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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels c,'""Tcnant Finishc.~: Commercial, Industrial, or Institutional
Permit #: 07030003
Date: 03/09/2007
PARCEL 10 #: 1609350001008000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11711 PENNSYLVANIA ST #1 00
Township?: 18 Zoning: B2
PROPERTY OWNER INFORMATION:
Name: NORTH PENNSYLVANIA STR. ASSOC.
Ph. #: 3175736050 Fax #: 3175736055
Street Address: 11711 PENNSYLVANIA ST N #200 CARMEL, IN 46032
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: AMERIANA BANK
Address: 11711 PENNSYLVANIAST#100 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: REI CONSTRUCTION SERVICES
Ph. #: (317) 573-6281 Fax #: (317) 573-6857 Email:
Street Address: 11711 N PENNSYLVANIA ST. #200 CARMEL, IN 46032
Plumber's Name: LEACH & RUSSELL 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: $61000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 324215 Square Footage: 2126
SPECIAL CONDITIONS/NOTES:
AMERIANA BANK. CONST.TYPE: II-B, SPK. OCCUP.CLASS
B, REM. STATE RELEASE # 324215, DATED 2/27/07.
ARCH, ELEC, MECH, PLUM. 3 STANDARD CONDITIONS.
. NO NOTES'
This permit is valid only if construction commences within one (I) year of the date of issuance of the State Commercial Design Release. All constru~tion
must be completed (C/O issued) within two (2) years of the issuance date. I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocatIOn, or alteratIon of a structure, or any change ill the use of land or stru~tures
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 - 1~9r
(Zr289) 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, 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.
FEES:
COM. IND. INST. C/O
C.1.1. REMODELlTENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
686.94
APPLICANT NAME:
JUSTIN L. HOLLOMAN
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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: twedding
COPY # 1
DATE ISSUED.......:
RECEIPT #.........:
REFERENCE ID # ....
Sec:35 Twp:18 Rng:03 Sub: Blk: Lot:
PARCEL ID ........: 1609350001008000
I\~
03/09/2007
24469
07030003
SITE ADDRESS...... 11711 PENNSYLVANIA ST #100
SUBDIVISION ......:
CITY.. ...........: CARMEL
IMPACT AREA. .....:
OWNER... .........: NORTH PENNSYLVANIA STR. ASSOC.
ADDRESS.. ........: 11711 PENNSYLVANIA ST N #200
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
REI CONSTRUCTION SER
LIC # REI CON
REI CONSTRUCTION SERVICES
11711 N PENNSYLVANIA ST. #200
CARMEL, IN 46032
(317) 573-6281
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 2,126.00 686.94 0.00 686.94 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 : 993.94 0.00 993.94 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
993.94
1722
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------------
993.94