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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.......: 02/16/2006
RECEIPT #.........: 21236
REFERENCE ID # ...: 06010113
~AW
SITE ADDRESS...... 11725 ILLINOIS ST N#LL-050
SUBDIVISION ......:
CITY .............: CARMEL
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 .........
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 1,700.00 596.00 0.00 596.00 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 : 891.50 0.00 891.50 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
891.50
9089
------~-~---
------------
891.50
CITY OF CARMEL ( CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 06010113
Date: 02/16/2006
PARCEL ID #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11725 ILLINOIS ST N#LL-050
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: AHN HEMATOLOGY/ONCOLOGY
Address: 11725 ILLINOIS ST N#LL-050 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: KIRKHOFF, JEFF PLUMBING & REMO 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: $80000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 314510 Square Footage: 1700
SPECIAL CONDITIONS/NOTES:
AHN HEMATOLOGY/ONCOLOGY @ CLARIAN M.O.S.
CON ST. TYPE: II-B, SPK. OCCUP.CLASS: B, REM. ST.#
314510. ARCH, ELEC, PLUM, MECH. THREE STANDARD
CONDITIONS.
. 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 ofche 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 Of structures
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 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. t further certify that the construction will not be used or occupied until a
Certificate of OcclIpancyhas been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
CII FINAL 96.25
CII ROUGH-IN 96.25
103.00
596.00
APPLICANT NAME:
HERMEN BORTZ