HomeMy WebLinkAboutCDR Application SBCCg07Y9V
APPLICATION FOR CONSTRUCTION IxbbxnbennaTMexraFxox¢Ars BM.'1MIIY
DESIGN RELEASE plWspx oFFtxEaxP eunnlxosAyEx
Suite Form 3/3161R15/ 1-12) P1AxxENETYBtWICx
302 Wetl WaMhghn $beat Paom F1i5
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INSTRUCTIONS: Pleex fypaaponf chats. nmuxpd davgnpodsa'Wnels am iraMved w.w.bywmnsrzat2lmm
in Ne artlfidabat prOaese. yupm!(enaMif al rurm lua(n xw
Tvpamrwparetion
RI 9eMeM ❑ Radial ❑ Foundation Request
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Yes ❑No ❑Yes �No
Aa Mar erol der p"ist kr wfiiGl tbs applig4en Is being filed, I hereby ceNfy;
1. Me description Of use and information WMained an this application are central;
2. as prgeclwNlMmrshuclM inavvMalxe wilM1 yle relasgel4cumenb end apdigblerubal Ne Fire Pavet1491eM 9ulgirg $dpy Curvr®pn;aM
1 arrydwngesWMerebmal downwMswi Mxnd wMtle lndsna OrpnMwnttl HOnlednd Sxaaay, OM1sKO dhewp &JMirg Safely, Flmr Rewaverwyd
AiwpME Ibx Priam, law, fan)
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Foundation RegunW Iapneabdice full respon6hihh, bar removing Me! replacing any con64uc1lon buts,by plan esaminelkn or by irupallon, to be In
Orbyinspecoon,hea
ping
Noladonef1M1ebuildingaches. INMer agree notto pmceetl aids lMve grade cgnstmcLon unfit thecomplete by poreand been
viewed and rekasetl by the Indiana Cepamnent of Hoff e land Securi%, Div3irn of Fire and Suit ding Safety, Plan Renew t anch.
DESIGN PROFESSIONAL CERTIFICATE -
(Must 80 Executed for hit new buildings or solutions exceeding 30 000 Gross Cubic fear or ary ar,,juon c frecong Structural SAfery)
As lab design professional for Me pmjNH for which this applicatbe, Pis" add spxlfiaa4etra are being filetl, l hereby cads%:
1. I am qualified alp cwnpelentto design such bulMings, sWGwes, that systetre and have aldcbed a copy M my cunaM regi6lreGm cats;
. Me plans eM specidations filed M denjunclwrt wits Mis eppaanon Ware Cal by me antl/ or by my persons under my immediake personal
supendsien and will comply Win all apparel building Iews and Mes of Me Commission;
3. the project data andined On this application are centred and mnespontl nits Me plans antl spetlfcatioa5 to ba filed in conjuncfion wits gus applborge ;
0. the design prhssional irentried below will inspM Me wnshuUon seemed by this apdiwUon et appropdad'mferves d detNmine general
aamdlanae wits Me released iscuments and applicable ness dMe Commli4on and aill cromm all noted deviations ham sam eW <couni and
cede viodllons to be canceled or notify the Owner and aNM1wnles having jursdltlba of ON specific devlatlon6 and code vplalbns: thM
5. I aMmi under penalty of perjury that Me 2pesandtiora wndlned herein an true and l Moore understand Mel providing false Moan mmnsnWlea
en NO Of Mili which Is a Class D Felony WMshabb by a Posen tam and a Me of up W $10,000.
Rwpond2x%ebawfolmringdymmd: ❑Plumbing ❑Foundation ❑structural ❑grahibdduthl ❑MechaNral
❑Site ❑Eiecbical El Free Suppression ❑AYIXtheabover ❑Other
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IMiimealrttion iumer 0Aan11BM
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Email addrem
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$ RELEASED FOR CONSTRUCTION
Sv*dto compliance with all regulations lmbalbr°°"°°' TeleFlvXle lauMn
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of State and Local Cotes
City of Calmat loexwcTpx urenwaE TOTu
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�VT`O \�k'11W WL
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• • ' DATE: 09/13/19
PROJECT DATA
Pm a sere Fmm sat a (Ras I t-tz)
sBc pmlev'I numnere mhos mete lmonM, metre 1
41 7&5 &
INSTRUCTIONS' }Ma page murtbe compktatl by Me submiHer
Pleam iWo war ad pwlnenf Mlesrmns and use a myamt. same it aderaonm:pace a feguaed
1. one Fppfcation for conswdion Design Releem (anginal speaks
2. NO mmplde act of care and specifications. Tbia se will be raw
submitted and reamed if stomped seta are needed Horner pure
a sire plan showing dimensional location orbwMing to all prow
B. Foundation and wwwww q plans argdebiils.
C. Dlmmsicnwdnwrplanst«all roots.
D. Fire and he safety plan sworing grapfilmilyor by legend the k
banners, firecemstva mngar watt, staff ercdusuree, 00 Pro
E. Wet elevations of all axtador walls Meaig adacwt gmunda
F. Samoans and tleala of walls, floss and roof, wowing ensawii
a sMKJ plans and elerenanv saowilg sir and locaum mall
Bsoeafimurrequules
H. Rem finisa schedule showing lnwas, fewells, ceilings and n
I. year rdcedulesaowineses mal.y be Pro kkness emeprojeiei
J. Constructionis. diagmmm may be anplana� smeland Pop
N. Pllecmml pans, diagmml. tlmata mmevim mirence, and pow
L Plumbing plena slshowing
location da res, seers, d sire and I
M. Mechanics l plans snowing Iocalimn andd sza ofductwwk, equip
together wit honed filing lees. (Sae /e scaedme)
to IM1e applicant for use at me job site. Nddifirand rWlated seta nay, be
Picture limit Me waebt of anch submitted Package to 30 Pounds,
les aM w all existing buildings on Me pmpeoll as wee as width of any greets
and awing of Passing elements sum as area separation walls,smoke
and M1onzonal edits.
and fie Press mmuatona,
swinvaYs and customs.
h focused Per Malay conservation.
smoke ounces and equipment Perin ulas sowing capacity,
e r
some awoM1
idalwallna fir a'wasmvel
❑New building ❑Additon �p RemKelly
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Is NlamnaWtllm the refill Nfirew Sexar 14 Eximin ❑P Mstes,
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Oyes No ❑Public ❑Privie ❑min eecore Tel
$Few
Rwmdalfed lgwwom)gel
surpsmscmmre Dare:uPPreakm remn PgmrePm❑Full ❑PartiallNcne
nmm.ng ln.vgmew
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s mdrywM1ere• L In ficcE lMan (arockmmypan ToselWWvq eras squarefeel
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RELEASED FOR CONSTRUCTION
Still compliance with all regulations
of State and Local Codes an som d
ONO
City at (Cannel
DATE: 09/13/19