HomeMy WebLinkAbout07100038 Receipt/PermitCITY" OF CARMEL
Item 1 of I PERMIT RECEIPT
Sec: Twp:17 Rng:04 Sub: B1k:07 Lot:
PARCEL ID ........: 1714070406023000
DATE ISSUED.......: 10/19/2007
RECEIPT #.........: 26591
REFERENCE ID # •.• 07100038
SITE ADDRESS .....: 2828 96TH ST E
SUBDIVISION ......
CITY .............: INDIANAPOLIS
IMPACT AREA ......
1inxv
OPERATOR: twedding
copy # : 1
OWNER ............ : WAYNE T. KINNEY
ADDRESS .......... : 5616 ELDERBERRY RD
CITY/STATE/ZIP ... : NOBLESVILLE, IN 46062
RECEIVED FROM .... : WAYNE T KINNEY, DDS
CONTRACTOR ....... : LIC # KINNWAY
COMPANY .......... : KINNEY, WAYNE T.
ADDRESS .......... : 5616 ELDERBERRY RD.
CITY/STATE/ZIP ... : NOBLESVILLE, IN 46062
TELEPHONE ........ . (317) 773-9051
FEE ID UNIT QUANTITY AMOUNT PD- TO-DT THIS REC
----------
CIIC/O ------------- -------
FLAT RATE i. -- ----------
00 111.00
0.00
111.
00
CIINAA SQUARE FEET 1,422. 00 688.40 0.00 688. 40
ICIIFINAL FLAT RATE 1. 00 104.00 0.00 104. 00
ICIIFTSLB FLAT RATE 1. 00 104.00
---- 0.00
------ 104.
-------- 00
--
TOTAL PERMIT ----------
1007.40 0.00 1007. 40
METHOD OF PAYMENT AMOUNT
- N-UMBER
CHECK ---- ---------
--
1007.40
16162
TOTAL RECEIPT 1007.40
NEW BAL
0.00
0.00
0.00
0.00
0.00
CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07100038
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 10/19/2007
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PARCEL ID M 171407D406023000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 2828 96TH ST E INDIANAPOLIS, IN 46280
Township?: 17 Zoning: Flood Zone: N Lot Split: N
PROPERTY OWNER INFORMATION:
Name: WAYNE T. KINNEY
Ph. #: WK 5751120 Fax #: HM 7739051
Street Address: 5616 ELDERBERRY RD NOBLESVILLE. IN 46062
Name: KINNEY, WAYNE T.
Ph. M (317) 773-9051 Fax #: WK # 575-1120 Email: WAYNEKINNEY@KEYSTONEDENTISTRY COM
Street Address: 5616 ELDERBERRY RD. NOBLESVILLE, IN 46062
Plumber's Name:
Codes for Project:
PROJECT NAME:
PERMIT TYPE: CDMADDN ; COMMERCIAL ADDITION
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRW D County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction:35000
Sump Pump: N Manufactured Trusses: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 1422
SPECIAL CONDITIONS & NOTES:
WAYNE T KINNEY D.D.S. PERGOLA, STAMPED CONCRETE,
AND HANDICAP RAMP ADDITION. (SQ'.FT. ONLY FOR
PERGOLA.) KINNEY STATE PER JEB: NO STATE NEEDED.
PER ANGIE CONN 1015!07--NO PL.B ZO. NEEDED.
NO NOTES *
This perntir is valid only if consrrucuon connnences wahm one (1) year of the date of issuance of the State Commercial Design Release. ell coo stmctian
nmst be emnplered (CIO issued) within two (2) years of the issuance date.
1,theundet gued,aSmethat enymnsrrutiun,reconstruction.enlarv.eirent, relocation, oralterationofae[riche, or any change in the =use of land or stm.mres
teque-sred by itsapplica?_ian ?.vill comoly wirj,and conEonn cq ell applicable laws of 3e Sts[e of Indiana, asd the `onir?Onliaerse dCarmel ]r_diuna-1993'
17-2M and amendni2Pt" arnlrred enter 2uehoritypl I.C. 36-; e: sru, GercraL4ssembly of the State eE Indiana, and alt Acts ameadatorv thereto. l iorthet cerify
that oriv kiteb. n,'enth, and heordraiM are connected to the sanitaiy.,ewer. I further certify that the construction will not he used Or occupied until a
CerrifieareofGccvjwx3 has hem issued by the Department of Community Services, Camel, Indiana.
APPLICANT NAME: WAYNE T. KINNEY D.D.S.
FEES:
COM. INC. INST. CIO 111.00
CJ.I, NEW, AGD. ACC. 688.40
CII FINAL 104.20
CII FOOTING & UNDRSLB 104.00