HomeMy WebLinkAbout06050037 Revision Info
REVISION / PLAN AMENDMENT or ADDENDUM to STATE REJ;..EASE
For Commercial, Institutional, Industrial, or Multi-Family Projects I
City of Carmel; Department of Community Services
Permit has been issued: >< Yes No. If yes, PERMIT #: D<.-oS exe17
BUILDER of NAME: PHONE: FAX:
RECORD: '"i?:.owcl'i e?Jbll-J~tJG. (); cz-P. (:l.i7) 7"5"-0944 (31 i) 70~-07bl,;.
STREET ADDRESS: 2..0 . CITY: STATE: ZIP:
Ic3iS M('5~v: (Ie FtSk"-fS /r{ 46038
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
bbn..~bo,,~~'1.\..u.r~. ClW\!\. Pke"""'- dTilZ..-MCl.:(
LOCATION PROJECT NAME: _ t;r&~14,p tUttu 112.~tR9?2:~(t-nM MAMt=. ~TF Jpp"~~I?~
&. PROJECT I.,v4 :-1:< /l~.z.r N' ~{L
INFO: ADDRESS OF CONSTRUCTION:
it e;2S ?-I v 6f2... R.c .~l>
NEW SQUARE FOOTAGE OR +256 I NEW ESTlMATED COST 1:. I NEW FOUNDATION TYPE: );t;... SLAB 0 CRAWL SPACE
AREA AFFECTED BY REVISION: OF CONSTRUCTION: 5; iXX:', ova o POST & BEAM )it BASEMENT (Walkout _Y _ N)
STATE COMMERCIAL DATE OF AMENDED RELEASE: NEW SCOPE(S) OF o FDN oSTR '!L-ARCH )( MECH I)l(. PLUM
DESIGN RELEASE #: 3/(P 141 G-/zolc,&
RELEASE: ~ELEC 0 SPKLR OTHER(S): I
,
# of Floors: I ; ElevatorjUft: Q YES ~ NO I BLDG. CONSTRUCTION TYPE: v-B OCCUPANCY CLASSIFICATION: 13
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
h'M/ 'Pn.w;h. " d",^" <_' .r~ '...<:' - p.u-.-f )&""5.tv. IS .' .~~k.,
a....fy,'lJ. ri",;..6.~ ' 1It/,1C
Tk.'i (! .- 5' i.IA~e: ,v~'f
Class I structure permits are subject t,o the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
beginning and completing construction. 1
I. the undersilrned, agree that any construction, reconstruction; enlargement, relocation, or alteration of a structure, or any change in the use of 1an4 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 l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify thac only kitchen, bath, and floor drains are connected to the sanimry sewer. I further certify, under the penalties of perjuryl (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 1 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 ~ a 7f.C~OCC~lU1CY has been issued by the Department of Community Services, Cannel. fndiana.
j(..J:fE '~but 6. '&,,><.t<f ~/u./o(p
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:**************************f****************~****************************
~ f.f>~f{,~ (-~-~ /) ( _ r---J 00
NEW INSPECTIONS REQUIRED: N> 'b':? T- PLAN AMENDMEN.T/REVISION FEE: ../) t/-vv) I.
vl \.l(~, ~/________
Upper Footing Lower Footing Under Slab1)t\~. '" ~DDmONAL SQUARE FOOTAGE:
'YI~If' NEW INSPECTIONS REQUIRED: ---
Final Site \- (If additJonallnspections other than what already remain on the eXisting permIt are required.)
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I
Roug h In
Meter Base
Reviewed! pproved: Dept. of Community Services
S:Permlts/Forms,fPlan Amend COmmercial, Ind, Inst, Multi
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: lstewart
COpy # 1
Sec:34 Twp:18 Rng:04 Sub: Blk: Lot:
PARCEL ID ........: 1710340000003000
DATE ISSUED.......: 07/05/2006
RECEIPT #.........: 22558
REFERENCE ID # .... 06050037
!on \
SITE ADDRESS ...... 11825 RIVER RD
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER......... ...: VEOLIA WATER INDIANAPOLIS, LLC
ADDRESS ..........: 1220 WATERWAY BLVD.
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46202
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
BOWEN ENGINEERING
LIC # BOWEENG
BOWEN ENGINEERING CORP.
10315 ALLISONVILLE RD.
FISHERS, IN 46038
(317) 842-2616
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
----~----- ------------- ---------- ---------- ---------- ---------- ----------
CIIC/O FLAT RATE 1. 00 107.00 107.00 0.00 0.00
CIINAA SQUARE FEET 4,250.00 1196.50 1196.50 0.00 0.00
CIIPLAMEND FLAT RATE 1. 00 267.00 0.00 267.00 0.00
ICIIELEMTR FLAT RATE 1. 00 100.00 100.00 0.00 0.00
ICIIFINAL FLAT RATE 1. 00 100.00 100.00 0.00 0.00
ICIIFTSLB FLAT RATE 1. 00 100.00 100.00 0.00 0.00
ICIIFTSLB+ FLAT RATE 1. 00 100.00 100.00 0.00 0.00
ICIIROUGH FLAT RATE 1. 00 100.00 100.00 0.00 0.00
ICIISITE FLAT RATE 1. 00 100.00 100.00 0.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 2170.50 1903.50 267.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
267.00
20661
--~--~-----~
------------
267.00
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.in.us, Or VISIT OUR WEB SITE AT www.ln.gov/dhsJosbc
Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9f5-98)
Report Printed on: June 20, 2006
INDIANA 02
~oo~,Q.gpo
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY f PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis. IN 46204
To: Owner I Architect' Engineer
HNTB Corporation
Richard Claus 00059
111 Monument Circle Ste 1200
Indainapolis IN 46204
Available At Your Local LIcence Branch
SUPPORT HOOSIER SAFETY
316749
Construction type
V-B
Scope of release
Release date
06/20/06
B
ARCH ELEC
PLUM
MECH
Type of release
Standard
Project name
White River North Ground Water Treatment
Plant Purification Building
Street address
11825 River Rd
City
CARMEL
County
HAMILTON
Fax & e-mail: 3179175211, rclaus@hntb.com
I
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 below. THIS IS NOT A 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.
CONDITIONS:
Note :(A 1A & A1 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
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.
In accordance with Section 19 of the General Administrative Rules (675 lAC 12-6-19) 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.
:3B
THIS PROJECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE.
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, 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 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.
Filed By Code review official Code Enforcement & Plan Review Branch Director
TONY BRADSHAW u~d/S~
Address (name,title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V?1' 0 ~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499, jblanchard@carmeLin.gov
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