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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: twedding
COPY # 1
See: Twp:17 Rng:03 Sub:488 Blk:07 Lot:13
PARCEL ID .. ......: 1713070001013000 i~
DATE ISSUED.......: 01/05/2007
RECEIPT #.........: 23995
REFERENCE ID # ...: 06120108
SITE ADDRESS ...... 10460 MICHIGAN RD N #120
SUBDIVISION ......: PARK NORTHWESTERN
CITY .............: ZIONSVILLE
IMPACT AREA ......:
OWNER ............: SMITH FAMILY INVESTMENTS, LLC
ADDRESS ..........: P.O. BOX 13185
CITY/STATE/ZIP ...: PALM DESERT, CA 92255
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE.. .......
MERIDIAN BUILDERS, I
LIC # MERIBUI
MERIDIAN BUILDERS
19030 SPRING MILL RD
WESTFIELD, IN 46074
(317) 339-0147
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 1,112.00 494.28 0.00 494.28 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 : 801.28 0.00 801.28 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
801.28
1122
801.28
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
Permit#: 06120108
Date: 01/05/2007
For: Remodels & T want Finishes: Commercial, Industrial, or Institutional
PARCEL 10 #: 1713070001013000
LOT & SUBDIVISION: 13 PARK NORTHWESTERN
ADDRESS OF CONSTRUCTION: 10460 MICHIGAN RD N #120
Township?: 17 Zoning: 11
PROPERTY OWNER INFORMATION:
Name: SMITH FAMILY INVESTMENTS, LLC
Ph. #: 7604693063 Fax #:
Street Address: P.O. BOX 13185 PALM DESERT, CA 92255
TENANT INFORMATION:
Name: T-MOBILE
Address: 10460 MICHIGAN RD N #120 ZIONSVILLE, IN 46077
CONTRACTOR INFORMATION:
Name: MERIDIAN BUILDERS
Ph. #: (317) 339-0147 Fax #:
Street Address: 19030 SPRING MILL RD
ZIONSVILLE, IN 46077
Flood Zone: N
Lot Split: N
(317) 867-3768
WESTFIELD, IN 46074
Email: CHUCK.PLUMER@GMAIL.COM
Plumber's Name: IMPERIAL PLUMBING Codes for Project: IPC
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CTRWD County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $21000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 1112
SPECIAL CONDITIONS/NOTES:
T-MOBILE @ THE MICHIGAN ROAD SHOPS BLDG. PER
APPLICANT, PROJECT IS STATE EXEMPT. PLUMBING
IS INDICATED ON THE APPLICATION.
. NO NOTES'
This pennit is valid only if construction commences within one (I) year of the date uf 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 -1993"
(Z~ 289) and amendments, adopted under authority of Ie 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto I further certify
that only kitchen, bath, and noor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a
CertifiCilte of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEUTENANT
CII FINAL 100.00
ell ROUGH-IN 100.00
107.00
494.28
APPLICANT NAME:
CHARLES J PLUMER