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Home My WebLink About323277 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 366545 ONE CIVIC SQUARE OLD TOWN DESIGN GROUP CHECK AMOUNT: $*****8,328.37* CARMEL, INDIANA 46032 1132 RANGELINE ROAD CHECK NUMBER: 323277 CARMEL IN 46032 CHECK DATE: 03/21/18 F Toe ° DEPARTMENT ACCOUNT_ _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_ 1192 5023990 8,328.37 OTHER EXPENSES X !"i d VOUCHER NO. WARRANT NO. ALLOWED 20 I I� 2 J �u�-f� � •� �-L' IN SUM OF $ Lo- ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or q Lj qq LiLiq bill(s) is (are) true and correct and that the R D materials or services itemized thereon for 1 D which charge is made were ordered and received except �1 � ( g 20 • S4 t Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Z:tD IN SUM OF $ ► l 5 . 120 L-1 V't C v VVI r l �F � �� $ L+ 3 -6 ► . � 8 ON ACCOUNT OF APPROPRIATION FOR IJv �s Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or /ct 2 h U 0 2 . 0-2Sq,g X331 m99 bill(s) is (are) true and correct and that the d I materials or services itemized thereon for which charge is made were ordered and received except 31 ► �-I r 2 SignaturFU Title Cost distribution ledger classification if claim paid motor vehicle highway fund OF A� REFUND REQUEST Building& Code Services asr h,o w. Ph. (317) 571-2444 Fax (317) 571-2499 SND I A"N PERMIT #(s): j::7 11 Lot& Subdivision or Address of Construction: wwu� m-hv oy�crp pqith-�Drh Permit Type: I All k CZ Reason for refund request: TOTAL REFUND AMOUNT REQUESTED: APPLICANT: _ Kir i Sk i h am (.t,-�i ay) Applicant Name—Printed Company Name(If appli ble) Street Address City ST Zip �5b (c) 31 t 03 (0 Phone# Fax# � 4 CITY OF CARMEL 9 ITEMS OF 9 PERMIT RECEIPT OPERATOR: plux COPY # 1 Sec:12 Twp:17 Rng:3 Sub:SOTM Blk: Lot:23 PARCEL ID . . . . . . . . : 1713120001023000 DATE ISSUED. . . . . . . : 12/04/2017 RECEIPT #. . . . . . . . . BO000014813 REFERENCE ID # . . . : 17110135 SITE ADDRESS . . . . . : 1492 DAYLIGHT DR SUBDIVISION . . . . . . : SUNRISE ON THE MONON CITY . . . . . . . . . . . . . : INDIANAPOLIS IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : DIPPEL, LUKE & AMY ADDRESS . . . . . . . . . . : 9757 SAN MARCO PASS CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46280 RECEIVED FROM . . . . : OLD TOWN DESIGN GRO CONTRACTOR . . . . . . . : *OLD TOWN DESIGN LIC # OLDTOWN COMPANY . . . . . . . . . . : *OLD TOWN DESIGN ADDRESS . . . . . . . . . . : 1132 S RANGELINE RD STE 200 CITY/STATE/ZIP . . . : CARMEL, IN 46032 TELEPHONE . . . . . . . . : (317) 626-8486 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- IRESELEMTR PER INSPECTIO 1. 00 70 .00 0. 00 70. 00 0. 00 IRESFINAL PER INSPECTIO 1. 00 70 .00 0. 00 70 . 00 0. 00 IRESFTSLB PER INSPECTIO 1. 00 70 .00 0. 00 70. 00 0. 00 IRESFTSLB+ PER INSPECTIO 1. 00 70 .00 0 . 00 70 . 00 0. 00 IRESROUGH PER INSPECTIO 1. 00 70 .00 0. 00 70 . 00 0. 00 RESC/0 FLAT RATE 1.00 67. 00 0. 00 67. 00 0. 00 RESSINGLE SQUARE FEET 4, 559.00 996 .49 0 . 00 996 .49 0. 00 USFWATCONN FLAT RATE 1.00 2961. 00 0 .00 2961. 00 0. 00 UWATERTAP FLAT RATE 1.00 117. 00 0 .00 117.00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 4491.49 0 .00 4491.49 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 4,491'.49 82007 --------------- TOTAL RECEIPT 4,491.49 G1KyOFCAJj REFUND REQUEST �.,�iT.1tF;l}yffo Building& Code Services Ph. (317) 571-2444 Fax (317) 571-2499 PERMIT #(x): 17120086 Lot& Subdivision or Address of Construction: Lot 132 Sunrise on the Monon/1465 Sundown Circle Permit Type: Residential single family home Reason for refund request: Customer decided not to build due to health emergency TOTAL REFUND AMOUNT REQUESTED: $4331 .88 APPLICANT: Kristina D Huffman Old Town Design Group Applicant Name—Printed Company Name(If applicable) 1132 S Rangeline Rd, Ste 200 Street Address Carmel IN 46032 City ST Zip 806-231-6736 Phone# Fax# .ry Residential requests must occur within 180 days from the issuance date of the permit. Commercial/Institutional/Multi-Family requests must occur within 1 year of the issue date of the State Design Release. If no State Design Release was required, the refund must be requested within 1 year from issuance date of the permit. The following fees are eligible for refund: Square Footage Fees Inspection Fees Certificate of Occupancy or Substantial Completion Fees Park and Recreation Impact Fees Carmel Utility Water/Sewer Fees G Square Footage Fees: 836.88 Inspection Fees: 350.00 PRIF: n/a Certificate of Occupancy: 67.00 Water Sewer Fees: 3078.00 TOTAL REFUND: 4331 .88 Original receipt date: 12/28/17 Receipt Number: BC000014949 Date:03/08/18 Refund approved by:JIM BLANCHARD CITY OF CARMEL 9 ITEMS OF 9 PERMIT RECEIPT OPERATOR: plux COPY # 1 Sec:12 Twp:17 Rng:3 Sub:SOTM Blk: Lot:132 PARCEL ID . . . . . . . . : 1713120001132000 DATE ISSUED. . . . . . . : 12/28/2017 RECEIPT #. . . . . . . . . : BC000014949 REFERENCE ID # . . . : 17120086 SITE ADDRESS . . . . . : 1465 SUNDOWN CIR SUBDIVISION . . . . . . : SUNRISE ON THE MONON CITY . . . . . . . . . . . . . : INDIANAPOLIS IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : FISHER, EUGENE & ANGELA MCDONA ADDRESS . . . . . . . . . . : 1495 STARCROSS LN #150 CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46280 RECEIVED FROM . . . . : OLD TOWN DESIGN CONTRACTOR . . . . . . . : *OLD TOWN DESIGN LIC $# OLDTOWN COMPANY . . . . . . . . . . : *OLD TOWN DESIGN ADDRESS . . . . . . . . . . : 1132 S RANGELINE RD STE 200 CITY/STATE/ZIP . . . : CARMEL, IN 46032 TELEPHONE . . . . . . . . : (317) 626-8486 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- IRESELEMTR PER INSPECTIO 1. 00 70. 00 0 .00 70 .00 0. 00 IRESFINAL PER INSPECTIO 1. 00 70. 00 0 .00 70 .00 0. 00 IRESFTSLB PER INSPECTIO 1. 00 70. 00 0 .00 70 .00 0. 00 IRESFTSLB+ PER INSPECTIO 1. 00 70. 00 0 .00 70 . 00 0 . 00 IRESROUGH PER INSPECTIO 1. 00 70. 00 0 .00 70 . 00 0. 00 RESC/O FLAT RATE 1. 00 67.00 . 0 . 00 67 . 00 0 . 00 RESSINGLE SQUARE FEET 7, 608 . 00 1331.88 0 . 00 1331. 88 0. 00 USFWATCONN FLAT RATE 1. 00 2961.00 0 . 00 2961 . 00 0. 00 UWATERTAP FLAT RATE 1.00 117.00 0. 00 117 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 4826. 88 0. 00 4826 . 88 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 4, 826.88 82350 --------------- TOTAL RECEIPT 4, 826. 88 ��i 5, ®-�--e�-� b ar .1