HomeMy WebLinkAbout07040051 Revision Info
REVISION / PLAN AMENDMENT
For New Single Family or "Other" Residential type permit projects
City of Carmel,. Department of Community Services
Permit has been issued:
Yes
No.
Hyes, PERMIT#: 07 oq 005/
BUILDER of
RECORD:
NAME:
D().~f7 HoJ'l,(~
PHONE:
"3 , 'J :3 '17 7"3 DO
FAX:
3 (7 3477"31
BUILDER'S EMAlL ADDRESS:
5 I'rfl-tl3' tJ~ > frl3ot/F
CITY:
tJlJflL-S .
BEST METHOD OF CONTACT:
STATE:
ZIP:
STREET ADDRESS:
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LOT #: SUBDIVISION NAME: R U:ASED FOfS1'~'JSTP,UC.TION
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ADDRESS OF CONSTRUCTION: of State and Local CDdes,
1:3 8" C> 5' flJ...10,LE:W /lJD hAec' F iF (' MMUNITY SERViCES
NEW SQUARE FOOTAGE OR NEW ESTIMATED CO'>!; CITY (Jjl'WJ9lIJIl~~~ 1Y.' , \'r6lsf.i>aNl~,'''''', S1,PoCE
AREA AFFECTED BY REVISION: 3 0 "/ OF CONSTRUCTION:I1, 90('),0'; 0 "list' &. B SEMENT (Walkout _Y jLN)
IF PLANS FOR REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME'OF MODEL'AND REFERENCE #/10 OF
PLAN SPECIFICATIONS FOR THIS WORK:
LOCATION
& PROJECT
INFO:
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DESCRIPTION OF REVISION: >((9<0>1-\. j\')Dl"I t04J Su,un.~ol"", ,,' ,~ ,
[I ~:< I
11111/ JUN 1 4 2007
iU UL
L
',11 '\\:
NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE:
II! Iii
I i I Ii!
I~I
I
I
BASEMENT 1" Flo~r 2no Floor 3'" Floor Front Rear Porch Total Sq. Ft. TOTAL
(Finished and Porch or of Garages
Unfinished) Sunroom
,
'3 Or 3CJ 'f
, ' I
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit 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 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expfration
time frames for beginning and completing construction.
L the undershmed, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structUre, or any change in the use of land or
structures requested by this application ..vw comply with, and conform to, all applicable laws of the State of Indiana, and the "Zomng Ordinance of Carmel
Indiana -1993'" (Z' 289) and amendments, adopted under authority of l.e. 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 (Indiana
Code 35-44- 2-1) that all of the information 1 have provided in this Apphcation 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 canstrucdo-n will not be used
or occupied u il a C rwcare ofOccu cy has been issued by the Department of Community Services, Carmel, Indiana.
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Print
OFFICE USE ONLY: ************************************************************************
NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/REVISION FEE:
Lower Footing Under Slab ADDITIONAL SQUARE FOOTAGE:,_ ----'
Meter Base ~ Site NEW INSPECTIONS REQUIRED: ~
~ (If addftlonallnspectlons other than what already remain on the exIsting permit are required.)
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(Date) b.::ttuYJ ~
Fee Received by: 1,1)..1 107 'ttm~ct 'fp1).. ~D~~
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