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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: vdola'n
COpy # 1
See: Twp:17 Rng:03 Sub:321 Blk:08 Lot:31
PARCEL ID ........: 1713080301020000
DATE ISSUED.......:
RECEIPT #.........:
REFERENCE ID # ...:
SITE ADDRESS ......
SUBDIVISION..... .:
CITY. . . . . . . '" ... :
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY... .......:
ADDRESS..... .....:
CITY/STATE/ZIP ...:
TELEPHONE .........
11/03/2006
23610
06100189
9629 SYCAMORE RD
GREENTREE COUNTRY CLUB ESTATES
CARMEL
TOM & LORI WICKSTROM
9629 SYCAMORE RD
CARMEL, IN 46032
A-I EXPEDITORS, INC
LIC # AMERCON
AMERICAN CONSTRUCTION
55 E 22ND ST
INDIANAPOLIS, IN 46202
(317) 925-9647
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
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
RESADD SQUARE FEET 160.00 152.70 0.00 152.70 0.00
RESC/O FLAT RATE 1. 00 53.50 0.00 53.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 428.20 0.00 428.20 .0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
428.20
-------~----
------------
428.20
NUMBER
8439
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLlCA nON
For: Residential New Structures, Additiom, Remodels, G"" Accessory Building,~
Permit#: 06100189
Date: 11/03/2006
PARCEL 10 #: 1713080301020000
LOT & SUBDIVISION: 31 GREENTREE COUNTRY CLUB ESTATES
ADDRESS OF CONSTRUCTION: 9629 SYCAMORE RD CARMEL, IN 46032
Township?: 17 Zoning: S1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: TOM & LORI WICKSTROM
Ph, #: 3179259647 Fax #:
Street Address: 9629 SYCAMORE RD CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: AMERICAN CONSTRUCTION
Ph, #: (317) 925-9647 Fax #: 3179246758
Street Address: 55 E 22ND ST INDIANAPOLIS, IN 46202
Lot Split: N
Email:
Plumber's Name:
Codes for Project:
Soed"1 Notes/Conditions:
LOT 31 GREENTREE COUNTRY CLUB. ROOM ADDITION.
16 X 10.
.. CONDITIONAL RELEASE. SEE WGH PLAN REVIEW NOTES. . NO NOTES'
PERMIT TYPE: RESADD
RESIDENTIAL ADDITION-
ROOM(S)
Water Service by:
County Well Permit #:
Sewer Service by:
County Septic Permit #:
Foundation Type: SLAB
Estimated Cost of Construction: $11500
Manufactured Trusses: N
Sump Pump: N
Porch: N
Deck:
Square Footage: 160
Early Release ILP: N
Model Home:
This pennit is valid only if construction COlllillcnccs within one (1) 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 stru~tures
requested by this application will comply with, and confonn to, all applicable laws or the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993~
(Z~ 289) and amendments, adopted under authority of LC J6~7 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 sanitaty sewer. I further certify that the construction will not be used or occupied until a
Certificate of Occupa11cy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: JOE
FEES:
RES FINAL 55.50
RES FOOTING & UNDRSLB
2ND REQ'D FOOT/UNDSLAB
RES ROUGH-IN
RESIDENTIAL ADDITION
RESIDENTIAL C/O
MCGINLEY
55.50
55.50
55.50
152.70
53.50