HomeMy WebLinkAbout07020012 Revision Info
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REVISION / PLAN AMENDMENT or ADDENDUM to STATE REUEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects
City of Carmel; Department of Community Services
Permit has been issued: / Yes No. n yes, PERMIT #: 0701-00f2 I
BUILDER of NAME: PHONE: FAX:
RECORD: EGwtAr-c/ fztJ7e t2ev<e"Opl1t~+ CO.lLC ?Bt>-4-'7/7)( 114 Z17-7/4-2
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STREET ADDRESS: . CITY: STATE: ZIP:
7101 Ch:U'V{brd~v/'le f(()e{d {V1,}./ctVr<f/?ol/7 fl'{ , 462(<{-
BUILDER'S EMAIL ADDRESS: . BEST METHOD OF CONTAcr:
~ve_ /"0"'1'11"'1'/11 @ erJWan:Jtc<;edPk,. CO/1.1
LOCATION PROJEcrNAME: /tI-eXdl1dria ( . LOT # al}d SUBDMSION NAME: (If applicable)
f7ljf" d r'V/q 10
&. PROJECT
INFO: ADDRESS OF CONSTRUcnON: }II. . wee+-
14'2~ tv( /{ /(;1
NEW SQUARE FOOTAGE OR j NEW E51i:MATED COST I NEW FOUNDATION TYPE:~ SlAB 0 CRAWl SPACE
AREA AfFECTED BY REVISION: OF CONSTRumON: o POST & BEAM 0 NT (Walkout ~ Y _ N )
STATE COMMEROAL DATE OF AMENDED RB.EASE: NEW SCOPE(S) OF o FDN ~ STR )( ARCH A MECH . jJ( PLUM
DESIGN RElEASE #: 721 b~:' 4jfZjo7
RELEASE: X. ELK 0 SPKLR OTHERCS):
# of Aoors: 3 E1evator/Uft: [) YES ~ NO I BLDG. CONSTRUmON TYPE: Y - E7 OCCUPANCY QASSIACATlON: ~-'2..
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
Tht: /Ov4/ rer YtfI1- fl1/1l~? it;>v-ed baJed 01-1 a (r;V"cJAh'Oh f?eleaw froW1 -lite ~k.
tfiuUJ -tltefJ. {itl/ rJal# awJ ~l>edfTC,M'oI1r, were 4'wlf1t'ttrd .ft, clHd rev/eweJ 171
-{-he o/ktf-fJ, anti <{. ~dlft;'J ~/II-~fr~t!!'t)vl tko/t'1'" R.eltMYe lAt~yi*ued.
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S/:'UJsct I~ liD t-OR C
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f: '- al)a (0" all fa
. Class I structure pennies are subject [0 the General Administrative Ru es of~~,Q.tkilii/l;l;1~ ll'?fAC il) ~dmg expiration _e frames fo[
beginningandCOrnPletingg~' 'on, SEA~
I. the undersiQIlm., agr~ that any construction, reconstruction, enlargement, rclocati Qf ff"JSf:!-t1'itl}.t[;E@ychangein the use of land. or
stru~tures requested by this application will comply with, and conform to, all applicable ~ State -o~~.tl1e "Zoning Ordinance of ~anncl
Indiana - 1993" (Z- 289) and arnendrnenes, adopted under aut:hotiry of LC 36-7 e[ seq. General Asseinbly o( t:he Sta[ede IHlIana. and all Acts amendarory
therero. I also Certify that only kitchen. bath. and floor drains are connected [0 the sanitary sewer. lJuIther certify, under the penalties of Perjury:(lndiana
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, Canriel. Indiana.
~~ 9feVt'11 M. IIvvWtd'J1t1
Signature of OWner or Au orized Agent Print.
4/~/(J7
Date .
OFFICE USE ONLY: *************************************** *********************
NEW [NSPECTIONS REQUl"D, AMENDME",,' E, ~iti
Upper FoOting Lower Footing Under Slab SQUARE FOOTAGE: ~ ~\
NEW INSPECITONS REQUIRED: () '[Cl '
Rough In Meter Base Final Site (If addltlonal Inspections other than what already remaIn on the existing permit are required.)
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Approved: Depl of CommuniLy Services
Plan Amend Commerda~ Ind, lost, Multi
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