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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: vdolan
COpy # 1
See: Twp: Rng: Sub:990 Blk: Lot:107
PARCEL ID ........: 1713080204025000
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.. .......
04/16/2007
24791
07040037
9762 COLONIAL DR
SHELBORNE GREENE
CARMEL
HARLEY D CAMPBELL
9762 COLONIAL DR
CARMEL, IN 46032
HARLEY CAMPBELL
LIC # CAMPCUS
CAMPBELL CUSTOM HOMES
6910 S FOUNTAIN CT
PENDLETON, IN 46064
(765) 778-2738
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESFINAL FLAT RATE 1. 00 57.50 0.00 57.50 0.00
IRESFTSLB FLAT RATE 1. 00 57.50 0.00 57.50 0.00
RESADD SQUARE FEET 144.00 155.78 0.00 155.78 0.00
RESC/O FLAT RATE 1. 00 55.50 0.00 55.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 326.28 0.00 326.28 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
326.28
326.28
NUMBER
701
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPUCA nON
For: Residential NC\J,I Stl11ctuYCS, Additions, Remodels, & Accessol) Buildings
Permit #: 07040037
Date: 04/16/2007
PARCEL 10 #: 1713080204025000
LOT & SUBDIVISION: 107 SHELBORNE GREENE
ADDRESS OF CONSTRUCTION: 9762 COLONIAL DR
Township?: Zoning: R1
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
PROPERTY OWNER INFORMATION:
Name: HARLEY 0 CAMPBELL
Ph. #: 3177049904 Fax #: 3177049904
Street Address: 9762 COLONIAL DR CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: CAMPBELL CUSTOM HOMES
Ph. #: (765) 778-2738 Fax #: Email: CAMPBELLCUSTOM@AOL.COM
Street Address: 6910 S FOUNTAIN CT PENDLETON, IN 46064
Plumber's Name:
Codes for Project:
PERMIT TYPE: RESADD RESIDENTIAL ADDITION-ROOM(S)
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: POSTBEAM Estimated Cost of Construction: $2000
Manufactured Trusses: N Sump Pump: N
Porch: Y Deck:
Square Footage: 144 Early Release ILP: N
Model Home:
Special Notes/Conditions:
LOT 107 SHELBORNE GREENE. PORCH ADDITION. 12 X 12
SCREENED. CONDITIONAL RELEASE: POSTS HOLES ARE TO
BE A MINIMUM OF 12 INCHES IN DIAMETER
. NO NOTES'
This permit 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 (CIO issued) within two (2) years ofthc issuance date.
1, 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 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 floor drains are connected to the sanitary sewer. 1 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: HARLEY D
FEES:
RES FINAL 57.50
RES FOOTING & UNDRSLB
RESIDENTIAL ADDITION
RESIDENTIAL C/O
CAMPBELL
57.50
155.78
55.50