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Item
1 of
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
1
tweddi1ng
1
See: Twp:17 Rng:03 Sub: Blk:ll Lot:
PARCEL ID ........: 1613110418001005
DATE ISSUED.......: 10/23/2006
RECEIPT #.........: 23511
REFERENCE ID # .... 06090121
~~
SITE ADDRESS.. .... 201 PENNSYLVANIA PKWY #200
SUBDIVISION ......:
CITY .............: INDIANAPOLIS
IMPACT AREA ......:
OWNER.... ........: BREMNER HEALTHCARE REAL ESTATE
ADDRESS ..........: 510 E 96TH ST #250
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46240
RECEIVED FROM ....:
CONTRACTOR .... ...:
COMPANY... .......:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
BREMNER, INC GENERAL
LIC # BREMHEA
BREMNER HEALTH CARE REAL ESTATE
510 E. 96TH ST. #250
INDIANAPOLIS, IN 46240
(317) 816-8600
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT
---------- ~~----------- ---------- ---------- ~---------
CIIC/O FLAT RATE 1. 00 107.00 0.00
CIIREMOD SQUARE FEET 3,660.00 978.40 0.00
ICIIFINAL FLAT RATE 1. 00 100.00 0.00
ICIIROUGH FLAT RATE 1. 00 100.00 0.00
---------- ----------
TOTAL PERMIT : 1285.40 0.00
THIS REC
107.00
978.40
100.00
100.00
1285.40
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1285.40
21019
1285.40
i
NEW BAL
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0.00
0.00
0.00
0.00
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0.00
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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodel!; & Tenant Finishes: Commercial, Indwtrial, or Institutional
Permit #: 06090121
Date: 10/23/2006
PARCELlD #: 1613110418001005
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 201 PENNSYLVANIA PKWY#200
Township?: 17 Zoning: B6
PROPERTY OWNER INFORMATION:
Name: BREMNER HEALTH CARE REAL ESTATE
Ph. #: 3178168600 Fax #: 3178168610
Street Address: 510 E 96TH ST #250 INDIANAPOLIS, IN 46240
TENANT INFORMATION:
Name: METHODIST SPORTS MEDICINE-MMPN
Address: 201 PENNSYLVANIA PKWY #200 INDIANAPOLIS, IN 46280
CONTRACTOR INFORMATION:
Name: BREMNER HEAL THCARE REAL ESTATE
Ph. #: (317) 816-8600 Fax #: (317) 816-8610 Email: KLEACH@BREMNERHEALTHCARE.COM
Street Address: 510 E. 96TH ST. #250 INDIANAPOLIS, IN 46240
Plumber's Name: MECHANICAL CONSTRUCTION SERVIC Codes for Project: IPC
INDIANAPOLIS, IN 46280
Flood Zone: N
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: $223993
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 320465 Square Footage: 3660
SPECIAL CONDITIONS/NOTES:
METHODIST SPORTS MEDICINE-MMPN REMODEL OF SEVERAL
CONST.TYPE: I-B, SPK. OCCUP.CLASS: B, REM.
STATE REL. # 320465. ARCH, ELEC, MECH, PLUM.
20031BC. NO OTHER CONDITIONS.
. NO NOTES'
,
This permit is valid only if construction commences 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 structures
requested by this application wi!! comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 19~T'
(Z~289) and amemlments, adopted under authority of I.C. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. r further certify
that only kitchen, bath, and floor drains Bre connected to the sanitaI)-' sewer. I further certify that the construction will not he used or uccupied until a I
Certificate of Occupal1cyhas 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
978.40
APPLICANT NAME:
KEEVIN LEACH