HomeMy WebLinkAbout17020014 CorrespondenceCDR Exemption Form
Owner/Tenant Name: KAG CELIT RE , LL C -RAt4c e Limn CQov�si&sco
Project Address: 1370 i 1 � 72 'PAN6F- LWE 9c;A G._ _ , Suite/floor: '370 ,f 12
CA- INA M i 1NialAr/A
Applicant Information:
Name: Jaya.+ L AA,,, aow Phone (L(J7 7 cl& 8 o a 3, Fax --
Business Name: L,AM56W 4 CdtOVOAPhone (�11 =b,- (4- 2.0. Fax
Project Information:
Change of Occupancy yes T no X Existing Oce Proposed Occ
New Structure/Addition yes no `� Additional Sq. Ft.
Remodel/Alteration yes X no_ Existing Sq. Ft.
Project Description: ' I� �1, l 17Af C� �.1- !� , 990pla13F- D Fatt uire tenQV �" Sia I
Will this project include any of the following:
Electrical yes,% no_ (Description) PAWML. Rt:Ldcs Ar1c;4
Plumbing yes ` no _ (Description) IR evo dwg - i t•j
HVAC yes non (Description) 1�CPJgce CrLp unt'�S IN SAM'S L0CA'r1-W-'S
Based on the work described herein, this project:
11=` P0�3iP�1��•
_ is exempt from plan filing with the IDHS, Building Safety/Services, PIan Review.
Per sec 675 1A 12-6-4-12 - 2 -A4B&675 YAC 12-6-4-12 - 3 -AA a
675 IAC 12-6-4- 12 -_4 - I3 & 675 IAC I2-6-4- 12 - 5 - A D
_ is not exempt from plan filing with the IDHS, Building Safety/Services, Plan
Review. Per the following explanation:
And a local building permit will not be issued without a construction design release from:
Indiana Department of Homeland Security
Division of Building Safety/Services, Plan Review
402 W. Washington St., Room E-245
Indianapolis, IN 46204-2739
Phone (317) 232-1431
This project is subject to compliance with all applicable rules and regulations of the State Board of
Health, Fire Prevention and Building Safety Commission, local standards and procedures, and local
zoning ordinances.
Signature (Applicant) Soil A tic Date
Signature ( Project Dev. Analyst) Date
Signature (Building Code Analyst)
City of Indianapolis
Department of Code Enforcement
1200 Madison Ave, Suite 100
Indianapolis, IN 46225
(317)327-8700
www.indy.gov/permits
Date
12/31/2009