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CITY OF CARMEL
PERMIT RECEIPT
(
OPERATOR: vdolan
COpy # 1 .
See: Twp:17 Rng:03 Sub: Blk:06 Lot:
PARCEL ID .. ......: 1713060000028003
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. ........
FEE ID UNIT QUANTITY
---------- ------------- ---------~
CIIC/O FLAT RATE 1. 00
CIINAA SQUARE FEET 40,217.00
ICIIELEMTR FLAT RATE 1. 00
ICIIFINAL FLAT RATE 1. 00
ICIIFTSLB FLAT RATE 1. 00
ICIIFTSLB+ FLAT RATE 1. 00
ICIIROUGH FLAT RATE 1. 00
ICIISITE FLAT RATE 1. 00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
8264.06
------------
------------
8264.06
12/22/2004
17014
04120087
10801 MICHIGAN RD N
CARMEL
421
BD MICHIGAN ROAD DEVELOPMENT L
600 E. 96TH ST. #100
INDIANAPOLIS, IN 46240
B.W.PARTNERS
LIC # DUKE CON
DUKE CONSTRUCTION
600 E. 96T ST. SUITE 100
INDIANAPOLIS, IN 46240
(317) 808-6203
AMOUNT
PD-TO-DT
THIS REC
100.00
7603.06
93.50
93.50
93.50
93.50
93.50
93.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
100.00
7603.06
93.50
93.50
93.50
93.50
93.50
93.50
8264.06 0.00
NUMBER
8264.06
10730
NEW f3AL
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0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPUCA TION
Permit #: 04120087
Date: 12/22/2004
.I For: Commercial, Industrial, or f/l.'icitutiolla/; New St/lIcrurcs, Addiciol1\ or AcccssOIY Structures
PARCEL 10 #: 1713060000028003
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 10801 MICHIGAN RD N
Township?: 17 Zoning: B2
PROPERTY OWNER INFORMATION:
Name: BD MICHIGAN ROAD DEVELOPMENT L
Ph. #: 3178086621 Fax #: 3178086702
Street Address: 600 E. 96TH ST. #100 INDIANAPOLIS, IN 46240
CONTRACTOR INFORMATION:
Name: DUKE CONSTRUCTION
Ph. #: (317) 808-6203
Street Address: 600 E. 96T ST.
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
Fax #: 3178086797 Email: CHRIS.WILLlAMS@DUKEREALTY.COM
SUITE 100 INDIANAPOLIS, IN 46240
Plumber's Name: KINGHORN MECHANICAL INC
Codes for Project: IPC
PROJECT NAME:
PERMIT TYPE: COMNEW
Water Service by: INDPLS
Sewer Service by: CTRWD
Foundation Type: SLAB
Sump Pump: N
Usage Class: COM
State Design Release #: 306265
COMMERCIAL NEW STRUCTURE
County Well Permit #:
County Septic Permit #:
Estimated Cost of Construction:3200000
Manufactured Trusses: N
Construction Type:
Square Footage: 40217
SPECIAL CONDITIONS & NOTES:
ST. VINCENT MEDICAL OFFICE BUILDING. CONST.TYPE:
II-B, SPK. OCCUP.CLASS: B. STATE REL.#: 306265.
FDN & STR ONLY AT THIS POINT. SHELL ONLY. 2003
IBC. PARTIAL RELEASE. 3 CONDITIONS. SEE NOTEPAD.
Docket #'s: 04090018 V -04090022 V;
04070033 DP/ADLS; 04090022 DSV Other;
TAC 8/18/04.
J. Delay was informed of process re:
suite # assignments, additional inspect
fees, and revision/plan amendment
submittal when the State release becomes
full and complete.
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 (ClO issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altcl.ltion 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 Asst:mbly of the State of Indiana, and all Acts amendatory thereto. I further certify
that only kitcht:n, bath, and floor drains are connected La the sanitary sewer I further certify that the construction will not he used or occupied until a
CertiFiC:lt{> of Occup:lncyhas been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: JEFFRY A.
FEES:
COM. IND. INST. C/O
C.1.1. NEW, ADD, ACC.
CII ELECTRICAUMETERB.
CII FINAL 93.50
CII FOOTING & UNDRSLB
2ND REQ'D FOOT/UNDSLAB
CII ROUGH-IN 93.50
CII SITE 93.50
DELAY
100.00
7603.06
93.50
93.50
93.50
CLAY TOWNSHIP REGIONAL WASTE DISTRICT
SANITARY SEWER PERMIT
[X] Conditional Permit [] Final Permit
INDIVIDUAL LOTS/EXISTING BUILDINGS
Project Title:
Michigan Road
Location:
St. Vincent MOB
Owner/Builder:
DB Michigan Road Development, LLC.
Lot#
Street address: 10681 N Michigan Rd
City: Carmel
Zip: 46032
County: Hamilton
Interceptor Charges: $12,702.40 PRI: $2,658.00 LOC: EDU Fee: 6,000.00 Application fee: 375.00
PLEASE NOTE: Installation of building sewer shall be per the specifications of the Clay Township
Regional Waste District (see reverse) and any conditions noted below. All installations shall be inspected by District
personnel during "open trench" phase and before backfilling with sand or stone to six inches above the pipe. NO i
footing or foundation drains, or other sources of ground or stormwater, shall be permitted to enter the District's
sanitary sewer system. The District will assume no liability for drains which are below the qrade level of the
nearest downstream manhole nor for laterals which are extended beneath driveways or sidewalks. The
permit holder (property owner, developer or builder) will be responsible for damages to the District's sewer system.
This includes damages to manholes, castings, manhole lids and the like: caused by construction activity on the
building site which is the subject of this permit.
Inspections by the District are MANDATORY and shall be arranged by cpntacting the District's office at 844-9200
24 hours in advance. All new construction will be placed on billing six months after connection has been made or
when water is connected, whichever comes first.
C;J;} District will inspect all sump pump connections 30 to 60 days after the lateral inspection has been
..,....,--
110mpleted.
C"iC I have received a copy of Ordinance No. 9-13-99 and agree to follow all District standards, Building
~ [ ] crawl space 00 slab or [ ] basement that [ ]will be finished, [ ]rough-in plumbing with qrinder
pump installed during construction, [ ] rough-in plumbing only and qrinder pump will not be installed
during construction, [ ] no plumbing in the basement. (Please check appropriate box.) Builder will notify
the District office when the qrinder pump installation is completed,
c-::Qconditional Permit Terms:
U' [X] NO CONNECTION to the sewer until further notification.
[ ] Certificate of Insurance must be on file with CTRWD listed as certificate holder.
[ ] 48 hours notice before work starts on manhole core drilling or cuts of active lines
and District inspector must inspect all work before covered.
LAILDistrir.t f",,~ will be.paid in full.