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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: vdolan
COpy # 1
See: Twp:17 Rng:03 Sub: Blk:06 Lot:
PARCEL ID ........: 1713060000028003
DATE ISSUED.......: 11/15/2006
RECEIPT #... . . . . . .: 23673
REFERENCE ID # .... 06100203
SITE ADDRESS. ..... 10801 MICHIGAN RD N #100
SUBDIVISION.. ....:
CITY... ..........: CARMEL
IMPACT AREA......: 421
OWNER ............: PHT INVESTMENT/BREMNER HEALTHC
ADDRESS ..........: 510 E. 96TH ST. #250
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46240
RECEIVED FROM ....:
CONTRACTOR....... :
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP... :
TELEPHONE .........
H&H SYSTEMS DESIGN
LIC # H&HSYST
H&H SYSTEMS AND DESIGN
130 E. MAIN ST.
NEW ALBANY, IN 47150
(812) 944-2396
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 1,898.00 643.62 0.00 643.62 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 : 950.62 0.00 950.62 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
950.62
024095
950.62
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, lndustrial, or Institutional
Permit #: 06100203
Date: 11/15/2006
PARCEL ID #: 1713060000028003
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 10801 MICHIGAN RD N #100
Township?: 17 Zoning: B2
PROPERTY OWNER INFORMATION:
Name: PHT INVESTMENT/BREMNER HEAL THC
Ph. #: Fax #:
Street Address: 510 E. 96TH ST. #250 INDIANAPOLIS. IN 46240
TENANT INFORMATION:
Name: (REMOD FOR MRI/CT AREA IN STE)
Address: 10801 MICHIGAN RD N #100 CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
CONTRACTOR INFORMATION:
Name: H&H SYSTEMS AND DESIGN
Ph. #: (812) 944-2396 Fax #: (812) 949-2396 Email: DAVID.HAMPTON@HHSD.COM
Street Address: 130 E. MAIN ST. NEW ALBANY, IN 47150
Plumber's Name:
Codes for Project: IPC
PERMIT TYPE: COMREMODEL COMMERCIAL REMODEL
Water Service by: CARMEL
Sewer Service by: CTRWD
Foundation Type: SLAB
Manufactured Trusses: N
County Well Permit #:
County Septic Permit #:
Estimated Cost of Construction: $525750
Sump Pump: N
Construction Type:
Square Footage: 1898
Usage Class: INS
State Design Release #: 321813
SPECIAL CONDITIONS/NOTES:
REMODEL FOR MRI/CT AREA@ ST. VINCENT PRIMARY CARE
SUITE IN THE ST. VINCENT MEDICAL OFFICE BLDG.
CONST.TYPE: II-A. OCCUP.CLASS: B. ST.#: 321813.
ARCH, ELEC, MECH, PLUM. 2003 IBC. SEE NOTE PAD..
STATE RELEASE INFO:
Release date of 10/26/06. Seven (7)
Conditions re:
1.Submit plans/specs for revised fire
suppression.
2.Additionslalteralions are not to
reduce existing exit capacities to
under what is required per code.
3.Floor drains in restrooms requirements
4.Building to be accessible to persons
with disabilities
5.Requirements jf changes to charactor
or use of the building/structure, and
that those must be approved.
6.Therrnal performance of various
components required for mechanically
heated/cooled structures
7.Exterior walls shall have fire~
resistance ratings.
This pennit is valid only if construction commences within one (1) year of the date of issw\nce of the State Commercial Design Release'. All construction
must be completed (Cia 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 - 1991"
(Z~ 289) and amendments, adopted under authority of r.c 36'7 et seq, Genetal 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 Occupallcy has been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
107.00
APPLICANT NAME:
DAVID A HAMPTON