HomeMy WebLinkAbout06070064 Revision Info
Permit has been issued:
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects ()&;o 7CD?J
City of Carmel; Department of Community Services Ci..c a/colo 7, CX.1!C'7 ccu,(j , Cfco 760ifA
~O(oOl C2::V-\ [G@Q!:(:6C,'3'~~o 70M
If yes, PERMIT #: 0(1;07 0r::0 \ , (XcO 7 OOW. ~o7CD 3
/ Yes
No.
BUILDER of
RECORD:
PHONE:
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CTIY'
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FAX:
00 3 li-58;}.-(q(}d.
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BUILDEI!(S !,MAIL ADDRESS:
j\\etclHu\\\iG.\'<\ 0
, (am
BEST METliOD OF CONTACT:
e '('(\c\\\
LOCA nON
&. PROJECT
INFO:
NEW ESTIMATED COST
"OF CONSTRUCTION:
E: 0 SLAB 0 CRAWL PACE
i:J BASEMENT (Walkout_V,-,-N ) ,
- (
(1;;-
f
Be
C',
~ ~
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NEW SQUARE FOOTAGE OR
" AREA AFFECTED BY REVISION:
STATE COMMERCIAL
DESIGN RELEASE #: 318g \l
DATE OF AMENDED RELEASE:
~/&~
NEW SCOPE(S) OF
FDN 0 SIR 0 ARCH 0 MECH
o PLUM
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
# of Floors:
Elevator/Uft: 0 YES ~O BlDG, CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
JiG
<3~
DESCRIPTION OF AME~MENT/REV}SION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
1=(;01'00 \ (0'(\ ~, " \Y:'\u- 0.1 ~ Cl, \ '('€f\ ,
, ::], . " ' I"nQ r,ONSTRUCTIUN
f1e.l-Cn..._.E~,- ',', .. '~\.- ?l\ renU1Cl.1.1V113
. _. . .....,;,an~~e~"lu\ lJ-' ~
~'Ihlprt \0 com~~. : 06~'J~
c4I of Stata ano L:~'~:"";<=RV\CES
"',' -'\' v TOWNSH
r-,~. ~;:: \ 1
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Class I stru, cture pennits are subject to the General Adminlscrative Rules of the State of Indiana (See,675 lAC 12) reg~.' ,~~~O(ifor
beginning and completing construction. " ,.---------;;- [r:, \_~::~ \j ~JJ 0\\\ \ \\
L the: undersiRned, agree that any consnuction, reconstruction, enlargement; relocation, or. alteration-of a s,trU~~1' ~P~~J1j~~rhe~d _~ \ ~,\ \
structures requested by this application will comply with, and conform. to, all applicable laws of the State of In '. ~~. "Zoning Ordinance of C~el\ \\
Indiana -1993" (Z-289) and amendmen,ts. adopted under authotity of I.C, 36-7 et seq. General Assembly of the St\1' ~ ~diana, and all Acts 'Il!\~to~i~\
thereto, I also certify that only kitchen, bath, and floct drains are connected to the sanitary sewer, I futther ce . r thc;,l'lP.!all\espf I!tl'j\\I-y (IU'!lY'
Code 35,44,2..1) that all of the information 1 have provided in this Application and other documentation is ac~M to the best of my \
knowledge arid belief, and that I have not knowingly or intentionally provided or omitted any information . V!d tend to hide , r
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also agre ction will not be used __
ccupied until a Cerdlicate of Occupancy has been issued by the Department of Community Services, C el, Ihdiana. ~__.__------
~\t C,j.,"'\P,.,JLPl\ -- 8/ {ulan
Agent Print ~ Date
Fee Received by:
Date
E USE ONLY: ****************************************
.IV' NEW INSPECT~ONS REQU~REDj , PLAN AMENDME :r;REVISION FEE:
"",4s rosesseA IAJI'/'AtJr,qlYlo.f pef4t'T ,
Upper Footing Lower Footl69' Under Slab ADDmONAL SQUARE FOOTAGE.
NEW INSPECTlONS REQUIRED:
Rough In Meter Base Final Site (If addl~onallnspectlons other than what already remain on the exl
~~ ~\Olfl~\ln~~ A~,&\o(.
Reviewed/),pproved: Dept. of Community Services ( te)
S:PermJts/FonnS/Plan Amend Commercial, Ind, Inst. Multi
TOTAL: