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REVISION I PLAN AMENDMENT or ADDENDUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects
City of Carmel; Department of Community Services
Permit has been issued:
No.
If yes, PERMIT #: aOL.jO tx/ij
BUILDER of
RECORD:
NAME:
PHONE:
FAX:
{317 f}~8-~/'
LOCATION
8r. PROJECT
INFO:
CITY:
STATE:
ZIP:
l-\ Co,,", (l.VC-'T/o"J LL-C-
N ZBO
BEST METHOD OF CONTACT:
{51? 7Io~5"f!7 ~
LOT # and SUBDIVISION NAME: (If applicable)
-.J
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION: 15" / lo 0
I
ADDRESS OF CONSTRUCTION:
301
till,
NEW ESTIMATED COST
OF CONSTRUCTION:
;hvO/~ltfPt.lS I "t-80 fi."nr /',/0
NEW FOUNDATION TYPE: "...e:rSLAB 0 CRAWL SPACE
o POST & BEAM 0 BASEMENT (Walkout _ Y _ N )
STATE COMMERCIAL
DESIGN RElEASE #:
~(10B7
DATE OF AMENDED RELEASE:
5"/'2 2-/0~
NEW SCOPE{S) OF 0 FDN 0 STR 0 ARCH ~ECH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
o PLUM
# of Aoo/?:
I
Elevator/Lift: Q YES ~
BLDG. CONSTRUCTION TYPE: E,(~71 5P1<:.. OCCUPANCY CLASSIFICATION: !3" 1?15/Yl
PTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
l;:.~ P1'iq~ ,T
Subject to compliance with all regulations
of State and Locel voaes.
N
DEPT C;- CC:v;~v~~;~~:~~\' ~~'T~\/:8~C
~I1CI I rl
.\
, .
Class I structure permits are subject to the General Administr~tive Rules of the State of I.ndiana (See 675 IA~.12) regardi~iration time frames for
beginning and completing consuuction. ..~_ -. . .---
I. the undershmed, agree that any construction, reconstruction, enlargement, relocation, or alrer<irion 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 Carmel
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. 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
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 qccupancy has been issued by the Department of Community Services, Carmel, Indiana.
~.I!~
Signature of Owner or Authorized Agent
J3teo~
ClJSANO
D~Z-rb0
Print
OFFICE USE ONLY: *************************6************** ********************************
NEW INSPECTIONS REQUIRED:-1!; ~i P. N AMENDMENT/REVISION F. ;). Ca 7.. 0 ()
fl'1J'l~~~
Upper Footing Lower Footing Under Slab \B.Jdt~DmONAL SQUARE FOOTAGE:
nr~. NEW INSPECTIONS REQUIRED:
Rough In Meter Base Final Site ~~ (If addItional Inspections: ther than what already re
, /
T
~
Date
ReviewedjAp eyed: Dept. of Community Services
S:Permlts!FormsjP n Amend Commercial, Ind, Inst, Multi
Fee Received by:
Item
1 of
1
See: Twp: Rng: Sub:
PARCEL ID ........:
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 .........
FEE ID UNIT QUANTITY
---------- ------------- ----------
CIIC/O FLAT RATE 1. 00
CIIPLAMEND FLAT RATE 1. 00
CIIREMOD SQUARE FEET 15,160.00
ICIIFINAL FLAT RATE 1. 00
ICIIROUGH FLAT RATE 1. 00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
. CHECK
TOTAL RECEIPT :
267.00
------------
------------
267.00
CITY OF CARMEL
PERMIT RECEIPT
Blk: L~_
1613110418001011
OPERATOR: vdolan
COpy # 1
06/05/2006
22242
06040044
301 PENNSYLVANIA PKWY #140
INDIANAPOLIS
31
MCP PARTNERS TWO, LLC
401 PENNSYLVANIA PKWY
INDIANAPOLIS, IN 46280
LAUTH CONSTRUCTION
LIC # LAUTCON
LAUTH CONSTRUCTION
401 PENNSYLVANIA PKWY
INDIANANPOLIS, IN 46280
(317) 848-6500
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
107.00 107.00 0.00 0.00
267.00 0.00 267.00 0.00
3163.40 3163.40 0.00 0.00
100.00 100.00 0.00 0.00
100.00 100.00 0.00 0.00
---------- ---------- ---------- ----------
3737.40 3470.40 267.00 0.00
NUMBER
85223
c~
MA'May.23. 20067 3:48PM" 'PRECEDENT REAL ESTATE SERVICES
317e4..e630No.8513
p. 2/2p.. e 1
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lodl.;;;D;,....rImam,.,Hvrne__unll<. [~INDlANA 02)
DNIBION OF FIRE SAFeri'I PLAN REVIEW F 0000
402 W. W..l1Ioot... SL. !loom Des . S
ltUt!Srwpalll, IN 462N
"0811. unTY
-.niiioi .. '*'.....0;;;;,;, iIiWI>
I T., Own., '_'In,'_ 'UP"*T HOOlllER IAFETY
I SRS Ard1IIeCl8
S'wlrt It Shade 41 B4 _............--
[718 ""amB - SUI F 301 F'onnaylv_ Pkwy I
Carmet IN 45032 Cl--n ----cui' - - - ....l
OJ<. .....all: '1714401"', .....l'IlhOInal'hlbb...... lnd~napol" I ~~ON
'niijilOhi: .aiootncil'lo.. and oiit:>,...ua;'-.uiim~. Obo.o -..iiOad Pn>loCt ""'" bOen niViOMcl--W-~rioo wlll1'hii lIlli>"..bliiiil.. 01 . J
,.,. 1'110 "'--"'" Building SaIoty eam....lon;_TI1e prajecl ,,__ fill' """_ ...bJooi to, blJl nol nocaoutlly 11m""" "',111. ooncllllona
""Mid IMbN. 'flot18 Is NOT ^ BUILDtNCl PEP'lMlT, N' raqulnld Iactd pt:qllliltl and blmNS mlflOt be gllltllned pnor to belglnnrng construCUan wart, "'I
__ttuallon'olfl:Mtl; mUlt be In M oampftanoe with BII8ppkable stille n*li. Any ahIInga k'llhe reIed:&ed pkms Bndlcr ~1iDos mUll ~ fIliIi:l with
Me! .......1ICl by thAI orne. tlefcra.-.y 'MHt II .Itered. ~ IllIHsI may be slJ..I!rpanded or revoked it It ill dtllarmlned to be Issued m emlIfl In vkaugn
of."y Mel at th. Camrn.....lon ar If It.. ban4 0f11ncarrec1 at lnrruf6cillnt InfDrrnatbn. This; IIIIeaw shaJ -xplra by imltBtlgn, and beeome I'ltIfJ .nd
wId. If ... Wl:ll'k DUIhoriI:ed Is "elf oamme~d within ane (1) year ftam Ute abow d81..
CONDmON8i
Would you like to reduce your tumaround time?
ELECTRONICAL1. Y FIl.I'YOuR PROJECT WITH BY4TE OF INDIANA AT
.'n.ll4.TOdh...talO.ln.... Or VIlIIT OUIt WE~ SIB A.T _.In.,owd~
". --- - .---..-. -'-- --- Piii]O.....mW. - 5."li"", N~h.;";."- : R;,T....d."1
~~~.!~H~r~B)DESIGN RELEASE 3~n~~~.." ,-~P~"'1I1bor ~~".! ; _Ugl2_~. j
Roflo" P,nlO<! ""' '" 22, 200II ~ 0.:..._ ol...ifIcIIU..
.., IXST, SP~ B. REM i
M=~if'r.'_-' . - -" - -. I
. j
!
.., i
Trpe' of Fail....
Po_
p~nem.-
Plllw Gmup
-J
Nota ;(~ 1A & "1 B): In Btl[Q"(lance with the ~t 8WOIT1 under pename$ ol PEHjury In th8 aNlllcatlDfl for construction d8J'atl "II.... the ~
lII,.d .~ICIhB 111<<1 In cmniunctlon wfth thll pIOJeol.haII comply with aQ of tM IIppllCIltbht rIll.lllnd IaWI at f"tnt Pl'eVOrItion and BuIlding aat.ry
(-. Oarnml.lllan. Pn;1Vidln; f.lse Inf6rrnAtlon g,onalltut- en ect~ ~\Jry, whKih.... CIa66 01al,",,'( fNtli.hlltN bya Jlr!5DIlIe"" eOU linn. ~p to $10,000.
: ',' aooordanoe-uh Section 19 ofZhe Genetal AdmlrWtmlYl RuJu (875 lAC 1Z-6-19}a campl81e set afpllll1l and sp&eIftc8t1onl 0\aI: CC1nfQrm
~tb ttwdw4gn 1h81wa. ,.les8ed by the aMce rAthe state building ocmmlSSIDMf stlllrl b. m81"'talnedCl'l thQ corwtrucUQn~.1l ..liar;.
-~otlh.dIadgn rvI8u..
4G0615II.A This constitutes.. complet.. and final rel....s.. for a partially fU/ld and r..l..ased pmjeet In aooordanc.
with 675 lAC 12-8.3(c),
PfoIlIIe b. edvtslld tt1Bt ft' anactmlnlsttatlw review of this acllon. dS&inld, 8 wrll~ plitltlon for ftWtow must be flled 81 th. ~ addt... wllh!he
1'11'0 P_nllen "nd l:luilding 9lIf81y CarnmlsolOn Id.ntlfylng lINt ....... re, Whidl......w I&"""llht no I0Io' 1hlI. .Ighi... (is) _yo lrom Ih. 01>0...
.tat.cl.o.tw, I.lnhtM U'II' auld_udr day ~a an a $tunHI)'. 8 Sunday, a legal ~y undid' 5t8t1!1 _lIIte, or.. dB. In w.t'Ilch ttlil DttP8lrtrneflt of AN
.nd aUDding Serricn Is dosed during normal busfnels haurq... '" the .ttar CIlIle, the ffiin;- a.M:l1nIII wfIt be 1he firwI: workllll1 dly u.,..tt.... 11 )'tIU
thoe.. to petimn. and the hefote-mentloniW procedurea 8ht 1u11owed, your peIItir)n for f1Ntaw wUl b. Dl1tnted, and B:" admlftlltr.tllllW p~ will
~ CilOrIduchtd by an Bdn*1lBtnlt1"e IElW JYdge of the FIre Ptewenlkm and Building Safety Comml&5:lorl. If 8 ~ far ravllW II not AI.d. th6I ens... wlU
bt' Gmtl. Md vou mPGt comply with its raquiAtnJ8llts.
[pied. - By I c_ .;..,~ O!lk;~ -
l'~, ROBIN PHILLIPS
. AddtM5 (namUlU6l;JfloGal omatal..~,sIIIb!t and ZIP 00de.
I BUIlDING CO",,",'SSIONER
CHARlES KIPHllRT
ON!: HAMILTON SOUARE SUITE 138
l NOBLESVJU.E, IN - .
Fu.. ~:_~,7n~~j,.OI!.~~.!'!!m!ncn.ln.U8_ "____~.
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. S~~'~'~.r' 'V??- OF
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LARGE FORMAT PLANS