HomeMy WebLinkAboutClay Nails_State Release Form_ACDR.+ APPLICATIONFORCONSTRUCTION INDIAHPDEPARTMENTOFXOMELAHOSECORIiY
i�4�, DESIGNRELEASE orvisioxovriaearvoewmixcsuery
����� 61eleFo�m3]318(RS P) PLANRENEW9RANCH
.� 30P W_ g . Room E465
� Approvetlby9laleB tl(A ,21N2 0 p I W 620 � �/
INSTRUCTIONS Gleeeet . � �4 tls2P2M1m
ypeorp � 1 � y, 1� Rp�edes�gnpmleesbnalsaie nwNatl
InlhecartRe( pmce55,submtanatldlonelpe9etwltM1Oeapp�optlalem�oimeNm.
TYPeoIOPFliialion . _.�._..�....
g s�a�aam ❑ camai ❑ Fo��aaw� aaq�er
rva�,a o� p,oidw aosas�.m�e�saama sreai or -o-aa
Clay nails 126st and Gray rd
naamur�„� � �d.r���i 5„�o,��aa, ��. . ��._.. �a,�ma
12540nGrayrd� �Norm����so�m ❑eesi Owes
ciry co��y �a�ieewnrma.yom�n isn�mmeaimaow�em
Cefinel,1n48033 Hemumn �v� ❑Nn ❑v� eNn
Ns owner of Pc projaat lar wM1icM1 tM1is eppliaetion Is bcin9 �ilatl. I M1creby acrtily
L IM1e tleso�iplion of usc antl Inb�malion oonleinotl on Ihiseppliwlion e�e oorteoF.
2 IM1c pmjcol will bo oonslmoletl In a000�tlanw witM1 tM10 mlcesetl tloc'amenk entl appfineble mles oI1M1e Fire Prevenllon entl BNSng 3alely Commwslon: entl
3. anyGtengcstolM1crolcesetltlwummLswillbofletlwtlM1tM1olntliana�opetlmenlofHomclentl5eou(iry.Drvi9onolfireentlBlSn9��ety,PlenReYewBanoM1.
AUJ nle (mnnlR Oep yee�
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ra.��moer e.�auaoaress
( ) Nauvent
Naiis I Nails salon
rou�aaro� aequesma- i aqree �o �zke iuu respor.smuny mr remom�q ana repiaanq a�y co�s�mcuo� mu�o. oy pia� examaaron or c imspeaion. �o oe in
oiauo�or�neommi�gcmes. iiunneragree�o:mpmceeawnnaoo�enraaeco�s�mcro�u�ni�newmpie�eomiai�gpia�sa�asueoircaoo�snaveoeen
wea a�a reieaseo oy �ne maia�a oepanme�� or Home ia�o secumy, ow�sio� or Fire a�a emmme sare�y, Pia� Hemew aa�cn.
ns me aesiqn pmiessionai mr�re prolea mrwmm� mis eppuwnon, piens am spemnwuons are oemg mea, i nereoy oemry�.
i. iemauainieaamcompe�em�oaesiqnsucnouudinqs,svuaures.anasys�emsananeveevaonedeoopyoimycunemreqximronoara:
z. me pians am speorcic�uors eieo m con�uncion vnm mis eppucenon were crea�ea ey me ana i or t my persons unaer my immeaa�e personai
supemsion ena vnu oompry wnn an aponwme nunamq iaws ena rwes or me commission�,
a. me prolea aa�a oonamea on mx aponcaoon ere mrrea and oorresoona wim me oians em spemnwoons �o ee eiea m ooniunaion wun �ms aooi����on
4. �M1eUeslgnprolesslonelltlen1111etlbalowwPllnspaq�M1emnsVuofionoove�edby�MSeppllwtlona�ap0�opfle�eln�ervelslotle�amilnegene�al
oompuence wim me reieasea dooumen�s ana eooiioaoie rwes onne eommxsion ena vnu oause eu no�ed aevieuorns aom reieasea aoeumems ena
oae vloienons �o ee correc�ea or norry me owner ana aumodnes nevinq lunsamron oi au soedno aeviarons ana ooae vloienons�, ana
s iamrmunderpeneuyoroar�ury�na��ne reo�esen�eoonswn�eineaneremarevueandiwnnerunaers�ana�neipmmmnqraisemrormauonconsuwies
an aa or periury, wn'mn is a aass o Feiony numsnaoie oy a orison ierm ana a nne or uo �o Sio 000.
❑ sre
Slgne�me
Davitl Gootlerum
leieo�o�e ��.�na.
l 31] )506-8151
rve�a o� ���, Prappu�eia�
of$tateandLocalCodes g5 ( 31� 1506-6151 I
City of Carniel
INSPELTION IATEFlLING TOTAL
�uM1�Pi ��J�l�'��
oarE: 03/19/20
Dale (monlR tlep yen)
���2��2��9
rnn �ogls�m�onn.m�or
10200395
F������e. - �anaauB..
( 3�] ) �455]81 tleveQgnaengineering.com
RELEA5E0 FOR CONSTRl1CTI0N
SubJecttocompliancewlthallreguletlons a;r�1oniiumenr reiepno��
PROJECT DATA
Pe� o! 91e�e Po�m 91918 (R15I19L)
sacpai����mea.� Fnmemial om4ear.y�1
INSTRUCTIONS Thispagemu5fbecompleletlbyNesubmi!lei.
Please anewer allpertinen! ques!lone antl uee a se0arafesM1ee[ iYatltltlional epaoels requiretl.
I. One/�ppllca�lonlo�GonsVuc�lon pe519n Neleasa (o�glnalsl9nafure5),to9e[M1e�wltM1 cortec�Aling(ees. (See /ee solretlule)
2. One compla[e 5et of plaris and spectllct�lors. TM1Is se� wlll be �eWmed �o �M1e appllcant fo� use a� Ne �ob stte. �ddltlonal colla�ed se�s may be
submlVetl antl reW ma0 tl s�ampetl set5 a�e neatletl fo� oNe� pmposes. Plaue Ilmtt tM1e walgM o( eaclt su0ml�tetl packa9e �0 3� pounds.
A. 3I�e plan spowlnq tllmen5lonetllowtlon ofbullding�oallp�opehyllnes anQ�o allexls�ing bull0ings on�M1e p�opehy,as wellas wltl�h ofany sVeeFs
men[5 bo�tletlng�pe pmpehy.
e. Founae�io�a�ooaseme��pia�sa�ooeraus.
4 Dlmenslonetlfloorplanslorallfloors.
D. Flre entlllle batetyplan sM1owing grapM1lcallyorbylegentllM1elow�lon andre�ing o�bulltling elemenls suo� es erea separetlon well4 smoNa
eamers, rv�resisme corrmorwaus, s�av e�ciosures. snan e�aosures ana nonzon�ei exus.
E Wallele�atlons ofall�tatlo�wallslnGutling a0�acan�g�ountl alave�lon.
F seoro�sa�a oetaus orwaus, noors a�o root snowi�q mme�sio�s, ma�eriais.a�a neeua�srerieaors (a�vame �.
c. s�mcwraipia�sa�oeie�auo�ssnovn�qsizea�omcauo�oranmemoerawssaesiq�ssnowlnqanwnnealonae�elis,anaeusvessoeiomarons,
rcspecnicauyrequerteo
H. Hoomnmmsmeomemowi�grimsnesiorweus,cem�gsa�anoorsmeurooms,s�avwaysa�aoorriaors.
. omrscneawesnowmgma�eriai,sne,mioe�essamnre-res�swemo�qmrauaoors.
d Gonrtmqlonspectllcatlons(may�eonplane�orsmallpm/eolsJ.
K. FJecNcal plans,tllaq�am5.0e�a115 o(servloe enVence.antl powe�o�IlgM1�ln�ln(o�matlon requVetlto�ene�qy con5erva�lon.
. Plum�lnq plans sM1mvinqloca�lon ot�lx�wes.nse�s,tl�alns an0 plpinr�IsomeVlcs.
M. Mechanital plans showln9lowtlon and she of 4uo�woM, equlpman�, ry�e tlampa�s antl smoke tlampe�s antl eQulpmen� scM1etlules sM1owing capad�y.
❑ New builtling ❑Atltllllon ❑ Remotleling
. sW�o�lireo 6ewa � Exis�ing
naWrei�tllsestap �n Yes rlNo rl�Pubf rl P�ivelc
❑Full ❑partlal ❑None ❑Pmvltlatl ❑Tofollow
eanlel,speclrywnere' ln�lealn nooaplaN(on¢oxoounlyplen iohlbulldiry
mmlssianf � yes ❑ Na
ulLing conatrud�on�ypeanOwzupenqGassl�lcel�on BUA01ng �elgM Numbe�ol0
(SloOes) (OesMDell
a�aoa�naeauaeo�s��mm(cean�.aa)�sae� e,ameno� a�ma�u a���aeav u� omo���
❑ Ves ❑No ❑ ves ❑ No
oes proleC��duae:(ChedrJYes) � Hlgp plle s�ora9e ❑ Bolla�o�pressure vessel
❑ Eleva�or or lift ❑ Combus�ible fibers slorage
RELEA5E0 FOR CONSTRl1CTI0N
Subject to compliance with all regulations
of State and Local Codes
City of Carniel
'�vmP.�''i'�o�V��
oarE: 03/19/20
sa�are raai
$
❑ ves ❑ No
Hau�Gous or �ammable malerials slora9e
FirewoM1ssloage ❑Exploslvesslorege
o�e= oNo