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1NDIANp
CITY OF CARMEL
COMMERCIAL / MULTI-FAMILY AMENDMENT TO EXISTING PERMIT
Please complete form and email to permitsC�carmel.in.qov.
If you have any questions, please call Building & Code Services at (317) 571-2444.
PERMIT HAS BEEN ISSUED: 8 ves ❑ No IF YES, PERMIT #: B-2020-00451
BUILDER OF NAME Signature Construction, LLC PHONE 317-705-7937
RECORD
STREET ADDRESS CITY STATE ZIP
385 City Denter Dr., Suite 100 Carmel �N 46032
E-MAIL ADDRESS BEST METHOD OF
gpeabody@pedcor.net CONTACT ❑ PHONE 8 E-MAIL
PLUMBING NAME STATE OF INDIANA
C NTRACT Excel Mechanical, INC LICENSENUMBER C050600032
PROJECT PARCEL NUMBER
LOCATION 16-09-36-00-00-005.807
SUIDTE UMBER�UDING 75O S Veteral�S Wa�/ CITYCarmel STATE I^I Z'P46032
IV
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 p NEW SQUARE
(EXCLUDING LAND) � p27�000 FOOTAGE 1098
STATE OF
INDIANA CDR
NUMBER 415907 DATE
SCOPE OF � FDN
RELEASE
� PLUM
E 08/11 /20
� STR
❑ SPKLR
TMPE TRUCTION � I_o
0
8 ARCH
❑ HOOD
CLASSIFICATION B
8 ELEC � MECH
❑ OTHER
DESCRIPTION OF AMENDMENT AND/OR STATE RELEASE ADDENDUM INFORMATION:
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 applicabie iaws of the State of Indiana and the Carmel Unifed 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.
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Signature of Owner or Authorized Agenti�L��.�/l.�-�e Y 11��1 �G3x- �� Date �� Z ��