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Home My WebLink About05080285-Amendment Info REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE For Commercial, Institutional, Industrial, or Multi-Family Projects City of Carmel; Department of Community Services NAME: No. If yes, PERMIT #: vS680~~C . Permit has been issued: BUILDER of RECORD: ~7S~) . E: ?>i7- 7'20-0310 FAX: '317 -7 2b - o3"f?1 STREET ADDRESS: b4 ++, STATE: ZIP: 46D 20 ST METHOD OF CONTACT: 7Z6-D 1-0 LOCATION & PROJECT INFO: NEW SQUARE FOOTAGE OR AREA AFFECTED BY REVISION: SLAB 0 CRAWL SPACE (Walkout_Y _N) # of Floors: NEW SCOPE(S} OF 0 FDN 0 STR 0 ARCH MECH 0 PLUM RELEASE: ?VElEC 0 SPKLR OTHER(S): :;:>V It-!VC BLDG. CONSTRumON TYPE: /I~ B' / S I rJ OCCUPANCY CLASSIFICATION: "S-:1 DESCRIPTION OF AMENDMENT/REVISI ~ch- i LEASE ADDENDUM/UPDATE INFORMATION: (' ro'~ RClCAGCD FOR CON5TFlI IniON !':llhject to r:ompliance with all regulations of S tate and l_ocal Codes. DEPI 01- t..;UIViIVlUi~ITY SERViCeS MEL/ CLAY TO Class I structure permits are subject to the General Administrative Rules of the State oft'I.t0~g\e 675 lAC 12) regarding expiration time frames for beginning and completing construction. L the undershmed, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application will comply with, and conform to, ill applicable laws of the State of Indiana, and the uZoning Ordinance of Carmel Indiana - 1993~ (Z~ 289) and amendments, adopted under authoricy of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I also certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I'further certify. under the penalties of Perjury (Indiana Code 35~44- 2-1) that all of the information I have provided in this Application and other documentation is true and accurate to the best of my knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure, or otheIWise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also agree that the construction will not be used or occupied until a Certiflcate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. , "0 at-, V'. Print , o f( rS'<;e/l Iln/ob Dad. OFFICE USE ONLY: ****************************Cl*************** ft6~(PS5 e NEW INSPECTIONS REQUIRED:-::; . P,LAN AMENDME jREVISION FEE: \,Ii o"ton&.{ Upper Footing Lower Footing Under Slab _n,"'i,fPDITIONAL SQUARE FOOTAGE: 1 NEW INSPECITONS REQUIRED: Rough In Meter Base Final Site (If additional inspections other than what already r ********************* %7,60 TOTAL: Reviewed Approved: Dept. of Community SelVices (Date) S:Permlts/Fo s/Plan Amend Commercial, I~d,Inst, Multi " Fee Received by: Date Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT rjj OPERATOR: vdolan COPY # 1 FEE ID CIIC/O CIINAA CIIPLAMEND ICIIELEMTR ICIIFINAL ICIIFTSLB ICIIFTSLB+ ICIIROUGH ICIISITE Sec:07 Twp:17 Rng:03 Sub:B12 Blk:1 Lot:2 PARCEL ID ........: 1713070009001000 DATE ISSUED.......: 02/01/2006 RECEIPT #.........: 21105 REFERENCE ID # .... 05080285 SITE ADDRESS...... 9760 MAYFLOWER PARK DR SUBDIVISION... ...: MAYFLOWER PARK CITY .............: CARMEL IMPACT AREA... ...: OWNER. ...... .....: KIPP BROTHERS ADDRESS ...... ....: 9760 MAYFLOWER PARK DR CITY/STATE/ZIP ...: CARMEL, IN 46032 RECEIVED FROM ....: CONTRACTOR .......: COMPANY.. ........: ADDRESS ..........: CITY/STATE/ZIP...: TELEPHONE. ........ UNIT QUANTI TY FLAT RATE SQUARE FEET FLAT RATE FLAT RATE FLAT RATE FLAT RATE FLAT RATE FLAT RATE FLAT RATE 1. 00 24,200.00 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 TOTAL PERMIT : METHOD OF PAYMENT CHECK AMOUNT 257.50 TOTAL RECEIPT : 257.50 SMITH DEVELOPMENT LIC # SDCINC SDC, INC. 5220 E. 64TH ST. INDIANAPOLIS, IN 46220 (317) 726-0340 AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- 103.00 103.00 0.00 0.00 4973.00 4973.00 0.00 0.00 257.50 0.00 257.50 0.00 96.25 96.25 0.00 0.00 96.25 96.25 0.00 0.00 96.25 96.25 0.00 0.00 96.25 96.25 0.00 0.00 96.25 96.25 0.00 0.00 96.25 96.25 0.00 0.00 ---------- ---------- ---------- ---------- 5911.00 5653.50 257.50 0.00 NUMBER 25642 ( Would you like .to reduce your turnaround time? E~ECTRONICAL~Y FI~E YOUR PROJECT WITH STATE OF INDIANA AT eflle24w7@dhs.state.ln.us. Or VISIT OUR WEB SITE AT www.ln.gov/dhs/osbc Project number E-Filed, No hard 311729 copy will be mailed 01/06/06 Construction type O<<::cupancy classification II-B, SPK, UNl S-l, ADD Release date { CONSTRUCTION DESIGN RELEASE State Form 41191 (R9f5-98) Report Printed on: January 6, 2006 / I , / Indiana Department of Homeland Security DIVISION OF FIRE SAFETY f PLAN REVIEW 402 W. Washington St., Room E245 Indianapolis, IN 46204 INDIANA 02 ~OO~EQAQPO Scope of release ElEC MECH To: Owner I Architect' Engineer Peterson Architecture Darren L Peterson 00143 802 Mulberry Street Suite G Noblesville IN Available AI Your Lo~1 LIcence Branch SUPPORT HOOSIER SAFETY Type of release Partial Project name KIPP BROTHERS Street address 9760 MAYFLOWER PARK DR 46060 City CARMEL County HAMilTON I ax & a-mall: 3177709718, paul@petersonarchitecture.com The plans, specifications and application submitted for the above referenced project. have been reviewed for compliance with the applicable rules of the Fire Prevention and Building Safety Commission. The project is released for construction subject to, but not necessarily limited to, the conditions Iisted'below,-THIS'IS'NOT-ABUILDING-PERMIT: All required 10cal'permits-and'licenses must-be obtained'prior to beginning construction work. All c'onstruction work must be in full compliance with all applicable State rules. Any changes in the released plans and/or specifications'must be filed with and released by this Office before any work is altered. -Thls"release may be suspended or revoked if it is determined to be issued in! error, in violation of any rules of the Commission or if it is based,op incorrect or insufficient information. This release shall expire by limitation, and become null and '\. ~oid, if the work authorized is not commenced withirrone (1) year from.the above date. 'CONDITIONS: , I Note :(A1A & A1B): In accordance withthe affidavit swom under penalties of perjury in the application for construction design release the plans ~nd specifications filed in conjunction with this project shall comply with all of the applicable rules and laws of Fire Prevention and B:uilding Safety Commission. Providing false information constitutes an act of perjury, which is a Class D felony punishable by a prison term and a fine up to $10,000, I~ accordance with Secti~n 19 of the General Administrative Rules (675 lAC 12M6M19) a complete set of plans and specifications that conform exactly to the design 'that was released by the office of the state building commissioner shall be maintained on the construction jobsite as well as a copy of the design-release. i !4G0615A1\ This constitutes a complete and final release for a partially filed and released project in accordance I with ,675 lAC 12-6-3(c), '3M920A 'j Suspended-type unit heaters shall be installed and supported in accordance with Sectlo~ 920, IMC . .(675 lAC 18-1.4), Iplease;,be advised that if an administrative review of this action is desired, a wri!ten petition for review must be filed at the above a9dress with the Fire Frevention and Building Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above - lstated~date, unless the eighteenth day faUs on a Saturday, a Sunday, a legal ho\\~ay under State statute, or a day in which the Dep;artment of Fire \and Building Services \s closed during normal business hours. In the latter case, the filing deadline will be the first working day the~eafter, If you chCloseJo_p~titiol'!,_and.tl:1e_b~fore_~mentione9 PIoced~!:-e~.a!e follqwed, your petition for revie~ will be.grante9, and an administrative proceeding will be conducted by an administrative law judge of the Fire Prevention and Building Safety Commission. If a petition for review is not filed, this Order will be final, and you must comply with its requirements. , . , , / Filed By Code review official Code Enforcement & Plan Review Branch Director ROBIN PHilLIPS '()~d/S~ Address (name,title of local official,street,city,state and ZIP code DEPT OF COMMUNITY SERVICE State Fire Marshal V1~O~ JIM BLANCHARD ONE CIVIC SQUARE CARMEL, IN 46032 Fax & eMmail: 3175712499, iblanchardfa>carmel.in.aov Page 1/1 / LARGE FORMAT PLANS