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HomeMy WebLinkAbout06020060-Receipt/Permit Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT 1/ OPERATOR: vdolan COpy # 1 See: Twp:18 Rng:3 Sub: Blk:35 Lot: PARCEL ID ........: 1709350000040000 DATE ISSUED.......: RECEIPT #.........: REFERENCE ID # .... SITE ADDRESS ...... SUBDIVISION ......: CITy....... ......: IMPACT AREA ......: OWNER ............: ADDRESS ..........: CITY/STATE/ZIP ...: RECEIVED FROM ....: CONTRACTOR .......: COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP ...: TELEPHONE ......... 02/21/2006 21282 06020060 11725 ILLINOIS ST N #200 CARMEL CLARIAN HEALTH PARTNERS P.O. BOX 7195 INDIANAPOLIS, IN 46207 PEPPER CONSTRUCTION LIC # PEPPCON PEPPER CONSTRUCTION CO 1850 15TH ST W INDPLS, IN 46202 (317) 681-1000 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 1,900.00 634.00 0.00 634.00 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 : 929.50 0.00 929.50 0.00 METHOD OF PAYMENT AMOUNT CHECK TOTAL RECEIPT : 929.50 -------~-~-- ------------ 929.50 NUMBER 070730 .., CITY OF CARMEL / CLAY TOWNSHIP IMPROVEMENT LOCATION PERMIT APPLICATION For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional Permit #: 06020060 Date: 02/21/2006 PARCEL 10 #: 1709350000040000 LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: 11725 ILLINOIS ST N #200 Township?: 18 Zoning: PUD PROPERTY OWNER INFORMATION: Name: CLARIAN HEALTH PARTNERS Ph. #: 3179622031 Fax #: Street Address: P.O. BOX 7195 INDIANAPOLIS, IN 46207 TENANT INFORMATION: Name: ADULT SLEEP LAB-CLARIAN NORTH Address: 11725 ILLINOIS ST N #200 CARMEL, IN 46032 CONTRACTOR INFORMATION: Name: PEPPER CONSTRUCTION CO Ph. #: (317) 681-1000 Fax #: 3176849686 Street Address: 1850 15TH ST W INDPLS, IN 46202 CARMEL, IN 46032 Flood Zone: N Lot Split: N Email: Plumber's Name: EDWARDS MECHANICAL Codes for Project: IPC 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: $234000 Manufactured Trusses: N Sump Pump: N Usage Class: COM Construction Type: State Design Release #: 314224 Square Footage: 1900 SPECIAL CONDITIONS/NOTES: ADULT SLEEP LAB @ CLARIAN M.O.B. CONST.TYPE: I-A, SPK. ST. REL.# 314224. ARCH, ELEC, MECH, PLUM. NO CONDITIONS. 'B.TENANT FINISH (OCCUP.CLASS.). , NO NOTES' This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All construction must be completed (CIO 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 Carmel Indiana - I993~ (Z-289) ;md amcndmenr8, adopted under authority of r.c. 36~7 et seq, (~eneral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and Ooor drains afe connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate ufOccupancyhas been issued by the Department of Community Services, Cannel, Indiana. FEES: COM. IND. INST. CIO C.1.1. REMODEL/TENANT CII FINAL 96.25 CII ROUGH-IN 96.25 103.00 634.00 APPLICANT NAME: BRIAN LENFERT