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CITY OF CARMEL
PERMIT RECEIPT !I'
OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID ........: 1709350000040000
DATE ISSUED.. .....:
RECEIPT #. ........:
REFERENCE ID # ....
SITE ADDRESS ......
SUBDIVISION ......:
CITY. ... . . . . . . . . . :
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY.. ........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE. ........
09/21/2006
23214
06090027
11700 MERIDIAN ST #200
CARMEL
CLARIAN HEALTH PARTNERS
11700 N. MERIDIAN ST.
CARMEL, IN 46032
PEPPER CONSTRUCTION
LIC # PEPPCON
PEPPER CONSTRUCTION CO
1850 15TH ST W
INDPLS, IN 46202
(317) 681-1000
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 6,793.00 1573.67 0.00 1573.67 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 : 1880.67 0.00 1880.67 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
1880.67
------------
------------
1880.67
NUMBER
075099
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICA nON
For: Remodels & T cnant Fillishc~: Commercial, Industrial, or Institutional
Permit #: 06090027
Date: 09/21/2006
PARCEL ID #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11700 MERIDIAN ST #200
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: CLARIAN HEALTH PARTNERS
Ph. #: 3176882851 Fax #:
Street Address: 11700 N. MERIDIAN ST. CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: DR. HOCK PEDIATRIC ONCOLOGY
Address: 11700 MERIDIAN ST#200 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: PEPPER CONSTRUCTION CO
Ph, #: (317) 681-1000 Fax #: 3176849686 Email:
Street Address: 1850 15TH STW INDPLS, IN 46202
Plumber's Name: IRISH, FRANK E. INC. Codes for Project: IPC
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: BSMT Estimated Cost of Construction: $800000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 320435 Square Footage: 6793
SPECIAL CONDITIONS/NOTES:
DR. HOCK PEDIATRIC ONCOLOGY @ CLARIAN NORTH
MEDICAL CENTER/HOSPITAL. CONST.TYPE: EXST, SPK.
OCCUP.CLASS: B, REM. STATE # 320435. ARCH, ELEC,
FA, MECH, PLUM. FOUR CONDITIONS. SEE NOTEPAD.
STATE RELEASE CONDITIONS RE:
1. This is a tenant build out.
2. Additions/alterations are not to
cause any of the existing systems,
building, etc.. to become unsafe or
overloaded.
3. Additions/alterations are not to
reduce exit capacities to less than
required.
4. Plans/specs for revised fire
suppression need to be submitted.
NOTE: Grease interceptors/traps shall
be provided in the waste lines of
Hospitals, Restaurants, and Hotels.
This pCTIllit is valid only if construction commences within one (l) year of the date of issuance of the State Conunerdal Design Release. All constrJction
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 LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further chtify
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 Occupa/lcy 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
1573.67
APPLICANT NAME:
HEATHER M. SIEMERS