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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR:
COPY #
plux
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See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1709250000001002
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 .........
06/08/2007
25382
07060009
13400 MERIDIAN ST N
CARMEL
ST. VINCENT CARMEL HOSPITAL
13500 MERIDIAN ST N
CARMEL, IN 46032
SUMMIT CONSTRUCTION
LIC # SUMMICON
SUMMIT CONSTRUCTION
1107 BURDSAL PARKWAY
INDIANAPOLIS, IN 46208
(317) 634-6112
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ------~--- ---------- ---------- ----------
CIIC/O FLAT RATE 1. 00 111.00 0.00 111.00 10.00
CIIREMOD SQUARE FEET 575.00 409.00 0.00 409.00 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 iO.OO
---------- ---------- ---------- ----------
TOTAL PERMIT : 728.00 0.00 728.00 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
728.00
---------~--
------------
728.00
NUMBER
95016
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For; Remodels & Tenant Finishes; Commercial, Industrial, or In.;titutional
Permit #: 07060009
Date: 06/08/2007
.,
PARCEL ID #; 1709250000001002
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 13400 MERIDIAN ST N
Township?: Zoning: B6
PROPERTY OWNER INFORMATION:
Name: ST, VINCENT CARMEL HOSPITAL
Ph. #: 3175827516 Fax #: 3175827829
Street Address: 13500 MERIDIAN ST N CARMEL, IN 46032
TENANT INFORMATION:
Name: OR 12 BUILDOUT.(1ST FLR SURG.)
Address: 13400 MERIDIAN ST N CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: SUMMIT CONSTRUCTION
Ph. #: (317) 634-6112 Fax #: 3172642529 Email:
Street Address: 1107 BURDSAL PARt<WAY INDIANAPOLIS, IN 46208
Plumber's Name: CS&M MECHANICAL Codes for Project: IPC
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
PERMIT TYPE: COMREMODEL COMMERCIAL REMODEL
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: INS Construction Type:
State Design Release #: 325393 Square Footage: 575
SPECIAL CONDITIONS/NOTES:
OR 12 (1ST FLR SURG.) BUILDOUT -ST. VINCENT CARMEL
HOSPITAL. STATE # 325393, DATED 4/20/07. CON ST.
TYPE; EXST, SPK. OCCUP.CLASS: 1-1.1, REM. ONE
CONDITION TO FILE FOR REVISED FIRE SUPPRESSION.
. NO NOTES'
This pennit is valid only if construction commences within one (1) 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
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or struc~utes
requested by this application will comply with, and conform to, aU applicable laws o{ the State o[ Indiana, and the ~Zoning Ordinance of Carmel Indiana - 19?3~
(Z~289) and amendments, adopted under authority of LC 36~7 et seq, Genera! Assembly of the State of Indiana, and all Acts amendatory thereto. I further ceftify
that only kitchen, bath, and floor drams are connected to the sanitary sewer_ I further certify that the construction will not be used or occupied until a I
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
CII FINAL 104.00
CII ROUGH-IN 104.00
111.00
409.00
APPLICANT NAME:
DANIEL R. OVERBECK