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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICA nON
For: Temporary Use / Structure
Permit #: 05110127
Date: 11/17/2005
PARCEL 10 #: ZSBE040
LOT & SUBDIVISION: 40 SHELBOURNE ESTATES
Township?: Zoning: S1
ADDRESS OF CONSTRUCTION: 4025 BUFORD DR CARMEL, IN 46032
PROPERTY OWNER INFORMATION:
Name: EXECUTIVE HOMES
Ph. #: 3179158499 Fax #: 3179158505
Street Address: 8499 FISHERS CENTER DR FISHERS, IN 46038
TENANT INFORMATION:
Name:
Address: 4025 BUFORD DR CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: EXECUTIVE HOMES
Ph. #: (317) 915-8499 Fax #: 3175810903 Email:
Street Address: 8499 FISHERS CENTER DR FISHERS, IN 46038
PERMIT TYPE: T-MODEL
TEMPORARY USE MODEL HOME
Type of Structure: MODEL
Start Date of Operation:
State Certification #:
Fireworks:
State Fire Marshall Permit # (For Fireworks):
Hours of Operation:
End Date of Operation:
Signage Present: N
State Insurance # (For Fireworks):
Special Notes/Conditions:
TEMPORARY USE MODEL HOME LOT 40 SHELBOURNE ESTATES
"REVIEWED AND APPROVED BY K.BRENNAN. USE EXPIRES
18 MONTHS FROM ISSUANCE. OR ON: 5/17/07.
. NO NOTES'
I
Permits for Mode! Homes, Temporary Sales Offices, and Construction Facilities are valid for a period of eighteen (18) months. Upon written request
to the Department of Community Services, permits may be extended for increments of six (6) months, but may not exceed thirty-six (36) months
total. A fee of $75.00 will be assessed for each six (6) month extensIon. It is the responsibility of the applicant to apply for the permit extension
prior to the expiration of the permit. The permit fee is $250.00 plus applicable assessed inspections.
Outdoor sales permits will be valid for a period of fifteen (15) days. Applicants may apply for additional permits, which may not exceed a total of
forty-five (45) days of use per property. The permit fee is $250.00 plus applicable assessed inspections.
Special Event temporary uses will be valid for the period approved at review by the City of Carmel Code Enforcement Officer, which may be no
longer than five (5) days. Upon written request to the Department of Community Services, t~is permit may be extended one time for a periodjup to
five (5) additional days. A fee of $75.00 will be assessed for the approved extension. It is the responsibility of the applicant to apply for the permit
extension prior to the expiration of the permit. r
Any model home, temporary sales office, construction facility, outdoor sales use, or special event use operating WITHOUT A VAllO
permit shall be considered a civil zoning violation subject to enforcement action by the City of Carmel. i
,
APPLICANT NAME: SUSAN
FEES:
CII SITE 96.25
TEMPORARY SIGN
TEMPORARY USE / STRUCT
SHERRILL
77.25
257.50
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
See: Twp: Rng: Sub:SBE Blk: Lot:40
PARCEL ID ... .....: ZSBE040
DATE ISSUED.......: 11/17/2005
RECEIPT #. .. . . . . . .: 20499
REFERENCE ID # .... 05110127
SITE ADDRESS ...... 4025 BUFORD DR
SUBDIVISION ......: SHELBOURNE ESTATES
CITy...... .......: CARMEL
IMPACT AREA ......:
OWNER ............:
ADDRESS..... .....:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
EXECUTIVE HOMES
8499 FISHERS CENTER DR
FISHERS, IN 46038
EXECUTIVE HOMES CON.
LIC # EXECHOM
EXECUTIVE HOMES
8499 FISHERS CENTER DR
FISHERS, IN 46038
(317) 915-8499
FEE ID UNIT QUANTITY AMOUNT PD-TO-D'J; THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- -----To~oo
ICIISITE FLAT RATE 1. 00 96 .25 0.00 96 .25
SIGN-TEMP FLAT RATE 1. 00 77.25 0.00 77.25 10.00
TEMPUSE FLAT RATE 1. 00 257.50 0.00 257.50 0.00
---------- ---------- ---------- .
----------
TOTAL PERMIT : 431.00 0.00 431.00 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
431.00
431.00
NUMBER
33415