HomeMy WebLinkAbout06070064 Revision Info
REVISION / PLAN AMENUMENT or ADDENDUM to STATE RELEASE
For Commercial, Institntional, Industrial, or Multi-Family Projects 0(007co{:;
City of Carmel; Department of Community Services f,'ft'f!!J21l7?J.1}J)1. CX-<Jo"7 e:ruS , Cito 700IsA
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Permit has been issued: / Yes No. Ifyes,PERMIT#: ()(j070~\,ctcf)700v;:;,c~07cn3
BUILDER of
RECORD:
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PHONE:
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FAX:
CO 3Il-5S;){fjc;)
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LOCATION
&. PROJECT
INFO:
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BEST METHOD OF CO~ACT:
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LOT # an~ ~UBDIVISJON NAME: (~f a.!'.~lIcable)
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ADDRESS OF cONSTRUcno, 1,]qClLO - \;)q ~~"',\-, I;lQCJS - \;;)Ql.\3 ~--\ LI, 100Q -',*,00, ,i~ PI,
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STATE COMMERCIAL
DESIGN RELEASE #: 318g 11
DATE OF AMENDED RELEASE:
NEW SCOPE(S) OF
FDN 0 STR 0 ARCH 0 MECH
o PLUM
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NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REYISION:
NEW ESTIMATED COST
OF CONSTRUcnON:
NEW FQUNDATIO E: 0 SLAB 0 CRAWL PACE
o POST & BEAM 0 BASEME~ (Walkout _ ~ _ N )
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RELEASE: 0 ELEC 0 SPKLR OTHER(S):
# of Roars:
Elevator/Uft: [) YES ~O BLDG. CONSTRUcnON TYFE:
OCCUPANCY CLASSIACAll0N:
,
DESCRIPTION OF AME~DMENT/REV)SION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
h;U<\o()\ \0'(\ ''V'', ~,fua\ u,l\\'('f'f\, 'I
::.] . <' n F'''o CONSTRUCTIUN
'F\EL-Cfl\.....E~". 'l.h 9\\ rC'gUlobvl ,3
~I,hic>rt to comp\\an~;e \:\;1": "'~6'd;;
of St,)te an: ~:,~~'-ll v c~~RV\CES
,"" I " . ',J TOWNSH
rv.lir:\ 1
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Class 1 structure permits are subject to the General Admlnistutive Rules of the Scare of Indiana (See 675 lAC 12) ~~~cij,.yJ;~'fQr
beginning and compleong construction. _' r'------ cG rr i ';;:~~ \. ""z'/ "..;:.::.:;:1.\ \\ \ 1 \
--I. the undersbmed, agree that any construction, reconstruction, enlarg~ent; relocation, or,alteration'of a s,truc~i~~cliJuj~J~'rhe~~ ~ ". '\1 \
structutes rtq11ested by this application will comply with, and conform to, all applicable laws of the State of Incli;ld;..,' ;an,-"ZOning Otdinance of Cil'i~el \ \
indiana -1993" (Z-289l,an, d amendments, adopt,ed under authotity of I.c. 36-7 et seq, Genetal Assembly of the S~- , ~_ diana, and all Acts 'W\~to~j \
thereto. I also certify that only kitchen. bath, and floor drains are connected to the sanitary sewer. I further cer .. r th\PfP.!alq.espf ~ (1Ilf;fl..
Code 35"44,~, 1) that all of the infonnation I have provided. in this Application and other documentation is . accb\Y.~ to the best of my \ I _ \
knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information d tend to hide . r
otherwise IDislead the Dept. of Community Services regarding the truth of the matters addressed. I also agre coon will not be used _
ccupied until a Certificate of Occupancy bas been issued by the Department of Community Services, C Cdiana, _----
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Print ~ Date
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Reviewed! proved: Dept. of Community Services
S:P8mlts/FormS/Plan Amend Commercial, Ind, Inst. Multi
TOTAL:
Fee Received by:
Date