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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COPY # 1
See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID ........: 1709350000040000
DATE ISSUED.......:
RECEIPT #.........:
REFERENCE ID # ...:
01/30/2006
21060
06010112
/(AJ
ST N #545
SITE ADDRESS ......
SUBDIVISION...... :
CITY. ..... . ...... :
IMPACT AREA ......:
OWNER............: CLARIAN HEALTH PARTNERS
ADDRESS ..........: P.O. BOX 7195
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46207
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY.. ........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
11725 MERIDIAN
CARMEL
HOKANSON CONSTRUCTIO
LIC # HOKACON
HOKANSON CONSTRUCTION INC
107 N PENNSYLVANIA ST STE #800
INDIANAPOLIS, IN 46204
(317) 633-6300
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ------~--- ----------
CIIC/O FLAT RATE 1. 00 103.00 0.00 103.00 0.00
CIIREMOD SQUARE FEET 2,700.00 786.00 0.00 786.00 0.00
ICIIFINAL FLAT RATE 1. 00 96 .25 0.00 96.25 0.00
ICIIROUGH FLAT RATE 1. 00 96.25 0.00 96 .25 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 1081.50 0.00 1081.50 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
1177.75
------------
------------
1177.75
NUMBER
9071
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For; Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 06010112
Date: 01/30/2006
PARCEL ID #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11725 MERIDIAN ST N #545
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: ClARIAN HEALTH PARTNERS
Ph. #: 3176336300 Fax #: 3176338070
Street Address: P.O. BOX 7195 INDIANAPOLIS. IN 46207
TENANT INFORMATION:
Name: I.U. BREAST CENTER
Address: 11725 MERIDIAN ST N #545 CARMEL. IN 46032
CONTRACTOR INFORMATION:
Name: HOKANSON CONSTRUCTION INC
Ph. #: (317) 633-6300 Fax #: 3176338077 Email: EMH@HOKANSONIC.COM
Street Address: 107 N PENNSYLVANIA ST STE #800 INDIANAPOLIS. IN 46204
Plumber's Name: DEEM MECHANICAL Codes for Project: IPC
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: INDPlS County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: BSMT Estimated Cost of Construction: $120000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 315332 Square Footage: 2700
SPECIAL CONDITIONS/NOTES:
I.U. BREAST CENTER @ CLARIAN M.O.B.
CONST.TYPE: EXST, SPK. OCCUP.CLASS: B. REM. ST.#
315332. ARCH. ELEC, PLUM, MECH. THREE CONDITIONS
RE: DRAINAGE PIPES. PLUMBING FIXT,'S & STR.ADDR.
. NO NOTES'
This permit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release. All construction
must be completed (C/O issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993n
(Z~289) and amendments, adopted under authority of I.c. 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 nut be used or occupied until a
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEUTENANT
CII FINAL 96.25
CII ROUGH-IN 96.25
103.00
786.00
APPLICANT NAME:
HERMEN BORTZ