HomeMy WebLinkAbout14060085 State Release (2) `' RE�'TSIO`� / PL��' :��IENDI��NT or :�DDENDiTi�1 to STATE RELEASE �
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��;, For Commercial, Institutional, Industrial, or�Iulti-Family Projects �
�� °o�'' City of Carmel;Departmenr of Comn:unity Services ,
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IPermic h�s beec issuzd: �Yz; _�o Ii yes; PER�QT=: (�(d(�06��
BUILDERof � "�"= "=�•;= :" I
RECORD, I � �2ff �°��Gh ( 765) �DS-1�10 /V�� I
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I LOCATION ?•'-:e->i=r�.e: _=r ,:._ ..s�.,�>_n u-•=:,:r��:ucnc,_;
� & PROJcCT iC{� 1 CGnvenw.ce $�-or2 '
INFO: �ec=.es.c�_o:r-��,cnc�r. '
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NEY/SQUAn=?�GTd.ic OR S'fOM�C �lc^N E�TiMh7c9 rr. °ry�7-�--��� p I N_N FCUM:iAP.C�!'!?c: _.� SLf.3 ,7 CR?4/!SP?Cc �
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DESCRIPTION OF AMENDFIENT/REVISIO.N, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION: I
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_rxeni_d un_1 3 Qr:_7cs:a;;"(Jcc.pa:���cis 7eea issue?Sc t�e,pe�a:tmer.�ot Cer..muni,�i�r.ices,Ca-ne1.[ndiana.
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Signature af Owner orAU:hori:xd Agen: Prin[ Data
OFFICE USE ONLY; �t°•Y•'�"�'fi*;'�°'=�iiFk$[xY�[i!{*�C�[z�[xztii<RFkFRytlltR**ttY�kK#*YF*Fxt4f
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NEV! INSPECTIONS REQUIRED; ! �p; ap.1�PlDi`�IEAlT!REV?�(OP! �_=: Oh ryq(n
Upper Footing Lowzr Footing Under Slab �»•�'����^L SOUAR= �OOi?.G�;
Pl�`Al L`lS�=�ONS RrQUiR=D;
Rough If1 M2t0r Bd52 Flndl SItE (ti accR:cr.al Insx:Icr.s:C.tr Nan ,vnnt atreacy r=maln :n.1e:xis.ing permrt ar=reGWr=_c.) .
�1 (� TOTAL;
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Rev!ew_d/Appr �rec': Cept. of Community�5ervices (Date)
S:Genni;;i�araslo�an�r..erG�:;mmer'al,:nG,Inst"mtl �"�2[_IV24 Jy: DdC¢
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REtiT5I0N / PL:�� :���ti�ILENT or �,DDE��TIi�f to ST�.TE RELEf1SE
� ��� For Commercial, Institutional, Industrial, or �Iulti-Family Projects
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'�� -�� City of Carmel;Departm.ent of Communiry Services
� Pzrmi� hes beee i>>aed: � 4'zs _ :�o. I:uzs.. PER�QT=: � �(��0('JQ�
IBUILDE�R of �'��'= "�'=';- _"�
RECORD, ��f� �°��Gh ( 765) �I15-2�I0 �f� I
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LOCATION --�e.�>,arae: __: = 3�s sa�c=;�s:�n�,,�,e ;�,�c�i�j:�,
& PROJECT !L�� �"vzn,.c�ce S�ore
INFO: ��rr.=5.:�_�r�-�uq:ct�:
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Sf4'=�_G`^��.c.�=21 ��'_ :� A�c.l.'t'- L-__' I NEN SCOPE(5)Of N _ � _� 12��� _ �N:_'n � ?LUM
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DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION: I
2e �oca`I-�� �� Cooler �Frce�er ctr��( ,ee/a�qY� °'t�or � r ��l'�
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':e:.,_.ui_?-..�1+5:1�,r:'_.:ca:!?r�e,cc kao�.��.;!;;„c._eacoa�?�ro;;d_d.�c or.�c-•d ar.v i��cr.u^:en:hr�N��cld'znd co hide.o6scu:^,or
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�-a� J�,�- /��t=±- v�-f-eS �/ 30 ��I
iignat�ra ol,Owr,er or Au:horl:zC 4gen: Prin[ Da!e
)F'rICE USE ONLY; ** �� % � �FtSCR�Y$2Y#�[>Y���[�ij[*zKFZFY�Y�FiRFkFkY�ll$RI�FRFY*kV�I�Y$KFFktf#
NEW INS?ECTIONS REQUIRED; F'_=P! .,��I��`l��i-IEPlTj,REVSiO�d F=_;
Urper Footing Low2rFooting Undar Slah ���'��'�'^!?.L SOUA.Rc FOOTA.GE:
il=;'/ I�`ISP=�ONS R�OU?r�=D.
Rou�hIn Met2rBase Final . Slte ;i.'acci!icraimr,a_,cn,:,ner�ar ,vraral:=a�; :emain .n��.':.etx!r.!nq:em¢are:equa��:)
TOTAL;
R"�ieweG;.?pprr�ec, C=ct.o�Commcnib/5?r;i�s ;D�[a;
v°;raiGi':/TSIPOn Am<�G�:n',meC'dl.:[Q. :nSC�wtl �a°�2C?:ved JY: �dL?
�'�'�`� REtiTSION / PL:�!� :1_�LEV�IfEti'T or :�DDE��IJ1�t to ST�,TE RELE�.SE
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�� "� ' , For Commerual, Institutional, Industrial, or �fulti-Family projects
s?`� City.af Carme!;De�artment of Cammunity Services
: -
i 'P.ermi� I��s5e�¢ is>aed: � Fz> _�a, [[czs, PER�QT=: I�(GGOGQ�
, ' BUILDERof I ,� �' �eff ����� h ( 765) �I25-1�10 /V/� I
RECORD� �
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P. O� ��x 60�' �n��1'son tP✓ `16G �� I
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� ; ���'H'�II���a�ao •Corn P{,on� �
LOCATION -.=.e=� ri:r�,e _-, ,,,�:__e.,..,_���, � e ,� ,._�i�3:�e.
& PROJcCT iCKzl' C:Onvenl�ce S'1-ore
INFO. �c.:=._ss��_�r�_--uc�!orr.
� �I 5 �v Rlver (�cs��
'£'! :,U.1 w? "c� �2 S'�'Of�1�C. I N I � �MA _L_C �y Ncfl I,NcA���� �'' � - i�{3 � C�.x1/Ci?)Cc
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��j?:_�;q�1E3=1L I '�'? 3Pa;J'c!L"c72?LE: Nc'NSCOPE(SjOF ?CN = � = �R_;'. = Mc:H � 7Li�M
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DESCRIPTION OF AMENDbtENT/.REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATEINFORMATION: I
��l�ca`t-e� �e. CoalPr -Fi-ze�e� ceh�{ e�/a��� °'�vor �ir ����
C u dt e � o a r Q.k i-�-
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. • 6e�nv.g ud romrfe:ic3=o.^.��n�ectian. _
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_.� ' i isc :_�>;s:�`1�,'�:civ.,�o;_:,r.a' =.._;j:i:.�ic_ "-_ .. ..._;ari:v>;��.vc. [�h�::ZZr__�:t"y.uadc:c'ae pan.ilces of 2e:�urv(lcdia:a
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lca:•ulcd�-�.v.�a__,r:'_=cac i'ai'�:,:;:�a���.;!;ar i:.:;:._o�.�;>>ro;;aad a:ar,�e°d�Lz;L..°o-ia�cc'Sa:woeld'.ad a Iuda.oBscu.e,ar
„_..cr.�-sr.-:is:cad:ia D>_�:. �i Cuc_^�'_�-; iarr._es:_g�a��;chc:��ct o[c4a-a"c:s adc:sea. I ise�.s.°�•;�,a[:ie consc��c::on w^1 noc be usad
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/�.a� � /Ut�i�- y��f-e� �/ 3 G 2G I
iignat�:a�af�OwcerorAU:hori:aCagen; Print Date
�Fif'iT�G IIC�C OI�II V Yk �YZtttt[2I[FtXkKtkjt[t{}�IY;kRikRk/Zk;v[L4YiLK«k[k�.'f1'.Kk�F'YZ�.'�[kU'�'ff$11FKf�kF
1 L VJC 1\LI •
NENl INSPECTIONS REQUIRED; p�_^pl a:`d�=i`IGi•I�_PlT;F.°_�/?�i0f! F=_:
Uppzr Foo±ing Lowzr Footing Undzr Slab
A��D:TIOPI�.! SOUP.R"c F�OTA�"c:
N='aY I�`IS���OPJS REQUiR=�'�
RoughIn M2terBd52 Flnal SitO ;i`ace4icrallns:=_-;c••s�:t^�ermar�nn-3Rpnc. ;�,-aln :-,;ietxs:ng;er,iCar_:=_GuirC.t
TOTAL:
3=ri�;�e��A�prv=n: Cert.cf Cornm�niC/iervicas (Da�_i
il7;rni6r°�r:xslo�an Am.pC�,rt.mer.!al.;rd,:nrt.�u'�tl .°�tC?iV?d JY� �d[_
Would you iike to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE�OF INDIANA at http://www.in.qovldhs@650.htm.
This on-line filing is tbrough a secure.site;�you can use it to submit your project.information,pay the fees and upload your project plans.
Use Mremei B�owser to View this report,ofher browsersare not compatib(e fo view this repart
Project number Release date
�"4�'�A'�� CONSTRUCTION DESIGN RELEASE
`�� ''a'�, State Form 41191 (R9I5-98) 37OO7J 06/20/14
Ki'�-� � �`��"nY Construction Type Occupancy classifica[ion
t ,,��� �� Report Printed on:June 30 2014 'SEE BELOW 'SEE BELOW
r�. ���� _...
�818 • Scope of release
Indiana Department of Homeland Security �NDIANA Q'2�
DIVISION OF FIRE&BUILDING SAFEN ,,�� %' fi"�� r'"''�3' TNK
PLAN REVIEW DIVISION ������' �+ �4g Type of release
402 W.Washington St.,Room E245 ?` r � '��"� �" � I Addendum
Indianapalis,IN 46204 � `«"����=°�����r �
AvallableAtYOUrLOwlLicenceBranch Projectname
To:Owner/Nchitect I Engineer SUPPORT HOOSIER SAFEN Ricke�s 146th and River Road
krM Architecture�
Michael L Montgomery AR00033967 Streetatldress
1020 Jackson Street 14590 River Road
Anderson IN 46016
City County
Fax 8 e•mall: 7656498485, myates@krmarchitecture.com Ca�mel HAMILTON
Thepians;specifcations��and�application�submiited�forlhe�.above�referenced�projecbhave�beere,reviewed�for compliance with��the applicable mles ot
the Fire Prevention and 8uilding Satety Commission.The project is�released for conslruction subject to, but not necessarily limited to,the conditions
Visted befow.THfS ISNOT A BUILDiNG PERMIT.Ah required local pe�rmrts?and licenses musfbe obtained prior to beginning�construction woik.All
construction work must be in(ull complian�ce vnih all applicable State'rules iAny changes�in the released plans andlor"specifcations must be filed with
and released by this Office betore any work is altered.3This�"rele2se.may,be,suspended o�.revoked�if it is determmed to bg�.i`ssued in��:error,in violation
of any rules of�the Commission or if it is ba'sedan iricorrect'or in'suffcienFinformation.This`release shall expire by limitation;and become null and
void,it the work authorized isnot�commenced witFin one(1)year from the above date. - i
CONDITIONS: ? � ��b'
t ,� � �,?�"': :. , r ..s�.. i
�, _ . !
Note:(A1A&A1 B) In acwrdance v,nth�the aRidavit swom under.penalhes of per�ury'm the applicatwn�for,construction'design release�the plans
and speciFlcations filed in con�unctwn';witli this pro�ect shall comply with all'of ttie applicatile rules+and laws of Fire PrevenUOn and Building Safety
Commission. Providmg false;informahon conshwtes'an�act of perjury,which is a Class D felony�'Punishable tiy a'pnson term and a fne up to$10,000.
,�;i@ N;�,.::.. .. ;�: � s
In accordance wdh Sectionyl9 of the GeneFal Administratrve Rules(675 IAC 72-6�-19)a completeset of plan`s antl speafcations thal conform
w�,
exectty to the design that wasreleesed by the officejof the state;building commissioner shall be mamtained�on th'e constru"ction jobslte as well.as a
;. ,
copy of the design welease"�r ;�v�� � �� 4 ;i Ir.,+; + °''. �
s: �� i#�nd t '. "�+ `; r i u�; �-.
`��'i UST=N3 DISP_-N18 -, �" + `'!= �� : i
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�. n� � � . .d ¢- ...:..� � 4i �, � � � iyj � � �
£ fi s��, 'o-sn}. t;� L � }f Y4 � k " i
i r', This addend"um is for the exchange of.a knrfe gate to a sluice?gate , ) "
t � 4�dY� 3 1:�.�..1 .,i;;:., .... w„'*��' �`��`.�. .� , (
-d& ��
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j please be advised that if an admintstrative.reJlew of this�aotion is desired,a written petition for review must be filed at the ebove address with�the
Fire Prevention and Building Safety Commission identifying the;mat[er,dfor which,a review:is;sought no later than eighteen(18)days from the above-
�stated tlate,unless the eighteenth day.falls on;a Satiirday` a Sunday,a legal hqljday under S,tate statute,or a day in which the�epartment of Fira
`and Building Services.isclosed dunng normafbusiness hours. In�lhe latter case;the'�filing deadline will be the first working day lhereafter.If you
choose.to,petition,:andlhe.before-mentioned;prwedures are followed,your.petition for.review will:be,granted„and.am,administrative proceeding will
be conducted by an administralive law judge of the Fire Prevention and Building Safety Commission.If a pedtion for review is not filed this Order will
be final,and youmust comply with its requirements.
Code review official BRENDA KENDRICK State Building Commissioner '^ /J
bkendrick@dhs.in.gov y , � �/
�I //!�� �/A
Address(name,title of�local official,street;city,state and ZIP code y�`'"�` ���
BUILDING COMMISSIONER State�Fire Ma�shal
CHARLES KIPHART �p /��
ONE HAMILTON S�UARE�SUITE 138 .�`/%�y��p-`� / Y�
NOBLESVILLE, IN 46060
Fax&e-mail:3 7 77742 559 Chuck:ki hart hamiltoncounl .in. ov
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