HomeMy WebLinkAbout07060228 Revision Info
REVISION / PLAN AMENDMENT
For New Single Family or "Other" Residential type permit projects
City of Carmel; Department of Community Services I . :
- ,
"II
Permit has been issued:
Yes
No.
If yes, PERMIT #:
(I) r1, 0
j - "',
UUI
I
, ,
j
BUILDER of
RECORD:
PHONE:
5
A.tJ -S, CITY
! FAX:
S - .). 35dL -dO G
STATE:
Cl'lkMf,L i tJ
ZIP:
L/ lJJ 0
'2.,
BUILDER'S Ef1AIL ADDRESS:
-NNS. SHsP/-I
Y1AiU
LOCATION
& PROJECT
INFO:
LOT#:
\ 04
[1I1..LL
SECTION:
~3"
ADDRESZ~ONST\R\JCTION: L tJ
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION: NON E..
NEW ESTIMATED COST
OF CONSTRUCTION: NON E
NEW FOUNDATION TYPE: CI SLAB 0 CRAWL SPACE
o POST & BEAM CI BASEMENT (Walkout _ Y _ N )
IF PLANS FOR REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME OF MODEL AND REFERENCE #/10 OF
PLAN SPECIFICATIONS FOR THIS WORK:
\,I\l t:.STLE
DESCRIPTION OF REVISION: N 0 CH-A tJ C:l E ,0 6UjG.
PLkL-L t-Ol~ FROM. -s'T1\TE:
BASEMENT
(Finished and
Unfinished
p,el~ ct \0 CO
Suble \ s\
oEP"' Or
c
Front
Porch
Rear Porch
or
Sun room
Total Sq. Ft.
of Garages
TOTAL
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 isslIed) within 18 monrhs bf the
issllance datc. Class I structure permits arc subject to the Gencral Administrative Rules of thc State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction. '
l. the undersillncd, agree that any construction. reconsrruction, enlargement, relocation, or alteration of a structure, or any change in the use of land 9r
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.' (2-289) and amendments, adopted under authoriTY nf LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. f also certify that only kitchen, bath, and Ooor drains arc conncnecl to the sanitary sewer. I further certify, under the penalties of Perjury (Indiana
Code 3S-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 Dcpt. of Community Services rcgarding the truth of the matters addressed. I also agrec that tht: construction will nnt be used
or occupied until a Certi 'c..-ICe ofOccup..-mcyhas been issued by the Department of Community Services, Carmel, Indiana.
.JOANNe ..3l-1eft-\EQjJ
Print
7/.J3/07
Date
'-
OFFICE USE ONLY. ******************************************* *****************************
-tJ/t6 zY5Sc-ss~cI tihtln Of'Lo,.nal ~ _.--J
. . NE'vV INSPECTIONS REQUIRI!D1'jlerm./+ PLAN AMENDMENT/REVISION FEE: ~ (t..V\
Upper F~oting Lower Footing Under Slab ADDITIONAL SQUARE FOOTAG.E: ~ ~\ ' #
Rough In Meter Base Final Site NEW INSPECTIONS REQUIRED. _ ~,/I, 0'7 O(pO 7.-7-lj
J</ ~ ,;U ;~;:n~l:nSpectiOns othe, than what al,eady ,emaln on t e e"stmg pe,m" a,e ,eqUl,ed.)
Fe~~Y~ 4.t,- 1!. ).; I ! Q/i~ DrJ~)O 7
Reviewed/Approved: Dept. of Community Services
S:Permits/Forms/Plan Amend Residential
(Date)