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CITY OF CARMEL
PERMIT RECEI(/---,
See: Twp:18 Rng:04 Sub: Blk:28 Lot:
PARCEL ID ........: 1610280000039000
DATE ISSUED.......: 12/04/2006
RECEIPT #.........: 23803
REFERENCE ID # .... 06110112
OPERATOR: vdolan
COpy # 1
SITE ADDRESS...... 13170 HAZEL DELL PKWY #140
SUBDIVISION ......:
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 GENERAL
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 FLAT RATE 1. 00 107.00 0.00 107.00 0.00
CIIREMOD SQUARE FEET 1,200.00 511.00 0.00 511.00 0.00
ICIIELEMTR FLAT RATE 1. 00 100.00 0.00 100.00 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 : 918.00 0.00 918.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
918.00
101691
------------
------------
918.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodel5 &Tcnant Finishes: Commercial, Indt/!itrlal, or Imtitutiona/
Permit #: 06110112
Date: 12/04/2006
PARCEL ID #: 1610280000039000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 13170 HAZEL DELL PKWY#140
Township?: 18 Zoning: B3
PROPERTY OWNER INFORMATION:
Name: PLUM CREEK PARTNERS LLC
Ph. #: 3176969595 Fax #: 3178444678
Street Address: 11911 LAKESIDE DR FISHERS, IN 46038
TENANT INFORMATION:
Name: WHITE BOX--FUTURE SUITE 140
Address: 13170 HAZEL DELL PKWY #140 CARMEL. IN 46033
CONTRACTOR INFORMATION:
Name: GILlIATTE GENERAL CONTRACTORS
Ph. #: (317) 638-3355 Fax #: (317) 634-5997
Street Address: 2515 BLOYD AVE INDIANAPOLIS, IN 46218
Plumber's Name: JVC PLUMBING Codes for Project: IPC
CARMEL, IN 46033
Flood Zone: N
Lot Split: N
Email:
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: $25000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 322202 Square Footage: 1200
SPECIAL CONDITIONS/NOTES:
WHITE BOX FUTURE SUITE 140 @ HAZEL DELL CORNER LOT
3/PHASE 3 BLDG. CONST.TYPE: II-B. OCCUP.CLASS:
OM-TENANT FINISH. SEE NOTE PAD RE: CONDITION AND
NOTE OF THE STATE RELEASE.
STATE RELEASE (# 322202) CONDITION AND
NOTE:
--This project releas does not include
the completion of tenant spaces.
However previously submitted 'typical'
tenant layouts or work exempted by the
General Administrative Rules does not
require a remodel release in
accordance with 675 lAC 12-6-3 and 4.
NOTE: Project filed with no interior
walls/rooms except accessible
restroom.
This permit is valid only if construction commences within une (I) year of the date of issuance of the State Commercial Design Release, All construction
must be cumpleted (C/O 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 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 I.c. 36'7 et seq, General 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. 1 further certify that the construction will not be used or occupied until a
Certificate of OCCllpilnCY has been issued by the Department of Community Services, Cmnel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
ell ELECTRICAL/METERB.
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
511.00
100.00
APPLICANT NAME:
JACOB GILLlATTE