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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: lstewart
COpy # 1
See: Twp: Rng: Sub:LHR Blk: Lot:27
PARCEL ID ........: ZLHR027
DATE ISSUED.......: 05/11/2006
RECEIPT #.........: 22010
REFERENCE ID # .... 06020056
SITE ADDRESS ...... 13239 LORENZO BLVD
SUBDIVISION ......: LAKES AT HAYDEN RUN, THE
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: KEITH MODGLIN
ADDRESS ..........: 13239 LORENZO BLVD.
CITY/STATE/ZIP ...: WESTFIELD, IN 46074
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
KEITH MODGLIN
LIC # KEITMODG
KEITH MODGLIN
13239 LORENZO BLVD.
WESTFIELD, IN 46074
(317) 873-3046
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
IRESROUGH FLAT RATE 1. 00 53.50 0.00 53.50 0.00
RESC/O FLAT RATE 1. 00 51.50 0.00 51.50 0.00
RESREMOD FLAT RATE 1. 00 128.75 0.00 128.75 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 287.25 0.00 287.25 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
287.25
1705
287.25
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: RC5idential New Structures, Additions, RcmodeL~, & Accessory Buildings
Permit #: 06020056
Date: 05/10/2006
PARCEL 10 #: ZLHR027
LOT & SUBDIVISION: 27 LAKES AT HAYDEN RUN, THE
ADDRESS OF CONSTRUCTION: 13239 LORENZO BLVD CARMEL, IN 46032
Township?: Zoning: S1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: KEITH MODGLIN
Ph. #: 3178733046 Fax #:
Street Address: 13239 LORENZO BLVD.
Lot Split: N
WESTFIELD, IN 46074
CONTRACTOR INFORMATION:
Name: KEITH MODGLIN
Ph. #: (317) 873-3046 Fax #:
Street Address: 13239 LORENZO BLVD.
Email:
WESTFIELD, IN 46074
Plumber's Name:
Codes for Project:
"'nArial Notes/Conditione:
LOT 27; THE LAKES AT HAYDEN RUN; REMODEL
CONDITIONAL RELEASE: BOX/RIM JOIST CAVITIES HAVE
MINIMUM OR R-22 INSULATION; SMOKE ALARMS MEET
INDIANA CODE, 1 AND 2 FAMILY DWELLING CODE THRUOUT . NO NOTES'
PERMIT TYPE: RESREMODEL;
RESIDENTIAL REMODEL
Water Service by: CARMEL
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: BSMT
Estimated Cost of Construction: $12000
Manufactured Trusses: N
Sump Pump: Y
Porch: N
Deck:
Square Footage: 900
Early Release ILP: N
Model Home:
This permit is valid only if construction commences within one (1) 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 Carmel Indiana - 199,)"
(Z~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 COlmnunity Services, Carmel, Indiana,
APPLICANT NAME: KEITH
FEES:
RES FINAL
RES ROUGH-IN
RESIDENTIAL CIO
RESIDENTIAL REMODEL
MODGLIN
53.50
53.50
51.50
128.75