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CITY OF CARMEL
PERMIT RECEIPT
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Sec:07 Twp:17 Rng:03 Sub:WCC Blk:C Lot:3
PARCEL ID ........: 1713070019003000
DATE ISSUED.......: 08/31/2006
RECEIPT #.........: 23046
REFERENCE ID # .... 06080147
SITE ADDRESS ...... 10485 MICHIGAN RD N #120
SUBDIVISION ......: WEST CARMEL CENTER
CITY .............: CARMEL
IMPACT AREA ......: 421
OWNER ............: PR BLOCK C, LLC
ADDRESS ..........: 8463 CASTLEWOOD DR
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46250
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
CAPITOL CONSTRUCTION
LIC # CAPICON
CAPITOL CONSTRUCTION SERVICES
9830 BAUER DR
INDIANAPOLIS, IN 46280
(317) 574-5488
FEE ID UNIT QUANTI TY 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 96.00 301.24 0.00 301.24 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 : 608.24 0.00 608.24 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
608.24
24156
-------~----
------------
608.24
CITY OF CARMEL ! CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & T want Finisher;: Commercial, Industrial, or lnstitutional
Permit #: 06080147
Date: 08/31/2006
PARCEL ID #: 1713070019003000
LOT & SUBDIVISION: 3 WEST CARMEL CENTER
ADDRESS OF CONSTRUCTION: 10485 MICHIGAN RD N #120
Township?: 17 Zoning: B3
PROPERTY OWNER INFORMATION:
Name: PR BLOCK C, LLC
Ph, #: 3175745488 Fax #:
Street Address: 8463 CASTLEWOOD DR INDIANAPOLIS, IN 46250
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: DATA DOCTORS
Address: 10485 MICHIGAN RD N #120 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: CAPITOL CONSTRUCTION SERVICES
Ph. #: (317) 574-5488 Fax #: (317) 574-5482
Street Address: 9830 BAUER DR INDIANAPOLIS, IN 46280
Email: JFOSTER@CAPITOLCONSTRUCT.COM
Plumber's Name:
Codes for Project:
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $10000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 96
SPECIAL CONDITIONS/NOTES:
DATA DOCTORS @MEDFORDPLACE BLOG@WESTCARMEL
CENTER. PER APPLICANT, STATE NOT REQUIRED. NO
PLUMBING. WHITE BOX FOR THIS AREA, UNDER #05100040
HAS HAD ROUGH BUT NOT FINAL. ONLY OFFICE SQ.FT.
. 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 (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 conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 199T'
(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 kilchen, bath, and Ooor 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
301.24
APPLICANT NAME:
GREGORY MILLER