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HomeMy WebLinkAboutState Application+:+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