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CITY OF CARMEL
PERMIT RECEIPT
tI
OPERATOR: vdolan
COPY # 1
See: Twp:17 Rng:03 Sub:321 Blk:08 Lot:31
PARCEL ID ........: 1713080301020000
DATE ISSUED.......: 02/28/2006
RECEIPT #.........: 21347
REFERENCE ID # .... 06020097
SITE ADDRESS ...... 9629 SYCAMORE RD
SUBDIVISION ......: GREENTREE COUNTRY CLUB ESTATES
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
TOM & LORI WICKSTROM
9629 SYCAMORE RD
CARMEL, IN 46032
AMERICAN CONSTRUCTIO
LIC # AMERCON
AMERICAN CONSTRUCTION
55 E 22ND ST
INDIANAPOLIS, IN 46202
(317) 925-9647
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ~-~-~-------- ---------- ---------- ---------- ---------- ----------
IRESFINAL FLAT RATE 1. 00 53.50 0.00 53.50 0.00
IRESFTSLB FLAT RATE 1. 00 53.50 0.00 53.50 0.00
IRESROUGH FLAT RATE 1. 00 53.50 0.00 53.50 0.00
RESADD SQUARE FEET 99.00 140.63 0.00 140.63 0.00
RESC/O FLAT RATE 1. 00 51.50 0.00 51.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 352.63 0.00 352.63 0.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structure.\, Additions, Remodels, & Acces.\OI) Buildings
Permit #: 06020097
Date: 02/28/2006
PARCEL ID #: 1713080301020000
LOT & SUBDIVISION: 31 GREENTREE COUNTRY CLUB ESTATES
ADDRESS OF CONSTRUCTION: 9629 SYCAMORE RD CARMEL, IN 46032
Township?: 17 Zoning: S1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: TOM & LORI WICKSTROM
Ph.#: 3179877110 Fax#:
Street Address: 9629 SYCAMORE RD CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: AMERICAN CONSTRUCTION
Ph. #: (317) 925-9647 Fax #: 3179246758
Street Address: 55 E 22ND ST INDIANAPOLIS, IN 46202
Lot Split: N
Email:
Plumber's Name:
Codes for Project:
Snecial Notes/Cnndition~~
LOT 31, GREENTREE COUNTRY CLUB, ROOM ADDITION 9X11
CONDITIONAL RELEASE: 9 ITEMS LISTED, SEE FILE, VAD . NO NOTES'
PERMIT TYPE: RESADD
RESIDENTIAL ADDITION-
ROOM(S)
Water Service by: INDPLS
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: CRAWL
Estimated Cost of Construction: $9000
Manufactured Trusses: N
Sump Pump: N
Porch: N
Deck:
Square Footage: 99
Early Release ILP: N
Model Home:
This pennit is valid only if construction commences within one (I) year of the date of issuance of the State CommerciaJ Design Release. All construction
must be completed (CIO 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 - 1993"
(Z'289) and amendments, adopted under authority of r.c. 36-7 et seq, Genera! Assembly of the State of Indiana, and all Acts amendatory thereto. I 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
Certificate of OCClJpilllcyhas been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: JEFF
FEES:
RES FINAL 53.50
RES FOOTING & UNDRSLB
RES ROUGH-IN
RESIDENTIAL ADDITION
RESIDENTIAL C/O
ESHOWSKY
53.50
53.50
140.63
51.50