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CITY OF CARMEL
PERMIT RECEIPT
I
OPERATOR: vdolan
COpy # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID .. ......: 1713060000033002
DATE ISSUED.......: 06/04/2007
RECEIPT #. ........: 25313
REFERENCE ID # .... 07050199
SITE ADDRESS ...... 4370 WESTON POINTE DR #140
SUBDIVISION ......:
CITY .............: ZIONSVILLE
IMPACT AREA......:
OWNER..... .......: GORDON/WANDA ALLEN
ADDRESS ..........: 7089 EAST CT RD 200 N
CITY/STATE/ZIP ...: AVON, IN 46123
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
ALLEN REALTORS
LIC # GORDAL
GORDEN ALLEN, INC.
7089 EAST COUNTY ROAD 200 N
AVON, IN 46123
(317) 502-3621
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
CIIC/O FLAT RATE 1. 00 111.00 0.00 111.00 0.00
CIIREMOD SQUARE FEET 1,290.00 552.00 0.00 552.00 0.00
ICIIFINAL FLAT RATE 1. 00 104.00 0.00 104.00 0.00
ICIIROUGH FLAT RATE 1. 00 104.00 0.00 104.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 871.00 0.00 871.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
871.00
9290
871.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICATION
For: Remodels & T want Finishes: Commercial, Industrial, or Institutional
Permit #: 07050199
Date: 06/04/2007
PARCEL 10 #: 1713060000033002
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 4370 WESTON POINTE DR #140 ZIONSVILLE, IN 46077
Township?: Zoning: B2 Flood Zone: N Lot Split: N
PROPERTY OWNER INFORMATION:
Name: GORDON/WANDA ALLEN
Ph. #: 3178735766 Fax #: 3178735966
Street Address: 7089 EAST CT RD 200 N AVON, IN 46123
TENANT INFORMATION:
Name: STATE FARM-GARRETTWIETHOLTER
Address: 4370 WESTON POINTE DR #140 ZIONSVILLE, IN 46077
CONTRACTOR INFORMATION:
Name: GORDEN ALLEN, INC.
Ph. #: (317) 502-3621 Fax #: (317) 873-5966 Email: WALLEN@PRUDENTIALALLEN.COM
Street Address: 7089 EAST COUNTY ROAD 200 N AVON, IN 46123
Plumber's Name: STOKES, LARRY 0 Codes for Project: IPC
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $65000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 326026 Square Footage: 1290
SPECIAL CONDITIONS/NOTES:
STATE FARM INSURANCE-GARRETT WIETHOL TER @ALLEN
BLOG @WESTON POINTE. STATE REL.#: 326026, DATED
5/17/07. CONST.TYPE: V-B. OCCUP.CLASS: B. ARCH,
ELEC, MECH, PLUM. NO CONDITIONS.
. NO NOTES'
This permit is valid only if construction commences within onc (I) year of the date of issuance of the State Conunercial Design Release. All const~ction
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 stru,ctures
requesle.d by this 'J.pplkation 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 LC. 36-7 et seq, General Assembly of the Stale of Indiana, and all Acts amendatory thereto. I further certify
that only kitchen, bath, and Door drains arc connected to the sanitary sewer. I further certify that the construction wiII not be used or occupied until a
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEUTENANT
CII FINAL 104.00
CII ROUGH-iN 104.00
111.00
552.00
APPLICANT NAME:
GORDON ALLEN