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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
I
lstewart
1 I
Sec:22 Twp:18 Rng:04 Sub:RMP Blk: Lot:2
PARCEL ID .. ......: 1710220022002000
DATE ISSUED.......: 09/13/2006
RECEIPT #. ........: 23158
REFERENCE ID # .... 06080195
SITE ADDRESS ...... 14555 HAZEL DELL PKWY #140
SUBDIVISION ......: RIVERVIEW MEDICAL PARK
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: PLUM CREEK PARTNERS, LLC
ADDRESS ..........: 11911 LAKESIDE DR
CITY/STATE/ZIP ...: FISHERS, IN 46038
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE.. .......
GILLIATTE GNRL CONT
LIC # GILLGEN
GILLIATTE GENERAL CONTRACTORS
2515 BLOYD AVE
INDIANAPOLIS, IN 46218
(317) 638-3355
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW ,BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
CIIC/O 1
FLAT RATE 1. 00 107.00 0.00 107.00 10.00
CIIREMOD SQUARE FEET 3,192.00 889.48 0.00 889.48 10.00
ICIIFINAL FLAT RATE 1. 00 100.00 0.00 100.00 10.00
ICIIFTSLB FLAT RATE 1. 00 100.00 0.00 100.00 10.00
ICIIROUGH FLAT RATE 1. 00 100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 1296.48 0.00 1296.48 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1296.48
100387
--------~~~-
------------
1296.48
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, lndustrial, or Institutional
Permit #: 06080195
Date: 09/13/2006
PARCEL 10 #: 1710220022002000
LOT & SUBDIVISION: 2 RIVERVIEW MEDICAL PARK
ADDRESS OF CONSTRUCTION: 14555 HAZEL DELL PKWY #140
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: PLUM CREEK PARTNERS, LLC
Ph. #: 3176969595 Fax #: 3178444678
Street Address: 11911 LAKESIDE DR FISHERS, IN 46038
TENANT INFORMATION:
Name: DR. BUNCH ORTHODONTIST OFFICE
Address: 14555 HAZEL DELL PKWY #140 CARMEL, IN 46033
CONTRACTOR INFORMATION:
Name: GILLlATTE GENERAL CONTRACTORS
Ph. #: (317) 638-3355 Fax #: (317) 634-5997 Email:
Street Address: 2515 BLOYD AVE INDIANAPOLIS, IN 46218
Plumber's Name: ACTION PLUMBING/JEFF SATTERTHW Codes for Project: IPC
CARMEL, IN 46033
Flood Zone: Y
Lot Split: N
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: $150000
Manufactured Trusses: Y Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 320416 Square Footage: 3192
SPECIAL CONDITIONS/NOTES:
DR. BUNCH ORTHODONTIST OFFICE @ HAZEL DELL MEDICAL
OFFICE BLDG., AT RIVERVIEW MEDICAL PARK LOT 2.
CONST.TYPE: II-B. OCCUP.CLASS: B. STATE # 320416.
ARCH, ELEC, MECH, PLUM. 20031BC. NO CONDITIONS.
. NO NOTES'
I
This permit is valid only if construction conunences within one (1) 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 struc!ures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel 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 cerrify
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. REMODEUTENANT
CII FINAL 100.00
CII FOOTING & UNDRSLB
CII ROUGH-IN
107.00
889.48
APPLICANT NAME:
JACOB GILLlATTE
100.00
100.00