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CITY OF CARMEL
PERMIT RECEIPT
I
OPERATOR: twedd~ng
COPY # 1
Sec:28 Twp:18 Rng:03 Sub:B62 Blk:9004 Lot:134
PARCEL ID ........: ZB62134 ~
DATE ISSUED.......: 11/22/2006 {
RECEIPT #. ........: 23743
REFERENCE ID # ...: 06110049
SITE ADDRESS .....:
SUBDIVISION ......:
CITY. . ... . . . . . . . . :
IMPACT AREA......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
13350 BERWICK LN
VILLAGE OF WESTCLAY
CARMEL
KURT MADVIG
13350 BERWICK LN
CARMEL, IN 46032
KEGERIS CONSTRUCTION
LIC # KEGECON
KEGERIS CONSTRUCTION
1118 HORNADAY RD
BROWNS BURG , IN 46112
(317) 258-3261
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW:BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESFINAL FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESROUGH FLAT RATE 1. 00 55.50 0.00 55.50 ;0.00
RESC/O FLAT RATE 1. 00 53.50 0.00 53.50 .0.00
RESREMOD FLAT RATE 1. 00 133.50 0.00 133.50 ;0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 298.00 0.00 298.00 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
298.00
------------
------------
298.00
NUMBER
2565
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICATION
For: Residential NCl.v Structures, Additions, Remodels, & Accessory Buildings
Permit #: 06110049
Date: 11/22/2006
PARCEL 10 #: ZB62134
LOT & SUBDIVISION: 134 VILLAGE OF WESTCLAY
ADDRESS OF CONSTRUCTION: 13350 BERWICK LN CARMEL, IN 46032
Township?: 18 Zoning: PUD Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: KURT MADVIG
Ph. #: 3173853723 Fax #:
Street Address: 13350 BERWICK LN CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: KEGERIS CONSTRUCTION
Ph. #: (317) 258-3261 Fax #: (317) 858-4796
Street Address: 1118 HORNADAY RD BROWNSBURG, IN 46112
Plumber's Name: STEGE MOLLER, BRIAN L
Codes for Project: IPC
Soecial N nditions:
LOT 134 VILLAGE OF WEST CLAY. REMODEL. BASEMENT
FINISH WITH PLUMBING. . NO NOTES'
Lot Split: N
Email: TJKEG4@AOL.COM
PERMIT TYPE: RESREMODEL;
RESIDENTIAL REMODEL
Water Service by: CARMEL
County Well Permit #:
Sewer Service by: CARMEL
County Septic Permit #:
Foundation Type: BSMT
Estimated Cost of Construction: $31500
Manufactured Trusses: N
Sump Pump: Y
Porch: N
Deck:
Square Footage: 2100
Early Release ILP: N
Model Home:
This pennit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release. All constru~tjon
must be completed (C/O issued) within two (2) years ofthe issuance date. i
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or struqures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993"
(Z- 289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify
that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a
CerdfiC;lte of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: TERRY J
FEES:
RES FINAL
RES ROUGH-IN
RESIDENTIAL C/O
RESIDENTIAL REMODEL
KEGERIS
55.50
55.50
53.50
133.50