HomeMy WebLinkAbout07020015 Revision Info
I
I
REVISION / PLAN AMENDMENT or ADDENDUM to STATE REDEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects
City of Carmel; Department of Community Services
Permit has been issned: ~ Yes No. If yes, PERMIT #: (}70ZfJOlej i
BUILDER of NAME: PHONE: FAX:
. RECORD: ~ wtA,-c:l (zD'7e IJevelopVlfe/11- Co. l L C :Z;f?e>~47/7 l( 114 Zcr7-7/4-2
STREET ADDRESS: . CITY: STATE: ZIP:
710/ Ch:fIN{brd7vale f?o~d {I1Ji4./,.",rpol/'7 /1'1 - 4-62(1-
BUILDER'S EMAll ADDRESS: BEST MrnOD OF CONTACT:
fflve_ hO"'fI1etl1l1 @ -erJwardto<;edPk" COUl
LOCATION PROJECT NAME: IV d ' , LOT # a~d SUBDMSION NAME: (If applicable)
I1;tllldi'41 II
&. PROJECT :.eXd/tl 1"'4 (
INFO: ADDRESS OF CONSTRucnON: /477 W ~ , &/reef
Ma{vI
NEW SQUARE FOOTAGE OR NEW ESTIMATED COST NEW FOUNDATION TYPE:~ SLAB 0 CRAWL SPACE
AREA AFFECTEO BY REVISION: OF CONSTRUCTION: o POST &. BEAM 0 NT (Walkout -'.Y _ N)
,
STATE COMMEROAL DATE OF AMENDED RElEASE: NEW SCOPE(S) OF o FDN ~ STR )'( AROi )'i. MEOi JI{ PlUM
DESIGN RElEASE #: 721 be>3 1/11j07
RELEASE: ~ ElEC o SPKLR OTHER(S):
- j:!( NO I BlDG. CONSTRUCTION TYP~: Y - e7
# of Floors: -3 . 8evator/Uft: 0 YES OCCUPANCY ClASSIFICATION: ~ -'2..
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
~ lOved perMI1- wa? iv>v-ed btUeJ OH t1 mVHdlth'on f?elettW r*1 fHe ~k. I
~('uc.1 -Hten. {i;1I fla~ duel ?PeUP.;::.<<,hH~ were o/WH1/tt-rd -k dJ/ d re ""ewer) by
fhe ~.(-e, aft'; '" - ~d".JJ ~1I1-~h-(Jdr'ol1 tJe4.(fW f?dedk: w4yi~ued.
{:Ie, ... ,
"',:c _ ,:oJC::U FOD ('_.
Oass -I structure permits are subject to the General Administrative Rules ~f th\i~'A1\?Bl~~fF51 A ~TJ6wng expiration time frames for
beginning an'IJJl!1>Plctin 'I?Oii$~lJ:o a re9U1atio
1. the undersimled. agree that any construction, reconstruction. pn l~}ij...~Ta.09 . ~~qn ~fl{ ~~. or any ~ge in the use of land. or
strucrures requested by this application will comply with. and COnfO^"U,lffi~~WS ~~,;\I\d the 'Zoning Ordinance of <;:annel
Indiana - 1993' (Z-289) and amendments. adopted under authotity of I.C 36-7 et s.!t(. lY 1l~\bLStft\,'6IGHi$a. and all Acts amendatoty
thereto. I also certify that only kitchen. bath, and floor drains are connected to the sanitaryj'~.^l fftHo. d:~4.t&:..r.hc; penalties of perjuryl (Indiana
Code 35~44, 2, 1) that all of the information I have provided in this Application and oma tfdCUAbQ.tation is true atici ll:btrate 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 Inislead 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.
/.b.n: ;; ---L!,,/u ~ ,-. 9f.eVt'11 M. IIoV*dJ111
Sign~::::::::::!.~u~~ Print
4/ ~ /0 7
Date' 'I
OFFICE USE ONLY: ******************************** ******* **********************
*c5ci~~;~C2r~~o~~~.I~~'perm: LANAMENDMENT/R FEE: ~~~&l~1 ~
Upper Footing Lower ;Z~ti.(g v Under Slab L SQUARE FOOTAGE: I) II ..J i'
NEW INSPECTIONS REQUIRED: t">f(O ;;2..(') (I
Rough In Meter Base Final Site (If addltionallnspectlons other than what already remain on the existing pennlt are reQUI;;t)
proved: Depl of Community services
Plan Amend commerdal, Ind, Inst, Multi
1 TOTA~(]~,
Fee led bY~ -
\ .--
t.\~~6~'1