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Home My WebLink About207666 03/27/2012 CITY OF CARMEL, INDIANA VENDOR: 361762 Page 1 of 1 ONE CIVIC SQUARE BROWNING CONSTRUCTION CARMEL, INDIANA 46032 ATTN: MARK MADINGER CHECK AMOUNT: $12,045.00 6100 W 96TH ST #250 CHECK NUMBER: 207666 INDIANAPOLIS IN 46278 CHECK DATE: 3/27/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 12,045.00 BLDG REFUND -"q of o a COMPLETE &r RETURN t :41ar #�z REFUND REQUEST T HIS F ORM r o: Building Code Services City of Carmel Ph. (317) 571 -2444 Fax (317) 571.2499 Building Code Services One Civic Square; A19 !boin:�r. Carmel, IN 46032 x' A 2 2 012 PERMIT #(s): Lot Subdivision, or Address of Construction;';: l ��a MtIR lD1 l�N ST i j 1 n H 5P1 Group btb� (If more than one address needs to be listed and will not fit, please attach a printed list of all permlts, witH' their corresponding permit Please print or type the reason for the requested refund, and specific fee or fees which are requested, in the lines below: RulLn>✓2 SuRMITTtD Kl (O RWA )P, lNu[LsA SP1N�- Qdj& P/�lb kL FLe'n, 3�cs cc�u� hh �N o� feu, S�nar� Q x lsc MS FIN)s 4 M wM A\lLLCb 2% WAS NOT CAM G1;r W ou.n t- IFAc,c-, S� WE- -O\M5D up TNMBL-- S Q -W „zo X 0, Q:2..5. 6 fo T"e S �uIll71I�CG. TOTAL REFUND AMOUNT REQUESTED:` 1 O 3/1/12 Applicant Signature Date Christina D. wicks Browning Construction, Inc. Applicant Name Printed Company Name (If applicable) APPLICANT ADDRESS: 6100 W. 96th Street, Suite 250 Street Address Indianapolis,IN 46278 CI ST Zip 317/344 -7371 317/344 -7473 Phone Fax FOR OFFICE USE ONLY p Total amount for fees that ARE available for refund: p Fees that are NOT available for refund: p Refund approved by: Date: p Date submitted for Payment: Amount Approved: CITY OF CARMEL 8 ITEMS OF 8 PERMIT RECEIPT OPERATOR: edruley COPY 1 Sec:26 Twp:18 Rng:3 Sub: Blk: Lot: PARCEL ID 1709260000005000 DATE ISSUED.......: 08/23/2010 RECEIPT BC000000400 REFERENCE ID 10080036 Nt_- SITE ADDRESS 13225 MERIDIAN ST N SUBDIVISION CITY CARMEL IMPACT AREA 31 OWNER ISG REAL ESTATE INVESTMENTS, L ADDRESS 8402 HARCOURT RD CITY /STATE /ZIP INDIANAPOLIS, IN 46260 RECEIVED FROM BROWNING CONSTRUCTI CONTRACTOR BROWNING CONSTRUCTION INC ID- BROWCON COMPANY BROWNING CONSTRUCTION INC ADDRESS 6100 W 96TH ST #250 CITY /STATE /ZIP INDIANAPOLIS, IN 46278 TELEPHONE (317) 344 -7373 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL CIIC /O FLAT RATE 1.00 120.00 0.00 120.00 0.00 CIINAA SQUARE FEET 60,225.00 13687.50 0.00 13687.50 0.00 ICIIELEMTR PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 ICIIFINAL PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 ICIIFTSLB PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 ICIIFTSLB+ PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 ICIIROUGH PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 ICIISITE PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 TOTAL PERMIT 14479.50 0.00 14479.50 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CHECK 14,479.50 031987 TOTAL RECEIPT 14,479.50 CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: edruley COPY 1 Sec:26 Twp:18 Rng:3 Sub: Blk: Lot: PARCEL ID 1709260000005000 DATE ISSUED.......: 11/09/2010 RECEIPT EC000000709 REFERENCE ID 10100090 ejjqlJT f1Nlw Sf� kLb tk PJ i SS lk&T> SITE ADDRESS 13225 MERIDIAN ST N SUBDIVISION CITY CARMEL IMPACT AREA 31 OWNER ISG REAL ESTATE INVESTMENTS, L ADDRESS 8402 HARCOURT RD CITY /STATE /ZIP INDIANAPOLIS, IN 46260 RECEIVED FROM BROWNING CONSTRUCTIO CONTRACTOR BROWNING CONSTRUCTION INC ID- BROWCON COMPANY BROWNING CONSTRUCTION INC ADDRESS 6100 W 96TH ST #250 CITY /STATE /ZIP INDIANAPOLIS, IN 46278 TELEPHONE (317) 344 -7373 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL CIIC/O FLAT RATE 1.00 120.00 0.00 120.00 0.00 CIIREMOD SQUARE FEET 60,225.00 12363.50 0.00 12363.50 0.00 ICIIFINAL PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 ICIIROUGH PER INSPECTIO 1.00 112.00 0.00 112.00 0.00 TOTAL PERMIT 12707.50 0.00 12707.50 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CHECK 12,707.50 032229 TOTAL RECEIPT 12,707.50 Uiety Permit Information CITY OF CARM± =L xxWE DB x f Permit Information Location Informa Permit Number' 11 008003 6 Address 113225 MERIDIAN ST N Status C Closed City/StateJZip CARMEL IN 46432 Master Numbe Notes 3 PARCEL ID 1709260000005400 Projec Unit Apply Date x 08/49/2010 FW Operator twedding Inspection Are Permit Issue Date Q8/23j2070 Operator FedruIe Owner Entity Information Certificate Issued 03 /01/20 1 2 �1 Operator edrC ule Owner JISG REAL ESTATE INVESTMENTS, L 1 i Certificate Type [6/ CERTIFICAT O OCCU Use Default Certificate Number i470 Address Business 8442 H i City /State /Zip IN DIANA PO LIS IN 4626 i Pe rmit' Property Zoning Applica Contractor' Defined Fields 4 Permit Details Purpose /Special Conditions Permit Type C OMNEVJ COMMERCIAL N STRUCTURE T INDIANA SPINE GROUP G tfEIDIAti AND 24xIN. NES I „w Usage Class COM COMMERCIAL ST SHELL-ONLY PERMIT. STATE CDR 034 08'/03/2010; CONST TYPE II -3, SPE; OCC CLASS fi744400 Applied Value f ELEC, FDN, UZCE, SIR. SEE NOTES. 60225j Calculated Value F_ I US C-404 Type Permit Form IL PCII I_P CII NE A DD OR ACCESS Ownership i Private I� [Sack(CtrllP CommunityPlus V8.3 PAGE NUMBER: 1 DATE: 03/01/2012 Client Name MODULE libNotes TIME: 16:12:12 Permitting Notes SELECTION CRITERIA: Permit Number 10080036 Note Date /Time Date of Record Operator Note Code Reminder Date 2012 -03 -01 15:25:15 03/01/2012 edruley *OTHER INSPECTION FEE WAIVED PER JIM BLANCARD C/O ISSUED AND PERMIT CLOSED 2012 -03 -01 13:55:54 03/01/2012 edruley *FEES 4 ADDITIONAL INSPECTIONS WERE DONE ON THE UPPER FOOTINGS, SINCE METER, ROUGH AND FINAL WERE CHARGED, THOSE 3 HAVE BEEN CREDITED LEAVING ONLY ONE INSPECTION FEE TO BE PAID BEFORE THE C/O CAN BE ISSUED 2012 -03 -01 13:53:58 03/01/2012 edruley *INSPECTIONS ALL ROUGH, FINAL AND METER INSPECTIONS WERE DONE UNDER PERMIT #10100090, A TENANT FINISH PERMIT THAT WAS PULLED IN ERROR, SHOULD HAVE BEEN A REVISION TO THE ORGINIAL NEW STRUCTURE PERMIT I VteUV Permit Info matron CITY A R x a x v OF CARMEL LIV E�a6 Permit Information_ Location information- Permit Number 1'101000 Address 113225 MERIDIAN ST N Status [C Closed City/State /Zip 1CARMEL 1 IN 46032 Master Number F Al Notes 2 i PARCEL ID 11709260000005000 Project 1,K, Unit Apply Date' h' Operator nmishle Inspection Area Permit Issue Date f 'i1J09J2010 Operator lnmishler t Owner Entity Information Certificate Issued 09/ Operator ,nm her Owner ISG REAL ESTATE I NVESTMENTS. L F j Certificate Type JCfO CERTIFICATE OF OCC I Use Default Certificate Number ji075 Address B usiness 5402 HARCOURT RD City /State /Zip I NDIAN APOL IS IN 46260 f Permit' Propert Zoning Applicant Contractor Defined Fields PerniitDetails......_ Purpose /Special Conditions._ Permit Type COMTENA COM TENANT FINISH INDIANA SPINE cnouP C MERIDIAN AND MAIN. TEt E Usage Class COM COMMERCIAL o 1 FINISH. j Applied Value` STATE CDR INFORMATION 6a225 N1MBER: 347937 RELEASE DATE: 10/06/10 CONS. Calculated Value p TYPE: II -3, SP'K m OCCUPANCY CLASSIFICATIOt1: 3 4: US C-404 Type i SCOPE OF RELEASE: ARCH, ELEC, MECH, PLUtd e Permit Form ILPTENREPv1 THIS IS A 'STANDA_;2D' RELEASE WITH 5 CONDITII Ownership 1-Private OF STATE CDR SCANNED IN ATTAC. i= t Back(Ctrl =P) y 1 �i 7�.i Prescribed by ACCOUNTS PAYABLE VOUCHER State Board of Accounts C0 1 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee �s TY'�� iy") Purchase Order No. &fay 0)° V1 �1 a 50 Terms 7 ✓icy o" `hgd 1, S 7 7!r AZ tt2S Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 �t^l1 Lc� n r1 Y C..t) ✓t ,S *y l'�C IN SUM OF ON ACCOUNT OF APPROPRIATION FOR E6t- S Board Members PO# or DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or A) I ojU i .20 7,6h) bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Z 20 ature Title Cost distribution ledger classification if claim paid motor vehicle highway fund