HomeMy WebLinkAbout0671.02 Receipt BUILDING PERMIT RECEIPT Receipt No: 1386.02
CITY OF CARMEL Permit No: 2002.0671.B
Permit Issue Date: Jun 26,2002
Receipt Issue Date: Jun 26,2002
Received from: MARTEN CONSTRUCTION MGMT.
The SUM of: Nine Hundred Seventeen /100 Dollars
On Account of: Lot: 1 Subdivision: MERCHANTS' POINTE SUBDIVISION
Street address : 2259 116TH ST E
Payment Type: Check Commercial Permit $875.00
Inspections $0.00
Check# 39445 CEO $42.00
PRIF#106 $0.00
Receipt Notes
Total$ $917.00
Amount Paid$ $917.00
Receipt Issued By: VAD
uthorized Signature
Approved by State Board of Accounts for City of Carmel, 2001
._,
SEWER PERMIT / RECEIPT RECEIPT No: SO1 67.02
CITY OF CARMEL Permit No.: 2002.0167.SW
Issue Date: May 09,2002 Permit Issue Date: May 09,2002
Received from: FORUM CREDIT UNION
The SUM of Three Thousand Six Hundred Thirty Eight
On Account of: Lot: Subdivision:
Street address :
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THE
BUILDING AT ADDRESS I.,ISTEI)ABOVE:
Sewer Notes
Water and sewer connection fees for Forum Credit Union, Lot 1 Merchants Pointe, address is 2259 E 116th Street. Forum
Credit Union is taking permits out in their own name.
Water Connection #609 $2,264.00
Excavator CARLISLE COMPANY _......._...:..,
__...._.......... ..._ Water Availability #610
PO Box:
_.___.._._..._.. Sewer Inspection #651 $20.00
Street Address: 3752 W WASHINGTON ST
City,State,Zip: INDIANAPOLIS,IN 46241 Sewer Connection #659
pond Expirey: ,2002 ` Sewer Availability #660
Total $ 3,638.00
/ -,7 4" $3,638.00
. 6-'''�a:::),
Total Paid $
Authorized Signature Receipt Issued By: VAD Payment Type: Check # 39351
The building sewer shall be pvc sewer pipe meeting ASTM specifications 3034 SDR 35 of latest revision; or vitrified clay
pipe, meeting ASTM specifications C-700 for extra strength clay pipe of latest revision unless other materials are
hereby permitted in writing. The sewer shall be installed in accordance with ASTM C-12 for extra strength clay pipe and
ASTM 2321 for pvc pipe and the Uniform Plumbing Code for the State of Indiana. All installations shall be in strict
compliance with pertinent City of Carmel ordinances. All building sewers shall be 6"diameter.
All installations shall be"open trench"inspected and approved by the Carmel Sewer Department before any backfilling
is done. Non-compliance may result in digging up the sewer installation and/or denial of future sewer permits and/or
d -liall of water connections.
No footing or foundation drains or other sources of ground water or storm water shall be permitted to enter the public
sewer.
Sewer inspections should be requested at(317)571-2648 one to four hours in advance.
No inspections or installations will be made on Saturday or Sunday or holidays unless arrangements are made at least 24 hours in
advance. All plumbers or contractors installing sewer(or water)lines shall have a plumbers bond posted with the CITY ENGINEER'S
OFFICE. If any street must be cut,a separate street cut permit shall be obtained.
I have read the conditions to which I must adhere,and agree to accept the responsibility for all work done under this permit.
0 1-----
Signed: Ca--I-/f
Approved by State Board of Accounts for City of Carmel, 2001
Form ED-1 Revised 10-2062 •
Name of Project: .f2.01A(emsri` vi3‘a d t"ica-fir ' Ott3
Location: 5 A...E • 11 S i C#‘12-Mel- 4 ta337
Name of Applicant :
Address : Phone :
Date Figured : 00402— By : Applicable Ordinance(s ) S's/4i o-A17
CONNECTION
SEWER TOTALS
(a ) Total User Units : 3,,(- 'c.t2-
i (d ) Connection Charge per
(b) User Multiplier: 0.S 1 E.D. U .
(c ) Total E.D.U. ' s (a x b) %:17-ey (e) Total Connection Charge
----------- (c x d ) Xii6t 2.0. cD1.)
WATER Stirs 011-k •Cat-3
(f) Total User Units : . .451,0 rTZ
(g) User Multiplier: as- E.amoAO00 FT'' ( i ) Connection Charge per
1 E.D. U. IL3�c�.t��
(h) Total E.D.U . ' s (f x g) I.12-8 (j ) Total Connection Charge ao
(h x i ) Z,;Z.(a --
AVAILABILITY
SEWER
(k) Number of Acres
( 1 ) Cost per Acre (m) Availability Charges (k x 1 ) ►,•3•h. .
WATER
(n) Number of Acres
(o ) Cost per Acre (p) Availability Charges (n x o ) t A.-
(q ) Meter Installation Fee
Total Charges mot,
(e + j + m + p + q) -3(� 6,
Date Paid : By : Received by:
* Remarks : AL.Eadjez11.1 � N1/44 03 Sp Jo 2.
11/4Q.e..1 LAMA LYN (i\C-a -tAC.0—tZr__S -a:VD R.4_' aljE-1.-OefL..
(Over for further remarks )