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CITY OF CARMEL
PERMIT RECEIPT
(
I
OPERATOR: vdolan
COPY # 1
FEE ID
CIIC/O
CIINAA
ICIIELEMTR
ICIIFINAL
ICIIFTSLB
ICIIFTSLB+
ICIIROUGH
ICIISITE
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID .. ......: 1714040000018001
DATE ISSUED.... ...:
RECEIPT #.........:
REFERENCE ID # ....
SITE ADDRESS ......
SUBDIVISION ......:
CITY... . . . ....... :
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR. ......:
COMPANy....... ...:
ADDRESS......... .:
CITY/STATE/ZIP ...:
TELEPHONE .........
UNIT
QUANTITY
FLAT RATE
SQUARE FEET
FLAT RATE
FLAT RATE
FLAT RATE
FLAT RATE
FLAT RATE
FLAT RATE
1. 00
1,836.00
1. 00
1. 00
1. 00
1. 00
1. 00
1. 00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
1444.84
CHECK
TOTAL RECEIPT :
------------
------------
1444.84
06/22/2006
22450
06050194
10851 HAZEL DELL PKWY
CARMEL
MARTIN MARIETTA MATERIALS
1980 116TH ST. E. #200
CARMEL, IN 46032
MARTIN MARIETTA MATE
LIC # DLADAN
DLA - DAN ARMSTRONG
1555 W. OAK ST.
ZIONSVILLE, IN 46077
(317) 809-7028
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 0.00 107.00 0.00
737.84 0.00 737.84 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 '0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- - - - - - -,- - --
1444.84 0.00 1444.84 0.00
,
NUMBER
00705713
\
I
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICA nON
Permit #: 06050194
Date: 06/22/2006
/ For: Commercial, Industrial, or Institutional; New Structures, Additions, or Accessory Structures
PARCEL ID #: 1714040000018001
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 10851 HAZEL DELL PKWY CARMEL, IN 46033
Township?: Zoning: S1 Flood Zone: Y
PROPERTY OWNER INFORMATION:
Name: MARTIN MARIETTA MATERIALS
Ph. #: 3175734460 Fax #:
Street Address: 1980 116TH ST. E. #200
Lot Split: N
3175735975
CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: DLA - DAN ARMSTRONG
Ph. #: (317) 809-7028 Fax #: (317) 873-6922
Street Address: 1555 W. OAK ST. ZIONSVILLE, IN 46077
Plumber's Name:
Codes for Project: IPC
PROJECT NAME:
PERMIT TYPE: COMADDN
Email: DLA2006@SBCGLOBAL.NET
COMMERCIAL ADDITION
Water Service by: INDPLS
Sewer Service by: SEPTIC
Foundation Type: CRAWL
Sump Pump: N
Usage Class: COM
State Design Release #: 316209
County Well Permit #:
County Septic Permit #:
Estimated Cost of Construction:35000
Manufactured Trusses: N
Construction Type:
Square Footage: 1836
SPECIAL CONDITIONS & NOTES:
MARTIN MARIETTA SCALE HOUSE ROOM ADDITION AND
REMODEL. CONST.TYPE: V-B, EXST. OCCUP.CLASS: B,
REM, ADD. ST.#: 316209. ARCH, ELEC, FDN, MECH,
STR. 20031BC. 2 CONDITIONS. SEE NOTEPAD...
...
State Release conditions re:
1. Crawl space access size
2. Attic access size and opening
Docket #: 06040019 UV. Letter of Grant
with application.
IDEM letter regarding property flood
zone area with application. This
structure is not in the flood way or
flood fringe area, on the property, per
the applicant.
,
This pennit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release. All construction
must be completed (C/O issued) within two (2) years of the issuance datc.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or struct~res
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - I993~
(Z~ 289) 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 cert}fy
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 i
Certificate of Occupa.ncyhas been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: JOHN
FEES:
COM. IND. INST. CIO
C.1.1. NEW, ADD, ACC.
107.00
737.84
SOSNOWSKI