HomeMy WebLinkAbout05050215-Receipt/Permitof I
CITY OF CARMEL
PERMIT RECEIPT
Sec:31
PARCEL
Twp:18 Rng:03 Sub:LBE Blk:
ID ........ : ZLBE120
Lot: 120
DATE ISSUED ....... 06/06/2005
RECEIPT # ......... : 18564
REFERENCE ID ~ ...: 05050215
OPER3kTOR:
COPY # :
slillard
SITE ADDRESS ..... : 12085 AUBURN CREEK XING
SUBDIVISION ...... : LONG BRANCH ESTATES
CITY ............. : ZIONSVILLE
IMPACT AREA ...... :
OWNER ............ : JOHN & DIANE STOCKHOLM
ADDRESS .......... : 12085 AUBURN CREEK XING
CITY/STATE/ZIP ZIONSVILLE, IN 46077
RECEIVED FROM .... : KEGERIS CONSTRUCTION
CONTRACTOR ....... : LIC # KEGECON
~MPA/qY .... : KEGERIS CONSTRUCTION
DRESS .......... : ii18 HORNADAY RD
CITY/STATE/ZIp ...: BROWNSBURG, IN 46112
T~LEPHONE ........ ' (317) 258-3261
FEE ID
UNIT 'QUANTITY ANOUNT
1.00 53.50
RATE 1.00 53.50
RATE 1.00 51.50
FLAT RATE 1.00 128.75
287.25
METHOD OF PAYMENT
AMOUNT
287.25
287.25
PD-TO-DT THIS REC NEW BAL
0.00 53.50 0.00
0.00 53.50 0.00
0.90 5i 50 0.00
0.00 128175 0.90
0.00 287.25 0.00
NUMBER
1807
~ OCATION PERMIT APPLICATION
,~ For: Residential New Structures Addit ohs. Remode s ~'Accesso Buildin s
PARCEL ID #: ZLBE1 20
LOT & SUBDIVISION: 120 LONG BRANCH ESTATES
ADDRESS OF CONSTRUCTION: 12085 AUBURN CREEK XING ZIONSVILLE. tN 46077
Township?: 18 Zoning: SI/ESTATE Flood Zone: N
.P. ROPER_Ty OWNER INFORMATION:
Name: JOHN & DIANE STOCKHOLM
Ph. #: Fax #:
Street Address: 12085AUBURN CREEKXING ZIONSVILLE, N 46077
CONTRACTOR INFORMATION:
~ION
Ph. # (317) 258-3261 Fax # (317) 858-4796 Emaih TJKEG4@AOL.COM
Street Add~ess: 1118 HORNADAY RD BROWNSBURG, IN 46112
Plumber's Name: STEG PLUMBING
Codes for Project: IPC
I~A;SEMENTFINISHWITHELECTRICALANDPLUMBiNG. 'NONOTES*
Permit #: 05050215
Date: 06/06/2005
Lot Split: N
PERMIT TYPE_: RESREMODEL;
RESIDENTIAL REMODEL
Water Service by: rNDPLS
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: BSMT
Estimated Cost of Construction: $22500
Manufactured Trusses: N
Sump Pump: Y
Porch: N
Deck:
Square Footage: 1200
Eady Release ILP: N
Model Home:
This pemfit is valid only ff construction conm~ences within one (1) year of the date of issuance of the State Co:mnercial Design Release All construction
must be completed (C/O issued) within two (2) years of theissuance date.
I, the undersigned, agree that any construction reconstruct on, enlargement, relocation or alteration of a structure or an chan e ~n
requestedbythisapplicationwillcom~lvwirh o..o~r..~.. . , ...... ~ i Y g ' theuseoflandorstrucmres
~a o..n?tqtcnen, nam. andfloordramsareconnectedtothesanitarysewer ifurthercertih, th~t.h .............. . ..... ry reto: l?rthercertlfy
APPLICANT NAME: TERRY d KEGERIS
FEES:
RES FINAL 53.50
RES ROUGH- N 53.50
RESIDENTIAL C/O 51.50
RESIDENTIAL REMODEL 128.75