J 6ASEMENT(Walkout_Y _ N)
RELEASE: 0 ElEC 0 SPKlR OTHER(S):
# of Aoors:
Elevator/un:: 0 YES ~o BLDG. CONSTRUCTION T'fPE:
OCCLPANCY CLASSIFICATION:
DESCRIPTION OF AME!l.DMENT/R~SION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
~lX\j()\(()'('\ \)'I,' ~\X'\u-a' i:D~'('f'f\. '
, . <' n 1"00 CONSTRUCTIUN
t\El[A,..E~" ,,~t\- '"'\1 reciulo.UV,,3
. .. . nl~':'2n~;e oJ';. II ct ' ...;,
~llhJPr.t \0 cO \-". - c,,~JQ'i!
of State anO UJca' c, R' VICES
1'\1 c::.r.::
'-' . Y TOWNSH
~
..,
Class I structure permIts are subject to the General Admlnlsttative Rules of the State of Indiana (See 675 lAC 12) regar~~"'~,' c-~'f.r
beginning and completing construction. _ _ c-._"--~Q ~~ \1 "\'i \'::'.;',:1 \ \ \ \
. !, the undersimed, agree that any construction, reconstruction, enlargement; rel=tion, or alteration of a StIU~~llr ~j1 rli-..r~~Jiiiid. \~\ \ \
structures requested by this application will comply with, and conform to, all a,pplicable laws of the State o.f In " 1 ' "ZOnmg Ordinance of C, el \
Indiana - 1993" (Z- 289) and amendments. adopted under autbotity of LC. 36-7 et seq. General Assembly of tbe sq.t~~~' ana, and all Acts 'IlJ\~to~el \ \
th~eto. I also certify that only kitchen, bath, and floor drains are connected to the. sanitary sewer. I further ce . r th\PfP.!alqespf ~ 04~
Code 35...44"'2...1) that all of the infonnation I have provided in this Application and other documentation is accWtl~ to the best of my \ \ \
knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information t d tend to hide . r
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also ~~ ction will not be used _
occupied until a Cercilicate of OccuPlll1cy has been issued by the Department of Community Services, l' Indiana. ......_-----
. ~\t G_~~\0''S\~ ---- 8/r~/(k,
Print Date
Reviewed/ proved: Dept. of Community SeNices
S:Permlts/FormS/PIan Amend Commen:lal, Ind, Inst. Multi
TOTAL:
Fee Received .
Date