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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: lstewart
COPY # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID .... ....: 1609360000009001
DATE ISSUED.......: 01/24/2007
RECEIPT #.........: 24127
REFERENCE ID # .... 07010052
SITE ADDRESS ...... 912 RANGE LINE RD S #201
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA.. ....:
OWNER............: B & D CARMEL PROPERTIES, LLC
ADDRESS ..........: 12882 OLD MERIDIAN ST
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.... ......:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
PARAGON CONTRACTORS
LIC # PARAGEN
PARAGON GENERAL CONTRACTORS
7320 E 86TH ST #100
INDIANAPOLIS, IN 46256
(317) 577-9144
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 4,698.00 1175.62 0.00 1175.62 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 : 1482.62 0.00 1482.62 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1482.62
015453
----~-------
------------
1482.62
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 07010052
Date: 01/24/2007
PARCEL 10 #: 1609360000009001
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 912 RANGE LINE RD S #201 CARMEL, IN 46032
Township?: Zoning: C1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: B & D CARMEL PROPERTIES, LLC
Ph, #: Fax #:
Street Address: 12882 OLD MERIDIAN ST CARMEL, IN 46032
TENANT INFORMATION:
Name: CORNERSTONE DENTISTRY
Address: 912 RANGE LINE RD S #201 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: PARAGON GENERAL CONTRACTORS
Ph. #: (317) 577-9144 Fax #: (317) 577-9319 Email:
Street Address: 7320 E 86TH ST #100 INDIANAPOLIS, IN 46256
Lot Split: N
Plumber's Name: B & W PLMG & HTG CO, INC
Codes for Project: IPC
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: $400000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 323194 Square Footage: 4698
SPECIAL CONDITIONS/NOTES:
CORNERSTONE DENTISTRA Y @ CORNERSTONE DENTISTRY
BLOG.ADDITION ON SHAPIROS PHASE II. TRACT 5 PARCEL
W/FLAGSTAR BANK BLOG. STATE REL.# 323194. DATED
1/3/07. ARCH.ELEC,MECH.PLUM. 1 STANDARD CONDITION.
INSPECTIONS WILL BE HELD AT POINTS. FOR
COMPLETION OF THE SHELL BUILDING PERMIT
INSPECTIONS/COMPLETIONS. NO ROUGH WILL
BE SCHEDULED FOR THIS PERMIT UNTIL SHELL
PERMIT 06100004 HAS HAD FULLY APPROVED
ROUGH FOR THIS AREA. ALSO. THE FINAL
MAY NOT BE SCHEDULED FOR THIS SPACE
UNTIL THE SHELL BUILDING HAS HAD A
FULLY APPROVED FINAL BY BOTH THE CARMEL
FIRE DEPARTMENT AND THE BUILDING & CODE
SERVICES OFFICE, AND HAS EITHER RECEIVED
ITS FULL CERTIFICATE OF SUBSTANTIAL
COMPLETION OR HAS BEEN ISSUED A
TEMPORARY C.S.C. FOR COMPLETION OF THE
EXTERIOR SITE/LANDSCAPE ITEMS ONLY.
---A COPY OF THIS INFORMATION IS BEING
PROVIDED TO THE BUILDER AT ISSUANCE.
X
Name (printed) Date
This permit is valid only if construction commences within one (I) year of the date of issuance of the State CommerciaJ 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 an)' 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 LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify
that only kitchen, bath, <lnci floor drains are connected to the sanitary sewer. I furthet certify that the construction will not be used or occupied until a
Certjfjc;lteofOccupallcyhas been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
107.00
I APPLICANT NAME:
MARK IMBRO
C.1.1. REMODEL/TENANT 1175.62
CII FINAL 100.00
CII ROUGH-IN 100.00
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels &Tcnant Finishes: Commercial, Industrial, or Institutional
PARCEL ID #: 1609360000009001
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 912 RANGE LINE RD S #201 CARMEL, IN 46032
Township?: Zoning: C1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: B & D CARMEL PROPERTIES, LLC
Ph. #: Fax #:
Street Address: 12882 OLD MERIDIAN ST CARMEL, IN 46032
TENANT INFORMATION:
Name: CORNERSTONE DENTISTRY
Address: 912 RANGE LINE RD S #201 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: PARAGON GENERAL CONTRACTORS
Ph, #: (317) 577-9144 Fax #: (317) 577-9319 Email:
Street Address: 7320 E 86TH ST #100 INDIANAPOLIS, IN 46256
Plumber's Name: B & W PLMG & HTG CO, INC Codes for Project: IPC
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: $400000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 323194 Square Footage: 4698
SPECIAL CONDITIONS/NOTES:
CORNERSTONE DENTISTRAY@ CORNERSTONE DENTISTRY
BLDG.ADDITION ON SHAPIROS PHASE II, TRACT 5 PARCEL
W/FLAGSTAR BANK BLDG. STATE REL.# 323194, DATED
1/3/07. ARCH,ELEC,MECH,PLUM. 1 STANDARD CONDITION.
INSPECTIONS WILL BE HELD AT POINTS, FOR
COMPLETION OF THE SHELL BUILDING PERMIT
INSPECTIONS/COMPLETIONS. NO ROUGH WILL
BE SCHEDULED FOR THIS PERMIT UNTIL SHELL
PERMIT 06100004 HAS HAD FULLY APPROVED
ROUGH FOR THIS AREA. ALSO, THE FINAL
MAY NOT BE SCHEDULED FOR THIS SPACE
UNTIL THE SHELL BUILDING HAS HAD A
FULLY APPROVED FINAL BY BOTH THE CARMEL
FIRE DEPARTMENT AND THE BUILDING & CODE
SERVICES OFFICE, AND HAS EITHER RECEIVED
ITS FULL CERTIFICATE OF SUBSTANTIAL
COMPLETION OR HAS BEEN ISSUED A
TEMPORARY C.S.C. FOR COMPLETION OF THE
EXTERIOR SITE/LANDSCAPE ITEMS ONLY.
---A COPY OF THIS INFORMATION IS BEING
PROVIDED TO THE BUILDER AT ISSUANCE.
X
Name (printed} Date
Permit #: 07010052
Date: 01/24/2007
Lot Split: N
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 ofthe 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 applic<Ition will comply with, "nd conform to, <Ill applicable laws of the State of Indi<Ina, 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. 1 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
Certificate of Occupancy has been issued by the Department of Community Services, Clrmel, Indiana.
FEES:
COM. IND. INST. C/O
107.00
I APPLICANT NAME:
MARK IMBRO
C.1.1. REMODEUTENANT 1175.62
CII FINAL 100.00
CII ROUGH-IN 100.00