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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: vdolan
COPY # 1
See: Twp: Rng: Sub:B62 Blk: Lot:377
PARCEL ID ........: ZB62377
DATE ISSUED.......: 03/22/2006
RECEIPT #.........: 21562
REFERENCE ID # .... 06030087
SITE ADDRESS ...... 1922 BROUGHTON ST
SUBDIVISION ......: VILLAGE OF WESTCLAY
CITy.............: CARMEL
IMPACT AREA ......:
OWNER........ ....: RICHARD PETERSON
ADDRESS ..........: 1138 HELFORD LANE
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy..... .....:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
WOODALL CONSTRUCTION
LIC # WOODCON
WOODALL CONSTRUCTION SERVICES
P.O. BOX 807
ZIONSVILLE, IN 46077
(317) 574-1944
FEE ID UNIT
---------- -------------
IRESELEMTR FLAT RATE
IRESFINAL FLAT RATE
IRESFTSLB FLAT RATE
IRESFTSLB+ FLAT RATE
IRESROUGH FLAT RATE
PRIF FLAT RATE
RESC/O FLAT RATE
RESSINGLE SQUARE FEET
QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ---------- ----------
1. 00 53.50 0.00 53.50 0.00
1. 00 53.50 0.00 53.50 0.00
1. 00 53.50 0.00 53.50 0.00
1. 00 53.50 0.00 53.50 0.00
1. 00 53.50 0.00 53.50 0.00
1. 00 1261.00 0.00 1261.00 0.00
1. 00 51.50 0.00 51.50 0.00
6,938.00 1068.80 0.00 1068.80 0.00
---------- ---------- ---------- ----------
2648.80 0.00 2648.80 0.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
2648.80
7221
---------~--
----------
2648.80
,.
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structures, Additions, Remodels, G'" Accessory Buildings
Permit #: 06030087
Date: 03/22/2006
PARCEL ID #: ZB62377
LOT & SUBDIVISION: 377 VILLAGE OF WESTCLAY
ADDRESS OF CONSTRUCTION: 1922 BROUGHTON ST
Township?: Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: RICHARD PETERSON
Ph. #: 3177059828 Fax #:
Street Address: 1138 HELFORD LANE CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: WOODALL CONSTRUCTION SERVICES
Ph. #: (317) 574-1944 Fax #: (317) 580-0903
Street Address: P.O. BOX 807 ZIONSVILLE, IN 46077
Plumber's Name: A. R. JACKSON PLUMBING, INC
Codes for Project: IPC
Soecial Notes/Conditions:
LOT 377, VILLAGE OF WEST CLAY. SINGLE FAMILY. . NO NOTES'
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
Email: DWOODALLlNFO@ATT.NET
PERMIT TYPE: RESSINGLE :
RESIDENTIAL SINGLE FAMILY
DWEL
Water Service by: INDPLS
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: BSMT
Estimated Cost of Construction: $625000
Manufactured Trusses: N
Sump Pump: Y
Porch: Y
Deck:
Square Footage: 6938
Early Release ILP: N
Model Home:
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 (ClO 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 charlge in the use of land or stn.Kture;
requested by this application will comply with, and conform to, all applicable lav'is of the State of Indiana, and the UZoning Ordinance of Carmel Indiana - ]993~
(Z- 289) and amendments, adopted under authority of I,e. 36~7 et seq. General 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
Certl!icate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: DALE
FEES:
RES ELECTRICAL/METERB.
RES FINAL 53.50
RES FOOTING & UNDRSLB
2ND REQ'D FOOT/UNDSLAB
RES ROUGH-IN
PARK & REC. IMPACT FEE
RESIDENTIAL C/O
WOODALL
53.50
53.50
53.50
53.50
1261.00
51.50