HomeMy WebLinkAbout07050141 Revision Info
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REVISION / PLAN AMENDMENT :tJ<T -.:.----~:.--'--= I)' ii'
For New Single Family or "Other" Residential type perlkrtlproj9tf1f 2 2 2007 Ii I)!
City of Carmel,. Department of Community Services I U U u ~ II U I
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I
Permit has been issued: v' Yes No. If yes, PEruVllT .. 01D 50/
BUILDER of
RECORD:
LOCATION
& PROJECT
INFO:
We 3;)"
BEST .MS:~QD OF CONTACT:
. ry1' emA-lC
SEmON: .1-
NEW SQUARE FOOTAGE OR NEW ESTIMATED CO~ ..,.-.. NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPA~E
AREA AFFECTED BY REVISION: OF CONSTRUCTION:d-UO ltJ S- ~ 0 POST & BEAM ~SEMENT (Walkout~Y J-W)
IF PLANS FOR REVISION I AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE # lID OF
PLAN SPECIFICATIONS FOR THIS WORK: f
13U1k.LJ6M
DESCRIPTION OF REVISION:
,:::, / Ai loS J-/ EO I.3Sm AfT
- LE V 56
REI FiA .
Sub' StlD FO'"
~ecttng-.. nr;,-,..
. 8JIlP!l~ ' ~""'S/RU"'"
I)/iPjo OfSt1'!ki.. nee ~lIlh... '-' IJnA,
NEW DESIGNATION OF AREA OF WORK SOUARE~~~~ COMI~~~Cal c~;~~gulatio~;
vii I/< c....
BENT 1" Floor 2" Floor 3" Floor ;., rcirlf:;U \,R~. , Total Sq. Ft.
Inlshe nd iJ\i.eIi.(~A 'OflltN,<:1u of Garages
n lnlshed Sunroorrrn,
I '7 't2-
TOTAL
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if constmction commences
\vithin 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 expiration
time frames for beginning and completing construction.
L the undersiQ:l)cd, 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 will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993~ (Z-289) and amendments, adopted under authority of J,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 Se\I/(T J 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 kllOwingly or intentionally provided or omitted any information that would tend to hic.le, 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 CertiB te of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. JDANtJE SHEPfffi</J
Print
(of.) 110'1
Date
OFFICE USE ONLY: ***************************************************************i********
NEW INSPECTIONS REQUIRED:
Upper Footing lower Footing Under Slab
Final
Site
Meter Base
Reviewed/Approved: Dept. of Community Services (Date)
S:?ermits/Forms/Plan Amend Residential
PLAN AMENDMENT/REVISION FEE: -'. /~..:) 0 -.
ADDITIONAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If additional inspection,~t:an W";lreadY cemain ,on)( e~i~ p::,mi~qUiced')
TOTAL: /W /~~/ ~.
Fee Received by:
Date