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CITY OF CARMEL ("
PERMIT RECEIPT
OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID ........: 1709350000040000
DATE ISSUED.......: 06/02/2006
RECEIPT #.........: 22218
REFERENCE ID # .... 06050177
SITE ADDRESS. ..... 11725 ILLINOIS ST N #550
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 QUANTITY
---------- ------------- ----------
CIIC/O FLAT RATE 1. 00
CIIREMOD SQUARE FEET 3,200.00
ICIIFINAL FLAT RATE 1. 00
ICIIROUGH FLAT RATE 1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 0.00 107.00 0.00
891.00 0.00 891.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
1198.00 0.00 1198.00 0.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1198.00
9501
------------
------~-----
1198.00
CITY OF CARMEl / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodd.~ & T mant Finishes: Commercial, Industrial, or Institutional
Permit #: 06050177
Date: 06/02i2006
PARCEL ID #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11725 ILLINOIS ST N #550
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: CLARIAN HEALTH PARTNERS
Ph, #: Fax #:
Street Address: 11700 N. MERIDIAN ST. CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: H.M.S. MEDICAL GROUP
Address: 11725 ILLINOIS ST N #550 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: HOKANSON CONSTRUCTION INC
Ph, #: (317) 633-6300 Fax #: 3176338077 Email: EMH@HOKANSONICCOM
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: $165000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 317918 Square Footage: 3200
SPECIAL CONDITIONS/NOTES:
H.M.S. MEDICAL GROUP @ CLARIAN M.O.B. CONST.TYPE:
II-A, EXST, SPK. OCCUP.CLASS: B, REM. ST.#317918
ARCH, ELEC, MECH, PLUM. 20031BC. TWO CONDITIONS
RE: EXIT CAPACITIES AND FIRE SUPPRESSION.
. 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 -1993n
(2,289) and amendments, adopted under authority of r.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 Door 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
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
891.00
APPLICANT NAME:
HERMEN BORTZ