HomeMy WebLinkAbout05090098-Amendment InfoREVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, InstitUtional, Industrial, or Multi Famil Pro'ects
- y J
City of Carmel; Department of Commtmity Services
Permit has been issued: X Yes No, If yes, PEIlMIT #:
BUILDER of NmE: PHONE:
RECORD: Blaze Construction Inc. 317~580-1008
317-573-5774
10411N. College Ave. Indianapolis IN 46280
mehar ~blaze-inctcom 317-590-4426
PROJE~ NAME: LO/# and SUBDIVISION NAME: (If aopJicable)
--: ~ Buildin~ at Webster Park
13355 N. Broad St. Carmel, Indiana 46032
s for electrical, lumbing, and HVAC
Occum an: Classification: B/_U-B(Poo
beginning and completing constraction.
1 the undersi ned agree that any construction reconstruction, enlargement, relocation, or elteration of a structure, or any change in the use of land or
structures requested by this application wl]l comply with, a~d cmfform to ali applicable laws of the Stare of Indiana and t ~e "Zoning Ordinance of Carmd
Indiana- 1993" (Z-289) and amcndi~mnt~, adopted under authority o£ I.C. 36-7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify that mtIy kitchen, bath and floor drains are connected to the sa~dtary sewer I further certify, under the pe mlties of Perjury (Indiana
Code 35-44-2-1) tl~at all of the information 1 have provided in this Appt~catio ~ and other documentation is true and accurate to the best ~f my
knowledge and belief, and that I have not knowingly or intentionally ~rovided or omkted any information that would tend to hide, obsm~re, or
otherwise mislead the Dept. of Conununity Services regarding the t~uth of the hatters addressed. I also agree that the construction will not be used
or occupied until a Cerri~care o[Occupa~cyhas been issued by the Department o£ Community Services Carmel Ind ~la
Signature of Owner or Authorize Print Date
OFFICENEW USE ONLY INSPECTIONS~ **** REQUIRED,--'~.'~.~************************************************ ~/~'~N ~.F_~ A~ENDMENT/REVISION FEE: ~
Upper Footing Lower Footing Under S a~_~t ADDITIONAL SQUARE FOOTAGE:
~)6%c'zl~x~'~ ~i~NEW INSPECTIONS REQUIRED:
Rough In Meter Base Final Site ~1~ (If additional inspections other than what already rema~ ~)
e~~ TOTAL: ,
Review
BRUiLDE~ NME:
ECORD: Blaze Cc
STREET ADDRESS:
10411 N.
mehar(
NAME:
INFa
355 N.
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
PHONE:
Inc. 317-580-1008
~ STATE: ZIP:
Indianapolis IN 46280
BEST METHOD OF CONTACT:
)m 317-590-4426
LOT · and SUBDIVISION NAME: (If applicable)
at Webster Park
Indiana 46032
DESIGN RELEASE #:
311835
DATE OF AMENDED R
NEWSCOPE(S) OF CD FDN CD STR D
RELEASE: ~
EJevator/[J~t: n YES ~ NO BLDG. CONSTRUCTION TYPE: V-B
OF AMENDMENT/REVISION,
Po(
.B(Maintenan
d accurate to the b~r O? my
of
1
CITY OF CARMEL
PERMIT RECEIPT ~
03 Sub: Blk:28 Lot:
: I7092B0000003000
D06
~98
OPEP~ATOR: vdolan
COPY # : 1
SITE ADDRES
RECEI~
: 13355 BROAD ST.
CARMEL
LLC
200
,.: BI2~ZE CONSTRUCTION
.,: LIC # BLAZCON
.: BLAZE CONSTRUCTION
..: 10411 N COLLEGE AVE
· ·: INDIANAPOLIS, IN 46280
...: (317) 580-10~8
FLAT RATE
SQUARE FEET
FLAT RATE
FLAT RATE
DO
O0
}
~0
96.25
96.25
96.25
96.25
PD-TO-DT
00
.28
.00
.50
.25
THIS REC NEW BAL
0.00 0.00
O.CO 0.00
257.50 0.00
0.00 O.OC
O.CO 0.00
0.00 0_00
0.00 0.00
0.00 0.00
0.00 0,00
0.00 0.00
PAYMENT
IPT :
AMOUNT NUMBER
257.50 14843
Would you like to reduce your turnaround time?
ELECTRONiCALLy FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7~d hs.stete.in.u s, Or VISIT OUR WEB SITE AT www.in.govldhs/osbc
311835 copy will be mailed 12/05/05
ConstrUctional- --- O-c~t~l~ ~i~ification
Report Printed on: December 13 2005
*SEE BELOW 'SEE BELOW
Scope of release
Homeland ~ecurity ELEC MECH
402 W. Washington ~t., ~Room E245 ~J~'~
indianapolis, IN 46204 Partial
A~ Licorice S~h P~jec~e ..............
To: Owner I Architect / Engineer SUPPORT HOOSIER SAFETY AMENITIES BUILDINGS AT WEBSTER PARK
Applied Engineering Sewices Inc
Mike R Meharg 03951 Street address
7599 Knue Rd Ste 300 13355 BROAD ST
Indianapolis IN 46250
City County
Fax & e-mail: 3176858921, meharg~blaze-inc.com CARMEL HAMILTON
The-~ificati~3~'a~ ~p~li~ati~n submi~-d~r the above referenced project have been rewewed for ~npii~nc~ wit hth e applicable rules of
the Fire Prevention and Building Safety Commission. The project is rsteased for constnJCfion subj~ to, but not necessarily limited to, the conditions
li~ted below, THIS IS NOT A BUILDING PERMIT. All required tocal permits and licenses must be obtainecf prior to beg nning construction work. All
construction work must be in full compliance with all applicable State roles. Any changes in the reiessed plans and/or specifications must be filed with
and released by this Office before any work [s~ alter~d.i~x ml~se may be Ses~ende~ or revoked if it is determi~ te be ~SSued in error, in violation
of any rules of the Commission or if it is base~ b~ ~c~t~ect ~ i~uffi¢ient in~c;~on;iTh s release shall exsire b~limitafibe, a;nd become nail and
void if the work authorized is not commenced withih o~e (l~yesr fram the abo~e date~
CONDITIONS:
~ote :(AIA &
nd specifications flied
Safety
p to $10,000.
jobsite as well as a
(67,~
accordance
~ccordance with Sectien 920, IMC
d at the above a
~vorking day thereafter, if you
[n administrative proceeding will
revention and Building Safety Commission. If a petition for review is not filecL this Order will
......... - ---~ ~de Enforoement & ~R~ranch D rector~
............ ~ ~ ~ ~
Address (name,title o~ local official,s~eet,city,state and ZiP code ~
DEPT OF COMMUNI~ SERVICE [ Sta eF re Mamha -
1
F~ & ~mail: 3175~2~9,~blanchard~a~el.m~
Page 1/1
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
eflle24-7~dhs.state.in.us, Or VIStT OUR WEB SITE AT www.in.govldhs/osbc
offi !aJcl ~C~ment & Pran Review Branch Director
By
Code
review
~[OBIN PHILLIPS
Address (name.title of ~oca[ official,street,city,state and ZiP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD State Fire Marshal - ///~- ~-/~ I
ONE CiViC SQUARE
CARMEL. IN 46032
Fax & e-mail: 3175712499, jbla~char~)~rmeL m .gov
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