HomeMy WebLinkAbout19090035 AmendmentCITY OF CARM E L
COMMERCIAL / MULTI -FAMILY AMENDMENT TO EXISTING PERMIT
/NolAp� Please complete form and email to permits(a)carmel.in.gov.
If you have any questions, please call Building & Code Services at (317) 571-2444.
PERMIT HAS BEEN ISSUED: KYES ❑ NO IF YES, PERMIT #: ! Oq 600,
BUILDER OF
NAME
C)4'9 J C—
PHON
p� _309— Z IT-41
RECORD
j JJ
ST gDDRESS CITY
`i o G �S i4N
STATE
ZIP
E-MAIL ADDRESS
brC>C
BEST METHOD OF
CONTACT ❑ PHONE E-MAIL
PLUMBING
NAME
STATE OF INDIANA
CONTRACTOR
1-150
LICENSE NUMBER
PROJECT PARCEL NUMBER
LOCATION
SUITE
ADDRE UMBSS R)UDING I w O Q b CITY STATE b
TYPE OF
STRUCTURE
COMMERCIAL
❑ INSTITUTIONAL
❑ MULTI -FAMILY NUMBER OF UNITS:
PROJECT
❑ NEW STRUCTURE
TENANT FINISH
❑ REMODEL
❑ ACCESSORY BUILDING
❑ CELL TOWER
DETAILS
❑ ADDITION ❑ Room
❑ Porch
❑ Deck
❑
GARAGE ❑ Attached ❑ Detached
NEW COST OF CONSTRUCTION
$
UPI V
NEW SQUARE
m' c
(EXCLUDING LAND)
QV
FOOTAGE
3',5
STATE OF
PROJECT
f n U
O 1
RELEASE
CONSTRUCTION
'7CLASSIFICATION
OCCUPANCY
INDIANA CDR
NUMBER
b' l
DATE , D 6 `q
TYPE
SCOPE OF
El FDN
❑ STR
X ARCH
ELEC
RELEASE
MECH
PLUM
❑ SPKLR
❑ HOOD
❑
OTHER
DESCRIPTION OF AMENDMENT AND/OR STATE RELEASE ADDENDUM INFORMATION:
lk(70 d "(AX & PlAp-1a-'f
115zNA-Pf'- woke-v- -
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-625-171 and amendments adopted under authority pf I.C. 4¢-T vi uq, 9vnvrai A;i vvy 4f the av of ingiana, 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 Occupan f Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent Date