HomeMy WebLinkAbout13040007 Application (2) r a I
i y' REVISION / PLAN A ENDMENT '
kIK. : For New Single.Family or "Other Residential type permit projects
� ` Carmel; ( •
N�„ ,,-^ City of //Del Department of ConrrrurnrtySer Services i t t'/
Pit nit has been issued: Y _ .Yes No. --- II'yes, PFR>IIT Nr I 3O Qdd 7
BUILDER of "A'`IE` PHONE: ` FAX:
RECORD: teiCIMGC .,Vcols 317-• 2 RRS�o 317-]l�iZ-gg3JS
STREEI"ADDRESS. `�,, /1 CITY STATE:- ZIP:
--
_____60o4- aS 31C. c._ 1a•+a.isc,(rs 1.!`5. 46227
BOIL RS'EMAIL ADDRESS. 1 BEST METHOD OF CONTACT'.' .
C�
C- sko.& eta- p�(5 ,co„•s. C:,u�t or . Iva * C---
LOCATION LOT SUBDIVISIOiii NAMNAME: A N
Q SECTION'
& PROJECT _1 3 WINGettnt°r - .cre-
INFO: ADDRESS OF CONSTRUCTION: �}--
, 1D4o4 f _ rovt , ';brfwfte( r XA ) 46032
NEW SQUARE FOOTAGE OR �r NEW ESTIMATED COST NEW FOUNDATION TYPE SLAB CRAWL SPACE
AREA AFFECTED.BY REVISION /'O00 OF CONSTRUCTION: 646-00 0 - I'oS'r F flLAM BASnMEPrr ('Walkout—Y—N)
IF PLANS FOR-REVISION/AMENDMENT ARE PART OF THE MASTER PERMIT PROGRAM; NAME'OF MODEI.AND REFERENCE #/IO OF
PLAN(SPECIFICATIONSFOR'THIS WORK:
,DESCRIPTION' OVt, a -• •• r17 !� LPL:^ a " '1".G.
of ✓._< .E.--- 0 a ' , PA. . . -u SF' r—F. I_^t^
EK mil
• le, ll' APR 2 ; Ir `lit
EW'DE I NATION'OF'AREA'•F WORK Si ARE For i!, : �6 tJIF S. Q
BASEMENT 1`t Floor 2n°'Floor X'FI ek " *y fir• =----- i TOTAL
(nnlshed and I I C 0'O , r --or, o
Unfinished) i _� Sunloom
i/ e G�y�� Py� Gtr•
Fe. Single Family and Two family dwellings,additions,remodels,and/or accessoo0;.r " es,this permibis valid only if constnicr ton cummmtacr...
within 130 days of the dare of Issuance of rho building.penmr and musk be-coinpie t irn[c of Oectipancy,issued)within 18 monchs of the
L<qunm e dale. Class l structure permit;are subject to the General Adminiscrau.e•Rule' /�cStaren 'Indiana(Sec 675 IAC 12)regarding rspirarim)
trine a
ne(names ler beginning and L mulcting atru r inn.
1,rhe.en Icrsigned,agrccrhai.ut)'cnnsirti¢inn-rcmnscruction en laigeinenc,relocation,oridi era:ion of a al rue w re re'en)churgit In l hr ciao of land or
at:intones tcqucstasl by clack al:plicI:ion ttnllunnpdy tciih,and k ntmnco,:ill appheihl'Dale-of the Stare of Indiana,end t le''Zoning(lido-kin c•of()conch
Indiana LOOT(Z-289)and amendinc in ado ni I under au:dtnu . if IC.35-7 et_teat Cenci al A seinely or the Star,.of Indiana and all Acis ai end:l my •
nccrc.e. I.Jsocen 1 k that only lotshen bath and hint drain-.one connected Lin the s,ml II)'scan- I Tauber 4 rufy:undci (lie heriaries of Perjury(Indinat
Cndc 3i-11-2-I) Fat all of the in foniuu ion I hate provided in this Application and other rlorumcniation i s iruc rind accurate to the hest-of my
knowledge ancl holie),and that I linecnut knowingly or intentionally provided or omitted any udormniton chat would rend co hide,obscurer or
in Inn—wise mislead the I3epe.of Comnuini y St- vices regarding the truth of elan matt(`N addicsscd- I also ngrerchat the consuliecion will not he used
01 Inc ip d itil a ter tilicritr of Occupancy has beenissucd by the DepaJ�rtment of Community Services.Carmel,Indiana.
:coat a of Owner ur Authorized Accent Print Dale
OFFICE USE ONLY: **`***********x*********************i*:a**fl ************************r.*
NEW INSPECTIONS REQUIRED: PLAN AMENDMENT/REVISION FEE: Imo®
Upper Footing Lower Footing Under Slah ADDITIONAL SQUARE FOOTAGE:
1 _
Rough In Meter Base Fin•I Site NEW INSPECTIONS REQUIRED: _
(If additional inspections other than what already remain on the existing net nut are required,)
I I TdTALy/I1 I -- _ . ..
Re vieweWWAppr`oced Dept of Community Servi is ((Date) //r(, .Y OS OZ"- f3
Pe n t�F mstalan'Ani d aegJental .Fee Receive hy:: Dare
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