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CITY OF CARMEL
PERMIT RECEIPT
~.
OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:3 Sub: Blk:25 Lot:
PARCEL ID ........: 1609250000014000
DATE ISSUED.......: 05/31/2006
RECEIPT #.........: 22181
REFERENCE ID # ...: 06050156
SITE ADDRESS ...... 622 RANGE LINE RD S
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: HARRY ELLIOTT
ADDRESS ..........: 620 RANGE LINE RD S
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY.. ........:
ADDRESS.. ........:
CITY/STATE/ZIP ...:
TELEPHONE. ........
STILLWATER FLOAT LLC
LIC # HILGKYR
HILGENBERG, KYRA
3046 APILITA CT
CARMEL, IN 46033
(317) 581-0119
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
CIIC/O FLAT RATE 1. 00 107.00 0.00 107.00 0.00
CIIREMOD SQUARE FEET 600.00 397.00 0.00 397.00 0.00
ICIIFINAL FLAT RATE 1. 00 100.00 0.00 100.00 0.00
ICIIROUGH FLAT RATE 1. 00 100.00 0.00 100.00 0.00
---------- ---------- --~------- ----------
TOTAL PERMIT : 704.00 0.00 704.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
704.00
0500
704.00
;
,
!
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICA nON
For: Remodels & Tenant Fini5hc.~: Commercial, Industrial, or Institutional
Permit #: 06050156
Date: 05/31/2006
PARCEL ID #: 1609250000014000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 622 RANGE LINE RD S
Township?: 18 Zoning:
PROPERTY OWNER INFORMATION:
Name: HARRY ELLIOTT
Ph. #: 3178463790 Fax #:
Street Address: 620 RANGE LINE RD S CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: STILLWATER FLOAT, LLC
Address: 622 RANGE LINE RD S CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: HILGENBERG, KYRA
Ph. #: (317) 581-0119 Fax #: Email: KHILGENBERG@SBCGLOBAL.NET
Street Address: 3046 APILlTA CT CARMEL, IN 46033
Plumber's Name: THORNBERRY, PHILLIP B. Codes for Project: IPC
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CARMEL County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $3000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 318205 Square Footage: 600
SPECIAL CONDITIONS/NOTES:
STILLWATER FLOAT, LLC @ ELLIOT'S MOHAWK PLACE
CONST.TYPE: EXST. OCCUP.CLASS: B. ST.# 318205.
ARCH, ELEC, PLUM. SIX (6) CONDITIONS. SEE
NOTEPAD...
. NO NOTES'
This pennit 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 (CIO 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 struc~ures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel Indiana - 1993~
(Z- 289) and amendments, adopted under authority of l.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 I
Certificate of Occupancy has been issued hy the Department of Community Services, Carmel, Indiana.
.
FEES:
COM. IND. INST. CIO
C.1.1. REMODEUTENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
397.00
APPLICANT NAME:
KYRA HILGENBERG