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CITY OF CARMEL j'
PERMIT RECEIP1
OPERATOR:
COPY #
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I
vdolan
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See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID .. ......: 1709350000006000
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 .........
12/06/2006
23824
06110125
12188-A MERIDIAN ST N #320
CARMEL
MERIDIAN MEDICAL ASSOCIATES
401 PENNSYLVANIA PKWY
INDIANANPOLIS, IN 46280
LAUTH CONSTRUCTION
LIC # LAUTCON
LAUTH CONSTRUCTION
401 PENNSYLVANIA PKWY
INDIANANPOLIS, IN 46280
(317) 848-6500
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 3,310.00 911.90 0.00 911.90 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 : 1218.90 0.00 1218.90 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
1218.90
1218.90
NUMBER
91963
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICATION
For: Rcmodcl.~ & Tenant Finishes: Commercial, Industrial, or Imtitutiol1al
Permit #: 06110125
Date: 12/06/2006
PARCEL 10 #: 1709350000006000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 12188-A MERIDIAN ST N #320 CARMEL, IN 46032
Township?: 18 Zoning: Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: MERIDIAN MEDICAL ASSOCIATES
Ph. #: 3175753140 Fax #: 3175643140
Street Address: 401 PENNSYLVANIA PKWY INDIANANPOLlS, IN 46280
TENANT INFORMATION:
Name: JWM NEUROLOGY
Address: 12188-A MERIDIAN ST N #320 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: LAUTH CONSTRUCTION
Ph. #: (317) 848-6500 Fax #: (317) 848-6511 Email: KSEE@LAUTH.NET
Street Address: 401 PENNSYLVANIA PKWY INDIANANPOLlS, IN 46280
Plumber's Name: ENTERPRISE ELECTRICAL/MECHANIC Codes for Project: IPC
Lot Splil: 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: $217400
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 322384 Square Footage: 3310
SPECIAL CONDITIONS/NOTES:
JWM NEUROLOGY @ NORTH MERIDIAN MEDICAL PAVILION
SOUTH (A) BLDG. CONST.TYPE: II-B, EXST, SPK.
OCCUP.CLASS: B, REM. STATE # 322384. ARCH, ELEC,
MECH, PLUM. 1 CONDITION RE: FIRE SUPPRESSION.
. NO NOTES'
I
This permit 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 (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 m the use of land or strue,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 - 19191"
(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 e~rtify
that only kitchen, bath, and floor drains are connected to the sanit~ry sr-wer. I further certify that the construction will not be used or occupied until a I
Certificate of Occupan(yhas been issued by the Department of Community Services, Cannel, Indiana. I
I
FEES:
COM. IND. INST. C/O
C.1.1. REMODELITENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
911.90
APPLICANT NAME:
MATTHEW VENTIMIGLIA