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CITY OF CARMEL
PERMIT RECEIPT
;/
OPERATOR: vdolan
COpy # 1
See: Twp:17 Rng:04 Sub: Blk:07 Lot:
PARCEL ID ... .....: 1614070408001003
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 .........
06/01/2007
25297
07050056
3105 98TH ST E #130
INDIANAPOLIS
BRE OF KEYSTONE REO LLC
6081 82ND ST E #100
INDIANAPOLIS, IN 46250
THE PALLADIUM GROUP
LIC # PALLGRO
PALLADIUM GROUP
10022 LANTERN RD #200
FISHERS, IN 46037
(317) 570-5900
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 2,650.00 824.00 0.00 824.00 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 : 1143.00 0.00 1143.00 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
1143.00
------------
------------
1143.00
NUMBER
7993
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 07050056
Date: 06/01/2007
PARCEL 10 #: 1614070408001003
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 3105 98TH ST E #130
Township?: 17 Zoning:
PROPERTY OWNER INFORMATION:
Name: BRE OF KEYSTONE REO LLC
Ph. #: 3175707000 Fax #: 3175707010
Street Address: 6081 82ND ST E #100 INDIANAPOLIS, IN 46250
INDIANAPOLIS, IN 46280
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: KEYSTONE DENTAL
Address: 3105 98TH ST E #130 INDIANAPOLIS, IN 46280
CONTRACTOR INFORMATION:
Name: PALLADIUM GROUP
Ph. #: (317) 570-5900 Fax #: (317) 570-5901
Street Address: 10022 LANTERN RD #200 FISHERS, IN 46037
Plumber's Name: J K SMITH, INC Codes for Project: IPC
Email: RANNEE@PALLADIUMGROUPUSACOM
PERMIT TYPE: COMTENANT COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by: CARMEL County Septic Permit #:
Foundation Type: SLAB Estimated Cost of Construction: $200000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 324932 Square Footage: 2650
SPECIAL CONDITIONS/NOTES:
KEYSTONE DENTAL@OLDAMERIVESTBLDG. STATE REL.
# 324932, DATED 3/27/07. CONST.TYPE: II-N, EXST,
SPK. OCCUP.CLASS: B, REM. ARCH, ELEC, MECH, PLUM.
THREE STANDARD CONDITIONS.
. 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 - 199J"
(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 c~rtify
that only kitchen, bath, and floor drains are connected to the sanit:uy 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 Conmmnity Services, Carmel, Indiana,
FEES:
COM. IND. INST. C/O
C.1.1. REMODEUTENANT
CII FINAL 104.00
CII ROUGH-IN 104.00
111.00
824.00
APPLICANT NAME:
ROBERT ANNEE