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CITY OF CARMEL
PERMIT RECEIPT
Ii
OPERATOR: vdolan
COpy # 1
Sec:05 Twp:17 Rng:03 Sub: Blk: Lot:
PARCEL ID ........: 1713050000012000
DATE ISSUED.......: 04/05/2006
RECEIPT #... ......: 21685
REFERENCE ID # .... 06030181
SITE ADDRESS ...... 11104 TOWNE RD
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: MIKE RUGGIERO
ADDRESS ..........: 4092 WESTON POINTE DR
CITY/STATE/ZIP ...: ZIONSVILLE, IN 46077
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
DORSEY PAVING
LIC # DORSPAV
DORSEY PAVING, INC
2102 S HARDING ST
INDIANAPOLIS, IN 46221
(317) 638-9326
FEE ID UNIT QUANTITY
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ----~----- ----------
128.75 0.00 128.75 0.00
53.50 0.00 53.50 0.00
---------- -------~-- ---------- ----------
182.25 0.00 182.25 0.00
DEMOMAIN FLAT RATE 1.00
IRESSITE FLAT RATE 1.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
364.50
2343
364.50
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
i For: DEMOLITION
Permit #: 06030181
Date: 04/05/2006
PARCEL ID #: 1713050000012000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11104 TOWNE RD CARMEL, IN 46032
Township?: 17 Zoning: Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: MIKE RUGGIERO
Ph. #: 3176798695 Fax #: 3172756266
Street Address: 4092 WESTON POINTE DR ZIONSVILLE, IN 46077
CONTRACTOR INFORMATION:
Name: DORSEY PAVING, INC
Ph. #: (317) 638-9326 Fax #: (317) 686-1507
Street Address: 2102 S HARDING ST INDIANAPOLIS, IN 46221
Email:
PERMIT TYPE: MDEMO
DEMOLITION
Water Service by: WELL
Sewer Service by: CTRWD
Estimated Cost of Work: $0
Underground Tank(s):
Special Notes/Conditions:
11104 TOWNE RD. DEMOLITION. 1 SLOG: 1-STORY HOUSE. . NO NOTES'
County Well Permit #:
County Septic Permit #:
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 (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 r.c. 36~7 et seq, General Assembly of the State cif
Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to [he 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
Community Services, Carmel, Indiana.
APPLICANT NAME: C. BRIAN
FEES:
DEMO MAIN STRUCTURE
RES SITE 53.50
SPEER
128.75