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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: vdolan
COPY # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1610310000016008
DATE ISSUED.......: 04/07/2006
RECEIPT #.........: 21717
REFERENCE ID # ...: 06040013
SITE ADDRESS. ..... 310 MEDICAL DR
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA.. ....:
OWNER ............: FAMILY PHYSICIANS OF CARMEL
ADDRESS ..........: 310 MEDICAL DR
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy....... ...:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
MCKNIGHT DEMO
LIC # MCKNDEM
MCKNIGHT DEMOLITION
925 W TROY AVE
INDIANAPOLIS, IN 46225
FEE ID UNIT QUANTITY
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
133.50 0.00 133.50 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
233.50 0.00 233.50 0.00
DEMOMAIN FLAT RATE 1.00
ICIISITE FLAT RATE 1.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CASH
TOTAL RECEIPT :
233.50
233.50
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: DEMOLITION
Permit #: 06040013
Date: 04/07/2006
PARCEL ID #: 1610310000016008
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 310 MEDICAL DR CARMEL, IN 46032
Township?: Zoning: Flood Zone: N Lot Split: N
PROPERTY OWNER INFORMATION:
Name: FAMILY PHYSICIANS OF CARMEL
Ph. #: 3178444825 Fax #: 3175735791
Street Address: 310 MEDICAL DR CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: MCKNIGHT DEMOLITION
Ph. #: Fax #:
Street Address: 925 W TROY AVE
Email:
INDIANAPOLIS, IN 46225
PERMIT TYPE: MDEMO
DEMOLITION
Water Service by: CARMEL
Sewer Service by: CARMEL
Estimated Cost of Work: $0
Underground Tank(s):
Special Notes/Conditions:
310 MEDICAL DR. DEMOLITION. FAMILY PHYSICIANS
OF CARMEL OFFICE BUILDING DAMAGED IN FIRE. . NO NOTES'
County Well Permit #:
County Septic Permit #:
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 - 1993" (2- 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 arc 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.
APPLICANT NAME: SALLY
FEES:
DEMO MAIN STRUCTURE
CII SITE 100.00
BAINBRIDGE
133.50