HomeMy WebLinkAbout07040223 Revision Info
BUILDER of
RECORD:
REVISION / PLAN AMENDMENT RELEASED FOR CONST~l1(rb~
For New Single Family or "Other" Residential typeS~~fWii~,liPRl~Ii<wP~S ithfllJ~iO '
. d' 1 C' S . 0 !;tartIJa-n(J1 ~d 5 .
CIty OJ Carme,. Departme 0 0 tlmty ervtces DEPT OF COMMUr\JrTY . ICE'
C RMEL I ClIW TOWNSHip
Ifyes,PERMIT#: I~JDL^.PJA .
PHONE: FAX: .
5 -:-15-)350 X cJ06
Permit has been issued:
NAMEA
CITY:
-ST C
STATE:
i1'J
ZIP:
'-I- 0032..
LOCATION
& PROJECT
INFO:
LOT #:
I
n . BEST METHOO OF CONTACT:
fILCIS. I Mtv
SECTION: .
EE~ t;STlYTES 4-
NEW SQUARE FOOTAGE OR
AREA AFfECTED BY REVISION:
NEVV FOUNDATION TY~E:L 0 SLAB 0 CRAWL SPACE
o POST & BEAM Q,/BASEMENT {Walkout _ Y -i....P1
IF PLANS FOR REVISION/AMENDMENT ARE PART OF, THE MA,STER PERMIT PROGRAM; NAMC=
PLAN SPECIFICATIONS FOR THIS w~ ~ I f\ /I
CJW\0tliXl f ~ ELc.-v.,LV
DESCRIPTION OF REVISION: ADDiN
~LL ~
NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE:
B NT 1 st Floor 2"" Floor 3ru Floor Front Rear Porch Total Sq. Ft. TOTAL
((Finished and Porch or of Garages
shed) , Sun room
IQolo [Cj'Otb
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit 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 stnlcture permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I. the undersi~ed, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struCUlre, or any change in the use of land or
srructures requested by this applicanon will comply with, and conform rO,-all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
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 (Indi9.na
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 information 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 aCt' 'cate ofOccupa.ncyhas been issued by the Department of Community Services, Cannel, Indiana.
.J.OA N rJG ..s.HePr\.E:(2j)
/ Sign u of Owner or
C:
CE USE ONLY: **;1*24.$*;:****************************************-=-=-**O**~***
NEW INSPECTiONS RE RED: PLAN AMENDMENT/REVISION FEE:
Upper Footing Lower Footing Under Slab ADDmONAL SQUARE FOOTAGE:
Rough In Meter Base Final Site NEW INSPECTIONS REQUIRED:
(If addltlonallnspect10ns other than what already remain on the exlstlng
Print
,f,i/l I 01
Oate
S- 9'-07
Reviewe pproved: Dept. of Community Services (Date)
S:Permit5/forms/Plan Amend Residential
~
Date
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