HomeMy WebLinkAbout19090162 ApplicationG�<Y 4F CA;fJ,.,.
CITY OF CARMEL .
COMMERC{AL / MULTI-FAMtLY AMENDMENT TO EXISTING PERMIT
Please complete form and email to permits�carmel.in.qov.
If you have any questions, please call Building & Code Services at (317) 571-2444.
PERMIT HAS BEEN ISSUED: '�u ves ❑ No IF YES, PERMIT #: � 190�0��,� j
t
BUILDER OF NAME PHONE
RECORD N�iIGl�C�G6�✓ � .�� % yo 7% Z/ �
STR ET ADORESS CITY STATE ZIP
�8�6 � ,ZS� � � /N1j/Gs /� Z/ d
E-MAIL DDRESSL 1l �l BEST METHOD OF �,/
S�LC �/l LCT T LI /t S/• Gd K CONTACT t'�—. PHONE ❑ E-MAII
PLUMBING NAME STATE OF INDIANA
CONTRACTOR �f ���7 ��� «L'" LICENSE NUMBER �� B�ZOOZI �
PROJECT ❑ NEW STRUCTURE L: TENANT FINISH �REMODEL i_: ACCESSORY BUILDING ;J CELL TOWER
DETAILS
C ADDITION ❑ Room ❑ Porch ❑ Deck ❑ GARAGE r Attached � 1 DetacheC
( XC UDSNG LAND)STRUCTION � ��d� NEW SQUARE I ����
FOOTAGE '�
STATE OF PRo�ec�
INDtANA CDR NUMBER
RELEASE
� / �3 ' DATE^ �I fI��19 I TYPE ��
❑ FDN LI STR � ARCH
I� PLUM ❑ SPKLR �' HOOD
CLASSIFICATION � ��
P� ELEC ;� MECH
❑ OTHER
DESCRIPTION OF AMENDMENT ANDIOR STATE RELEASE ADDENDUM INFORMATION:
Gl�TL2',jL S7-,Q�IC�'K,��O� %�j�if��l �f1S %uS/I>� �/,¢LG ?.Z7' I.�Llf�"eN GF
%¢e/dS�D b�ENii� y �'o �fi�v Ti�r�-
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 constructfon.
i, the undersigned, agree that any construction, reconstruction, enlargemen� relocation, or alteration of a structure, or any change in the use of land or
structures requested by this applieation will comply with and conform to all applicable �aws of the State of Indiana and the Carmel Unified Development
Ordinance (Z-625-17) and amendments, adopted under authoriry of I.C. 36-7 et s q, General Assembly of the State of indiana, and aH Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor drains a nnected o the sanitary sewer. 1 further certify that the construction will not be
used or occupied untit a Certiticate of Occupany�or of Subst i�l ort}�et' n has been Issued by the Department of Community Services, Carmel, fndiana.
Signature of Owner or Authorized
Date /���/• /
TYPE OF
STRUCTURE � COMMERCIAL ❑ INSTITUTIONAL � MULTI-FAMILY NUMBER OF UNITS: