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HomeMy WebLinkAbout06010125-Receipt/Permit Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT I 1/1 OPERATOR: vdolan COpy # 1 See: Twp:18 Rng:03 Sub: Blk:25 Lot: PARCEL ID .... ....: 1609251201039000 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.. ....... FEE ID UNIT QUANTITY DEMOMAIN FLAT RATE 1.00 IRESSITE FLAT RATE 1.00 TOTAL PERMIT : METHOD OF PAYMENT AMOUNT CASH TOTAL RECEIPT : 182.25 182.25 01/31/2006 21084 06010125 131 THIRD ST NW CARMEL DALE HINSHAW 12443 CHARING CROSS CARMEL, IN 46033 R&J CLEARING LIC # R&JCLE R & J CLEARING 2305 W 2005 LEBANON, IN 46052 (765) 481-9740 AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- 128.75 0.00 128.75 0.00 53.50 0.00 53.50 0.00 ---------- ---------- ---------- ---------- 182.25 0.00 182.25 0.00 NUMBER CITY OF CARMEL / CLAY TOWNSHIP IMPROVEMENT LOCATION PERMIT APPLICATION For: DEMOLITION Permit #: 06010125 Date: 01/31/2006 PARCEL ID #: 1609251201039000 LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: 131 THIRD ST NW CARMEL, IN 46032 Township?: 18 Zoning: Flood Zone: Lot Split: PROPERTY OWNER INFORMATION: Name: DALE HINSHAW Ph. #: 3178441937 Fax #: Street Address: 12443 CHARING CROSS CARMEL, IN 46033 CONTRACTOR INFORMATION: Name: R & J CLEARING Ph. #: (765) 481-9740 Street Address: 2305 W 2005 Fax #: (765) 580-9488 LEBANON, IN 46052 Email: PERMIT TYPE: MDEMO DEMOLITION Water Service by: CARMEL Sewer Service by: CARMEL Estimated Cost of Work: $0 Underground Tank(s): Special Notes/Conditions: 131 THIRD ST NW. DEMOLITION. 1 SLOG: 726 SO FT HOUSE. . NO NOTES' County Well Permit #: County Septic Permit #: This permit 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 date. 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 applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - ]993" (Z~289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. r 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 Certificateo[Occupancy has been issued by the Department of Community Services, Carmel, Indiana. APPLICANT NAME: SHERRI L FEES: DEMO MAIN STRUCTURE RES SITE 53.50 KING 128.75