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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: 5wedding
COPY # : 1
Sec:31 Twp:18 Rng:04 Sub: Blk: Lot:
PARCEL ID ........ : 1610310000038000
DATE ISSUED ....... : 04/20/20C5
RECEIPT ~ ......... : 18067
REFERENCE ID # ...: 05030205
SITE ADDRESS ..... : 1331 RA/qGE LINE RD
SUBDIVISION ...... :
CITY ............. : CARMEL
IMPACT AREA ...... :
OWNER ............ : PATRICIA EMMERT LIVING TRUST
ADDRESS .......... : 60 ROGERS RD
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM .... : D.G. PERRY BUILDING
CONTRACTOR ....... : LIC ~ DGPERRY
COMPANY ..... DG PERRY BUILDING CONTRACTORS
ADDRESS ......... 8117 ZIONSVILLE RD
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46268
TELEPHONE ........ : (317) 875-0750
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT
FLAT RATE 1.00 100.00 0.00
SQUARE FEET 3,218.00 943.24 0.00
FLAT RATE 1.00 93.50 0.00
IFINAL FLAT RATE 1.00 93.50 0.00
FLAT RATE 1.00 93.50 0.00
RATE 1.0C 93.50 0.00
ICIIROUGH FLAT RATE 1.00 93.50 0.00
[TE FLAT RATE 1.00 93.50 0.00
PAYMENT
RECEIPT :
1604,24 0.00
AMOUNT NUMBER
1604.24 016930
1604.24
THIS REC NEW BAL
100.00 0.00
943.24 0.00
93.50 0.00
93.50 0.00
93.50 0.00
93.50 0.00
93.50 0.00
93.50 0.00
1604.24 0.00
..,/~,,4,?~_~, CITY OF CARMEL / CLAY TOWNSHIP Perm. t #'. 05030205
('~ IMPROVEMENT LOCATIONinstitutional: N~PERMITAdditions.APPLICATIONorAccessory StructuresDate' 04/20~2005
'\,~,~ For: Commercial Industrial. or Structures,
pARCEL ID #: '1610310000038000
LOT & SUBDIVISION:
: 1331 RANGE LiNE RD CARMEL. IN 46032
Zoning: B6 Flood Zone: N Lot Split: N
FORMATION:
'RUST
Fax #:
: 60 ROGERS RD CARMEL, IN 46032
ILDING CONTRACTORS
#: (317) 875-0750 Fax#: 3178757340
Street Address: 8117 ZIONSVILLE RD. INDIANAPOLIS, IN 46268
P umber's Name: DOK tNC.
Cedes for Project: IPC
PROJECT NAME:
[RMITTYPE: COMNEW : COMMERCIAL NEW STRUCTURE
1EL
Sewer Service by: CARMEL
Class: COM
State Design Release #: 307655
~EW KENTUCKY FRIED CHICKEN (@ SITE OF OLD BLDG)
ONST.TYPE: V-B. OCCUP.CLASS: A-2. STATE RELEASE
STR, FDN, HOOD.
CONDITION RE: HOOD. NOTEPAQ
Email:
County Well Permit #:
County Septic Permit #:
Estimated Cost of Construction:650000
Manufactured Trusses: N
Construction Type:
Square Footage: 3218
Vet
also be
Building is 1
DOCKET #'s: 05080042 DP/ADLS AMEND;
04100007 V - 04100010 V; 04100013 V;
04100015 V; TAC on 9/22/04.
This permit is valid only if construction commences wathtn one (l) year of the date of assuance °t taa~ State t'°~ercla~ tJes]~ ~e ase.
must be completed (CIO issued) w~thin two (2) years of the ~ssuance date.
I theundarsi ed a reethatanyconstruct on reconstruction enlargement relocation, oralterarionofastructure, oranychangeintheuseo£1andorstructures
requestedbyth~sapphcatmnwlllcomplyw~th and conform to, allapphcablelawsoftheStateoflndmna, andthe ZomngOrdmance°fCarmelln&ana~ 99.
(Z-289) and amen~ents, adopted unde}: authority of I.C, 36-7 et seq, General Assembly of the State of Indiana, and all Acts arrtendatory thereto. I further certify
that only kitchen, bath, and floor drain, s are corrected to the sanitary sewer, J furth? certify that the.constructaon will not be used or occupied untd a
Certi~ate o£Occupanc, vhas been issued by the Department of Commumty Sermces. Cannel. lnthana.
APPLICANT NAME: STANLEY KATANIC
FEES:
COM~ IND. INST, C/O 100~00
C,LL NEW, ADD, ACC. 943.24
CII ELECTRICAI-/METERB. 93.50
Cll FINAL 93.50
Cll FOOTING & UNDRSLB 93.50
2ND REQ'D FOOT/UNDSLAB 93,50
CII ROUGH-IN 93.50
CII SITE 93.50
1 of
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: slillard
COPY # : 1
ID
~EFERENCE ID
SITE ADDRESS
SUBDIVISION
CITY
IMPACT AREA
04 Sub: Blk: LOn:
........ : 1610310000038000
03/24/2005
17784
05030201
1331 RANGE LINE RD
CARMEL
OWNER ............ : PATRICIA EMMERT LIVING TRUST
ADDRESS .......... : 60 ROGERS RD
CITY/STATE/ZIP .. : CARMEL, IN 46032
RECEIVED FROM . : KENTUCKY FRIED CHICK
CONTRACTOR ...... : LIC # XH&REXC
COMPANY ..... : H&R EXCAVATING
ADDRESS .......... : 4545 W. 59TH ST.
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46254
TELEPHONE ........ :
UNIT
QUANT I TY AMOUNT
1.00 12.00
1.00 786.00
PD-TO-DT THIS REC NEW BAL
0.00 465.00 0.00
0.00 12.00 0.00
0.00 786.00 0.00
0.00 1263.00 0.00
AMOUNT NUMBER
1263.00 019556
Permit #: 05030201
Date: 03/24/2005
0038000
: 1331 RANGE LINE RD CARMEL, IN 46032
CHECK#: 019556
Email:
46254
/ER/WATER PERMIT
WATER/SEWER CONNECTION
,~DD TIONAL CAPACITY TO SITE FOR
PPROVED BY BPWS ON 2/16/05.
Code. All building sewers shall be 6" diameter,
Non-
r denial of water connecnons
COULTER
made at least 24 hours in advance. All
Mth the CITY ENGINEER'S OFFICE, If any street
ENT I
igu
Phone:
ce~ ~ ; ~_~f?ls__~_ ........
SEWER
CONNECTION
TOTALS
E.D.U.'s (a x bJ ~__~ .....
WATER
(d) Connection Chargo~e per
i E.D.u. J~D~_~__ ....
(e) Total Connection Charg
(c x
(i) Connection Charge per
i E.D.U. ~_~0~
(j) Total Con~t~o~--~ge
(h x i)
AVAILABILITY
SEWER
mber of Acres
Cost per Acre
(m) Availability Charges(k
~r of Acres
Cost per Acre
(pi Availability Charges(n x
(q) Meter Installation Fee
T6tal Char!e~
.... i~--7--j--+ m + p + g ]
. B~: .... Received by:
~emarks
(Over for further remarks)