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CITY OF CARMEL
PERMIT RECEIPT
t
OPERATOR: vdolan
COpy # 1
See: Twp:17 Rng:4 Sub:878 Blk:7 Lot:22
PARCEL ID ... .....: 1614070205023000
DATE ISSUED.......: 03/29/2006
RECEIPT #. ........: 21625
REFERENCE ID # .... 06030143
SITE ADDRESS ...... 10564 BROKEN CREEK CI
SUBDIVISION ......: MILLBROOK THE WOODS
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: MR & MRS SLOWEY
ADDRESS ..........: 10564 BROKEN CREEK CIR
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .... .....
TODD HOARD CO
LIC # HOARTOD
HOARD, TODD
P.O. BOX 566
WESTFIELD, IN 46074
(317) 867-5158
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 379.00 174.23 0.00 174.23 0.00
RESC/O FLAT RATE 1. 00 51.50 0.00 51.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 386.23 0.00 386.23 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
386.23
7394
386.23
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structures, Additions, Remodel.\, & Accessory Buildings
Permit #: 06030143
Date: 03/29/2006
PARCEL ID #: 1614070205023000
LOT & SUBDIVISION: 22 MILLBROOK THE WOODS
ADDRESS OF CONSTRUCTION: 10564 BROKEN CREEK CI CARMEL, IN 46032
Township?: 17 Zoning: Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: MR & MRS SLOWEY
Ph. #: 3178675158 Fax #: 3173995678
Street Address: 10564 BROKEN CREEK CIR CARMEL. IN 46032
CONTRACTOR INFORMATION:
Name: HOARD. TODD
Ph. #: (317) 867-5158
Street Address: P.O. BOX 566
Lot Split: N
Fax #: (317) 399-5678
WESTFIELD. IN 46074
Email:
Plumber's Name:
Codes for Project:
Soecial Notes/Conditions:
LOT 22, MILLBROOK THE WOODS. ROOM ADDITION. 20X18.
CONDITIONAL RELEASE: SMOK ALARMS MUST BE INSTALLED
ENTIRE HOUSE OUTLINED IN HANDOUT. . 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: SLAB
Estimated Cost of Construction: $40000
Manufactured Trusses: N
Sump Pump: N
Porch: N
Deck:
Square Footage: 379
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 (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 - 1993~
(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. I further certify
that only kitchen, bath, and floor drains are connected to the sanitary sewer_ 1 further certify that the construction will not be used or occupied until a
Certificate of Occupancy has been issued by the Department of COlmnunity Services, Carmel, Indiana.
APPLICANT NAME: TODD
FEES:
RES FINAL 53.50
RES FOOTING & UNDRSLB
RES ROUGH-IN
RESIDENTIAL ADDITION
RESIDENTIAL CIO
HOARD
53.50
53.50
174.23
51.50