HomeMy WebLinkAbout07100095 Receipt/PermitCITY OF CARMEL
Item 1 0' 1 PERMIT RECEIPT 1 OPERATOR: vdolan
COPY # 1
Sec: T*.vp: Rng: Sub: 2.1k: Lct:
PARCEL ID 1709250000001002
DATE ISSUED.......: 10/23/2007
RECEIPT #......... 26602
REFERENCE ID # ... 07100095
SITE ADDRESS 13430 MERIDIAN ST N 4204
SUBDIVISION ......
CITY CARM-L
IMPACT AREA .......
O?%rNIER LILLIBRIECE MANASEMENT
ADDRESS 8402 HARCCURT RD #506
CITY/STATE/ZIP INDIANAPOLIS, IN 46260
RECEIVED FROM ....: WURSTER CONSTRUCTION
CONTRACTOR .......: LIC # WURSCON
COMPANY ..........: WURSTER CONSTRUCTION CC INC
ADDRESS ..........: 8463 CASTLEWOOD DR
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46250
TELEPHONE (3117) 841-1000
FEE ID IMTT QUANTITY
CIIC/O FLAT RATE 1.00
CIIREMOD SQUARE FEET 2,300-3.00
ICIIFINAL FLAT RATE 1.00
ICIIROUCH FLAT RATE 1.00
TOTAL PERMIT :
METHOD OF PAYMENT AMOUNT
----------------- ------------
CHECK 1085.60
TOTAL RECEIPT 1085.50
AMOUNT PD-TO-UT THIS REC NEW BAL
--
---
111.00 ----------
0.00 --- -
1"11.00 -
---
0. 00
766.60 0.00 766.60 0. 00
104.00 0.00 104.00 0. 00
104.00 0.00 104.00
- 0.
----- - 00
---
----------
1085.60 ----------
0.00 ----------
1085.60 0. 00
NUMBER
------------------
048608
?'„ 9aE CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07100095
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 10/2312007
-73 _ For. RemodelsC ICHAVF[roshes: Cornmcreiui,Indusrrial,or
Instifuriorwl
?J4unHr; '
PARCEL ID #: 170925000001002
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 13430 MERIDIAN ST N 9204 CARMEL, IN 46032
Township?: Zoning: B6 Flood Zone: N Lot Split: N
PROPERTY OWNER INFORMATION:
Name: LILLIBRIDGE MANAGEMENT
Ph.#: 3176721016 Fax #: 3178721682
Street Address: 8402 HARCOURT RD #506 INDIANAPOLIS, IN 46260
TENANT INFORMATION:
Name: AHN HE MATO 1-01 NCOLOGY
Address: 13430 MERIDIAN ST N #204 CARMEL. IN 46032
CONTRACTOR INFORMATION:
Name: WURSTER CONSTRUCTION CO INC
Ph. #: (317) 841-1000 Fax #: 3175765172 Email:
Street Address: 8463 CASTLEWOOD DR INDIANAPOLIS, IN 46250
Plumber's Name: MECHANICAL CONTRACTING SERVICE Codes for Project: iPC
PERMIT TYPE: COMTENANT
Water Service by: CARMEL
Sewer Service by! CARMEL
Foundation Type: SLAB
Manufactured Trusses: N
Usage Class: COM
State Design Release #: 328361
COMMERCIAL TENANT FINISH
County Well Permit#:
County Septic Permit M
Estimated Cost of Construction: $148491
Sump Pump: N
Construction Type:
Square Footage: 2363
SPECIAL CONDITIONSINOTES:
AHN HE MATO LOGYIONCOLOGY @ ST. VINCENT CARMEL
CAMPUS. BLDG. 3, CONST.TYPE; II-B, SPK, EXST,
OCCUP.CLASS: B. STATE RELEASE IN TWO PARTS,
SEE NOTEPAD --
State Release # 320361, dated 81M07,
for ARCH & ELEC. Five conditions on
this ponicn of release, RE
I. No additionlalteratler shalt cause
existing building, structure, or any
pan of the permanent systems to become
unsafe or Overloaded.
2_ No adelitionlal eratitrWrepalr shall
reduce existing exit capacities to less
than that required under code.
3. Planslspecs for revised fire
suppression system shall be filed.
4. The release does not include
mechanical work. Planslspecs for adding
or remodeling this system shall be filed
as a new project or as an addendum.
5. This release does not include
plumbing work. Planslspecs for adding
or remodeling this system shall be filed
as a new project of as an addendum.
Second portion of State Release#:
328631, dated 10i9107, for MECH & PLUM_
One condition on this aaniaf release,
which is the same as #1 listed above an
the first portion of the release -
This permit is vdrd only if construcrion rotnmencre within one(])}Tsr of the date of issuail of the State Cenunercial Design Release. Aucoastruction
must be completed (C,'0 issued) within twn (2) year= of the issuance daze
I, the undersigned, aotee . that ant constxuc [ioq xecoestrucrion, entetyement, relrca_ inn, or al Leration cf z structure, or any change ur the use of ]and or structures
requested by this appl lcaLtnn will comply with, and wnfonn to, all mppliraSle laws of the State of lndisna_ and the `Zuni ng Ord nonce of Camel lnd;ana - 39P3
(? Q641 unit aneudme xs adopted under au8ronty of LC 36-7 et seq, Genetnl Assembfy o`_ the Sratz of Indiana, and all Acts an-,endat my the-etn. 1 fur-her car rifg
that only [:itches. bath, nnc flno: drain, are ennneeted to the sani,an: secser. 1 further certify that the conatrurtion will not be used er.aupied until a
FEES:
COM. IND. INST. C/O 111.00 APPLICANT NAME:
C.I.I. REMODEL/TENANT 766.60 STEVE HODGSON
CII FINAL 104.00
CII ROUGH-IN 104.00