HomeMy WebLinkAbout05120133-Revision Info
Permit has been issued:
---- --
~~~I~n~: F~;~r ~~~~i;1 type permitP~~~~~1~-!! \;;;:1
City of Carmel; Department of Community Services III ) :.' .: D EC 2 7 "006 i :"1 Ii
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IfyeS,PERMIT,~~ '-bS-/~oHs-JL:::/1
/ Yes
No.
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BUILDER of
RECORD:
NAME:
.~
il1
STREET ADDRESS:
l?f'l'Vv S1C,J E'i'-O L.G C:;r;f1.cL.e-
BUILDER'S EMAIL ADDRESS:
Qc'f..l1\rv' C-<>>\.
CITY:
C-A a,lWL
STATE:
oJ
ZIP'
~O~L
BEST METHOD OF CONTACT:
!;5-]("'77 ChU--
SECTION:
LOCATION
& PROJECT
INFO:
LOT #:
~-ol
SUBDIVISION NAME:
~"'bJ-a<^-- ~~L:.N(.
ADDRESS OF CQNSTRUcrrON:
NEW SQUARE FCOTAGE OR _ , ,,,
AREA AFFECTED BY REVISION: <;;Aru/
l--- <;w~-U-'L-- c:r:~
NEW ESTIMATED COST
OF CONSTRUCTION:
Cj\(l.N.e'L., -z-,..! 'tboJ Z,
NEW FOUNDATION lYPE: 0 SLAB 0 CRAWL SPACE
o POST&BEAM 0 BASEMENT (Walkout_Y _N)
IF PLANS FOR-REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE #/10 OF
PLAN SPECIFICATIONS FOR THIS WORK:
DESCRIP
F o-fL..--
PA'-\J.l.-.1}t~ .
\.) _ 0
NEW DES~~\iA OF WORK SOUARE FOOTAGE:
BAS ENlC 0 loor 2" Floor 3 - Floor
(Finis g, ~ "" Z-
Unfin - ':f (}l
0. ::- :JJC
ro III .
\" 10 0
.4Jdad !)f/IlFENb
t-uIfBI3/l...- 0 iJtJ {.XJ(!.-i:.
!
I
,
Front
Porch
Rea r Porch
or
Sunroom
Total Sq. Ft.
of Ga rages
TOTAL
I
-
?:..--
For Single Family aRlJ)T'f'b F~yj1S.vellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction cOnUnences
within 180 days of ~ &&l:e of Issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months: of the
issuance date. Class I"Sructure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding eJq>iration
time frames for beginning and completing construction. I
L the undersillned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land:or
S01.lcrures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of G:armel
Indiana - 1993" (Z~289) and amendments, adopted under authority of 1.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify, under the penalties of perjuryjlUndiana
Code 35~44, 2-1) that all of the information I have provided in this Application and other documentation is true and accurate to the best of my
knowledge and belief, and that 1 have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure,! or
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. 1 also agree that the constructio'n will not be used
or occupied yntil a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
(~~ /Lr=::VJ;.,J LV2'I\v9{1.--- (~7/06
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: **************************************** ********************************
NEW INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
"'?IJ;;; 14"JJ
Reviewed/Approved: Dept. of Community Services
S:Permits/ForrnsjPlan Amend Residential
Site
PLAN AMENDMENT/REVISION FEE:
ADDmONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If additional Inspections other than what already remain on the exIsting permit are required.)
TOTAL:
(Date)
Fee Received by:
Date
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