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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COPY # 1
See: Twp: Rng: Sub:B62 Blk: Lot:164
PARCEL ID ........: ZB62164
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 .........
03/30/2006
21638
06030136
13269 BROAD ST
VILLAGE OF WESTCLAY
CARMEL
SHAFFER ENTERPRISES
P.O. BOX 524
ZIONSVILLE, IN 46077
SHAFFER ENTERPRISES
LIC # SHAFENT
SHAFFER ENTERPRISES
P.O. BOX 374
ZIONSVILLE, IN 46077
(317) 733-7733
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ------~--- ---------- ----------
IRESELEMTR FLAT RATE 1. 00 53.50 0.00 53.50 0.00
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
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
PRIF FLAT RATE 1. 00 1261.00 0.00 1261.00 0.00
RESC/O FLAT RATE 1. 00 51.50 0.00 51.50 0.00
RESSINGLE SQUARE FEET 6,901.00 1065.10 0.00 1065.10 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 2645.10 0.00 2645.10 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
2645.10
2645.10
NUMBER
4178
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICA nON
For: Re.\idential New Structures, Additions, Remodels, & Acm.\ory Buildings
Permit #: 06030136
Date: 03/30/2006
PARCEL ID #: ZB62164
LOT & SUBDIVISION: 164 VILLAGE OF WESTCLAY
ADDRESS OF CONSTRUCTION: 13269 BROAD ST CARMEL, IN 46032
Township?: Zoning: PUD Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: SHAFFER ENTERPRISES
Ph, #: 3177337733 Fax #: 3177333342
Street Address: P.O. BOX 524 ZIONSVILLE, IN 46077
CONTRACTOR INFORMATION:
Name: SHAFFER ENTERPRISES
Ph. #: (317) 733-7733 Fax #: (317)733-3342
Street Address: P.O. BOX 374 ZIONSVILLE, IN 46077
Plumber's Name: SMITH, BRICE M
Codes for Project: IPC
Soecial Notes/Conditions:
LOT 164 VILLAGE OF WEST CLAY. SINGLE FAMILY.
BASEMENT IS NOT WALK-OUT. . NO NOTES'
Lot Split: N
Email:
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: $350000
Manufactured Trusses: N
Sump Pump: Y
Porch: Y
Deck:
Square Footage: 6901
Early Release ILP: N
Model Home:
This permit is valid only if construction COlmnences within one (I) year of the date of issuance of the State Commercial Design Release. All construction
must be completed (CIa 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 Cannel Indiana - 1993"
(2- 289) and amendments, adopted under authority of I.c 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
Certificate of Occupancy has been issued by the Department of COImnunity Services, Carmel, Indiana.
APPLICANT NAME: RANDALL S.
FEES:
RES ELECTRICAUMETERB.
RES FINAL 53.50
RES FOOTING & UNDRSLB
2ND REQ'D FOOT/UNDSLAB
RES ROUGH-IN
PARK & REC. IMPACT FEE
RESIDENTIAL C/O
SHAFFER
53.50
53.50
53.50
53.50
1261.00
51.50
SINGLE FAMILY DWELLING
1065.10