HomeMy WebLinkAbout07020017 Revision Info
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REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects I
City of Carmel,' Department of Community Services
Permit has been issued: I Ves No. H yes, PERMIT #: 070'1-0011 I
BUILDER of NAME: PHONE: FAX: ,
RECORD: Gd~,..d f2.tJSe 17evelopl1f-e/11- G? lLC 3Bb-4-3>/7)( [/4 217-714-2
STREET ADDRESS: CITY: STATE: ZIP:
710/ Cnuvfbrd~vd{e f(,Oe:fd 1/11 J/t:t.{A<(f'o//'7 IIY 46214-
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
qfoeve_ hO....tr1<tI1f1 @ -edwa,..dr(}7edP~_ Coi4l1
PROJECT NAME: /tJeXdrrdrid T LOT # and SUBDIVISION NAME: (If applicable)
LOCATION - f7V/Idt'M /7
& PROJECT
INFO: ADDRESS OF CDNSTRumON: I
I~Oc;o fel'ff1c,V!!vat1/q w~&f
NEW SQUARE FOOTAGE OR I NEW ESTIMATED COST I I NEW FOUNDATION TYPE: ~ SLAB 0 CRAWL SPACE
AREA AFFECTED BY REVISION: OF CONSTRUCTION: o POST & BEAM 0 BASE NT (Walkout _Y _ N)
STATE COMMERCIAL DATE OF AMENDED RELEASE: NEW SCOPE(S) OF o FDN ~ STR ji!( ARCH A MECH f( PLUM
DESIGN RELEASE #: 721 bf3:;3 1/12/07
RELEASE: )I([ ELEC 0 SPKlR OTHER(S):
# of Floors: 3 ; Elevator/lift: 0 YES j:,; NO I BLDG. CONSTRUCTION TYPE: Y - ~ OCCUPANCY CLASSIFICATION: f( - '2.
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
1"h-e JOc;qJ reI'"' YI1I1- wM it;t;v-ed baJeJ 0/1 a fi;vu,d~h'ot1 f?eleaw rWl fke 9fr<,k.
'1r"uUJ -fflen, {VII f'lal# auJ ?1>eC1frc4.-hhi1t,. were ~l/bH1t'tt7"d -Iv all ~ re v/ewecl by
+he ~ffJ, and <>t ~dtl;'cJ CPfII-$ffl/cHtlVl tk~(111 I?elett>e w(w(~ued. .
Class I struc~ure 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 undershmed, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
struetures requested by this application \Vill comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
India.na - 1993~ (Z,289) and amendments, adopted under authority of l.C 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendat~ry
thereto. 1 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 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 a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
9f,e'1e11 M.I-/oVWtdJ111
Print
1/~;0 7
Date' '
OFFICE USE ONLY: **************************************** ********************************
\k' = NEW INSPEenONS RE;lUI~ED' I elAN AMeN ~
f'J;U;pe~f~~~o~~ L?~~sfabfr0z/f'ADDIT10NA ARE FOOTAGE: { ~1Jd 1/, it
NEW INSPECTIONS REQUIRED: () TCJ ;COO (I
Rough In Meter Base Final Site (If additional Inspections other than what already remain on the eXisting pennlt are required.)
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Date)
Fee Receiv