HomeMy WebLinkAbout05080208-Receipt/permitCITY OF CARMEL
Item
1 of 1
PERMIT RECEIPT
OPERATOR: twedding
COPY ~ : 1
Sec: Twp:18 Rng:3 Sub: Blk:35 Lot:
PARCEL ID ........ : 1709350000006000
DATE ISSUED ....... : 08/26/2005
RECEIPT # ......... : 19607
REFERENCE ID # ...: 050~0208
SITE ADDRESS .....
SUBDIVISION ....
CITY ...........
IMPACT AREA ......
OWNER ........
ADDRESS
CITY/STATE/ZIP ...
12188-A MERIDIAiq ST N ~10
CARMEL
MERIDIAN MEDICAL PARTNERS
401 PENNSYLVANIA PKWY
INDIANAPOLIS, IN 46280
ONE
RECEIVED FROM .... : LAUTH CONSTRUCTION,
CONTRACTOR ....... : LIC ~ LAUTCON
COMPANY .......... : LAUTH CONSTRUCTION
ADDRESS .......... : 401 PENNSYLVANIA PKWY
CITY/STATE/ZIP INDIANANPOLIS, IN 46280
TELEPHONE ..... [[[i (317) 848-6500
FEE ID UNIT
CIIREMOD SQUARE FEET
ICIIFINAL FLAT RATE
ICIIFTSLB FLAT RATE
ICIIROUGH FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
CHECK
TOTAL RECEIPT :
QUANTITY AMOUNT PD-TO-DT
1.00 103.00 0.00
7,640.00 1724.60 0.00
1.00 96.25 0.00
1.00 96.25 0.00
1.00 96.25 0.00
AMOUNT
2116.35
211~.35
2116.35 0.00
NUMBER
76513
THIS REC NEW BAL
103.00 0.00
1724.60 0.00
96.25 0.00
96.25 0.00
96.25 0.00
2116.35 0.00
For: Remodels O' Tenant Finishes: CommerctaL Industrial. or Institutional
P~CEL ID #: 1709350000006000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 12188-A MERiDiAN ST N #100 CARMEL IN 46032
Township?: 18 Zoning: Food Zone: N
PROPERTY OWNER INFORMATION:
~ERS ONE
Ph.#: 3178486500 Fax#: 3178486511
Street Address: 401 PENNSYLVANIAPKWY INDIANAPOLIS IN 46280
TENANT I~NFORMATION:
Name: NORTHWEST ~,DIOLOGY NETVVORK
Address: 12188-A MERIDIAN ST N #100 CARMEL. iN 46032
CONTRACTOR INFORMATION:
Name: LAUTH CONSTRUCTION
Ph. #: (317) 848-6500 Fax #: (317) 848-6511 Emait: KSEE@LAUTH.NET
Street Address: 401 PENNSYLVANIA PKWY INDIANANPOLtS. IN 46280
Plumber'"s Name: Codes for Project: IPC
CITY OF CARMEL / CLAY TOWNSHIP Permit #: 05080208
IMPROVEMENT LOCATION PERMIT APPLICATION Date: 08/26/2005
Special Notes/Conditions:
NORTHWEST RADIOLOGY NETWORK @ NORTH MERIDIAN
MEDICAL PAVILION SOUTH BLDG. CONST.TYPE: il-B.
OCCUP.CLASS: B. ST.#: 311950. ARCH. ELEC. MECH,
FDN, PLUM. 2 CONDiTiONS. 1 RE: FDN iNSULATiON.
* NO NOTES *
Lot Split: N
PERMIT TYPE:
COMTENANT ; COMMERCIAL TENANT FINISH
Water Service by: INDPLS
County Well Permit #:
Sewer Service by: CARMEL
County Septic Permit #:
Foundation Type: SLAB
Estimated Cost of Construction: $950000
Manufactured Trusses: N
Sump Pump: N
Usage Class: COM
Construction Type:
State Design Release#: 311950
Square Footage: 7640
This permit is valid only ff construction commences within one (1) year of the date of issuance of rite State Commercial Design Release. All construction
lnust be completed (C/O issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargemealt, relocation, or alteration ora structure, or any change in the use of land or structures
requested by this application w Ii comp y w th and conformto, all applicable laws of the State ofind aha, and the"Zoning Ordinance of Catwnellnd aha- 1993"
(Z-289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify
that oialy kitchen, bath, and floor drains are connected to the sanitary sewer. I furldler text fly that the construction will not be used or occupied until a
Cecti[ic~te o£Occupv~acy has been issued by the Department of Cormnunity Services, Carmel, Indiana.
FEES: -- --
cCOM. IND. INST. C/O 103.00 APPLICANT NAME:
.L REMODEL/TENANT 1724.60 BROCK CUSANO
Cll FINAL 96.25
CII FOOTING & UNDRSLB 96~25
Cll ROUGH-IN 96.25