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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COPY # 1
See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID . .......: 1709350000006000
DATE ISSUED.......: 08/18/2006
RECEIPT #.........: 22950
REFERENCE ID # ...: 06080058
;\
SITE ADDRESS ...... 12188-A MERIDIAN ST N #115
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
MERIDIAN MEDICAL
401 PENNSYLVANIA
INDIANAPOLIS, IN
PARTNERS
PKWY
46280
ONE
LAUTH CONSTRUCTION,
LIC # LAUTCON
LAUTH CONSTRUCTION
401 PENNSYLVANIA PKWY
INDIANANPOLIS, IN 46280
(317) 848-6500
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 1,734.00 612.46 0.00 612.46 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 : 919.46 0.00 919.46 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
919.46
87908
------------
------------
919.46
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
Permit #: 06080058
Date: 08/18/2006
For: Remodels &Tcnant Finishes: Commercial, Industrial, or Institutional
PARCEL ID #: 1709350000006000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 12188-A MERIDIAN ST N #115 CARMEL, IN 46032
Township?: 18 Zoning: Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: MERIDIAN MEDICAL PARTNERS ONE
Ph. #: Fax #:
Street Address: 401 PENNSYLVANIA PKWY INDIANAPOLIS, IN 46280
TENANT INFORMATION:
Name: AESTHETIC PLASTIC SURGERY OF I
Address: 12188-A MERIDIAN ST N #115 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: LAUTH CONSTRUCTION
Ph, #: (317) 848-6500 Fax #: (317) 848-6511 Email: KSEE@LAUTH.NET
Street Address: 401 PENNSYLVANIA PKWY INDIANANPOLlS, IN 46280
Lot Split: N
Plumber's Name: CS&M MECHANICAL
Codes for Project: IPC
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CARMEL County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $118296
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 319990 Square Footage: 1734
SPECIAL CONDITIONS/NOTES:
AESTHETIC PLASTIC SURGERY OF INDIANA @ NORTH
MERIDIAN MEDICAL PAVILION SOUTH BLDG. CONST.TYPE:
EXST, SPK. OCCUP.CLASS: B,REM. STATE # 319990.
ARCH, ELEC, MECH, PLUM. 2003 IBC. NO 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 structures
requested by this application will comply with, and confonn 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 rc 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 Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
612.46
APPLICANT NAME:
JOSHUA A. NICHOLS