HomeMy WebLinkAbout07120082 Receipt/PermitCITY OF CARMEL
Item 1 of 1 PERMIT RECEIPT
Sec: Twp: Rng: Sub:194 Blk: Lot:18
PARCEL ID ........: 1713020407029000
DATE ISSUED.......: 12/21/2007
RECEIPT #.........: 27069
REFERENCE ID # ...: 07120082
SITE ADDRESS .....
SUBDIVISION ......
CITY .............:
IMPACT AREA ......
11041 BROADWAY AVE
COLLEGE HEIGHTS
INDIANAPOLIS
OPERATOR: plux
COPY # : 1
OWNER ............: DAVID & JESSICA IBSEN
ADDRESS ..........: 11041 BROADWAY AVE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46280
RECEIVED FROM ....: DAVID/JESSICA IBSEN
CONTRACTOR .......: LIC # IBSEDAV
COMPANY ..........: IBSEN, DAVID & JESSICA
ADDRESS ..........: 11041 BROADWAY ST.
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46280
TELEPHONE ........: (317) 979-4566
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
METHCD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CASH 57.50
TOTAL RECEIPT 57.50
CITY OF CARMEI. / CLAY TOWNSHIP Permit #: 07120082
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 12/2112007
For FLECRICALINSPECTION'
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PARCEL ID #: 1713020407029000
LOT & SUBDIVISION: 18 COLLEGE HEIGHTS
ADDRESS OF CONSTRUCTION: 11041 BROADWAY AVE INDIANAPOLIS, IN 46280
Township?: Zoning: R3 Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: DAVID & JESSICA IBSEN
Ph. #: 3179794566 Fax #:
Street Address: 11041 BROADWAY AVE INDIANAPOLIS, IN 46280
CONTRACTOR INFORMATION:
Name: IBSEN, DAVID & JESSICA
Ph. #: (317) 979-4566 Fax #: Email:
Street Address: 11041 BROADWAY ST. INDIANAPOLIS, IN 46280
APPLICANT INFORMATION:
First Name: JESSICA Last Name: 18SEN
Ph. #: 3179794566 Fax #:
Street Address: 11041 BROADWAY INDIANAPOLIS 46280 46280
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:
INSPECT CURRENT METER BASE FOR ELECTRICAL RECONNEC
11041 BROADWAY 'NO NOTES"
This permit is valid only if constriction 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.
1, the undersigned, agree that any construction, reconstruction. enlargement. relocation, or alteration of a structure. or any change in the use of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the'--omng
Ordinance of Carmel Indiana - 1993" (Z-239) and amendments, adopted under aurhonry of LC. 36-7 et seq, General Assembly of the State of
Indiana., and all Acts amendatory thereto. 1 further certify that only kitchen, bath. and floor drains are connected to the sanitan, setter. I
further certify that the construction will not be used or occupied until a Certilic.are of0ccupancyha2 been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: JESSICA IBSEN
FEES:
RES ELECTRICAL/METERB. 57.50