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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR:
COPY #
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vdolan
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See: Twp: Rng: Sub:B76 Blk: Lot:234
PARCEL ID ........: 1610340006056000
DATE ISSUED.......: OS/21/2007
RECEIPT #. ........: 25153
REFERENCE ID # .... 07050074
SITE ADDRESS ...... 12463 PEBBLE KNOLL WY
SUBDIVISION ......: LAKES AT HAZEL DELL, THE
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: MICHAEL HILLAN
ADDRESS ..........: 12463 PEBBLE KNOLL WAY
CITY/STATE/ZIP ...: CARMEL, IN 46033
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP... :
TELEPHONE .........
RIVERS TONE HOMES
LIC # RIVEHOM
RIVERSTONE HOMES, LLC
19668 BLUE OAK COURT
NOBLESVILLE, IN 46060
(317) 213-2003
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
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IRESELEMTR FLAT RATE 1. 00 57.50 0.00 57.50 0.00
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
IRESROUGH FLAT RATE 1. 00 57.50 0.00 57.50 0.00
RESADD SQUARE FEET 792.00 233.54 0.00 233.54 10.00
RESC/O FLAT RATE 1. 00 55.50 0.00 55.50 ,0.00
---------- ---------- --~------- ----------
TOTAL PERMIT : 519.04 0.00 519.04 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
519.04
6522
519.04
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structurel, Additions, Remodels, & Accessory Buildings
Permit #: 07050074
Date: OS/21/2007
PARCEL ID #: 1610340006056000
LOT & SUBDIVISION: 234 LAKES AT HAZEL DELL, THE
ADDRESS OF CONSTRUCTION: 12463 PEBBLE KNOLL WY CARMEL, IN 46033
Township?: Zoning: S1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: MICHAEL HILLAN
Ph. #: 3172132003 Fax #: 3172168704
Street Address: 12463 PEBBLE KNOLL WAY CARMEL, IN 46033
CONTRACTOR INFORMATION:
Name: RIVERSTONE HOMES, LLC
Ph. #: (317) 213-2003 Fax #:
Street Address: 19668 BLUE OAK COURT
Lot Split: N
Email: GCOATES@KEYSTONESCDS.COM
NOBLESVILLE, IN 46060
Plumber's Name: J K SMITH, INC
Codes for Project: IRC
PERMIT TYPE: RESADD RESIDENTIAL ADDITION-ROOM(S)
Porch: N
Square Footage: 792
Model Home:
County Well Permit #:
County Septic Permit #:
Estimated Cost of Construction: $116000
Sump Pump: Y
Deck:
Water Service by:
Sewer Service by:
Foundation Type: CRAWL
Manufactured Trusses: N
Early Release ILP: N
Special Notes/Conditions:
LOT 234 THE LAKE AT HAZEL DELL, RESIDENTIAL ROOM
ADDITION, MASTER BEDROOM AND BATH
. NO NOTES'
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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 (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 stru~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 - 1~93~
(Z~289) and amendments, adopted under authority of LC. 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 I
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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APPLICANT NAME: GREGORY W
FEES:
RES ELECTRICAUMETERB.
RES FINAL 57.50
RES FOOTING & UNDRSLB
RES ROUGH-IN
RESIDENTIAL ADDITION
RESIDENTIAL C/O
GATES
57.50
57.50
57.50
233.54
55.50