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HomeMy WebLinkAbout07050075 Receipts/Permits Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT OPERATOR: Plux~~ COpy # 1 See: Twp: Rng: Sub: Blk: Lot: PARCEL ID ........: 1609360002010000 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 ......... OS/22/2007 25175 07050075 755 CARMEL DR W #101 CARMEL SHIDELER DERMATOLOGY 755 CARMEL DR W #101 CARMEL, IN 46032 BLAZE CONSTRUCTION LIC # BLAZCON BLAZE CONSTRUCTION 10411 N COLLEGE AVE INDIANAPOLIS, IN 46280 (317) 580-1008 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ~--------- ---------- CIIC/O FLAT RATE 1. 00 111.00 0.00 111.00 0.00 CIIREMOD SQUARE FEET 2,633.00 820.60 0.00 820.60 0.00 ICIIFINAL FLAT RATE 1. 00 104.00 0.00 104.00 0.00 ICIIROUGH FLAT RATE 1. 00 104.00 0.00 104.00 0.00 ---------- ---------- ---~------ ---------- TOTAL PERMIT : 1139.60 0.00 1139.60 0.00 METHOD OF PAYMENT AMOUNT CHECK TOTAL RECEIPT : 1139.60 ~----------- ------------ 1139.60 NUMBER 16171 CITY OF CARMEL / CLAY TOWNSHIP IMPROVEMENT LOCATION PERMIT APPLICATION For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional Permit #: 07050075 Date: OS/22/2007 PARCEL ID #: 1609360002010000 LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: 755 CARMEL DR W #101 CARMEL, IN 46032 Township?: loning: Flood lone: N PROPERTY OWNER INFORMATION: Name: SHIDELER DERMATOLOGY Ph, #: 3175801008 Fax #: 3178461699 Street Address: 755 CARMEL DR W #101 CARMEL, IN 46032 TENANT INFORMATION: Name: SHIDELER DERMATOLOGY (EXPANS.) Address: 755 CARMEL DR W #101 CARMEL, IN 46032 CONTRACTOR INFORMATION: Name: BLAZE CONSTRUCTION Ph. #: (317) 580-1008 Fax #: 3175735774 Email: Street Address: 10411 N COLLEGE AVE INDIANAPOLIS, IN 46280 Plumber's Name: KIRKHOFF MECHANICAL INC Codes for Project: IPC Lot Split: N PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH Water Service by: CARMEL County Well Permit #: Sewer Service by: CTRWD County Septic Permit #: Foundation Type: BSMT Estimated Cost of Construction: $130000 Manufactured Trusses: N Sump Pump: N Usage Class: COM Construction Type: State Design Release #: 325569 Square Footage: 2633 SPECIAL CONDITIONS/NOTES: SHIDELER DERMATOLOGY @ CARMEL DRIVE EXECUTIVE OFFICES BLDG. PRESENTLY IN # 101-EXPANDING INTO FORMER #111 AREA. STATE # 325569, DATED 4/27/07. SEE NOTEPAD. State release 325569. Construction type Exst, Spk. Occupancy classification B, REM. Standard release for ARCH, ELEC, PLUM, MECH. 2003 IBC. No other conditions. This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All constructjon 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 struct~res requested by this application will comply with, and conform la, all applicable laws of the Stare of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z~289) and amendments, adopted under authority of l.c. 36~7 lOt $eq, Genera] Assembly of the State of Indiana, amI 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 lIsed 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. REMODEUTENANT CII FINAL 104.00 CII ROUGH-IN 104.00 111.00 820.60 APPLICANT NAME: MIKE BEASLEY