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CITY OF CARMEL
PERMIT RECEIPT
(
OPERATOR: vdolan
COpy # 1
Sec:28 Twp:18 Rng:3 Sub:B62 Blk:9003 Lot:18
PARCEL ID ........: ZB6218
DATE ISSUED.......: 08/08/2006
RECEIPT #.........: 22863
REFERENCE ID # .... 06070130
SITE ADDRESS ...... 13246 BIRKENHEAD ST
SUBDIVISION ......: VILLAGE OF WESTCLAY
CITY .............: CARMEL
IMPACT AREA ......:
OWNER.... ........: PETER GOODMON
ADDRESS. .........: 20585 CHADWICK LN
CITY/STATE/ZIP ...: BROOKFIELD, WI 53045
RECEIVED FROM....:
CONTRACTOR .......:
COMPANY.. ........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE. ........
KENT SHAFFER BUILD
LIC # KENTSHA
KENT SHAFFER BUILDERS, INC
2608 S 875 E
ZIONSVILLE, IN 46077-9526
(317) 769-6722
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESELEMTR FLAT RATE 1. 00 55.50 0.00 55.50 .0.00
IRESFINAL FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESFTSLB FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESFTSLB+ FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESROUGH FLAT RATE 1. 00 55.50 0.00 55.50 0.00
PRIF FLAT RATE 1. 00 1261.00 0.00 1261.00 0.00
RESC/O FLAT RATE 1. 00 53.50 0.00 53.50 0.00
RESSINGLE SQUARE FEET 7,286.00 1117.60 0.00 1117.60 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 2709.60 0.00 2709.60 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
2709.60
20192
2709.60
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structures, Additions, Remodels, & AccC5.\ory Buildings
Permit #: 06070130
Date: 08/08/2006
PARCEL 10 #: ZB6218
LOT & SUBDIVISION: 18 VILLAGE OF WESTCLAY
ADDRESS OF CONSTRUCTION: 13246 BIRKENHEAD ST
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: PETER GOODMON
Ph. #: Fax #:
Street Address: 20585 CHADWICK LN BROOKFIELD, WI 53045
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
CONTRACTOR INFORMATION:
Name: KENT SHAFFER BUILDERS, INC
Ph. #: (317) 769-6722 Fax #: (317)769-6733
Street Address: 2608 S 875 E ZIONSVILLE, IN 46077-9526
Plumber's Name: BRICE PLUMBING
Codes for Project: IRC
Snecial Notes/Conditions:
LOT 18 VILLAGE OF WEST CLAY. SINGLE FAMILY.
BASEMENT NOT A WALKOUT. . NO NOTES'
Email: KENTSHAFFERBUILD@CS.COM
PERMIT TYPE: RESSINGLE ;
RESIDENTIAL SINGLE FAMILY
DWEL
Water Service by: CARMEL
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: 8SMT
Estimated Cost of Construction: $505000
Manufactured Trusses: N
Sump Pump: Y
Porch: Y
Deck:
Square Footage: 7286
Early Release ILP: N
Model Home:
Tllis permit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release. All constru~tion
must be completed (C/O issued) within two (2) years of the issuance date. I
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 confonn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993"
(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 cdrtify
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 Community Services, Cannel, Indiana.
APPLICANT NAME: KENT
FEES:
RES ELECTRICAUMETERB.
RES FINAL 55.50
RES FOOTING & UNDRSLB
2ND REQ'D FOOT/UNDSLAB
RES ROUGH-IN
PARK & REC. IMPACT FEE
RESIDENTIAL C/O
SHAFFER
55.50
55.50
55.50
55.50
1261.00
53.50
Item
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CITY OF CARMEL
PERMIT RECEIPT
~
I
,
OPERATOR: vdolan.
COpy # 1 '
Sec:28 Twp:18 Rng:3 Sub:B62 Blk:9003 Lot:18
PARCEL ID ........: ZB6218
DATE ISSUED.......: 08/08/2006
RECEIPT #.........: 22862
REFERENCE ID # .... 06070186
SITE ADDRESS ...... 13246 BIRKENHEAD ST
SUBDIVISION ......: VILLAGE OF WESTCLAY
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: KENT SHAFFER
ADDRESS ..........: 2608 S 875 E
CITY/STATE/ZIP ...: ZIONSVILLE, IN 46077
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
KENT SHAFFER BUILD
LIC # XELITEX
ELITE EXCAVATING
12413 BROOKS CROSSING
FISHERS, IN 46038
(317) 841-8951
USFWATCONN FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
1310.00 0.00 1310.00 0.00
---------- ---------- ---------- ----------
1310.00 0.00 1310.00 0.00
FEE ID
UNIT QUANTITY
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1310.00
20191
------------
------------
1310.00
CITY OF CARMEL / CLAY TOWNSHIP
WATER / SEWER PERMIT / RECEIPT
Permit #: 06070186
Date: 08/08/2006
PARCEL 10 #: ZB6218
LOT & SUBDIVISION: 18 VillAGE OF WESTClAY
ADDRESS OF CONSTRUCTION: 13246 BIRKENHEAD ST CARMEL, IN 46032
PAYMENT RECEIVED FROM:
Name: KENT SHAFFER BUilD
CHECK #: 20191
EXCAVATOR INFORMATION:
Name: ELITE EXCAVATING
Ph.#: (317)841-8951 Fax#:
Street Address: 12413 BROOKS CROSSING
Bond Expiration:
Email:
FISHERS, IN 46038
PERMIT TYPE: USEWRWATR
SEWERlWATER PERMIT
Special Notes/Conditions:
LOT 18 VILLAGE WEST CLAY, WATER PERMIT
. NO NOTES'
The building & Sewer Shall be pve sewer pipe meeting ASTM specifications 3034 SDR 35 of latest revision; or vitrified clay pipe, meeting
ASTM specifications C-700 for extra strength clay pipe of latest revision unless other materials arc hereby permitted in writing. The sewer
shall be installed in accordance with ASTM 2321 for pve pipe and the Uniform Plumbing Code for the State of Indiana. All installations shall be
in strict compliance with pertinent City of Cannel ordinances. Back Water check valves shall be installed in accordance with City Code Section
9-1 22(a), and sections P3008.l and .2 of the International Residential Code. All building sewers shall be 6" diameter.
All installations shall be "open trench" inspected and approved bv the Cannel Sewer Department before anv backfillinQ: is done. Non-
compliance may result in digging up the sewer installation and/or denial of future sewer permits and/or denial of water connections.
No footing or foundation drains or other sources of ground water or storm water shall be permitted to enter the public sewer.
Sewer inspections should be requested at (317) 571-2648 one to four hours in advance.
No inspections or installations will be made on Saturday or Sunday or holidays unless arrangements are made at least 24 hours in advance. All
plumbers or contractors installing sewer (or water) lines shall have a plumbers bond posted with the CITY ENGINEER'S OFFICE. If any street
must he Cllt. a scnarate street cut nennit shall he ohtained.
APPLICANT NAME: KENT
SHAFFER
PAYMENT RECEIVED BY:
FEES:
$1,310.00