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HomeMy WebLinkAbout06040042 Reciepts/Permits Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT OPERATOR: COPY # See: Twp: Rng: Sub: Blk: Lot: PARCEL ID . .......: 1709250000001002 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 ......... 04/21/2006 21873 06040042 13400 MERIDIAN ST N CARMEL ST. VINCENT CARMEL HOSPITAL 13500 MERIDIAN ST N CARMEL, IN 46032 SUMMIT CONSTRUCTION LIC # SUMMICON SUMMIT CONSTRUCTION 1107 BURDSAL PARKWAY INDIANAPOLIS, IN 46208 (317) 634-6112 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------~ CIIC/O FLAT RATE 1. 00 107.00 0.00 107.00 0.00 CIIREMOD SQUARE FEET 1,350.00 539.50 0.00 539.50 0.00 ICIIFINAL FLAT RATE 1. 00 100.00 0.00 100.00 0.00 ICIIROUGH FLAT RATE 1. 00 100.00 0.00 100.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 846.50 0.00 846.50 0.00 METHOD OF PAYMENT AMOUNT CHECK TOTAL RECEIPT : 846.50 ------------ ------------ 846.50 NUMBER 89905 CITY OF CARMEL / CLAY TOWNSHIP IMPROVEMENT LOCATION PERMIT APPLICATION For: Remodels & Tenant Finishcs: Commercial, Industrial, or Institutional Permit #: 06040042 Date: 04/21/2006 PARCEL ID #: 1709250000001002 LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: 13400 MERIDIAN ST N CARMEL, IN 46032 Township?: Zoning: B6 Flood Zone: N PROPERTY OWNER INFORMATION: Name: ST. VINCENT CARMEL HOSPITAL Ph. #: 3175827516 Fax #: 3175827829 Street Address: 13500 MERIDIAN ST N CARMEL, IN 46032 TENANT INFORMATION: Name: MRI SUITE Address: 13400 MERIDIAN ST N CARMEL, IN 46032 CONTRACTOR INFORMATION: Name: SUMMIT CONSTRUCTION Ph.#: (317)634-6112 Fax#: 3172642529 Email: Street Address: 1107 BURDSAL PARKWAY INDIANAPOLIS, IN 46208 Plumber's Name: SULLIVAN & POORE Codes for Project: IPC Lot Split: N PERMIT TYPE: COMREMODEL COMMERCIAL REMODEL Water Service by: INDPLS County Well Permit #: Sewer Service by: CARMEL County Septic Permit #: Foundation Type: SLAB Estimated Cost of Construction: $250000 Manufactured Trusses: N Sump Pump: N Usage Class: INS Construction Type: State Design Release #: 315924 Square Footage: 1350 SPECIAL CONDITIONS/NOTES: MRI SUITE @ ST. VINCENT CARMEL HOSPITAL REMODEL. CON ST. TYPE: II-B, SPK. OCCUP.CLASS: 1-2, REM. ST.#: 315924. ARCH, ELEC, MECH, PLUM. THREE STANDARD CONDITIONS. . NO NOTES' This pcnnit is valid only if construction conunences within one (I) 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 - 19~T' (Z~ 289) and amendments, adopted under authority of LC. 36-7 et seq, Geneml 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 Conununity Services, Carmel, Indiana. FEES: COM. IND. INST. C/O C.1.1. REMODEUTENANT ell FINAL 100.00 CII ROUGH-IN 100.00 107.00 539.50 APPLICANT NAME: DANIEL R. OVERBECK