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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels G"'Tcnant Fini5hc~: Commercial, Industrial, or Institutional
Permit #: 07030092
Date: 03/23/2007
PARCEL 10 #: 1713070019003000
LOT & SUBDIVISION: 3 WEST CARMEL CENTER
ADDRESS OF CONSTRUCTION: 10485 MICHIGAN RD N #150
Township?: 17 Zoning: B3
PROPERTY OWNER INFORMATION:
Name: MAQUINA REALTY
Ph. #: 3172490261 Fax #:
Street Address: 8900 KEYSTONE INDIANAPOLIS, IN 46240
TENANT INFORMATION:
Name: IMMEDIADENT URGENT DENTAL CARE
Address: 10485 MICHIGAN RD N #150 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: CAPITOL CONSTRUCTION SERVICES
Ph. #: (317) 574-5488 Fax #: (317) 574-5482
Street Address: 9830 BAUER DR INDIANAPOLIS, IN 46280
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
Email: JFOSTER@CAPITOLCONSTRUCT.COM
Plumber's Name: BELL PLUMBING
Codes for Project: I PC
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: $134000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release#: 324166 Square Footage: 1528
SPECIAL CONDITIONS/NOTES:
IMMEDIADENT URGENT DENTAL CARE @MEDFORD PLACE BLDG
@WESTCARMELCENTER. STATE # 324166, DATED
2/23/07. ARCH, ELEC, MECH, PLUM. ONE CONDiTION RE:
SIZE/SPACING OF GRAB BARS.
. NO NOTES'
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 - 1993~
(Z-289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and aU Acts amendatory thereto. I further certify
that only kitchen, bath, and floor drains are connected to the sanitary sewer. r further certify that the construction will not be used or occupied until a
Certificate of Occup.l11cyha,-', been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEUTENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
573.32
I APPLICANT NAME:
T. CLARK
Item
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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: vdolari
COpy # 1
Sec:07 Twp:17 Rng:03 Sub:WCC Blk:C Lot:3
PARCEL ID ........: 1713070019003000
DATE ISSUED.......: 03/23/2007
RECEIPT #. ........: 24573
REFERENCE ID # ...: 07030092
SITE ADDRESS ...... 10485 MICHIGAN RD N #150
SUBDIVISION ......: WEST CARMEL CENTER
CITY .............: CARMEL
IMPACT AREA ......: 421
OWNER...... ......: MAQUINA REALTY
ADDRESS.... ......: 8900 KEYSTONE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46240
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
CAPITOL CONSTRUCTION
LIC # CAPICON
CAPITOL CONSTRUCTION SERVICES
9830 BAUER DR
INDIANAPOLIS, IN 46280
(317) 574-5488
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 1,528.00 573.32 0.00 573.32 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 : 880.32 0.00 880.32 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
880.32
27655
------------
------------
880.32