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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.......: 03/16/2006
RECEIPT #.........: 21508
REFERENCE ID # .... 06030090
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SITE ADDRESS...... 11725 ILLINOIS ST N #265
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER.. ..........: CLARIAN HEALTH PARTNERS
ADDRESS. .........: 11700 N. MERIDIAN ST.
CITY/STATE/ZIP ...: CARMEL, IN 46032
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 QUANTI TY 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 3,200.00 881.00 0.00 881.00 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 : 1176.50 0.00 1176.50 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1176.50
9271
---~--------
------------
1176.50
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 06030090
Date: 03/16/2006
PARCEL ID #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11725 ILLINOIS ST N #265
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: CLARIAN HEALTH PARTNERS
Ph. #: Fax #:
Street Address: 11700 N. MERIDIAN ST. CARMEL. IN 46032
TENANT INFORMATION:
Name: CARDIOLOGY SUITE
Address: 11725 ILLINOIS ST N #265 CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
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 MECHANICAL INC 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: $180000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 315329 Square Footage: 3200
SPECIAL CONDITIONS/NOTES:
CARDIOLOGY SUITE @ CLARIAN M.O.B. CONST.TYPE:
EXST, SPK. OCCUP.CLASS: B, REM. ST.#315329.
ARCH, ELEC, MECH, PLUM. TWO CONDITIONS RE: FIRE
SUPPRESSION AND VENTING OF PLUMBING FIXTURES.
. NO NOTES'
This permit is valid only jf 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 ~Zonjng Ordinance of Carmel Indhma - 1993n
(Z~289) and amendments, adopted under authority of LC 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
881.00
APPLICANT NAME:
HERMEN BORTZ