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05090135-Receipt/Permit
CITY OF CARMEL PERMIT RECEIPT Sec: Twp:18 Rng:04 Sub:145 Blk:28 Lot:6 PARCEL ID ........ : 1610280101058000 DATE ISSLTED ....... : 10/28/2005 RECEIPT # ......... : 20276 REFERENCE ID ~ ...: 05090135 OPERATOR: vdolan COPY # : 1 SITE ADDRESS ..... : 13111 DERBYSHIRE CT SUBDIVISION ...... : BROOKSHIRE LAKES ~~ITY ............. : CARMEL IMPACT AREA ...... : OWNER ............ : RICH & LORI ADAMS ADDRESS .......... : 13111 DERBYSHIRE CT CITY/STATE/ZIP ,..: CARMEL, IN 46033 RECEIVED FROM , . : VICKREY REMODELING CONTRACTOR ....... : LIC # VICKREM COMPANy ........ : VICKREY REMODELING ADDRESS .......... : 2775 N 150 W CITY/STATE/ZIP ...: LEBANON, IN 46250 TELEPHONE ........ : (765) 482-7344 UNIT QUANT I TY 1.00 1.00 424.00 1.00 AMOUNT ~24OUNT PD-TO-DT THIS REC NEW BAL 53.50 0.00 53.50 0.00 53.50 0.00 0.00 O0 179.63 179.63 ~ 51.50 .00 51.50 0.00 .... ...... 338.13 o.oo NUMBER .............. RECEIPT : 338.13 CARMEL / CLAY TOWNSHIP Permit#: 05090135 IMPROVEMENT LOCATION PERMIT APPLICATION Date: 10/28/2005 For: Residential New Structures. Additions. Remodels. ~ Accessory Buildings ~1058000 = CT CARMEL IN 46033 Flood Zone: N Lot Split: N Fax #: I DERBYSHIRE CT CARMEL, IN 46033 Fax#: (765) 483-9913 46250 Email: GLVICKREY@YAHOO,COM LOT 6 BROOKSHIRE LAKES. 2ND FLR ROOM ADDITION OVER GARAGE & UTILITY ROOM, GARAGE ON SLAB & UTILITY ROOM ON CRAWL. * NO NOTES * PERMIT TYPE: RESADD ; RESIDENTIAL ADDITION- ROOM(S) Water Service by: CARMEL County Well Permit #: Sewer Service by~ CARMEL County Septic Permit #: Foundation TYPe: CRAWL/SLAB Estimated Cost of Construction: $30000 Manufactured Trusses: N Sump Pump: N Porch: N not be used or occupied tmQl a 51,50