HomeMy WebLinkAbout06070069 Revision Info
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects ()C!Jo 7(01)
City of Carmel,. Department of Community Services tv (Sl OOlo 7, ~o7 cc&8 ,~{jQLz0~!
:ioUJ01WuL\ 00;070005 exoo 70M
Permit has been issued: / Yes No. Ifyes,PERMIT#: O(flO7~\,OJjj700W,0007cn 3
BUILDER of
RECORD:
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PHONE:
3)7-53:;2-
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FAX:
Cjj 31l-5Sd--(fJebi
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BUILDE~S ~MAlL ADDRESS: , ' BEST METHOD OF CDNTAcr:
j\iec.cUlLl'\\'O-'\'{\ 0 .Ctiffi €rocllI
PROJEcr NA : LOT # an? liUBDIVISION NAME: (~f a~~"cable)
9rai- cO- \hl\~ cf \i.y;-\(lq
ADDRESS OF CONSTRUCTIO. I';'Q6ll. - IJq ,\,,,,"::,\-, I:;JQCJ5 - Idql\3 1-.""..l, C-I, IDlq -1~c1t. ,i~ PI,
\;;IcQi-ldl'-l5 iJ.\<(\"'\:>'coce. ';;lq::'J) -1(?'J48 s:':<<;I:J..I( '1 I::(q -ldQ117S1.,~ ' IJq53-eq71 "XI,,,<;\:\x d
NEW SQUARE FOOTAGE OR _NEW ESTIMATED COST NEW FOUNDATIO E: 0 SLAB 0 CRAWL PACE
-ARE/iAFFEcrED BY REVISION: ,~ OF CONSTRUCTION: - 0 POST I!o. BEAM 0 BASEMENT (Walkout:..V _ N)-'
LOCATION
&. PROJECT
INFO:
STATE CDMMEROAL
DESIGN RELEASE #: 318g n
DATE OF AMENDED RELEASE:
NEW SCOPE(S) OF
FDN 0 STR 0 ARCH 0 MECH
b PLUM
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RELEASE: 0 ELEC 0 SPKUR OTHER(S):
# of Floors:
Elevator/LIft: 0 YES ~O BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
,
DESCRIPTION OF AME!I,DMENT /R~SION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMA"?ON:
~V(ldo~,o,(\?" S'K, ~a\ lD~~. ,I
STRUCTION '
"e" FI,q r:ON.- ,
AELCfl,,--. --~ , .~h -:>1\ f8GUIo.UV1 ,3
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Sllhjpd to COrl\l--'" -' -, _ ~--C:89a
of Si3\8 anO UY>'"' v ceRVICES
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Class I stru, cture permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) re~~~fJ:'\111~{Qr
, beginning and completing construction. c------o= /?> \'0', ~ '\il "-"","~I \ '\
1. the undersilmed, agree that any construction, reconstruction. enlargement; relocation, or, alteration-of a s,truC~~' ~}::r~){)j~)Xirh~ilfrand!, t- \ \
structures requested by this application will comply with, and conform to, all applicable laws of the State of In~. '''Zoning Ordinance of C - el \ 1
Indiana -1993" (Z-289),and amendmen,ts, adopted under authotity of LC. 36-7 et seq. General Assembly of the[fit\l _ diana, and all Acts 'll1'\l'Q!!ato~,\ \ \\
thereto. I also certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further ce .. r thlf..Pfr!alqes pf ~ (In .~,.
Code 35'44~~'1) that all of the information I have provided in this Application and other documentation is accf:tH~ to the ~t of my.J c;...; \
knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information d tend to h1de~ \
otherwise mislead the Dept. of Community Services regarding the truth of the m, atters addressed. I also aTe ~n will not be used ._
ccupied until a Certificate of qccupancy has been issued by the Department of Community Services, eI, Indiana. __-----
~ \t C \.j.r;,\'0, .JUtl ------'8) r u/an
Print ~ Date
Fee ReceIved by.
o FI E USE ONLY: ****************************************
J.., & ~ NEW INSPECTIONS R~QUIRED: PLAN AMENDME T/REVISION FEE:
7fi fIIIIj/~ed 1N,vh. ~ Y'1!?!/f\O( p-erfrta-
Upper Footing Lower Footlhg' Under Slab ADDmONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If additional Inspections other than what already remain on the rlftrg
TOTAL:' 1'1 \,J
Rough In
Meter Base
Final
Site
Reviewed/ proved: Dept. of Commwilty Services
S:Permlts/FormS/PI2In AmeI1d Comml!l'dal, Ind, Inst, Multi
~~~'"
Date