HomeMy WebLinkAbout07090045 Receipt/PermitCITY OF CARMEL
Item 1 of 1
PERMIT RECEIPT
OPERATOR: plux.
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1713060000018000
DATE ISSUED.......: 09/10/2007
RECEIPT #.........: 26230
REFERENCE ID # ...: 07090045
SITE ADDRESS .....: 11500 SHELBORNE RD
SUBDIVISION ......
CITY .............: CARMEL
IMPACT AREA ......
OWNER ............: TOM POLLARD
ADDRESS ..........: 11500 SHELBOURNE RD
CITY/STATE/ZIP ...: CARMEL, IN 46033
RECEIVED FROM ....: CAMERON ELECTRIC
CONTRACTOR ........ LIC # ECAMELE
COMPANY ..........: CAMERON ELECTRIC
ADDRESS ..........: 4771 N. FRANKLIN RD.
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46220'
TELEPHONE ........: (317) 547-5474
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- --- ----------
IRESELEMTR FLAT RATE 1.00 57.50 0.00 57.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT 57.50 0.00 57.50 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ -----
CHECK 57.50 20439
TOTAL RECEIPT 57,50
"& . CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07090045
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 09/10/2007
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PARCEL ID #: 1713060000018000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11500 SHELBORNE RD CARMEL, IN 46032
Township?: Zoning: S1 Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION
Name: TOM POLLARD
Ph. #: 3177333375 Fax #:
Street Address: 11500 SHELBOURNE RD CARMEL, IN 46033
CONTRACTOR INFORMATION:
Name: CAMERON ELECTRIC
Ph. #: (317) 547-5474 Fax #: 317-547-3478 Email:
Street Address: 4771 N. FRANKLIN RD. INDIANAPOLIS, IN 46226
APPLICANT INFORMATION:
First Name: RICHARD Last Name: BECKUM
Ph. #: 3175475474 Fax #: 3175423478
Street Address: 11500 SHELBOURNE RD CARMEL 46033 46033
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMIT/INSPECTION
Residential or Commercial: RES
Service Upgrade: N Current Amperage: Upgrade Amperage:
Panel Board Upgrade: New Meter Service: Y Row Signal:
Number of New Circuits: Number of New Meters:
Relocated Structure Connection: Moving Service (Overhead to Underground):
Alteration, Addition, Remodel, or Repair to Existing Distribution System:
Special Notes/Conditions:
ELECTRIAL INSPECTION AT 11500 SHELBORNE RD.
100 AMP SERVICE ON COLUMN FOR GATE MOTOR ' NO NOTES `
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 chat any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or stTuctures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana. and the -Zoning
Ordinance of Cannel Indiana - 1993" (Z289) and amendment,, adopted under authority of I.C. 36-7 cc seq, General Assembly of the State of I
Indiana, and all Acts amendatory thereto. I further ccrmt , that oily kitchen, bath, and Boor drains are connected to the sanitary sewer. I
further certify that the construction will not he used or occupied until a Certificate ofOccupancyhas been issued by the Department.of
Community Services, Carmel, Indiana.
APPLICANT NAME: RICHARD BECKUM
FEES:
RES ELECTRICAL/METERB. 57.50