HomeMy WebLinkAbout07060225 Revision Info
Permit has been issued:
REVISION / PLAN AMENDMENT
For New Single Family or "Other" Residential type permitprojects----
City of Carmel; Department of Community Services ' rr ~\ ~ 0: Cr -
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'I LI/'
If Yes, PERMIT'#:-\<{j) -7 -
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DmE:S PH5 S - .)t15~- -dQ~--- _J
, I CIW I STATE:
I 0 I AN ~- f CJ~ r;c-- .
BUILDER'S EMAIL ADDRESS:
D tJN&. SHEPH
Yes
No.
1
I
Ii
BUILDER of
RECORD:
)
LOCATION
& PROJECT
INFO:
LOT #:
. 'OL-.
ADDRESoFtNSrv~ONL J
ZIP: I
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fIY1
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GULL
SECTION:
3'
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION: N {) rJ
NEW ESTIMATED COST
OF CONSTRUCTION: NO N G:
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST & BEAM 0 BASEMENT (Walkout _ y _ N )
APPU ~ATl QN
THE-
_FU,L L LD Q.
NEW DESIGNATION OF AREA OF WORK SOUARE FOOTAGE:
0.
OR l0/rJAi
riME:
BASEMENT
(Finished and
Unfinished
1st Floor
Total Sq. Ft.
of Garages
I
TOTAL
N 0 cJtA E-
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 mllst be completed (Certificate of Occllpancy issued) within 18 months ofrhe
issuance date. Class I structure permits arc subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames fur beginning and completing construction.
L the undersh!l1ed, 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 \vill comply with, ancl conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of C~rmd
Indiana - 1993" (Z-289) and amendments, adopted under authority of LC. 36-7 et scC[, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify that only kitchen, bath, and Ooor 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 b~ used
or occupied until a Catl 'cate of Occup<1ncy has been issued by the Department of Community Services, Carmel, lndi.ina. I
I ' hiuI ~.OA-,JNE; ~M8Pt-\E0J
Owner or Authorize Agent
Print
7/)..3/0-7
Date
O~ICE USE ONLY: *****!******\* ***** *** ******* * ******** *** ******* *************
, IJ f6S05SecLWj~0f'1~1f13-(
~f15 ~INSPECTIONS REQUIk'ED: ~+ PLAN AMENDMENT/REVISION FEE:
Upper Footing Lower Footing Under ~Iab - ADDITIONAL SQUARE FOOTAGE:
Rough In Meter Base Final Site NEW INSPECTIONS REQUIRED:
(If additional inspections other than what already remi;lin on th
IJJ~ IMJ)
Reviewed/Approved: Dept. of Community Services
5:Permits/Forms/Plan Amend Residential
(Date)
T~:
Fe Receive~O-~ 1/.
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