HomeMy WebLinkAbout08010083 Receipt/PermitCITY OF CARMEL
Item 1 of 1 PERMIT RECEIPT ? OPERATOR: vdolan
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1609350000037000
DATE ISSUED.......: 01/25/2008
RECEIPT #.........: 27288
REFERENCE ID # ...: 08010083
SITE ADDRESS .....: 11911 MERIDIAN ST N
SUBDIVISION .......
CITY .............. CARMEL
IMPACT AREA ......
OWNER ........
ADDRESS ..
CITY/STATE/ZIP
RECEIVED FROM
CONTRACTOR ...
COMPANY ......
ADDRESS .. ..
CITY/STATE/ZIP
T ELEPHCNE ....
FEE ID UNIT QUANTITY
CIIC/O FLAT RATE 1.00
CIIREMOD SQUARE FEET 8,000.00
ICIIFINAL FLAT RATE 1.00
ICIIROUGH FLAT RATE 1.00
TOTAL, PERMIT
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
------------
2213 CC
-----2213 CC
COMMUNITY HEALTH HOSPITAL
5816 CARROLLTON AVENUE
INDIANAPCLIS, IN 46220
SISSOM CONTRACTORS
LIC # SISSCON
SISSOM CONTRACTORS, INC
2850 ARLINGTON AVENUE N
INDIANAPOLIS, IN 46218
(317) 547-9630
AMOUNT PD-TO-DT
111.00 0.00
1894.00 0.00
104.00 0.00
104.00 0.00
THIS REC NEW BAL
--------- ---------
111.00 0.00
1894.00 0.00
104.00 0.00
104.00 0.00
2213.00 0.00
NUMBER
------------------
033840
2213.C0 0.00
CITY OF CARMEL / CLAY TOWNSHIP Permit #: 08010083
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 01125/2008
For Rc,m.dzls r- Te,iunt Finishes: Commerridl, Irrdus?rial, or Tristill It -Loral
PARCEL 10 * 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. #. 3176275820 Fax #: 3172550468
Street Address: 5816 CARROLLTON AVENUE INDIANAPOLIS, IN 46220
TENANT INFORMATION:
Name: REHAB IMAGING MEDCHECK MALL
Address: 11911 MERIDIAN ST N CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: SISSOM CONTRACTORS, INC
Ph. #: (317) 547-9630 Fax M 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: COMREMODEL
Water Service by: CARMEL
Sewer Service by: CARMEL
Foundation Type: SLAB
Manufactured Trusses: N
Usage Class: COM
State Design Release #: 328374
COMMERCIAL REMODEL
County Well Permit #:
County Septic Permit #:
Estimated Cost of Construction: $1350D0
Sump Pump: N
Construction Type:
Square Footage: 8000
SPECIAL CONDITIONSINOTES:
REHAB IMAGING MEDCHECK MALL @ COMMUNITY HEALTH
PAVALI ON - STATE REL #328374 8131 f07
CONST TYPE; 1-8, SPK OCCUP CLASS: B.REM
SCOPE: ARCH ELEC MECH TYPE STANDARD SEE NOTEPAD.
Fees due in order to issue permit:
1. Filing fees 1894-00
2. Base inspections 208.00
3. C/O 111.00
TOTAL FEES DUE TO ISSUE PERMIT. 52213.00
J Chastain ernai!ed gsissom@sissom.net
1?24'08
CFD approved plans per 1124;08 emai
frorr Ellison
State release conditions:
1. Plans and specs for the revised fire
suppression ysstem shall be filed wlthe
required application, fees, & complete
details according to code
This permit is valid only if construction commences within one (1) year flf the date of issuance of the State Commercial Design Release. A -H construction
must be completed (C!0 issued) within two (2) years of the issuancedate.
I, the undersigned, agree that any construction, reconstruction, enlargement, _eloca:ion, or alteration of a Strractcre, 4r ary :hange in tie use of lard or structures
recLestecl by this appticat:on w%itl corn-ply with, and con(crn to, all applicable laws of the Sta_e of Indiana, and :he `inning Crdtnance Of Carmel Indiana - 1993-
(t ?$9) and amends-cots, aduntec under sutherity of I.C ?5-7 et sect, General Assembly of .nc State o_` Indiana, ar6 all Acts amendutury the:etn I frrrhercerti.,;
that only kitchen, bath, and [f or drai>ts are connected to, the sanitary sees=er. 1 further certify that the construction will not be used or occupied until a
Ccrrif "te vf0vc4,rpvj7cyhas teen issued by the Depamnent of Community Services, Carmel, Indiana.
FEES:
COM- IND. INST. CFO 111.00 APPLICANT NAME:
C.H. REMODELITENANT 1894.00 GARY SISSCM
CII FINAL 104.00
CII ROUGH-IN 104.00