HomeMy WebLinkAbout06010141-Revision Info
REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, InstitUtional, IIidnstriaI;~~'Mu,lti~rami1y Projects
City of Carmel,. Departm~nt of Community Servicesl 1 '\ i
" '~
LUUO I
If eo ERMIT#: D(Golol~J
. Permit has been issued: ~ Yes
No.
BUILDER of
RECORD:
NAME:
It. '-1C.. IV
STREET ADDRESS:
PHONE:
"'-20
,
FAX:
3/ -
eIlY:
STATE:
~...>
BEST METHOD OF CONTACT:
i=>l....
ZIP:
'1~
13
BUILDER'S EMAIL ADDRESS:
LOCATION
& PROJECT
INFO:
c:
PROJECT NAME:
"RA
...:J
LOT # and SUBDIVISION NAME: (If applicable)
J
NEW SQUARE FOOTAGE OR ..see"\.
AREA AFFECTED BY REVISION: N
STATE COMMERCIAL
DESIGN RELEASE #:
NEW FOUNDATION TYPE: !i4 SLAB 0 CRAWL SPACE
o POST & BEAM 0 BASEMENT (Walkout _ Y _ N )
DATE OF AMENDED RELEASE:
o FDN 0 STR 0 ARCH ... MECH
o PLUM
3 I S55~
Z/~/oGr:
RELEASE:
DELEe Dil. SPKLR OTHER(S):
# of Floors: ~'
Elevator/Lift: Jij, YES
q NO
BLDG. CONSTRucnON TYPE:
11-
OCCUPANCY CLASSIFICATION:
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
6\'...'1'1. '"D(~:I.";> ~..Io/......~ ~ <p.r~..."'k~ 'I' I-IVAC l'\.o\...L...~......., S'1~-1""""~
re ~ re ~ \\-;7 -, c:CC;-r;,c:.:l
~ ~ 1-== U \J L'-:l \ \I
, I
)... ."_'.t~
Class I structure permits are subject to the Gen '.. Cliana (See 6~1'I,\~ 12).r~din~~~Aation time frames for
beginning and completing construction. 1......:., :,. i) 1\), .:~... -~Q
I, the undersiVled, agree ~ha[ any c~nstru~. rion, recon~truction, enlargement, relo~ation, or alteration of a srruc~m;~J ~a:~; nge. iRs~.e~ofland or
structures requested by this applicanon will comply WIth, and conform to, all applicable laws of the State of IndIana, aI).~.t o~~~~ of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the StaU:~f In~~ ,.aJ.14',"~$menda,tory
thereto. I also certify that only kitchen, bath, and Iloor drains are connected to the sanitary sewer. I further certify, tsbtJer ~~_eri~lp~~rjury' Hndiana
Code 35~44~ 2~1) that all of the information I have provided in this Application and other documentation is true a~"?-rte t\5t&~~f,my' " ~
knowledge and belief, an~ that I have not knowingly or intentionally provided or omitted any information that wouftft,en~l},h1d~~~ule:~or. V
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also agree that the constrtOt-Aot~ not Ho\used
or occupied until a Certilicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. - "'11t~ ~:
~-- .~~'
~ - .. ~ -:J~~........" l::::.; l(b""':> 5] () I? -r- :;
Signature of Owner or Authorized Agent Print ' Date
OFFICE USE ONLY: ************************* *************~:!~~~********************
NEW INSPECTIONS REQUIRED: "'" ~ PLAN AMENDM~EEE:/ ?- 07, -S- ()
Upper Footing Lower Footing Under Slab;,J ~ ADDITIONAL SQUARE FOOTAGE:
&f.\~NEW INSPECTIONS REQUIRED:
Rough In Meter Base Final Site ~1' (If additional Inspections other than what already remain
A TOTAL:
.;.... :t\aII\I'~ '\\\ftU \.. \U~
Reviewe jApproved: Dept. of Community Services' (Date) ~ I J
S,P"m'''lfocm>/PI" Amood Comm"c"I, Iod, 10", M"1b ~ \~ Fee Received by:
Date
Would you like to reduce your turnaround time?
ELECTRONICALLY ALE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.in.us.OrVISITOURWEBSITEATwww.in.gov/dhsJosbc
Project number
E.filed, No hard
315558 copy will be mailed 03/01/06
Construction type Occupancy classification
II-B, SPK B, REM
Release date
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on: March 1, 2006
Indiana Department of Homeland Security
DIVISION OF ARE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
~-~OOOO
.F:OOSIER SAfETY
Available At Your Local Licence Branch
SUPPORT HOOSIER SAFETY
Scope of release
MECH
To; Owner I Architect I Engineer
Design Aire Consultants
EW Boulware 16277
220 N College Ave
Indianapolis IN 46202
Type of release
Partial
Project name
Raymond James 2nd Floor
Street address
1310 E 96th St
ax & e-mail: 3174649393.mhufnagel@pmc-inc~nline.com
The plans, specifications and app!ication submitted for the above referen'ced 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 below. THIS IS NOTA BUILDING PERMIT. All required local permits and licenses must be obtained prior to beginning construction work. All
construction 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. This 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 on incorrect or insufficient information. This release shall expire by limitation, and become null and
void, if the work authorized is not commenced within one (1) year from the above date.
CONDITIDNS:
City
INDIANAPOLIS
County
HAMILTON
Note :(A 1 A & A 1 B): In accordance with the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications filed in conjunction with this project shall comply with all of the applicable rules and laws of Fire Prevention and Building Safety
Commtssion. Providing false information constitutes an act of perjury, which is a Class 0 felony punishable by a prison term and a fine up to $10.000.
In accordance with Sedion 19 of the General Administrative Rules (675 lAC 12"{)"19) a complete set of plans and specifications that conform
exactly 10 the design-that was released by the office of the state building commissioner shall be maintained on the construction jobsite as weir as a
copy of the design release.
...
A1
No Conditions.
Please be advised that if an administrative review of this action is desired, a written petition for review must be filed at the above address with the
Fire Prevention and Building Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above -
stated date, unJess the eighteenth day falls on a Saturday, a Sunday, a legal holiday under State statute, or a day in which the Department of Fire
and Building Services is closed during normal business hours. In the latter case, the filing deadline will be the first working day tflereafter. If you
choose to petition, and the before-mentioned procedures are followed, your petition for review will be granted, and an administrative proceeding will
be conducted by an administrative law judge of the Fire Prevention and Building Safety Commission If a petition for review is not filed, this Order will
be final. and you must comply with its requirements.
Fi~d By Code review official Code Enforcement & Plan Review Branch Director
BARBARA HARRY O~d/$'~
Address (name, title of local official,street.city,state and ZIP code
BUILDING COMMISSIONER State Fire Marshal V1?, 0 ~
CHARLES KIPHART
ONE HAMILTON SQUARE SUITE 138
NOBLESVtLLE, tN 46060
Fax & e-mail: 3177742559. cekra>co.hamilton.in.us
Page 1/1
Would you like to reduce your turnaround time?
ELECmONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.in.us,OrVISITOURWEB SITE AT www-in.gov/dhslosbc
Project number
E-Filed. No hard
315558 copy will be mailed 02/23/06
Construction type Occupancy classification
II-B, SPK B, REM
Release date
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/S-S8)
Report Printed on: March 5. 2006
Scope of release
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
JJ:O~,.Q.Q,oO
SPK
Type of release
Partial
Project name
Raymond James 2nd Floor
Available At Your Local Licence Brandl
To: Owner I Architect J Engineer
Hydro Fire Protection
Rober! Sirk
5851 S, Harding Street
Indianapolis IN 46217
SUPPORT HOOSIER SAFETY
Street address
1310 E 96th St
ax & e-mail: 31na06983.marC@hydrofp.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 Safely Commission. The project is released for construction subject to, but not necessarily limited to, the conditions
listed below. THIS IS NOT.ABUILDING PERMIT. All required local permits and licenses must be obtained prior to beginning construction work. All
construction 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. This 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 on. incorrect or insufficient information. This release shall expire by limitation, and become null and
void, if the work authorized is not commenced within one (1) year from the above date.
CONDITIONS:
City
Carmel
County
HAMILTON
In accordance with Section 19 of the General Administrative Rules (675 lAC 12-6-19) a complete set of plans aod specifications that conform
exactly 10 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.
1 F03029 A supply of spare sprinkler heads shall be maintained on the premises in accordance with Section
3-2.9, NFPA 13 (675 lAC 13-1-8),
This construction design release is a corrected release to the release dated 02/20/2006: The scope
was added,
Please be advised that if an administrative review of this action is desired, a written petition for review must be filed at the above address with the
Fire Prevention and Building Safely Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above-
stated date, unless the eighteenth day falls on a Saturday, a Sunday, a legal holiday under State statute, or a day in which the Department of Fire
and Building Services is closed during nomlal business hours. In the latter case, the filing deadline will be the first working day thereafter. tf you
choose to petition, and the before-mentioned procedures are followed, your petition for review win 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.
Filed By Code review official Code Enforcement & Plan Review Branch Director
TERRY LOCOCO O~d/S~
Address (name,title of local official,street,city,state and ZIP code
BUILDING COMMISSIONER State Fire Marshal V1~ 0 ~
CHARLES KIPHART
ONE HAMILTON SQUARE SUITE 138
NOBLESVILLE, IN 46060
Fax & e-mail: 3177742559, cek@co.hamilton.in.us
Page 111
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
~)
OPERATOR: vdolan
COpy # 1
Sec:12 Twp:17 Rng:03 Sub: Blk: Lot:
PARCEL ID ........: 1713120000007000
DATE ISSUED.......:
RECEIPT #. . . . . . . . . :
REFERENCE ID # ....
SITE ADDRESS ......
SUBDIVISION. .....:
CITY. . . .. . . . .....:
IMPACT AREA ......:
OWNER ............:
ADDRESS ..........:
CITY/STATE/ZIP ...:
RECEIVED FROM ....:
CONTRACTOR....... :
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
03/17/2006
21525
06010141
1310 96TH ST E #200
INDIANAPOLIS
MIDWEST YOUTH TENNIS FOUNDATIO
8720 CASTLE CREEK PKWY #329
INDIANAPOLIS, IN 46250
MEYER NAJEM
LIC # MEYENAJ
MEYER & NAJEM INC
13099 PARKS IDE DR
FISHERS, IN 46038
(317) 577-0007
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
CIIC/O FLAT RATE 1. 00 103.00 103.00 0.00 0.00
CIIPLAMEND FLAT RATE 1. 00 257.50 0.00 257.50 0.00
CIIREMOD SQUARE FEET 5,889.00 1391.91 1391.91 0.00 0.00
ICIIFINAL FLAT RATE 1. 00 96.25 96.25 0.00 0.00
ICIIROUGH FLAT RATE 1. 00 96.25 96.25 0.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 1944.91 1687.41 257.50 0.00
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
257.50
257.50
NUMBER
38928
I
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