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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: elace~ )
COpy # 1 C'YJ'--/
Sec: Twp:18 Rng:03 Sub: Blk:25 Lot:
PARCEL ID ........: 1609250101005000
DATE ISSUED.......: 06/28/2007
RECEIPT #.........: 25548
REFERENCE ID # .... 07060166
SITE ADDRESS ...... 13241 OLD MERIDIAN ST #200
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: NEW HOPE ORTHOPEDICS
ADDRESS ..........: 13421 OLD MERIDIAN ST #200
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY.. ........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
NORTH STAR
LIC # NORTSTA
NORTH STAR CONSTRUCTION
8036 SARGENT RIDGE
INDIANAPOLIS, IN 46256
(317) 578-3777
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 3,362.00 966.40 0.00 966.40 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 : 1285.40 0.00 1285.40 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1285.40
6964
------------
------------
1285.40
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPUCA TION
For: Remodels & Tenant Finishes: Commercial, Industrial, or Institutional
Permit #: 07060166
Date: 06/28/2007
PARCEL 10 #: 1609250101005000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 13241 OLD MERIDIAN ST #200 CARMEL, IN 46032
Township?: 18 Zoning: Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: NEW HOPE ORTHOPEDICS
Ph, #: Fax #:
Street Address: 13421 OLD MERIDIAN ST #200 CARMEL, IN 46032
TENANT INFORMATION:
Name: NEW HOPE ORTHOPEDICS
Address: 13241 OLD MERIDIAN ST #200 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: NORTH STAR CONSTRUCTION
Ph, #: (317) 578-3777 Fax #:
Street Address: 8036 SARGENT RIDGE
Lot Split: N
3175783774 Email:
INDIANAPOLIS, IN 46256
Plumber's Name: BARE MECHANICAL, INC,
Codes for Project: IPC
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: $212000
Manufactured Trusses: N Sump Pump: N
Usage Class: COM Construction Type:
State Design Release #: 326289 Square Footage: 3362
SPECIAL CONDITIONS/NOTES:
NEW HOPE ORTHOPEDICS @ CARMEL AMBULATORY SURGERY &
ENDOSCOPY CENTER. STATE REL.# 326289, DATED ON
5/29/07: FOR ARCH, ELEC, MECH, PLUM. 2 CONDITIONS
RE: GRAB BARS & SUBMITTAL FOR FIRE SUPPRESSION.
. NO NOTES'
This penUlt 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 (Cia issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, Of any change in the use of land or structures
requested by this application will comply with, and confonn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993~
(Z- 289) and amendments, .<ldopted under authority of I,C. 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 sanitary se\vet. I further certify that the construction will not be used or occupied until a
Certific;lte of OccllpanLY has been issued by the Dep~lCtment of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. CIO
C.1.1. REMODEL/TENANT
CII FINAL 104.00
CII ROUGH-IN 104.00
111.00
966.40
I APPLICANT NAME:
R.L. GROCE