HomeMy WebLinkAbout06030226 Revision Info
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, fustitutional, Industrial, or Multi-Family Projects
City of Carmel,' Department of Community Services
Permit has been issued:
Yes
No.
If yes, PERMIT #: 6 GO 30~~G
LOCATION
&. PROJECT
INFO:
uC+'
BUILDER of
RECORD:
I
BEST METHOD OF CONTACT:
.t- ;;((a I
ADDRESS OF CONSTRUCTION:
;30 -to W. .JAtB3C (:3
LOT # and SUBDIVISION NAME: (If applicable)
r: '+- l':s CLJnd~ 0
.3 ':51 ~ t..t:!b -/2-/00 r.s . )
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
NEW ESTIMATED COST
OF CONSTRUCTION:
~
NEW FOUNDATION TYPE: Q(." SlAB 0 CRA'NL SPACE
o POST & BEAM 0 BA~MENT (Walkout ~ Y _ N )
STATE COMMERQAL
DESIGN RELEASE #:
DATE OF AMENDED RELEASE:
3Jfe7/8 OG
NEW SCOPE(S) OF X FDN pt.. STR ]I( ARCH P{ MECH ,It PLUM
RELEASE: K ELEC 0 SPKLR OTHER(S): F"A
#~~ i
Elevator/Lift: YES
I
BLDG. CONSTRUCTION TYPE: } \ - 15 -Sf)( OCCUPANCY CLASSIFICATION: 15 H 12-
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE I,NFORMATION:.
~~.;~~srtr f;~~ ~~ f$1~. ~~c;:;~~~ ;;t:,s1~~~~t~ ~
(1~r'l2 Yll~,[(j'/~f!r~~~) 7t~r:~;;~~ ~-~ ~;:a-;te 4
"'\' \ ~\o
"',... "'~~
Class I structure pennies are subject [0 the General Ad~tf3li.iv. ~ ~I (he Stat .r>~ndiana (See 675 lAC 12) regarding expiration time frames for
~girln ~,.rI 'e~le~I\Gi1 n. .
1. the underskned, agree that any consrructi~~~'1q.p:nf~~:~en~, @,oa'tio adon of a structure, Of any change in the use of land:or
structures requested by this apPliCatiO~~~1~~di;an%~~~~ay aJ!l?lic ws of the State of Indiana, and the ~Zoning Ordinance of C, armcl
Indiana ~ 1993" (Z~ 289) and amendmen~::&~I;l\)~~C~~~~~'ob:r.C. t'seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify that only kirchen, ~;1md fl~r" , . Ut'!!:~onn' OU 0 the sanitary sewer. I further certify. under the penalties of Perjury (Indiana
Code 35~44'2'1) that all of , the information I h~ vi~ed~th\s t~on and other documentation is true and accurate to the best of my
knowledge and belief, and that I have no~~~'n @;jh~nq~\llYP~ovided or omitted any information that would tend to hide, obscure,lot
othenvise mislead the Dept. of CommunitV~ reg~?ing lhe truth of the matters addressed. I also agree that the construction will not .be llsed
or occupied until a Certilica.re ofOccup~ as been issued by the Department of Community Services, Cannel, Indiana. I
~h,.v G,\(~'
Signature of Owner or Authorized gent
']:)A,x; C1u~ k'f
Print
s-<-f'D7
Date
OFFICE USE ONLY: *************************************
**************************
-<;, NEW INSPECTIONS RE9UIRED: { R N AMENDMENT IID!JSroNFEE:
V ~ 11-5 C!S5<26 S e.ol /,LI/o r.1!3i at? ~
Upper Footing Lower Footing Under Slab . ADDITIONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
Rough In Meter Base Final Site (If additional Inspections other than what already remain
TOTAL:l i? I
-, 0\{}Alli'. LII Wirfi-
Fee ReceFv;di;y: ~ 1
S;<~b 7
Reviewe Approved: Dept. of Community Services
S:Permits,lFo mS/P)an Amend Commercial, lnd, Inst, Multl
ROLL FILE PLANS