HomeMy WebLinkAbout0014.03 Revision~F CARM
Original Building Permit Num
3ob Address
Est. Tota~
above.):
b E$¢R~'P'I-J:ON OF
Additional Sq.
~erein.
(if different from Bu//der listed
oath that
to Original Plan is true
obscure or
of the matters
ATTENTZON:
Approved by:
Printed Name
; ONLY.
Additional Fees Owed: - .
s; permits/revision to octave permits form
City of Carmel\Cla~
Application for Im
Date;
Roll File:
01109/2003
1610300302007000
TENANT NAME
{ir appllcabie}
OWNER
MILLS, RICHARD
~E
5 BALES& DAVIS
'~,i~{'Sf'
121 FIRST ST SE
CiTy STATE
CARMEL 46032
TYPE OF CONSTRUCTION
[] Single Family
[] Two Family YIN
[] Multi-Family
Type of Foundation
[] Commemia~ / Industrial E] Crawlspace
] Farm
[] OTHER [3 B~ement
's~ ...... ~] Slab
Plumbing Contractor--
Plumbing Llcence # Code Book
ESTIMATED COST OF ~ONSTRUCTION
{Excludrng Land Vsiuei [$ 35,100.~
Construction Notes
TYPE OF iMPROVEMENT ~
[~] New Structure
~ Addition - Porch
[] Addit on - Room,s) How Many?
[] Remodel
[] Foundation Only
[] Demolition
[~ Accessory Building
U Garage- Detached
r-~ Garage - Attached
[] Commercial Tenant Space
Report Type:
Room Addition ~
Lot Split Y / N E~ Flood Zones Y / N ~
Sump Pump Y 1 N ~TrussesManufactured Y / N
~ five ft. to east propertyhne' .
Extended Building Description
Undersiab Final Site
Meter Base C/O
:{ough-ln Bonding / Grounding
Sewer Capacity Allotted
Plan Commiss'ron / BZA Docket #:
Inspection Fees:
Certificate of Occupancy:~
PRIF~
TOTAL ~ 297.00
Fee Received By:
ISQUARE FOOTAGE
VAD
T'TLE CQMPANY: MORGAN & ASSOCIATES. INC
.E~DER' WELLS FARGO HOME MORTGAGE, INC
CLIENT'NO 02293264
HAHN &
ASSOCIATES. INC.
TUE 8:40 AM SMITH BROTHERS FAX NO. B17781BTI7 P. 1
· FAX COVER SHEET
ANY QUF~TION$ ???
TOTAL NUMBER OF PAGES INCLUDING COVBR