HomeMy WebLinkAbout06100024 Revision Info
REVISION / PLAN AMENDMENT
For New Single Family or "Other" Residential type permit projects
City of Carmel; Department of Community Services
IF PLANS FOR REVISION/AMENDMENT ARE PART OFTHE MAST R PERMIT PROGRAM; NAME OF MODEL AND REFERENCE #{1O OF
PLAN SPECIFICATIONS FOR THIS WOR .
No.
If yes, PERMIT #: ~ ()OOc9.. '-I-
Permit has been issued:
FAX:
BUILDER of
RECORD:
BEST~~HOD OF CONTACT:
Sr::.;ON:
LOCATION
& PROJECT
INFO:
.:::s
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST & BEAM ~ASEMENTt (Walkout _Y ~
DESCRIPTION OF REVISION:
NEW DESIGNATION OF AREA OF WORK SOU ARE FOOTAGE:
BAgM..ENT 1st Floor 2nd Floor 3'. Floor Front Rear Porch Total Sq. Ft. TOTAL
.AflnishedJ,nd Porch or of Garages
-untlnished) . Sunroom
/77() .
For Single Family and T wPlOtn~~~~~t@@'l'rJ'Siif~~@'if~essory structures, this per~!~)~ ~Y::t.Ii.d__only.iJ _constr.llction commences
. ~thin 180 days of the d~<;~ss~~~ce ~ thr~P~R4wgR!1r;~~, ,~.4 D?~t~~mpleted (Certificate ofO\c:~B~ncY~ss1ieq) !Witlti,n 18 m~nths o~ th~
Issuance date, Class 1 stru~~lffn1Ps ~HlIUDJect ~o the G~era.t X~mImstratlve Rules of the State of IndIana (See 675!b-_C;;:Jltregardlllg elXplratlan
of State """f' nrol" 'r,0..<. d I. . . i'd' '" . I"
. time raIne:s'ttl1:"'bt:glhnmg an camp etmg constructlo~. J ,I Ii: ! I,
I the und.ersilD1ed, agree t~. 'gh~t@(.r~mlJ~Willj:tQnfe~~hEle1&ation, or alteration of a,st~~.t~re, or any change in the use of ~~nd.,o:r.
structures requested by thi ~q.o \:4llcproRl,.y.}Vit,h~dft~f~'ff/J~~pble laws of the State 9,filnt~i:ma, <yl'\<1-tj,e '~o~Sl~nan~~ pf S~rrnel
Indiana -199r (Z-289) an e d~t~rultdJr 3:ti1+f6Hty bM~~. j6'l~'fJt~leq, General Assembly of F~e'.S,r:ate of...thtJ.\anf,-ana atl ~cts am1epdat,ofY
thereto. I also certify that only kitchen, bath, andllN~~Are connected to the sanitary sewer. I furthh}ertify, under the penalties of Pef.itiry'qndiana
Code 35~44'2~1) that all of the information 1 have provided in this Application and other documenta~ion is true and-accurate to the'best of my(
knowledge and belief. and that I have not knowingly or intentionally provided or omitted any inforn).ation that would tend to hide, obscure, Of
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I 3J_!::>9_agreeJhatthe construction.wilI.not-b~ used
or ace led untll a Certmcate of Occup.'Wcy has been Issued by the Department of Commumty ServICes, Cannel, lndlana
. QG::tVlIC.€ ~t'~ u/t;v1rHJ; c.
In'
In/..2.Cf' /O,l-.
Date
OFFICE USE ONLY: ** ***** **** *** * ** * ***** **** **** ********* * * *******'****** **** * ******** ****
NEW INSPECTIONS REQUIRED: ~\~AMENDMEN;;~ /33~SO
Upper Footing lower Footing Under Slab ADDITIONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If addlt;O",llnspe~~.ot~her than what already remain on the e~ permit are ,eq";red,)
TQT~//.' . ".' 0V
t?'~~c::- . ~ .'
Fee Received by:
Date
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
v
OPERATOR: slillard
COpy # 1
Sec:22 Twp:18 Rng:04 Sub:CCE Blk:4 Lot:169
PARCEL ID ........: ZCCE169
DATE ISSUED.......: 11/01/2006
RECEIPT #.........: 23574
REFERENCE ID # ...: 06100024
SITE ADDRESS ...... 14040 SALMON DR
SUBDIVISION......: CHERRY CREEK ESTATES
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: PULTE HOMES
ADDRESS ...... ....: 11590 N MERIDIAN ST #530
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM....:
CONTRACTOR .......:
COMPANY.. ........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .. .......
PULTE HOMES
LIC # PULTHOM
PULTE HOMES OF INDIANA
11590 N. MERIDIAN ST. #530
CARMEL, IN 46032
(317) 575-2350
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESELEMTR FLAT RATE 1. 00 55.50 55.50 0.00 0.00
IRESFINAL FLAT RATE 1. 00 55.50 55.50 0.00 0.00
IRESFTSLB FLAT RATE 1. 00 55.50 55.50 0.00 0.00
IRESFTSLB+ FLAT RATE 1. 00 55.50 55.50 0.00 0.00
IRESROUGH FLAT RATE 1. 00 55.50 55.50 0.00 0.00
PRIF FLAT RATE 1. 00 1261.00 1261.00 0.00 0.00
RESC/O FLAT RATE 1. 00 53.50 53.50 0.00 0.00
RESPLAMEND FLAT RATE 1. 00 133.50 0.00 133.50 0.00
RESSINGLE SQUARE FEET 5,228.00 911.80 911.80 0.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 2637.30 2503.80 133.50 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
133.50
0050508215
------------
------------
TOTAL RECEIPT :
133.50
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