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CITY OF CARMEL II /
PERMIT RECEIPT ~ I
OPERATOR: vdolan
COpy # 1
See: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID ........: 1709350000040000
DATE ISSUED.......:
RECEIPT #. ........:
REFERENCE ID # ....
SITE ADDRESS ......
SUBDIVISION ......:
CITY. . . . ... . . . . . . :
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .... .....
03/30/2007
24646
07030134
11700 MERIDIAN ST N BT-ICU
CARMEL
CLARIAN HEALTH PARTNERS
11700 N. MERIDIAN ST.
CARMEL, IN 46032
HARMON CONSTRUCTION
LIC # HARMCON
HARMON CONSTRUCTION
621 SOUTH STATE STREET
NORTH VERNON, IN 47265
(812) 346-2048
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 108.00 303.52 0.00 303.52 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 : 610.52 0.00 610.52 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
610.52
610.52
NUMBER
37090
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & I cnant Finishes: Commercial, Industrial, or Institutional
Permit #: 07030134
Date: 03/30/2007
PARCEL 10 #: 1709350000040000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11700 MERIDIAN ST N BT-ICU
Township?: 18 Zoning: PUD
PROPERTY OWNER INFORMATION:
Name: CLARIAN HEALTH PARTNERS
Ph. #: 3179629623 Fax #:
Street Address: 11700 N. MERIDIAN ST.
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
8123462054
CARMEL, IN 46032
TENANT INFORMATION:
Name: CARDIAC CATH LAB; B-TOWER 5TH
Address: 11700 MERIDIAN ST N BT-ICU CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: HARMON CONSTRUCTION
Ph. #: (812) 346-2048 Fax #: (812) 346-2054 Email: S.STILLlNGER@HARMONCONSTRUCTION.c'OM
Street Address: 621 SOUTH STATE STREET NORTH VERNON, IN 47265
Plumber's Name:
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: $40000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: Square Footage: 108
SPECIAL CONDITIONS/NOTES:
CARDIAC CATH LAB REMODEL B-TOWER 5TH FLR@ CLARIAN
NORTH MEDICAL CENTER/HOSPITAL. PER APPLICANT,
NO STATE REQUIRED. NO PLUM WORK. "SUBMITTED ELEC
PLANS ON 3/26/07. NO STATE NEEDED-PER APPL.
Applicant submitted electrical plans to
be added to what was already submitted
for review, on 3/26/07. Per applicant,
these electrical plans do not require a
State release. SNL will forward plan
copies and a copy of this note to the
rev'lewers.
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 of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in rhe 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 - 1991"
(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, 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, Cannel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
CII FINAL 100.00
CII ROUGH-IN 100.00
107.00
303.52
APPLICANT NAME:
ALISON PACHECO