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CITY OF CARMEL
PERMIT RECEIPT
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See: Twp:17 Rng:04 Sub:390 Blk:06 Lot:21
PARCEL ID ........: 1614060408001000
DATE ISSUED.......: 09/16/2004
RECEIPT #. . . . . . . . .: 15934
REFERENCE ID # ...: 04080255
SITE ADDRESS ...... 11007 LAKESHORE DR W
SUBDIVISION ......: KEYSTONE WOODS
CITy...... .......: CARMEL
IMPACT AREA ......:
OWNER ............: VICKIE JORDAN
ADDRESS ..........: 11007 LAKE SHORE DR W
CITY/STATE/ZIP ...: CARMEL, IN 46033
RECEIVED FROM ....:
CONTRACTOR....... :
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE.. .......
VICKIE JORDAN
LIC # JORDVIC
VICKIE JORDAN
11007 W. LAKE SHORE DR.
CARMEL, IN 46033
(317) 408-0426
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEWI BAL
---------- ------------- ---------- ---------- ---------- ---------- -----1----
IRESFINAL FLAT RATE 1. 00 52.00 0.00 52.00 I 0.00
IRESFTSLB FLAT RATE 1. 00 52.00 0.00 52.00 I 0.00
IRESROUGH FLAT RATE 2.00 104.00 0.00 104.00 0.00
LATE POTHER FLAT RATE 1. 00 100.00 0.00 100.00 0.00
RESADD SQUARE FEET 288.00 159.56 0.00 159.56 , 0.00
RESC/O FLAT RATE 1. 00 50.00 0.00 50.00 ----j~~~~
---------- ---------- ----------
TOTAL PERMIT : 517.56 0.00 517.56 I 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
517.56
105
------------
------------
517.56
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structures, Additiom, Remodels, & Accessory Buildings
Permit #: 04080255
Date: 09/16/2004
PARCEL ID #: 1614060408001000
LOT & SUBDIVISION: 21 KEYSTONE WOODS
ADDRESS OF CONSTRUCTION: 11007 LAKESHORE DR W
Township?: 17 Zoning: S2
PROPERTY OWNER INFORMATION:
Name: VICKIE JORDAN
Ph. #: 3174080426 Fax #: 3178469972
Street Address: 11007 LAKESHORE DR W CARMEL, IN 46033
CARMEL, IN 46033
Flood Zone: N
CONTRACTOR INFORMATION:
Name: VICKIE JORDAN
Ph. #: (317) 408-0426 Fax #: Email:
Street Address: 11007W. LAKESHORE DR. CARMEL, IN 46033
Plumber's Name:
Codes for Project:
Sneciol Nntes/Conrlitions:
PER JAO: PORCH ADDITION. STARTED WITHOUT PERMIT.
PLNAS SHOW NO DETAIL & CONFLICTING INFORMATION.
288 sa. FT. (12 FT X 24 FT) SEE NOTEPAD RE: FEES. Plan reviewer assessed
two (2) Rough-in
inspections as being required. This
brings the total to 4 required.
LATE FEE of $100.00 is assessed and due
at issuance (as part of permit fee) for
beginning prior to obtaining a permit.
Lot Split: N
PERMIT TYPE: RES PORCH
RESIDENTIAL PORCH ADDITION
,
Water Service by: CARMEL
County Well Permit #:
Sewer Service by: CARMEL
County Septic Permit #:
Foundation Type: SLAB
Estimated Cost of Construction: $2090
Manufactured Trusses: N
Sump Pump: N
Porch: Y
Deck:
Square Footage: 288
Early Release ILP: N
Model Home:
This permit 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 (CIa 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 - 1~93n
(Z~ 289) and amendments, adopted under authority of I.e. 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
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: VICKIE
FEES:
RES FINAL 52.00
RES FOOTING & UNDRSLB
RES ROUGH-IN
LATEFEE PERMIT OTHER
RESIDENTIAL ADDiTION
RESIDENTIAL C/O
JORDAN
52.00
104.00
100.00
159.56
50.00