HomeMy WebLinkAbout08010070 Receipt/PermitItem 1 of 1
CITY OF CARMEL
PERMIT RECEIPT OPERATOR: vdolan
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1609350000037000
DATE ISSUED....
RECEIPT #......
REFERENCE ID #
SITE ADDRESS ..
SUBDIVISION ...
CITY .....
IMPACT AREA ...
01/25/2008
27289
08010070
11911 MERIDIAN ST N
CARMEL
OWNER ............: COMMUNITY HEALTH HOSPITAL
ADDRESS ..........: 5816 CARROLLTON AVENUE
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46220
RECEIVED FROM
CONTRACTOR ...
COMPANY ......
ADDRESS ......
CITY/STATE/ZIP
TELEPHONE ....
FEE ID UNIT QUANTITY
CIIC/0 FLAT RATE 1.00
CIIREMOD SQUARE FEET 2,000.00
ICIIFINAL FLAT RATE 1.00
ICIIROUGH FLAT RATE 1.00
TOTAL PERMIT :
METHOD OF PAYMENT AMOUNT
CHECK 1013.00
TOTAL RECEIPT 1013.00
SISSOM CONTRACTORS
LIC # SISSCON
SISSOM CONTRACTORS, INC
2850 ARLINGTON AVENUE N
INDIANAPOLIS, IN 46218
(317) 547-9630
AN.GUNT
111.00
694.00
104.00
104.00
1013.00
PD-TO-DT
0.00
0.00
0.00
0.00
0.00
THIS REC
111.00
694.00
104.00
104.00
1013.00
NEW BAL
0.00
0.00
0.00
0.00
0.00
NUMBER
------------------
033841
t>t'CITY OF CARMEL l CLAY TOWNSHIP Permit #: 08010070
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 01/25/2008
,'-'or: Rcmodds & Tenant Fmi;hcs: Commcrcia? Industridl.Or i,tstittitiona!
PARCEL ID #: 1609350000037000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 11911 MERIDIAN ST N CARMEL, IN 46032
Township?: Zoning: B2 Flood Zone: N Lot Split: N
PROPERTY OWNER INFORMATION:
Name: COMMUNITY HEALTH HOSPITAL
Ph. #: 3175479630 Fax #: 3175479644
Street Address: 5816 CARROLLTON AVENUE INDIANAPOLIS, IN 46220
TENANT INFORMATION:
Name: COMMUNITY TIME SHARE
Address: 11911 MERIDIAN ST N CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: SISSOM CONTRACTORS, INC
Ph. #: (317) 547-9630 Fax #: 317-547-9644 Email:
Street Address: 2850 ARLINGTON AVENUE N INDIANAPOLIS. IN 46218
Plumber's Name: D E WILLIAMS Codes for Project: IPC
PERMIT TYPE: COMTENANT : COMMERCIAL TENANT FINISH
Water Service by: CARMEL County Well Permit #:
Sewer Service by. CARMEL
Foundation Type: SLAB
Manufactured Trusses: N
Usage Class: COM
State Design Release #: 328372
County Septic Permit #:
Estimated Cost of Construction: $80000
Sump Pump: N
Construction Type:
Square Footage: 2000
SPECIAL CONDITIONSINOTES:
COP-W-1NITY -IME SHARE @ COMMUNITY HEALTH PAVALION
STATE REL: 328372 8&22!07 OCCUP CLASS: B
CONST TYPE: 1-3 SPK EXST SCOPE: ARCH ELEC MECH
TYPE: STANDARD SEE NOTEPAD
Fees due in order to issue permit:
1. Filing fees 694.00
2. Base inspections 208.00
3. CIO 111.00
TOTAL DUE TO ISSUE PERMIT: $1,013.00
J Chastain emailed gsissom@sissom.net
1-24-08
CFD approved plans per 1124!08 email
from Ellison
State release conditions:
1. No addition or alteration shall cause
an existing bldg, structure, or any part
of the permanent hlg, ventilating, a/c,
electrical, plumb, sanitary, emergency
detection, emergency communication, or
fire or explosion suppression systems to
become unsafe or overloaded under the
rules for new construction.
2. No addition, alteration, or repair
shall reduce existing exit capacities
to less than that required under code.
3. Plans and specs for the revised fire
suppression system shall be filed wlthe
required application, fees, and complete
details according to code.
4. The minimum type of construction
permitted for this bldg is type I-B.
Building elements shall be designed as
specified to code
5. This release does not include
plumbing work Plans and specs for
adding or remodeling this system shall
be filed as a new project or as a
partial before commencing work
according to code
This permit is valid only if construction eotntnences within one (1) year of the date of issuance of the State Commercial Design Release. All constructic
must be completed (C/O issued) within two (2) years of the issuance date.
1, the undersigned. agree that any construction, reconstruction. enlargement, relocation, or alteration ci a structure, or any change it the use of land Ur structur
:rauested by this application will comply with, and conform to. all applicable latcs of the State o: !ndiar.a.. and the -Zoning Ordinance of Carmel Indiana - :993"
- 89) and amendments, adopted under authority of I-C 36-7 et seq, General Assembly of the Stare of Indiana, and all Acts amendatory thereto. [ further certJ
Qt only kitchen, bath. and floor drains ax connected :o the sanitan' sewer. I further certify that the construction will not be used or occupied until a
Certificate ofOc-cupancyhas been issued by the Department of Community Semices, Carmel, Indiana.
FEES:
COM. IND. INST. C/O 111.00 APPLICANT NAME:
C.I.I. REMODELlTENANT 694.00 GARY SISSOM
CII FINAL 104.00
CII ROUGH-IN 104.00