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+:+i°-""'m APPLICATION FOR CONSTRUCTION INDIANADEPARTMENT OFHOMELAND SECURITY :+VA.DESIGN RELEASE DIVISION OF FIRE AND BUILDING SAFETY PLAN REVIEW BRANCH State Form 37318 (R15 / 1-12) 302 West Washington Street, Room E245 ef. Approved by State Board of Accounts, 2012 Indianapolis, IN 46204 r www. in.govldhst2372.htm INSTRUCTIONS: Please type or print clearly. If multiple design professionals are involved in the certification process. submit an addtfonal pate 1 with the appropriate information. Type of application © Standard ❑ Partial ❑ Foundation Request PROJECT• • Name of project Closest intersecting street or road 116th & Rangeline Redevelopment East 116th St & Westfield Blvd. Suite or floor Direction FROM intersection TO project Address (site location, number and street) 1701 E. 116th St. ❑ North ❑ South m East ❑ West City County Is project within city limits? Is building State awned? Carmel Hamilton ❑ Yes ❑ No ❑ Yes m No OWNER'S As owner of the project for which this application is being filed, I hereby certify: 1. the description of use and information contained on this application are correct; 2. the project will be constructed in accordance with the released documents and applicable rules of the Fire Prevention and Building Safety Commission; and documents be fled the Indiana Department of Homeland Security, Division of fire and Building Safety, Plan Review Branch. 3. any changes to the released will with Authorized signature Date (month, day, year) Name (typed or printed) Title Warren Johnson Telephone number Fax number E-mail address ( ) ( ) warren@starmidwest.com Name of owner or business Facility use S-Mart Real Estate, Inc. Address (number and street, city, state, and ZIP code) 8925 Prairie Trail Avon, IN 46123 Foundation Requested - I agree to take full responsibility for removing and replacing any construction found, by plan examination or by inspection, to be in violation of the building codes. I further agree not to proceed with above grade construction until the complete building plans and specifications have been reviewed and released by the Indiana Department of Home land Security, division of Fire and Building Safety, Plan Review Branch. DESIGN PROFESSIONAL (Must Be Executed for all new buildings or additions exceeding 30,000 Gross Cubic feet or any alteration affecting Structural Safety) As the design professional for the project for which this application, plans and specifications are being filed, I hereby certify: 1. I am qualified and competent to design such buildings, structures, and systems and have attached a copy of my current registration card; 2. the plans and specifications filed in conjunction with this application were created by me and / or by my persons under my immediate personal supervision and will comply with all applicable building laws and rules of the Commission; 3. the project data contained on this application are correct and correspond with the plans and specifications to be filed in conjunction with this application; 4. the design professional identified below will inspect the construction covered by this application at appropriate intervals to determine general compliance with the released documents and applicable rules of the Commission and will cause all noted deviations from released documents and code violations to be corrected or notify the owner and authorities having jurisdiction of all specific deviations and code violations; and 5. 1 affirm under penalty of perjury that the representations contained herein are true and I further understand that providing false information constitutes an act of perjury, which is a Class D Felony punishable by a prison term and a fine of up to $10,000. Responsibility is for the following systems: m Plumbing ❑ Foundation ❑ Structural ❑ Architectural m Mechanical ❑ Site ❑ Electrical ❑ Fire Suppression ❑ All of the above ❑ Other ,-0r Signature &6141 Date (month, day, year) 5/26/2023 Name (typed or printed) Indiana registration number ❑ Architect Trent A Baxter, PE PE19700309 p Engineer Telephone number Fax number E-mail address (317 ) 535-7109 ( ) tbaxter@versatile-Ilc.com Name of firm (if applicable) TMI Mechanical Address (number and street, city, state, and ZIP code) 570 E. Tracy Rd. Suite 620 Whiteland, IN 46184 Designated inspecting design professional Indiana registration number Telephone number Trent A Baxter, PE PE19700309 ( 317 ) 535-3579 STANDARD FILING FEE PROCESSING PARTIAL FOUNDATION INSPECTION LATE FILING TOTAL Page 1 of 2 n�( COMcheck Software Version 4.1.5.5 Mechanical compliance Certificate Project Information Energy Code: Project Title: Location: Climate Zone: Project Type: Construction Site: 1701 East 116th Street Carmel, IN Mechanical Systems List Quantity System Type & Description 90.1 (2007) Standard 116th & Rangeline Redevelopment Carmel, Indiana 5a New Construction Owner/Agent: Warren Johnson S-Mart Real Estate, Inc. 8925 Prairie Trail Avon, IN 46123 warren@starmidwest.com Designer/Contractor: Trent A. Baxter, P.E. TMI Mechanical 570 East Tracy Road Suite 620 New Whiteland, IN 46184 (317) 535-3579 tbaxter@versatilke-lic.com HVAC System 1 (RTU 1) (Single Zone): Heating: 1 each - Central Furnace, Gas, Capacity = 224 kBtu/h Proposed Efficiency = 80.00% Et, Required Efficiency: 80.00 % Et (or 78% AFUE) Cooling: 1 each - Single Package DX Unit, Capacity = 125 kBtu/h, Air -Cooled Condenser Proposed Efficiency = 11.00 EER, Required Efficiency: 11.00 EER Fan System: FAN SYSTEM 1 1 RTU 1 -- Compliance (Brake HP method) : Passes Fans: FAN 1 Supply, Constant Volume, 4000 CFM, 5.0 motor nameplate hp, 2.3 design brake hp (2.3 max. BHP) HVAC System 2 (RTU 2) (Single Zone): Heating: 1 each - Central Furnace, Gas, Capacity = 110 kBtu/h Proposed Efficiency = 80.00% Et, Required Efficiency: 80.00 % Et (or 78% AFUE) Cooling: 1 each - Single Package DX Unit, Capacity = 72 kBtu/h, Air -Cooled Condenser Proposed Efficiency = 11.00 EER, Required Efficiency: 11.00 EER Fan System: FAN SYSTEM 2 1 RTU 2 -- Compliance (Brake HP method) : Passes Fans: FAN 2 Supply, Constant Volume, 2400 CFM, 2.0 motor nameplate hp, 1.1 design brake hp (1.1 max. BHP) HVAC System 3 (Single Zone): Heating: 6 each - Duct Furnace (Heating equipment (FURN-1)), Gas, Capacity = 120 kBtu/h Proposed Efficiency = 80.00% Ec, Required Efficiency: 80.00 % Ec Cooling: 6 each - Split System (Cooling equipment (CU-1)), Capacity = 60 kBtu/h, Air -Cooled Condenser Proposed Efficiency = 13.00 SEER, Required Efficiency: 13 00 SEER Fan System: FAN SYSTEM 31 FURN-1 -- Compliance (Motor nameplate HP method) : Passes Fans: FAN 3 Supply, Constant Volume, 1600 CFM, 1.9 motor nameplate hp HVAC System 4 (Single Zone): Heating: 2 each - Duct Furnace (Heating equipment (FURN-2)), Gas, Capacity = 80 kBtu/h Proposed Efficiency = 80.00% Ec, Required Efficiency: 80.00 % Ec Cooling: 2 each - Split System (Cooling equipment (CU-2)), Capacity = 33 kBtu/h, Air -Cooled Condenser Proposed Efficiency = 13 00 SEER, Required Efficiency: 13.00 SEER Fan System: FAN SYSTEM 4 1 FURN-2 -- Compliance (Motor nameplate HP method) : Passes Project Title: 116th & Rangeline Redevelopment Data filename G:\TMI\BMO Bank\Ashrae\Ashrae.cck Report date: 05/26/23 Page 1 of 9 Quantity System Type & Description Fans: FAN 4 Supply, Constant Volume, 1200 CFM, 1.5 motor nameplate hp Mechanical Compliance Statement Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed mechanical systems have been designed to meet the 90.1 (2007) Standard requirements in COMcheck Version 4.1.5.5 and to comply with any applicable mandatory requirements listed in the Inspection Checklist./� Tr e v\ t IJ r..� 512 2 Name - Title Signature Date at���� No. * 19700309 STATEOF \fix Project Title: 116th & Rangeline Redevelopment Data filename: GATMI\BMO Bank\Ashrae\Ashrae.cck Report date: 05/26/23 Page 2 of 9 COMcheck Software Version 4.1.5.5 Inspection Checklist Energy Code: 90.1 (2007) Standard Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section & iieq.iE7 4.2.2, 6.4.2 [PR2)1 4.2.2, 7.4.1 [PR3)1 6.7.2.4 [PR5)1 Plan Review Complies? CommentslAssumptions Plans, specifications, and/or calculations provide all information with which compliance can be determined for the mechanical systems and equipment and document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. Plans, specifications, and/or calculations provide all information ;with which compliance can be determined for the service water heating systems and equipment and document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. Detailed instructions for HVAC systems commissioning included on the plans or specifications for projects >=50,000 ft2. Additional Comments/Assumptions: FIComplies Requirement will be met. ❑Does Not ❑Not Observable []Not Applicable ❑Complies ❑Does Not ❑Not Observable j❑Not Applicable ❑Complies ❑Does Not ❑Not Observable ❑Not Applicable Requirement will be met. Exception: Requirement does not apply. 111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: 116th & Rangeline Redevelopment Report date: 05/26/23 Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Page 3 of 9 # Footing / Foundation Inspection Complies? & Iteq.ID - - __ — 6.4.3.8 Freeze protection and snow/ice ❑Complies [FO9]3 melting system sensors for future❑Does Not connection to controls. ❑Not Observable j❑Not Applicable Additional Comments/Assumptions: Cam mentslAss umptions Exception: Requirement does not apply. 111 High Impact (Tier 1) 2 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: 116th & Rangeline Redevelopment Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Report date: 05/26/23 Page 4 of 9 Section Mechanical Rough -in I Plans Verified Field Verified Complies. Comments/Assumptions # Inspection Value Value 6.4.1.4, HVAC equipment efficiency Efficiency: Efficiency: ❑Complies see the Mechanical systems list 6.4.1.5 verified. Non-NAECA HVAC ❑Does Not for values. [ME117 equipment labeled as meeting❑ Not Observable 90.1. ❑Not Applicable 6.4.3.4.1 Stair and elevator shaft vents []Complies Requirement will be met. [ME31' !have motorized dampers that ❑Does Not automatically close. ❑Not Observable ❑Not Applicable 6.4.3.4.2, !Outdoor air and exhaust systems ❑Complies Exception: Gravity dampers 6A.3.4.3, have motorized dampers that ❑Does Not acceptable in buildings 3 6.4.3.4.4 automatically shut when not in Observable stories. [ME4]3 :use and meet maximum leakage _]Not ❑Not Applicable rates. Check gravity dampers where allowed. 6.4.3.4.5 Ventilation fans >0.75 hp have ❑Complies Exception: HVAC systems [ME513 automatic controls to shut off fan ❑Does Not intended to operate when not required. ❑Not Observable continuously. ❑Not Applicable 6.4.3.9 Demand control ventilation ❑Complies Requirement will be met. [ME611 provided for spaces >500 ft2 and []Does Not >40 people/1000 ft2 occupant ❑Not Observable density and served by systems ❑Not Applicable with air side economizer, auto modulating outside air damper control, or design airflow >3,000 cfm. 6.4.4.1.1 _ Insulation exposed to weather ❑Complies Requirement will be met. [ME713 protected from damage. ❑Does Not Insulation outside of the i]Not Observable conditioned space and associated ❑Not Applicable with cooling systems is vapor retardant. _ 6.4.4:1:2 HVAC ducts and plenums R- R- ❑Complies Requirement will be met. [ME8]2 insulated. ❑Does Not I❑Not Observable ❑Not Applicable 6.4:4.1.3 HVAC piping insulation thickness. in. in ❑Complies Requirement will be met. [ME912 ;❑Does Not I❑Not Observable '❑Not Applicable 6.4.4.2.1 ' Ducts and plenums sealed based ErNW❑Carnpiies Requirement will be met. [ME10]2 'on static pressure and location. ❑Does Not ❑Not Observable ❑Not Applicable 6.4.4.2.2 Ductwork operating >3 in. water ❑Complies Exception: Requirement [ME11]3 column requires air leakage ❑Does Not does not apply. testing. ❑Not Observable ❑Not Applicable j 6.4.4.2.2 Ductwork operating >3 in. water ❑Complies Exception: Requirement [ME11]3 column requires air leakage ❑Does Not does not apply. testing. ❑Not Observable ❑Not Applicable 6.4.4.2.2 Ductwork operating >3 in. water E.-Complies Exception: Requirement [MEJI]3 column requires air leakage ❑Does Not does not apply. testing. ❑Not Observable ❑Not Applicable 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: 116th & Rangeline Redevelopment Report date: 05/26/23 Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Page 5 of 9 Section I Mechanical Rough -In Plans Verified Field Verified # Inspection Value Value & Req.ID 6A.4.2.2 Ductwork operating >3 in. water [ME11]3 column requires air leakage testing. 6.5.2.3 Dehumidification controls [ME19]3 provided to prevent reheating, recooling, mixing of hot and cold airstreams or concurrent heating and cooling of the same airstream. 6.5.4.1 ; HVAC pumping systems >10 hp (ME2513 ; designed for variable fluid flow. 6.5.6.1 Exhaust air energy recovery on [ME30]1 systems >=5,000 cfm and 70% of design supply air. 6.5.7.1 Kitchen hoods >5,000 ctm have (ME32]2 make up air >=50% of exhaust air volume. 6.5.7.2 Fume hoods exhaust systems [ME33]1 >=15,000 cfm have VAV hood exhaust and supply systems, direct make-up air or heat recovery. 6.5.8.1 Unenclosed spaces that are i (ME34]3 heated use only radiant heat. 6.5.9 Hot gas bypass limited to: <=240 [ME35]1 kBtu/h - 50% >240 kBtu/h - 25% 6.5.9 [ME35]1 6.5.9 [ME35]1 Hot gas bypass limited to: <=240 kBtu/h - 50% >240 kBtu/h - 25% Hot gas bypass limited to: <=240 kBtu/h - 50% >240 kBtu/h - 25% 6.5.9 Hot gas bypass limited to: <=240 [ME35]1 kBtu/h - 50% >240 kBtu/h - 25% Additional Comments/Assumptions: Complies? Comments/Assumptions ❑Complies Exception: Requirement ❑Does Not does not apply. ❑Not Observable -❑Not Applicable ❑Complies Requirement will be met. ❑Does Not ❑Not Observable ❑Not Applicable ❑Complies Requirement will be met. ❑Does Not ❑Not Observable ❑Not Applicable ❑Complies ❑Does Not ❑Not Observable ❑Not Applicable ❑Complies ❑Does Not ❑Not Observable ❑Not Applicable Exception: Requirement does not apply. Exception: Requirement does not apply. ❑Complies Exception: Requirement ❑Does Not does not apply. ❑Not Observable ❑Not Applicable ❑Complies Exception: Requirement ❑Does Not does not apply. ❑Not Observable ❑Not Applicable _ ❑Complies Requirement will be met. ❑Does Not ❑Not Observable ❑Not Applicable ❑Complies Requirement will be met. ❑Does Not ❑Not Observable ❑Not Applicable ❑Complies Requirement will be met. ❑Does Not ❑Not Observable ❑Not Applicable ❑Complies Requirement will be met. ❑Does Not ❑Not Observable I-hl-+- A--1;k1- 1 1 1 High Impact (Tier 1) 2 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: 116th & Rangeline Redevelopment Report date: 05/26/23 Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Page 6 of 9 io.4.1 [EL9)' Rough -in Electrical Inspection Complies? Electric motors meet requirements ❑Complies where applicable. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: Comm entsJAss u m ptio ns Requirement will be met. j 11 High Impact (Tier 1) 2 Medium lmpact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: 116th & Rangeline Redevelopment Report date: 05/26/23 Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Page 7 of 9 Section # Final Inspection I Complies? Comments/Assumptions & Rer .l_ _ I — -- _ 6.4.3.1.1 ; Heating and cooling to each zone is ❑Complies :Requirement will be met. [F1212 1 controlled by a thermostat control. ❑Does Not ❑Not Observable ❑Not Applicable ; 6.4.3.1.2, Thermostatic controls have a 5 °F ❑Complies Requirement will be met. 6.4.3.2, deadband. ❑Does Not 6.4.3.3, 6.4.3.3.1, ❑ Not Observable 6A.3.3.2 ❑Not Applicable [F1312 6.4.3.7 )When humidification and '❑Complies Requirement will be met. [FI613 !dehumidification are provided to a ;❑Does Not zone, simultaneous operation is Not Observable prohibited. j❑Not Applicable 6.7.2.1 'Furnished HVAC as -built drawings ❑Complies Requirement will be met. [F1713 submitted within 90 days of system ❑Does Not ;acceptance. ❑Not Observable j❑Not Applicable 6.7.2.2 Furnished O&M manuals for HVAC❑Complies Requirement will be met. [FI8]3 systems within 90 days of system ❑Does Not acceptance. ❑Not Observable ❑Not Applicable 6.7.2.3 An air and/or hydronic system ❑Complies Exception: Requirement does not apply. [F19]1 balancing report Is provided for HVAC ❑Does Not systems serving zones >5,000 ft2 of ❑Not Observable cond€t€oned area. ❑Not Applicable 6.7.2.4 HVAC control systems have been I❑Complies Requirement will be met. [F[10]1 tested to ensure proper operation, :❑Does Not calibration and adjustment of controls. ❑Not Observable ❑Not Applicable 6.4.3.2 'Temperature controls have setpoint ;❑Complies Requirement will be met. [F120]1 overlap restrictions. ❑Does Not ❑Not Observable ❑Not Applicable 6.4.3.3.1 HVAC systems equipped with at least .❑Complies Exception: null. [F121]1 one automatic shutdown control. ❑Does Not ❑Not Observable ❑Not Applicable 6.4.3.3.2 Setback controls allow automatic❑Complies Exception: null. [F122]1 restart and temporary operation as ❑Does Not required for maintenance. ❑Not Observable' ❑Not Applicable Additional Comments/Assumptions: 11 High Impact (Tier 1) L2 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: 116th & Rangeline Redevelopment Report date: 05/26/23 Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Page 8 of 9 Project Title: 116th & Rangeline Redevelopment Report date: 05/26/23 Data filename: G:\TMI\BMO Bank\Ashrae\Ashrae.cck Page 9 of 9