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CITY OF CARMEL
PERMIT RECEIPT
~
OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:04 Sub: Blk:31 Lot:
PARCEL ID ........: 1610310000031000
DATE ISSUED.......: 09/28/2006
RECEIPT #. ........: 23284
REFERENCE ID # .... 06090096
SITE ADDRESS ...... 1776 116TH ST E
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER.... ........: SPRINT/NEXTEL
ADDRESS.. ........: 3000 EXECUTIVE EXCHANGE BLVD
CITY/STATE/ZIP ...: COLUMBUS, OH 43231
RECEIVED FROM ....:
CONTRACTOR. ......:
COMPANy..... .....:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
JARED MERRINGER
LIC # MERRJAR
MERRINGER, JARED
9635 MERRY LN
PICKERINGTON, OH
(614) 989-3497
43147
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
CIINAA SQUARE FEET 0.00 389.00 0.00 389.00 0.00
ICIIELEMTR FLAT RATE 1. 00 100.00 0.00 100.00 0.00
ICIIFINAL FLAT RATE 1. 00 100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 696.00 0.00 696.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1392.00
1243
------------
------------
1392.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
Permit #: 06090096
Date: 09/28/2006
For: Commercial, Industrial, or Institutional; NCIV Structure5, Additions, or ACCC.'i50ry Structures
PARCELID #: 1610310000031000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 1776 116TH ST E
Township?: 18 Zoning:
PROPERTY OWNER INFORMATION:
Name: SPRINT/NEXTEL
Ph, #: 9413648886 Fax #:
Street Address: 3000 EXECUTIVE EXCHANGE BLVD COLUMBUS,OH 43231
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
CONTRACTOR INFORMATION:
Name: MERRINGER, JARED
Ph. #: (614) 989-3497 Fax #: Email: JMERRINGER@FMHC.COM
Street Address: 9635 MERRY LN PICKERINGTON,OH 43147
Plumber's Name:
Codes for Project:
PROJECT NAME:
PERMIT TYPE: COMCELL-C COMMERCIAL CELL CO-LOCATE
Water Service by: County Well Permit #:
Sewer Service by: County Septic Permit #:
Foundation Type: EXIST FDN Estimated Cost of Construction:25000
Sump Pump: N Manufactured Trusses: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 0
SPECIAL CONDITIONS & NOTES:
CELL TOWER CO-LOCATE FOR SPRINT/NEXTEL OF 3
ANTENNAS ONTO EXISTING TOWER, AND 200 AMP NEW
METER BEING PLACED ON EXISTING TOWER OUT BUILDING
AT THIS SITE.
. NO NOTES'
This pennit 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 - J993~
(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 sanital)' sewer. I further certify that the construction will not be used or occupied until a
Certificate OfOccllpancy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: RYAN l.
FEES:
COM. iND. INST. C/O
C.1.1. NEW, ADD, ACC.
CII ELECTRICAL/METERB.
CII FINAL 100.00
HELMBRIGHT
107.00
389.00
100.00