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CITY OF CARMEL
PERMIT RECEIPT
(
OPERATOR: vdolan
COpy # 1
Sec:22 Twp:18 Rng:04 Sub:RMP Blk: Lot:2
PARCEL ID ........: 1710220022002000
DATE ISSUED.......: 01/04/2007
RECEIPT #. ........: 23991
REFERENCE ID # .... 06120098
SITE ADDRESS ...... 14555 HAZEL DELL PKWY #130
SUBDIVISION ......: RIVERVIEW MEDICAL PARK
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 C
LIC # GILLGEN
GILLIATTE GENERAL CONTRACTORS
2515 BLOYD AVE
INDIANAPOLIS, IN 46218
(317) 638-3355
FEE ID UNIT QUANTITY
---------- ------------- ----------
CIIC/O FLAT RATE 1. 00
CIIREMOD SQUARE FEET 1,530.00
ICIIFINAL FLAT RATE 1. 00
ICIIROUGH FLAT RATE 1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 0.00 107.00 0.00
573.70 0.00 573.70 0.00
100.00 0.00 100.00 0.00
100.00 0.00 100.00 0.00
---------- ---------- ---------- ----------
880.70 0.00 880.70 0.00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
880.70
102155
880.70
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, Industrial, or [Ilstitutional
Permit #: 06120098
Date: 01/04/2007
PARCEL 10 #: 1710220022002000
LOT & SUBDIVISION: 2 RIVERVIEW MEDICAL PARK
ADDRESS OF CONSTRUCTION: 14555 HAZEL DELL PKWY#130
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: PLUM CREEK PARTNERS, LLC
Ph. #: 3176383355 Fax #: 3176345997
Street Address: 11911 LAKESIDE DR FISHERS, IN 46038
TENANT INFORMATION:
Name: DR. TOM LEY
Address: 14555 HAZEL DELL PKWY #130 CARMEL, IN 46033
CONTRACTOR INFORMATION:
Name: GILLlATTE GENERAL CONTRACTORS
Ph. #: (317) 638-3355 Fax #: (317) 634-5997 Email:
Street Address: 2515 BLOYD AVE INDIANAPOLIS, IN 46218
Plumber's Name: ACTION PLUMBING OF INDY, INC Codes for Project: IPC
CARMEL, IN 46033
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: $50000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 323015 Square Footage: 1530
SPECIAL CONDITIONS/NOTES:
DR. TOM LEY'S OFFICE @ HAZEL DELL MEDICAL OFFICE
BLOG @ RIVERVIEW MEDICAL PARK LOT 2. CONST.TYPE:
II-B. OCCUP.CLASS: B. STATE # 323015. DATED
12/22/06. ARCH, ELEC, MECH, PLUM. NO CONDITIONS.
SNL is attempting to determine issue
with plumber, and will contact them once
this is discerned. This must be
resolved prior to issue.
1/2/07: SNL received email from builder
stating plumbers new license # and
expiration date. Their record has been
updated, and the red-flag removed.
12/27/2006, plumber has been red flagged
Action Plumbing
This pennit 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, 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 - I993n
(Z-289) and amendments, adopted under authority of r.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. I further certify that the construction will not be used or occupied until a
Certjfjcate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
573.70
APPLICANT NAME:
JACOB GILLlATTE