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CITY OF CARMEL
PERMIT RECEIP7'
i
,
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OPERATOR: vdo1an
COpy # 1
Sec:07 Twp:17 Rng:03 Sub: Blk: Lot:
PARCEL ID ........: 1713070000015000
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.. .......
FEE ID UNIT QUANTITY
---------- ------------- ----------
CIIC/O FLAT RATE 1. 00
CIIREMOD SQUARE FEET 2,268.00
ICIIFINAL FLAT RATE 1. 00
ICIIFTSLB FLAT RATE 1. 00
ICIIROUGH FLAT RATE 1. 00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
------------
------------
TOTAL RECEIPT :
0.00
06/21/2006
22400
06060095
10439 COMMERCE DR #120
CARMEL
COASTAL PARTNERS, LLC
201 S. CAPITOL AVE.
INDIANAPOLIS, IN 46225
CAPITOL CONSTRUCTION
LIC # CAPICON
CAPITOL CONSTRUCTION SERVICES
9830 BAUER DR
INDIANAPOLIS, IN 46280
(317) 574-5488
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 0.00 107.00 0.00
713.92 0.00 713.92 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
1120.92 0.00 1120.92 0.00
NUMBER
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, Industrial, or lnstitutional
Permit #: 06060095
Date: 06/21/2006
PARCEL ID #: 1713070000015000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 10439 COMMERCE DR #120
Township?: 17 Zoning: B5
PROPERTY OWNER INFORMATION:
Name: COASTAL PARTNERS, LLC
Ph, #: 3178295758 Fax #: 3172375765
Street Address: 201 S. CAPITOL AVE. INDIANAPOLIS, IN 46225
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: DR. WARREN
Address: 10439 COMMERCE DR #120 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: CAPITOL CONSTRUCTION SERVICES
Ph. #: (317) 574-5488 Fax #: (317) 574-5482 Email: JFOSTER@CAPITOLCONSTRUCT.COM
Street Address: 9830 BAUER DR INDIANAPOLIS, IN 46280
Plumber's Name: PRECISION 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: $140000
Manufactured Trusses: Y Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 318736 Square Footage: 2268
SPECIAL CONDITIONS/NOTES:
DR. WARREN @ WEST CARMEL CENTER OFFICE PARK PHASE
1 BLDG. 1. CONST.TYPE: V-B, EXST. OCCUP.CLASS:
B, REM. STATE #: 318736- ARCH, ELEC, MECH, PLUM.
20031BC. NO OTHER CONDITIONS.
. NO NOTES'
This permit 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 (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 struqures
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, 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 not be used or occupied until a
Certificate of Occupancyhas been issued by the Department of Community Services, Cannel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEUTENANT
CII FINAL 100.00
CII FOOTING & UNDRSLB
CII ROUGH-IN
107.00
713.92
APPLICANT NAME:
DARRIN DOUGLASS
100.00
100.00