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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: slillard
COpy # 1
Sec:07 Twp:17 Rng:03 Sub:WCC Blk:C Lot:3
PARCEL ID .. ......: 1713070019003000
DATE ISSUED.. .....: 03/27/2006
RECEIPT #.........: 21595
REFERENCE ID # .... 06030138
SITE ADDRESS ...... 10485 MICHIGAN RD N #110
SUBDIVISION ......: WEST CARMEL CENTER
CITY .............: CARMEL
IMPACT AREA. .....: 421
OWNER ............: PR BLOCK C, LLC
ADDRESS ..........: 8463 CASTLEWOOD DR
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46250
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
GSIM LLC
LIC # HOWEJDH
J.D. HOWE BUILDER
9801 FALL CREEK RD. #308
INDIANAPOLIS, IN 46256
(317) 823-8681
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 1,562.00 569.78 0.00 569.78 0.00
ICIIFINAL FLAT RATE 1. 00 96.25 0.00 96 .25 0.00
ICIIFTSLB 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 : 961.53 0.00 961.53 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
961.53
1001
------------
------------
961.53
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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPUCA TION
For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 06030138
Date: 03/27/2006
PARCEL ID #: 1713070019003000
LOT & SUBDIVISION: 3 WEST CARMEL CENTER
ADDRESS OF CONSTRUCTION: 10485 MICHIGAN RD N #110
Township?: 17 Zoning: B3
PROPERTY OWNER INFORMATION:
Name: PR BLOCK C, LLC
Ph. #: 3178411002 Fax #:
Street Address: 8463 CASTLEWOOD DR INDIANAPOLIS, IN 46250
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: DINNER BY DESIGN
Address: 10485 MICHIGAN RD N #110 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: J.D. HOWE BUILDER
Ph. #: (317) 823-8681 Fax #: (317) 823-5725 Email: JEFFHOWE@JDHOWEBUILDER.COM
Street Address: 9801 FALL CREEK RD. #308 INDIANAPOLIS, IN 46256
Plumber's Name: RICKEY PLUMBING
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: SLAB Estimated Cost of Construction: $40000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 1562
SPECIAL CONDITIONS/NOTES:
DiNNER BY DESiGN @ THE MEDFORD PLACE BLOG @ WEST
CARMEL CENTER. PER VAD, J.BLANCHARD STATED NO
STATE RELEASE NEEDED. WHiTE BOX FOR THiS AREA is
UNDER #05100040.
. NO NOTES'
This pennit 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 (CIa 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 - 1993"
(Z- 289) and amendments, adopted under authority of LC 36-7 et seq, C:;eneral 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 not 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
CIl FINAL 96.25
CIl FOOTING & UNDRSLB
CIl ROUGH-IN
103.00
569.78
APPLICANT NAME:
LAURA GEIER
96.25
96.25