HomeMy WebLinkAbout07030164 Revision Info
Permit has been issned:
Yes
No.
If yes, PERMIT #:
L"'~'
( \,yC'
01/' . ^><:
_\\/0 .
01030/6t.j
REVISION I PLAN AMENDMENT
For New Single Family or "Other" Residential type permit proje
City of Carmel,. Department of Community Services
LOCATION
&. PROJECT
INFO:
BUILDER'S EMAIL AD
.5co
LDT#: 103
PHONE: g 16- (] 6 ;;l(J
CITY: Lam, eI
FAX:
BUILDER of
RECORD:
NAME: SwtdotJl1. ~s
STREET ADDRESS3 t.f{)() (J!d 'lj")
RES' SMkn
SUBDIVISION NAME: Den
A
STATE'IJ(
ZIP!603d
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
BEST METHOD OF CONJACT:
~ ' C6IH nCVlt~tdft er
SECTION:
%633
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o BASEMENT (Walkout Y N )
IF PLANS FOR REVISION/ AMENDMENT ARE PART OF THE MASTER PERMIT PR
PLAN SPECIFICATIONS FOR THIS WORK:
x
BASEMENT
(Finished and
Unfinished
1" Floor
Rear Porch
or
Sunroom
Total Sq. Ft.
of Garages
TOTAL
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of lndiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I. the undersil1Iled, agree that any construction, reconstruction, enlargement, rdocation, or alteration of a structure, or any change in the use of land or
structures requested by this application Will comply with, and cornonn to, all applicable laws of the State of Indiana, and the "Zoiling Ordinance of Carmel
Indiana -1993" (Z'289) and amendments, adopted under authority of LC. 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 Perjury (Indiana
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 I have not knowingly or intentionally provided or omitted any infonnation that would tend to hide, obscure, or
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also agree that the construction will not be used
or occupied until ertiIicateofOccupancyhas been issued by the Department of Community Services, Cannel, Indiana,
24
DlJ-RI/ L Il-N II GUJ-€S ~/2
Print I
1J.if~11--61
Dote
OFFICE USE ONLY: **************************************** ********************************
NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/REVISION FEE: ()
Upper Footing Lower Footing Under Slab ADDmONAL SQUARE FOOTAGE:
Rough in Meter Base Final Site NEW INSPECTIONS REQUIRED:
(If addltionallnspettlons ther than what already remain on the existing permit are required.)
~)JL ~
Reviewed/Approved: Dept. of Community SelVices (Date)
5:Permits/Forms/Plan Amend Residential
TOTAL: eJ
9 (;?r~ V LX ~!-/r;,~
Fee Received by: ;/
Date
ENCOMPASS NOTEPAD - 04/16/07
NOTES FOR: 07030164 BLDG 3 - PR
DATE TIME NOTE TEXT
---~------ -------- -~------------~-------------------------
2007-04-16 07:29:18 2x10's required for header
signature
<::efc~~
TOTAL LINES OF NOTES: 7
d/dL flM
PAGE
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