HomeMy WebLinkAbout19030013 Plan Amendment
CCIITTYY OOFF CCAARRMMEELL
CCOOMMMMEERRCCIIAALL // MMUULLTTII--FFAAMMIILLYY AAMMEENNDDMMEENNTT TTOO EEXXIISSTTIINNGG PPEERRMMIITT
Please complete form and email to permits@carmel.in.gov.
If you have any questions, please call Building & Code Services at (317) 571-2444.
PERMIT HAS BEEN ISSUED: YES NO IF YES, PERMIT #:
BUILDER OF
RECORD
NAME PHONE
STREET ADDRESS CITY STATE ZIP
E-MAIL ADDRESS BEST METHOD OF
CONTACT PHONE E-MAIL
PLUMBING
CONTRACTOR
NAME STATE OF INDIANA
LICENSE NUMBER
PROJECT
LOCATION
PARCEL NUMBER
ADDRESS (INCLUDING
SUITE NUMBER)
CITY STATE ZIP
TYPE OF
STRUCTURE COMMERCIAL INSTITUTIONAL MULTI-FAMILY NUMBER OF UNITS:______________
PROJECT
DETAILS NEW STRUCTURE TENANT FINISH REMODEL ACCESSORY BUILDING CELL TOWER
ADDITION Room Porch Deck GARAGE Attached Detached
NEW COST OF CONSTRUCTION
(EXCLUDING LAND) $ NEW SQUARE
FOOTAGE
STATE OF
INDIANA CDR
PROJECT
NUMBER
RELEASE
DATE
CONSTRUCTION
TYPE
OCCUPANCY
CLASSIFICATION
SCOPE OF
RELEASE FDN STR ARCH ELEC MECH
PLUM SPKLR HOOD OTHER ________________________
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, 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 Carmel Unified Development
Ordinance (Z-625-17) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy or of Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent _______________________________________________________________ Date__________________________________
DESCRIPTION OF AMENDMENT AND/OR STATE RELEASE ADDENDUM INFORMATION:
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