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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
~l~
Sec:05 Twp:17 Rng:03 Sub: Blk: Lot:
PARCEL ID ........: 1713050000001003
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 .........
FEE ID UNIT QUANTITY
---------- ------------- ----------
CIIC/O FLAT RATE 1. 00
CIINAA SQUARE FEET 18,654.00
ICIIELEMTR FLAT RATE 1. 00
ICIIFINAL FLAT RATE 1. 00
ICIIFTSLB FLAT RATE 1. 00
ICIIFTSLB+ FLAT RATE 1. 00
ICIIROUGH FLAT RATE 1. 00
ICIISITE FLAT RATE 1. 00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
4640.26
---~--------
--~---------
4640.26
01/03/2007
23983
06120094
3085 116TH ST W
CARMEL
SHAAREY TEFILLA SYNAGOGUE
5879 CENTRAL AVE
INDIANAPOLIS, IN 46220
SMITH DEVELOPMENT
LIC # SMITHDEV
SMITH DEVELOPMENT & CONST
5220 E 64TH STREET
INDIANAPOLIS, IN 46220
(317) 726-0340
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 0.00 107.00 0.00
3933.26 0.00 3933.26 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 01.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
4640.26 0.00 4640.26 0.00
NUMBER
26723
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Commercial, Industrial, or Institutional; Nv.v Structures, Additions, or ACCC5501Y Structures
PARCEL 10 #: 1713050000001003
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 3085 116TH ST W CARMEL, IN 46032
Township?: 17 Zoning: S1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: SHAAREY TEFlllA SYNAGOGUE
Ph. #: Fax #:
Street Address: 5879 CENTRAL AVE INDIANAPOLIS, IN 46220
CONTRACTOR INFORMATION:
Name: SMITH DEVELOPMENT & CONST
Ph. #: (317) 726-0340 Fax #: 3177260348 Email:
Street Address: 5220 E 64TH STREET INDIANAPOLIS, IN 46220
Plumber's Name: HAMM & SONS, INC
Codes for Project: IPC
PROJECT NAME:
PERMIT TYPE: INSNEW INSTITUTIONAL NEW STRUCTURE
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction:2580000
Sump Pump: N Manufactured Trusses: N
Usage Class: INS Construction Type:
State Design Release #: 321754
Square Footage: 18654
SPECIAL CONDITIONS & NOTES:
CONGREGATION SHAAREY TEFILLA SYNAGOGUE. 1 STY BLDG
CONST.TYPE: II-S, SPK. OCCUP.CLASS: A-3. STATE
REL. # 321754. 20031BC. PARTIAL @ SUBMITTAL FOR
FDN, ARCH, STR. SEE NOTEPAD...
*H
Project submitted 12/22106. No meeting
per se, but S.Lillard met with John
Risser briefly and discussed fees; extra
/additional inspections; how to submit
further plans/amendments; and general
process. ALSO--Due to issues with City
Engineer's office and County Surveyor's
office, this will be a conditional
release only, and no rough-in may be
scheduled until those two offices have
fully signed off on the project.
FURTHER INFO: Per John Duffy of Carmel
Utilities on 12/15/06 to SNL via phone,
there will be no water permit fees
associated with this project.
STATE RELEASE # 321754 INFORMATION:
1. FDN release dated 10/13/06. Two
conditions on this release re:
--FDN release will permit work to grade
only.
--NOTE: Conditons will be noted on the
CDR.
2. ARCH, STR release dated 10/23/06.
Permit #: 06120094
Date: 01/03/2007
Lot Split: N
Six conditions on this, re:
--Reviewed under 2003 IBC.
--Plans/specs for fire suppress need to
be filed.
--An approved fire alarm system shall be
installed in Group A occupancies per
code requirements.
--Fire alarm system is to be designed
per code requirements.
--Openings in fire barriers must be per
code requirements.
--This is partially submitted/released
project. MECH, ELEC, & PLUM still
remain to be reviewed and released.
This pennit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All constructi6n
must be completed (ClO 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 funher 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 Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: JOHN 0
FEES:
COM. IND. INST. C/O
C.1.1. NEW, ADD, ACC.
CII ELECTRICAUMETERB.
CII FINAL 100.00
CII FOOTING & UNDRSLB
2ND REQ'D FOOT/UNDSLAB
CII ROUGH-IN 100.00
CII SITE 100.00
RISSER
107.00
3933.26
100.00
100.00
100.00