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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
ela~
1
See: Twp:18 Rng:03 Sub: Blk:19 Lot:
PARCEL ID ... .....: 1709190000019000
DATE ISSUED.......: 07/17/2007
RECEIPT #.........: 25771
REFERENCE ID # .... 07070060
SITE ADDRESS ...... 3631 141ST ST W
SUBDIVISION ......:
CITY .............: WESTFIELD
IMPACT AREA ......:
OWNER ............: GARY FREESE
ADDRESS..........: 3631 W. 141TH ST.
CITY/STATE/ZIP ...: WESTFIELD, IN 46074
RECEIVED FROM....:
CONTRACTOR....... :
COMPANY.. ........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
GARY FREESE
LIC # XTANPIP
TANK & PIPING CONTRACTORS
200 W. CARMEL DR
CARMEL, IN 46032
(317) 846-4768
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
DETGAR/CAR FLAT RATE 1. 00 138.50 0.00 138.50 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
RESC/O FLAT RATE 1. 00 55.50 0.00 55.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 366.50 0.00 366.50 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
366.50
-~----------
------------
366.50
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential NC\v Structures, Additiom, Remodels, & ACCL~.'iOry Buildings
Permit #: 07070060
Date: 07/17/2007
PARCEL ID #: 1709190000019000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 3631141ST STW
Township?: 18 Zoning:
PROPERTY OWNER INFORMATION:
Name: GARY FREESE
Ph. #: 3175314995 Fax #:
Street Address: 3631 W. 141TH ST. WESTFIELD, IN 46074
CONTRACTOR INFORMATION:
Name: TANK & PIPING CONTRACTORS
Ph. #: (317) 846-4768 Fax #: Emaii:
Street Address: 200 W. CARMEL DR CARMEL, IN 46032
WESTFIELD, IN 46074
Flood Zone: N
Lot Split: N
Plumber's Name:
Codes for Project: IPC
PERMIT TYPE: RESGARAGED RESIDENTIAL DETACHED GARAGE OR
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $50000
Manufactured Trusses: N Sump Pump: N
Porch: N Deck:
Square Footage: 896 Early Release ILP: N
Model Home:
Special Notes/Conditions:
3631 W. 141TH ST. DETACHED GARAGE.
CONDITONAL RELEASE: FLOOR FRAMING/ROOF, RIDGE BEAM
TO MEET RES. CODE 2005, INSUFFICIENT DOCUMENTAION
STRUCTURE NOT TO BE USED AS RENTAL UNIT
. NO NOTES'
This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Dcsign Release. All construction
must be completed (C/O issued) within t\'..'O (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any ch<lnge in the use of land or structures
requested by this opplkation will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Calmellndiana - 1993"
(2- 289) and amendments, adopted under authority of l.C 36~7 et seq, C-;eneral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify
that only kitchen, hath, and floor drains are connected to the sanitary se\Ver I further certify that the construction will not be used or occupied until a
CcrtihCilte of Occupancy has been issued hy the Dep:lTtment of Community Services, Carmel, Indiana.
APPLICANT NAME: GARY FREESE
FEES:
DETACHED GARAGE/CARPT 138.50
RES FINAL 57.50
RES FOOTING & UNDRSLB 57.50
RES ROUGH-IN 57.50
RESIDENTIAL C/O 55.50