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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
See: Twp:17 Rng:03 Sub:228 Blk:04 Lot:89
PARCEL ID ........: 1713040000081000
DATE ISSUED.......: 01/31/2005
RECEIPT #.........: 17291
REFERENCE ID # .... 04120064
SITE ADDRESS ...... 11271 CROOKED STICK LN
SUBDIVISION ......: CROOKED STICK ESTATES
CITy.............: CARMEL
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY.. ..... ...:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
RICHARD ROETHKE
11271 CROOKED STICK LN
CARMEL, IN 46032
RICHARD P. ROETHKE
LIC # ROETRIC
ROETHKE, RICHARD
11271 CROOKED STICK LN
CARMEL, IN 46032
(317) 581-0300
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESFINAL FLAT RATE 1. 00 52.00 0.00 52.00 0.00
IRESFTSLB FLAT RATE 1. 00 52.00 0.00 52.00 0.00
IRESROUGH FLAT RATE 1. 00 52.00 0.00 52.00 0.00
RESACCESS SQUARE FEET 240.00 84.00 0.00 84.00 0.00
RESC/O FLAT RATE 1. 00 50.00 0.00 50.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 290.00 0.00 290.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
290.00
7105
------------
--------~---
290.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Stnlcturc.~> Additions, Remodels, & Accessory Buildings
Permit #: 04120064
Date: 01/31/2005
PARCEL ID #: 1713040000081000
LOT & SUBDIVISION: 89 CROOKED STICK ESTATES
ADDRESS OF CONSTRUCTION: 11271 CROOKED STICK LN
Township?: 17 Zoning: Sl
PROPERTY OWNER INFORMATION:
Name: RICHARD ROETHKE
Ph. #: 3175810300 Fax #: 3175810900
Street Address: 11271 CROOKED STICK LN CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
CONTRACTOR INFORMATION:
Name: ROETHKE, RICHARD
Ph. #: (317) 581-0300 Fax #: (317) 581-0900
Street Address: 11271 CROOKED STICK LN CARMEL, IN 46032
Plumber's Name:
Codes for Project:
S ecial No e on n:
LOT 89, CROOKED STICK LN. RES ACCESSORY BUILDING:
240 SQ. FT. POOL HOUSE. "FOR QUESTIONS DURING
REVIEW, CONTACT ED AT 581-0300'" . NO NOTES'
Email:
PERMIT TYPE: RESACCESS ;
RESIDENTIAL ACCESSORY
,
STRUCTUR
Water Service by: WELL
County Well Permit #:
Sewer Service by: SEPTIC
County Septic Permit #:
Foundation Type: SLAB
Estimated Cost of Construction: $2500
Manufactured Trusses: Y
Sump Pump: N
Porch: N
Deck:
Square Footage: 240
Early Release ILP: N
Model Home:
I
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
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:tures
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 - 19?3"
(Z-289) and amendments, adopted under authnrity of r.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 flonr drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a I
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. ~
!
I
,
ROETHKE
APPLICANT NAME: RICHARD
FEES:
RES FINAL 52.00
RES FOOTING & UNDRSLB
RES ROUGH-IN
RES ACCESSORY BLDG
RESIDENTIAL C/O
52.00
52.00
84.00
50.00