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CITY OF CARMEL
PERMIT RECEIPT
~
OPERATOR: vdolan
COpy # 1
See: Twp:17 Rng:3 Sub: Blk:12 Lot:
PARCEL ID .. ......: 1713120000005000
DATE ISSUED. ......: 09/21/2006
RECEIPT #... ......: 23217
REFERENCE ID # .... 06090062
SITE ADDRESS ...... 1451 96TH ST E
SUBDIVISION ......:
CITY .............: INDIANAPOLIS
IMPACT AREA ......:
OWNER. ...........: WINDSOR RETREAT, LLC
ADDRESS ..........: 221 FOURTH ST. E. #230 ATR.2
CITY/STATE/ZIP...: CINCINNATI, OH 45202
RECEIVED FROM ....:
CONTRACTOR.. .....:
COMPANy..... .....:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
FORTUNE WIRELESS
LIC # T-MOBILE
T-MOBILE
6215 MORENCI TRAIL
INDIANAPOLIS, IN 46268
(317) 347-7084
CIIC/O
CIINAA
ICIIFINAL
FLAT RATE
SQUARE FEET
FLAT RATE
1. 00
0.00
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ~--------- ----------
107.00 0.00 107.00 0.00
389.00 0.00 389.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
596.00 0.00 596.00 0.00
FEE ID
UNIT
QUANTITY
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
596.00
007515
596.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
Permit #: 06090062
Date: 09/21/2006
For: Commercial, Industrial. or InstiClHional; New Structures, Additions, or Accc.~sOf)' StnlCturcs
PARCEL ID #: 1713120000005000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 1451 96TH ST E
Township?: 17 Zoning:
PROPERTY OWNER INFORMATION:
Name: WINDSOR RETREAT, LLC
Ph. #: Fax #:
Street Address: 221 FOURTH ST. E. #230 ATR.2 CINCINNATI,OH 45202
INDIANAPOLIS, IN 46280
Flood Zone: N
Lot Split: N
CONTRACTOR INFORMATION:
Name: T-MOBILE
Ph. #: (317) 347-7084 Fax #: (317) 347-7019 Email: JASON.MORRIS@T-MOBILE.COM
JASON .RIGGS@PDHINC.COM
Street Address: 6215 MORENCI TRAIL INDIANAPOLIS, IN 46268
Plumber's Name:
Codes for Project:
PROJECT NAME:
PERMIT TYPE: COMCELL-C COMMERCIAL CELL CO-LOCATE
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction:50000
Sump Pump: N Manufactured Trusses: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 75
SPECIAL CONDITIONS & NOTES:
CELL TOWER CO-LOCATE & 75 SQ.FT PAD WITH CABINET
ON THE RETREAT CONDOMINIUM DEVELOPMENT'S PROPERTY.
"OK PER A. CONN OF PLANNING & ZONING. STRUCTURAL
REPORT NEEDED & INCLUDED IN SUBMITTAL.
****
Per J.Blanchard--no sq.ft. charge.
This permit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release. All cunstruc~i(m
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 J.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 arc connected to the sanitary sewer_ I further certify that the construction will not be used or occupied until a
Certi{jc:tte ofOccup.wcyhas heen issued hy the Department of Community Services, Carmel. Indiana.
APPLICANT NAME: JASON
FEES:
COM. IND. INST. C/O
C.1.1. NEW, ADD, ACC.
CII FINAL
RIGGS
107.00
389.00
100.00