HomeMy WebLinkAbout05120020-Revision Info
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REVISION I PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects
City of Cannel; Department of Community Services
Permit has been issued: 1 Yes
No.
!fyes, PERMIT #: OS-IZOO 2D
BUILDER of
RECORD:
NAMF'
PHONE:
FAX:
5/17 808-
CITY:
STATE:
l
LOCATION
&. PROJECT
INFO:
BUILDER'S EMAIL ADDRESS:
~ ' /'on
PROJECT NAME:
Wt:.sf
,0
BEST METHOD OF CONTACT:
M/I
~ -
ADDRESS OF CONSTRUCTION:
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
NEW FOUNDATION TYPE: .xr SLAB 0 CRAWL SPACE
o POST & BEAM 0 BA~MENT (Walkout Y N )
STATE COMMERCIAL
DESIGN RELEASE #:
sF13tY/
I :;
NE ESTIMATED COST
OFCONSTRumON: J.ifr>. (/() (i.'!;lrgj
DATE OF AMENDED RElEASE: NEW SCOPE(S) OF
ollp/()h
,M FDN
/\' STR jIf ARCH
o MECH
o PLUM
RELEASE:
o ELEC 0 SPKLR OTHER(S):
# of Floors:
/
Elevator/Lift: Q YES )tNO
BLDG, CONSTRUmDN TYPE: f15 S ~(t..DCCUPANCYCLASSIFlCATION: /I
,DESCRI~ON OF ~ENDMENT/R~VISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
~f!. 'kAf.tM. /~/.{/-7f(MI /A!JNhf.;t/;~ /'Aty""< (~lIhul'/'1 .5.$', ?;;lJ'lf'l79bn~9') ,
izt'
_.><::. ".,!~\'g:.
RE~EASED FOR r.O~J'iTS1UCTION
tl';~-ihk. Subject to compliance with all reoulatioM
"'''''J:~'''~;''';;:f1.:! UI 6tate and Local
'<i~i;'tJ F COMM ' <:: \
Class \~;tructure permits are subject to the Gene A .Q!isCA~liibs,b~ireJ'1ijN5p.flfDe 675 lAC 12) regarding expiration time
frames for beginning a*~f9~}\ng construction.
I. the undersie:ned. agr~e 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, all applicable laws of the State of Indiana, and the "Zoning
Ordinance of C~rrnel Indiana -1993" (Z-289) and amendments, adopted under authority 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. 1 further
certify, under the penalties of Perjury (Indiana Code 35-44-2-1) that all of the infonnation 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 infonnation that would ~end to hide, obscure, or otherwise 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 Certificate of Occupancy has been issued by the
Department of Community Services, Cannel, Indiana.
OFFICEUSEONLY:**************************~****************************************
NEW INSPECTIONS REQUIRED:/el~PLAN AMENDMENT REVISION FEE: l- -5 7.::;0
/01'; ,
Upper Footing Lower Footing Under Slab ~'I\f/ADDmONAL SQUARE FOOTAGE:
ftrll1i'olNEW INSPECTIONS REQUIRED:
Rough In Meter Base Final Site CC(If additional inS ectlons other than what already remain on the eXlstmg permit are required)
T T . A ;)...57, Sf)
---
Date
Reviewed/Ap roved: Dept. of Community Services
S:PermitsjFormsjP an Amend Commercial, Ind, Inst, Multi
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.ln.us. Or VISIT OUR WEB SITE AT www.ln.gov/dhslosbc
Project number
To: Owner I Architect' Engineer
Alan Tucker
Randy Burke 910036
280 East 96th Street
Suite 200
INDIANAPOLIS IN 46240
Fax & e-mail: 3175740957, bcampbell@csolnc.net
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
listed'betow~"'THIS~IS"N0T~ A'Bt:1ltDING''PERMtT''7Alrrequired'locaf'perrnits'and'licenses^must'be'obtained'priorto'beginning'construction work. All
4onstruction work must be in full compliance \Vith all applicable, ~tate rules, ,Any ~hanges in the released plans and/or speci~cationsimust be filed with
".nd released by this Office before any WOrk.' iStalte. red.,.' . elease.m8..y be".isus.pen r revoked if it is determ' ~to oeHssued inj.,error, in violation
of any rules of the Commission or if it is baseGlOn inc insufficYet,t inttrnnaiio release shall expire .ftatlon, and become null and
void, if the work authorized is not commerf~e~twithift ef1r frOm~fte ~bdvd~d J~.' = I
tONDITIONS: iii lil W '" J1f( <iit lit ,,, &\1,- i
I .
Note :(A1A & A1 B): In aCCOr he affidavit ,5",,0111: underpenalties()f perjury,if):t,h,e applica~_ior1:for'Gonstruction,d~ign releas"e the plans
and specifications filed in i~~j this proj~cTsh~1I cO~R!yWiih~aiKof t~~rapplicab!?/ulE!~1a'n(rra~()f F!~1p;:e;ven~~~n and B~i1ding Safety
90mmission. Providing fal constitut~'t:~'if~~t of p~OUry, Whi4fJgs ~~Iass D f~~ny~Unishablt~y ~rison te~~and a fire up to $10,000.
lh accordance with Sec neral Admi~lstratlve Rules (675 IAC~12::6-19) a completfj':set of pl~"s a,,(:I specificl:ltlons that conform
exactly to the design" rq by the officerof the stateiBuilding commissioner shambermaintained:on tl1e construction jobslte as well as a
C'opy of the des,' ~, <":!: :4.'''5. '...'1': '.-'..'.iv:...! ;E.~> '.'Ah ~j:;l. '..-'W.\' ~:tt& I
I 'xc' ftl sq~ ~ lt~ ~1 tg,g: tfj ~
!l!I:l't::f;", \?1~ ~ wirf iij=qj JL'lli i:w R'-tK 801
'3B HASl:~EEN REVIEWED ,PNDER ~THEI 2003 ~NDIANA BIlJILDING CODE.
{' GS'"S'7f:HRU 12,~": II 11II ill' ..~ Ilil ml Ill! I I
i~!",,, ~'l1f;:~~7:>;;.~m,;~I';, ~~ll!llill:,~,~'j!!:"~,,'It~;~;G!It~;~; t.'" MO
'.". NOTE: ELECTRICAL RELEASE ISFOR .FIRE ALARM SYSTEM ONLY. ,
j;~~" . :'.; ;3 ",C",^'l-_-*',1>>-c, :" 1,:,,:-,1- 'i"<" -f''''~'j', %i> if;; "'?F ti-, i, i
1 Ple~sEr'be advised that if an adminiitrativ~ r~vi~~,oft~isra~tiO':lHsfdesir'ed, {~ri~en ):ietit~n f~,review must be filed at the above address with the
\Fire Prevention and Building Safety Commission'identifying":the'1'matter fcir which'1a review'is sought no later than eighteen (18) days from the above -
stated^date;--unless the'eighteenth'day'falls,on'8'Saturoay;,'a.Sunday,-'a'{egaYholiday,under'State;statute,or'a'day'hwhich,the'De(partment of Fire
and Building Services is closed during normal business hours. In the latter case, the filing deadline will be the first working day thereafter. If you
choose to petition, and the before-mentioned procedures are followed, your petition for review will be granted, 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.
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-9B)
Report Printed on: January 10, 2006
INDIANA 02
~OO~EgAQPO
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY 1 PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
Available At Your Local L.lcence Branch
SUPPORT HOOSIER SAFETY
"~,
314304
Construction type
II-B. SPK
Scope of release
Release date
01/10/06
Occupancy elassiflcatlon
M
ARCH
STR
FDN
Type of release
Addendum
Project name
West Carmel Marketplace lnline
Street address
10025 N Michigan Rd
I City
CARMEL
County
HAMILTON
Filed By I Code review official Code Enforcement & Plan Review Branch Director
I FRED BENNETT -- '(}~d;(j~
Address (name, title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal Vl1'O~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e.mail: 3175712499, iblanchard(fj)carmeLin,nov
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