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Home My WebLink About07100009 Receipt/PermitCITY OF CARMEL Item 2 of 2 PERMIT RECEIPT j OPERATOR: vdolan COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID ........: 1609360002010000 DATE ISSUED.......: 12/19/2007 RECEIPT #.........: 27052 REFERENCE ID # . SITE ADDRESS .....: 755 CAR.MEL DR W 4101 SUBDIVISION ...... CITY .............: CARMEL IMPACT AREA ...... OWNER ............ : SHIDELER DERMATOLOGY ADDRESS .......... : 755 CARMEL• DR W #101 CITY/STATE/ZIP ... : CARMEL, IN 46032 RECEIVED FROM .... : BLAZE CONSTRUCTION CONTRACTOR ....... : LIC # BLAZCON COMPANY .......... : BLAZE CONSTRUCTION ADDRESS .......... : 10411 N COLLEGE AVE CITY/STATE/ZIP ... : INDIANAPOLIS, IN 46 280 TELEPHONE ........ : (317) 580-1008 FEE ID UNIT QUANTITY AMOUNT PD-TO-D T - THIS R ------- EC --- - NEW BAL --------- --------- CIIC/O - ------ -------- FLAT RATE 1. -- ---------- - 00 111.00 0. 00 111 .00 0.00 CIIREMOD SQUARE FEET 2,500. 00 794.00 0. 00 794 .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 ---------- -- 1113.00 0. 00 1113 .00 0.00 METHOD OF PAYMENT AMOUNT ----- NUMBER ------------------ --------- CHECK -------- 1217.00 8067 TOTAL RECEIPT 1217.00 «F CITY OF CARMEL / CLAY TOWNSHIP Permit #: 07100009 l IMPROVEMENT LOCATION PERMIT APPLICATION Date: 12/1912007 -:r°` Far: Remodels; TmmntFinfshes: Commerciul,Industrial, or lnstinrtional ' '6t, pN4/ PARCEL ID #: 1609360002010000 LOT & SUBDIVISION: ADDRESS OF CONSTRUCTION: 755 CARMEL DR W#101 CARMEL, IN 46032 Township?: Zoning: Flood Zone: N Lot Split: N PROPERTY OWNER INFORMATION: Name: SHIDELER DERMATOLOGY Ph. #: 3175801008 Fax #: 3178461699 Street Address: 755 CARMEL DR W#101 CARMEL, IN 46032 TENANT INFORMATION: Name: SHIDELER DERMATOLOGY-REMODEL Address: 755 CARMEL DR W #101 CARMEL, IN 46032 CONTRACTOR INFORMATION: Name: BLAZE CONSTRUCTION Ph. #: (317) 580-1008 Fax M 3175735774 Email: Street Address: 10411 N COLLEGE AVE INDIANAPOLIS, IN 46280 Plumber's Name: KIRKHOFF MECHANICAL INC Codes for Project: IPC PERMIT TYPE: COMREMODEL Water Service by: CARMEL Sewer Service by: CARMEL Foundation Type: BSMT Manufactured Trusses: N Usage Class: COM State Design Release M 329073 COMMERCIAL REMODEL County Well Permit #: County Septic Permit #: Estimated Cost of Construction: $50000 Sump Pump: N Construction Type: Square Footage: 2500 SPECIAL CONDITIONSlNOTES: DR. SHIDELER DERMATOLOGY @ CARMEL DRIVE EXECUTIVE OFFICES BLDG. REMODEUADDITIONAL FINISH OF AREAS. STATE REL.#: 329073, DATED 9128107, FOR ARCH, ELEC PLUM. THREE CONDITIONS-SEE NOTES. State Release # 329073. Construction type II-B, SPK. Occupancy classification B, REM. Three conditions, RE: 1. No addition/alteration shall cause existing building, structure, or any part of permanent systems to become unsafe or overloaded. 2. No addition/alterationlrepair shall reduce existing exit capacities to less than that required per code. 3. Plans/specs for revised fire suppression system shall be fled. This permit is valid only if construction commence, 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 slate. 1, the undersigned, agree tha: any construction, reconstruction, enlarflement, relocation, or alteration n` a structure, or any change m the use of land or structures requested by this application will cumph with, and confom to, all applicable lave, of the State of Indiana, and the "-ening Ordinance of Carmel Indiana -1993" (7_1F,';) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amenriatnrv thereto I further certify that only kitchen., bath, and flnur drains are connected to the sanitary sewer. 1 further certify that the construction will not he used or occupied until a Certificate o(Ocenpancvhas been issued by the Department of Community Services, Carmel, Indiana. FEES: COM. IND. INST. C/O 111.00 APPLICANT NAME: C.I.I. REMODEL(TENANT 794.00 MIKE BEESLEY CII FINAL 104.00 CII ROUGH-IN 104.00