HomeMy WebLinkAbout06070064 Revision Info
Permit has been issued:
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects DGo 7rxil)
City of Carmel,. Department of ComtilUnity Services ac (ol CVUJ 7. Q.oC76:5&8 , ~o 7601sR
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If yes, PERMIT #: ()(pO 7 OC(p \ , (J,(() 7 OOW, ~o7Cn3
/
Yes
No.
BUILDER of
RECORD:
PHONE:
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CITY:
ro.l"me\
FAX:
00 3\l-5S;;l-mCld
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BUILDEII\S ~MAlL ADDRESS:
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BEST METHOD OF CONTACT:
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LOCATION
&. PROJECT
INFO:
NEW E5T1MATED COST
.. OF CONSTRUCTIDN:
.. NEWFOUNDATIO - '""~E: 0 SLAB 0 CRAWl PACE
o POST &. BEAM 0 BASEMENT (Walkoul_ Y _ N )
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NEW SQUARE FOOTAGE OR
AREA AFFECTeD BY REVISION:
STATE COMMERaAL
DESIGN RELEASE #: 318911
DATE OF AMENDED RELEASE:
NEW SCOPE(S) OF
FDN 0 STR 0 ARCH 0 MECH
'0 PLUM
f1.~
r-'
<sO
<:l>~
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
[iG
f(;?\
# of Floors:
BlDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION:
,
DESCRIPTION OF AME!'l,DMENT/R~SION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
~\J(\d()~\O~ \Y'. . ~::S'\(\X'\\XC\\ ~CI\'\€f\. .;
'. ::] ,<, n 1"00 ~ONSTRUCT\UN .
AEl[n...._.E~. '_ '~\.- -:.1\ renU\i:illU1 ,S
. " .. m'-->an~:e V-JIU\ .....li, "..:)
S'lhJPr.t lO co l.,t. - : Cris~
\ St~tp anO LO'>o, c' CES
o '. " ,': (~C:RVI
n"'~'," ,:, Y TOWNSH
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Class I structure pennits are subject t~ the General ~tr~tive Rules of th.t St~te of In~ana (See 675 IAC 12) regar~~~~\fQr
. begmmng and compleong construction" ,___"_~ \P \ \ '\.'1 \..:;.::::.-:1.,\\ \ \\
..I. the undashmed. agree that any constrUction, reconstruction. enlargement. I.eloca tion, or, alteration of a strUc.~~' ~~ c~~lJi~~.<\t\ r "\ \
structures requested by this application will comply with, and conform to, all applicable laws of the State of In~~ "Zoning Ordinance of Cafvt~el '\
Indiana -1993" (Z-289) and amendments, adopted under authority of LC. 36-7 et seC[. General Assembly of the st\i~~ diana, and all Acts ~~tOI'I'll. : \
thereto. I also certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further ce .. r th\PfP!alqes pf ~ (IiJ~
Code 35'44~2'1) tharall of the information I have provided in this Application and other documentation is accla'i~ to the best afmy l \ , \
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' ctlon will not be used
occupied until a CertiBcate of qccupancy has been issued by the Department of Community Services, C~el. Indiana. ____-
\. L-----
. . ~ JJ\l C0-~~\cJ~ B/roJOu,
Print Date
Fee Received by:
E USE ONLY: ****************************************
~It NEW INSPECTIO[-lS REQUIREP: t PLAN AMENDME T/REVISION FEE:
~fl'3 Zisseosedw/+Vt- cJrlJ1lf/(J rmll"
Upper Footing Lower Footing <U~der Slab If ADDmONAL SQUARE FOOTAGE:
NEW INSPECTTONS REQUIRED:
Rough In Meter Base Final Site {If additional Inspections other than what already remain on the ex!
Reviewed/ proved: Dept. of Commuiilty Services
S:PermJts/FormS/Plan Amend Commerdal, Ind, Inst, Multi
TOTAL: