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HomeMy WebLinkAbout06060057 Reciepts/Permits Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT ~ OPERATOR: vdolah COpy # 1 See: Twp:17 Rng:03 Sub: Blk:06 Lot: PARCEL ID ........: 1713060000028003 DATE ISSUED.......: 06/21/2006 RECEIPT #.........: 22399 REFERENCE ID # ...: 06060057 SITE ADDRESS ...... 10801 MICHIGAN RD N #280 SUBDIVISION ......: CITY .............: CARMEL IMPACT AREA......: 421 OWNER....... .....: PHT INVESTMENT HOLDINGS ADDRESS ..........: 2001 ROSS AVE. #3400 CITY/STATE/ZIP ...: DALLAS, TX 75201 RECEIVED FROM ....: CONTRACTOR .......: COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP ...: TELEPHONE ......... BREMNER, INC LIC # BREMHEA BREMNER HEALTHCARE REAL ESTATE 510 E. 96TH ST. #250 INDIANAPOLIS, IN 46240 (317) 816-8600 FEE ID UNIT QUANTITY ---------- ------------- ---------- CIIC/O FLAT RATE 1. 00 CIIREMOD SQUARE FEET 1,847.00 ICIIFINAL FLAT RATE 1. 00 ICIIROUGH FLAT RATE 1. 00 AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- 107.00 0.00 107.00 0.00 633.93 0.00 633.93 0.00 100.00 0.00 100.00 0.00 100.00 0.00 100.00 0.00 ---------- ---------- ---------- ----~----- 940.93 0.00 940.93 0.00 TOTAL PERMIT : METHOD OF PAYMENT AMOUNT NUMBER CHECK TOTAL RECEIPT : 940.93 20755 ~~----~----- ------------ 940.93 CITY OF CARMEL / CLAY TOWNSHIP IMPROVEMENT LOCATION PERMIT APPLICATION ,I For: Remodels & T mane Finishes: Commercial, industrial, or Institutional Permit #: 06060057 Date: 06/21/2006 PARCEL 10 #: 1713060000028003 LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: 10801 MICHIGAN RD N #280 Township?: 17 Zoning: B2 PROPERTY OWNER INFORMATION: Name: PHT INVESTMENT HOLDINGS Ph. #: 3178168615 Fax #: Street Address: 2001 ROSS AVE. #3400 CARMEL. IN 46032 Flood Zone: N Lot Split: N 3178168610 DALLAS, TX 75201 TENANT INFORMATION: Name: IOMSA Address: 10801 MICHIGAN RD N #280 CARMEL, IN 46032 CONTRACTOR INFORMATION: Name: BREMNER HEAL THCARE REAL ESTATE Ph. #: (317) 816-8600 Fax #: (317) 816-8610 Email: KLEACH@BREMNERHEALTHCARE.COM Street Address: 510 E. 96TH ST. #250 INDIANAPOLIS, IN 46240 Plumber's Name: MCS 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: $114800 Manufactured Trusses: N Sump Pump: N Usage Class: COM Construction Type: State Design Release #: 318484 Square Footage: 1847 SPECIAL CONDITIONS/NOTES: IOMSA @ ST. VINCENT M.O.B. BLDG. CONST.TYPE: SPK, EXST. OCCUP.CLASS: B. STATE #: 318484. ARCH, ELEC, MECH, PLUM. STANDARD RELEASE WITH EIGHT (8) CONDITIONS. SEE NOTEPAD... STATE RELEASE CONDITIONS RE: 1.Fire suppression specs/plans need to be submitted 2.Affecting existing systems with work 3.New work affecting exit capacity requirements 4.Aggregate quantity of hazardous production materials allowed 5.Door openings into egress path requirements 6.Exit sign requirements 7.Flame-spread rating requirements 8.Exit door requirements This pennit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All construttion must be completed (C/O issued) within two (2) years of the issuance date. I I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or stru~tures 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 r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cJrtify 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 I 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 100.00 107.00 633.93 APPLICANT NAME: KEEVIN LEACH