HomeMy WebLinkAbout07080126 Receipt/PermitCITY OF CARMEL
Item 1 of 1 PERMIT RECEIPT t OPERATOR: vdolan
COPY # : 1
Sec: Twp:1S Rng:3 Sub: B1k:35 Lot:
PARCEL ID ........: 1709350000006000
DATE ISSUED ....... : 09/18/2007
RECEIPT #..... 26303
REFERENCE ID # •.•: 07080126
SITE ADDRESS _____: 12188-A MERIDIAN ST N 4365
SU3DIVISION .......
CITY ........_....: CARMEL
IMPACT AREA ......
OWNER ............ : MERIDIAN MEDICAL PARTNERS ONE
ADDRESS .......... : 401 PENNSYLVANIA PKWY
CITY/STATE/ZIP ... : INDIANAPOLIS, IN 462BO
RECEIVED FROM .... : LAUTH CONSTRUCTION
CONTRACTOR ....... . LIC # LAUTCON
COMPANY .......... : LAUTH CONSTRUCTION
ADDRESS . .. : 401 PENNSYLVANIA PKWY
CITY/STATE/ZIP ... : INDIANANPOLIS, IN 46280
TELEPHONE ....._.. : (317) 848-6500
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT TH IS REC
----------
CIIC/O ------------- --------
FLAT RATE 1. -- ---------- ---------- ---
00 111.00 0.00 -----
111. --
00
CIIREMOD SQUARE FEET 3,558. 00 1005.60 0.00 1005. 60
ICIIFINAL FLAT RATE 1. 00 104.00 0.00 104. 00
ICIIROUGH FLAT RATE 1. 00 104.00 0.00
-------- --- 104.
----- 00
--
TOTAL PERMIT ---------- --
1324.60 0.00 1324. 60
METHOD OF PAYMENT AMOUNT 11JMBER
--
---------
----------
CHECK ------- ------------
1324.60 ------
-
100582
TOTAL RECEIPT 1224.60
NEW EAL
0.00
0.00
0.00
0.00
0.DD
CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07080126
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 09/18/2007
: ,u :• j Far: Renwdelsc TerantFnishes: Commercial,lndusrrial,orLEtiturfonal
nromp??
PARCEL ID M 1709350000006000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 12188-A MERIDIAN ST N #365 CARMEL, IN 46032
Township?: 16 Zoning: Flood Zone: N Lot Split: N
PROPERTY OWNER INFORMATION:
Name: MERIDIAN MEDICAL PARTNERS ONE
P6.#: 3178486500 Fax #: 31 7 848651 1
Street Address: 401 PENNSYLVANIA PKWY INDIANAPOLIS, IN 46280
TENANT INFORMATION:
Name: DR. MCKOWN DENTAL OFFICE
Address: 12188-A MERIDIAN ST N #365 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: LAUTH CONSTRUCTION
Ph. #: (317) 848-6500 Fax #: (317) 848-6511 Email: KSEE@LAUTH.NET
Street Address: 401 PENNSYLVANIA PKWY INDIANANPOLIS, IN 46280
Plumber's Name: COMPTON MECHANICAL SERVICES Codes for Project: IPC
PERMIT TYPE: COMTENANT ; COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit M
Sewer Service by: CARMEL
Foundation Type: SLAB
Manufactured Trusses: N
Usage Class: COM
State Design Release M 327682
County Septic Permit #:
Estimated Cost of Construction: $290000
Sump Pump: N
Construction Type:
Square Footage: 3558
SPECIAL CONDITIONS/NOTES:
DR. MCKOWN DENTAL OFFICE @ NORTH MERIDIAN MEDICAL
PAVILION SOUTH BLDG. STATE RELEASE #: 327682,
DATED 812107. CONST.TYEP: II-B, SPK, EXST. OCCUR
CLASS: B, REM. SEE NOTEPAD FOR FURTHER INFO.
Slate Release # 327682, dated 812107,
for ARCH, ELEC. MECH, PLUM. Standard
release with 1 condition, RE:
1. Plans/specs for revised fire
suppression system shall be filed.
This permit is valid only if conemeNon 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, the undersigned, agree that any conSnvCion, reconstruction, enlargement, relocation, or alteration of a structure, eraoy change m the usr of land nr scrtctureS
requested by this application will comply with, and conform to, all applicable Iaw=. of the Stare of Indiana, and the "_.oning Ordinance of Camel iudiana -1993-
(Z-289) and amendments, adopted under authority of LC. 36-i et see, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify
that unly kitchen, bath, and floor drains are corrected to the sanitary sewer. I further certify that the construction will not be used or oeeupicd until a
Certificate ofa cupancw has been issued by the Department of Community Services, Cannel, Indiana.
FEES:
COM. IND. INST. C/O 111.00 APPLICANT NAME:
C.I.I. REMODEL/TENANT 1005.60 RICHARD S. ADAMS
CII FINAL 104.00
CII ROUGH-IN 104.00