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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Temporary Use I Structure
Permit #: 06060167
Date: 06/23/2006
PARCEL 10 #: 1610310000030000
LOT & SUBDIVISION:
Township?: 18 Zoning:
ADDRESS OF CONSTRUCTION: 111 MEDICAL DR CARMEL, IN 46032
PROPERTY OWNER INFORMATION:
Name: DERICK MEYER
Ph. #: 3179652229 Fax #:
Street Address: 111 MEDICAL DR CARMEL, IN 46032
TENANT INFORMATION:
Name: CARMEL NAPA
Address: 111 MEDICAL DR CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: NAPA AUTO PARTS CARMEL
Ph. #: (317) 844-3973 Fax #: Email:
Street Address: 111 MEDICAL DR. CARMEL, IN 46032
PERMIT TYPE: T-SPECIAL ; TEMPORARY USE SPECIAL EVENT
Type of Structure: TENT
Start Date of Operation: 6/24/06
State Certification #:
Fireworks:
State Fire Marshall Permit # (For Fireworks):
Hours of Operation: 8 AM - 4 PM
End Date of Operation: 6/24/06
Signage Present: N
State Insurance # (For Fireworks):
Special Notes/Conditions:
TEMPORARY EVENT SPECIAL EVENT @ CARMEL NAPA STORE
12 FT. X 20 FT TENT AND FOOD VENDOR CART/MOBILE
UNIT. NO SIGNAGE EVENT ON 6/24/06, 8AM
TO 4 PM. REVIEWED & APPROVED BY K.BRENNAN 6/22/06.
. NO NOTES'
Permits for Model 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) mon~hs
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, this permit may be extended one time for a period: up 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.
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.
APPLICANT NAME: DERICK
FEES:
SPECIAL EVENT PERMIT
MEYER
133.50
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
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I
OPERATOR: vdolah
COPY # 1
Sec:31 Twp:18 Rng:04 Sub: Blk:31 Lot:
PARCEL ID ........: 1610310000030000
DATE ISSUED.......: 06/23/2006
RECEIPT #.........: 22460
REFERENCE ID # .... 06060167
SITE ADDRESS ...... 111 MEDICAL DR
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA .. ....:
OWNER.... ........: DERICK MEYER
ADDRESS ..........: 111 MEDICAL DR
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....: NAPA AUTO PARTS CARM
CONTRACTOR .......: ATTN: DERICK MEYER LIC # NAPACAR
COMPANY.. ........: NAPA AUTO PARTS CARMEL
ADDRESS..... .....: 111 MEDICAL DR.
CITY/STATE/ZIP ...: CARMEL, IN 46032
TELEPHONE. . . . . . . .. (317) 844-3973
FEE ID UNIT QUANTITY
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
133 50 O. 00 133 .50 0 .00
---------- ---------- ---------- ----------
133 50 0 00 133 50 0.00
SPECEVENT FLAT RATE 1.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
13 3.50
------------
------------
133.50