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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COPY # 1
See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID ........: 1709350000040000
DATE ISSUED... ....: 07/14/2006
RECEIPT #... ......: 22654
REFERENCE ID # .... 06060220
1~
SITE ADDRESS...... 11700 MERIDIAN ST N
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: CLARIAN HEALTH PARTNERS
ADDRESS ..........: P.O. BOX 7195
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46207
RECEIVED FROM ....: CLARIAN NORTH MEDICA
CONTRACTOR .......: ATTN: MARK FELTT LIC # CLARNOR
COMPANY. .........: CLARIAN NORTH MEDICAL CENTER
ADDRESS... .......: 11700 MERIDIAN ST N
CITY/STATE/ZIP...: CARMEL, IN 46032
TELEPHONE ......... (317) 688-2629
FEE ID UNIT QUANTITY
---------- ------------- ----------
CIIC/O FLAT RATE 1. 00
CIINAA SQUARE FEET 1,400.00
ICIIFINAL FLAT RATE 1. 00
ICIIFTSLB FLAT RATE 1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 0.00 107.00 0.00
655.00 0.00 655.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
962.00 0.00 962.00 0.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
962.00
13813
962.00
I..
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
Permit #: 06060220
Date: 07/14/2006
./ For: Commercial, Industrial, or Institutional; New Structures, Additiom, or AccessOI) Structures
PARCEL 10 #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11700 MERIDIAN ST N
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: CLARIAN HEALTH PARTNERS
Ph. #: 3176882629 Fax #: 3176882065
Street Address: P.O. BOX 7195 INDIANAPOLIS. IN 46207
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
CONTRACTOR INFORMATION:
Name: CLARIAN NORTH MEDICAL CENTER
Ph. #: (317) 688-2629 Fax #: (317) 688-2065
Street Address: 11700 MERIDIAN ST N CARMEL, IN 46032
Email: MFEL TT@CLARIAN.ORG
Plumber's Name:
Codes for Project:
PROJECT NAME:
PERMIT TYPE: COMACCESS COMMERCIAL ACCESSORY STRUCTURE
Water Service by: INDPLS County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction:16000
Sump Pump: N Manufactured Trusses: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 1400
SPECIAL CONDITIONS & NOTES:
CLARION NORTH MEDICAL CENTER ACCESSORY BUilDING.
PER MATT GRIFFIN-PLANNING IS OKAY, AND DOES NOT
NEED FORMAL PROCESS. PER BUllDER--STATE EXEMPT.
. 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 he completed (C/O issued) within two (2) years of the issuance date.
t 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 applkation 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 J further certify
that only kitchen, bath, and floor drains are connected to the sanitar)' sewer. I further certify that the construction will not he used or occupied until a
Certificate of Occup:mcyhas been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: MARK FEL TT
FEES:
COM. IND. INST. C/O 107.00
C.1.1. NEW, ADD, ACC. 655.00
CII FINAL 100.00
CII FOOTING & UNDRSLB 100.00