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HomeMy WebLinkAbout06100004 Revision Info ~\ '. ,< '\ " ..~ 'IrON ~o. REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE For Commercial, Institutional, Industrial, or Multi-Family Projects City of Cannel,. Department of Community Services Permit has been issued: Yes No. If yes, PERMIT #: s Ce)O (') 00 t.J G~r1"R.4'- PHONE: V, '31 ~ -II 7 mY: /,JOkS FAX: BUILDER of RECORD: NAME: STATE: /Ai ZIP: 2 :;/ot..1L BEST METHOD OF COflTACT: MI3~o 5D - 172- LOT # and SUBDMSION NAME: (If applicable) d /,{,-o'l.3(,-oa.,d>o-<!>o '" LOCATION & PROJECT INFO: PROJECT NAME: NEW SQUARE FOOTAGE OR AREA AFFECTED BY REVISIO~.1. .c: ~~~ NEW ESTIMATED COST OF CONSTRUCTION: 5>2- NEW FOUNDATION lYPE: 0 SLAB 0 CRAWL SPACE o POST & BEAM '0 BASEMENT (Walkout Y N ) STATE COMMERCIAL DESIGN RElEASE #: 82//5'1 # of Roors: :2- DATE OF AMENDED RELEASE: 10/2:3/(7f.- NEW SCOPE(S) OF 0 FON 0 STR <r'ARCH 0 MECH RELEASE: 0 ELEC 0 SPKLR OTHER(S): o PLUM Elevator/Un:: W"YES 0 NO BLDG. CONSTRUCTION TYPE: / /-/3 .5 PI:.. OCCUPANCY CLASSIFICATION: 6 D/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION: c/ C Class I structure permits are subject to the General Administrative Rules of the St~te of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and completing construction. I. the undershmed. agree that any construction, reconsttuction, enlargement, relocation. or alteration of a sttucture, 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 Cannel Indiana -1993n (Z~289) and amendments, adopted under authority of r.c. 36~7 et seq. General Assembly of the State of ~diana, 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 3S~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 D t. of Community Services regarding the truth of the matters addressed. I also agree that the construction will not be used or occupied until a C . cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. /'1AeL //-(84) Print /OIZ-7;:'... Date OFFICE USE ONLY: ****************************************************\.**********/ .***** \...1 )JEW INSPECTIONS R~QUIR~D: ( N AMENDMENT/REVISI. , -1. r l 'if./l~ aS5{{!2Sed w/or)j;il/lE "'if Upper Footing Lower Footing Under Slab ONAL SQUARE FonTA . NEW INSPECTIONS RffiUFRi{l: {If additional fnspectlon~ ott'er{..f ~lt1.lrl>:aW'IVO'PS'In ~. Rough In Meter Base Final Site Reviewed Approved: Oept of Community Services (Date) S:Permlts/ S/PIan Amend Commerdal, Ind, Inst, Multl TOT~ . . . (".IJdPJ 17 . Fee 1'!elve by: /-5(~11 Ci A ~ oalJ/1!t 10& Would you like to reduce your turnaround time? ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT efile24-7@dhs..in.gov, Or VISIT OUR WEB SITE AT www.in.gov/dhs/branches/planreview/index.html Project number Indiana Department of Homeland Security DIVISION OF FIRE SAFETY I PLAN REVIEW 402 W. Washington St., Room E245 Indianapolis, IN 46204 INDIANA 02 ;l:OO~EQgOO 321159 Construction type II-B, SPK Scope of release ARCH E-Filed, No hard copy will be mailed 10/23/06 Occupancy classification Release date CONSTRUCTION DESIGN RELEASE State Form 41191 (R9/S-98) Report Printed on: October 23, 2006 B To: Owner I Architect I Engineer Curran Architecture Shawn M Curran 960043 802 Mulberry St Noblesville IN 46060 SUPPORT HOOSIER SAFETY Type of release Standard Project name Cornerstone Dentistry Available At Your L.ocal Ucence Bromm Street address 912 S Rangeline Rd Fax & e~all: 3177739828, scurran@curran-archltecture.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 Safety Commission. The project is released for construction subject to, but not necessarily limited to, the conditions listed ;betow.~THIS'IS 'NOT-"A'8UIl:DING' PERMITo:"AIt'required'local'permits'and'licenses'must'be'obtained' priorto'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 ~nd released by this Office before any \NO~ is~a~ter:e,d.p:'hisnel~ase m~y be'~uspended-9r revoked if it is determined:to ~:is!>_ued in:error, in violation ()f any rules of the Commission or if it is based,on i,ncorrect'or insufficient infol1T1ation!:Thi~ release shall expire by,limitation, ,(;lnd become null and void, If the work authorized is not comme~ced,Wit1)jh one (1)'Y8cU ffom:~tle a,bove,dai~'-,,:j~s n ~;, /iP:' , CONDITIONS: " ,,"'! Ir' \:~, l.;.;;::!i-,'" \:.; f ',L ,<,,--,,!.., 'J <:<~: ;[::2="':; --J.,~., 1~~~. I Note :(A1A & A1B): In accorda~'Ce~~~\the affidavit sworn under penalties of perjury'in.the,applicati()nJor<c:onstruction,des,ign release the plans and specifications filed in oonjunctio!1:'With this project shall comply with all,ofthe'appticable rules'and laws:of Fire Prevention and Building Safety Commission. Providing fa,lse'information constitute,s:an act of perjury, which is a-'Class D felony'punishable by a prison telT!l;and a fine up to $10,000. l~ accordance with Sec;tl~n:1~,'()ftheGeneraf Adm'inistrative Rules (675 lAC 12~19) a complete'set of plans and specifications that conform exactly to the designthatwas:releasedbY the office of the state building commissioner sha_Ube maintained on the construction jobsite as welt as a copy of the desig~ reJ~..~s'e. ~~~'.. ,: . :" - . _ I L:~~,:~, ,~,;,..:t't".:/ .. /' :'., ;" ';# j;~: "'C- 1" , iA2 /;"'",An\el~vator installation R,armit shali'be obtained ,from the.,Elevator Salety;Division'in accordance with i !'';-::IESCi(675 lAC 21-1-1). <'~ . f ili-.;-:f,L't "'",fi"~"-" '.. ._,"~' -. ,- r4G0603AA2i":rcThis"projeCl'release is'lor the building shell only and ,does not include.the finish of one or more I ,,;".),,';,0f!tenimt spaces, Tenant sp~'ce finish shan-be filed as a'new projeclin'accordance with 675 lAC 12-6- 1 /:/-~..'~JY:,~;' 6 before commencing work. -, /.:.""",',(1..... '. c- ,. .^". ...... "". . r-" '_' . 'C. .. ' '4G0615A This is a partially supmittedand,releasediprOject.,Subsaquent submittais shall be accompanied by a I ^' completed standardrt'partial.forl'l1,(ACDR),an'd properJees in accordance with 675 lAC 12-6-15(c), '--^'--^'SYSTEMS-REMAINING~Mech~'elec-:-a-n(rpium-' City CARMEL I County HAMILTON 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 wilt be final, and you must comply with its requirements. Filed By Code review official Code Enforcement & Plan Review Branch Director DENISE FITZPATRICK u~d/S~ Address (name,title of local official,street,city,state and ZIP code DEPT OF COMMUNITY SERVICE State Fire Marshal V?l'O~ JIM BLANCHARD ONE CIVIC SQUARE CARMEL, IN 46032 Fax & e-mail: 3175712499, iblanchard{(j)carmeJ.in.nov Page 111 10/23/06 Building Commissioner City of Carmei RE: SBC 321159 To Whom It May Concern: This letter is to serve as authorization of Construction Design Release for the above referenced project. The design and construction documents for this project have been prepared under my immediate supervision and control. The plans submitted for permit are a duplicate set of the set submitted to the Indiana Department of Fire and Building Services for state plan review. The plans and specifications submitted comply with all applicable building and fire codes. I will personally make site observations during construction to determine conformance to the construction documents. Sincerely, \\\\\\111I11'11111 ~,~~"" PIi. C<.t. IIII~ ~.)..~:........... ~~~~ ~ ~.,"~G\STE~'" ~ ~ /.-"" ~<>\ ~ $: r.o. \~ SO \' 9SDll3 :0 = = : : - , - - , - 'i .... l ~ ~ ~ ~~ ~".... \~ CURRAN ARCHITECTURE Shawn M. Curran, RA scu rran@curran-architecture.com President -' Registered Architect, Indiana License #9600043 Expires 11/30/07 " \ \ z " c <.; ~ <( ~ " ~ a::: " j' <.; . a::: < z < . :J ~ ~ U . ~ -,-st:Jx coo~<t: UJ-.oO~ ;.-V::>CXJ 5<1:...b:j V'lZOO' tL;~~~ wOMr--. o:z!=::"': t;;~~M >c-'M 125 "'~ "'w -,-' :>'" <:0 NZ o '" ROLL FILES ~ REVISION / 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: es No. If yes, PERMIT #: 6t:e/oooort BUILDER of RECORD: NAME: PHONE: 577-1177 FAX: ~-> I! ZIP: l/{p ~ BEST MElli~NT~~ 17 Z .vJC) STATE: v,..v ~ /I.t.- {"tl/./(. STREET AODRESS: -ij- 2 c? IE: 8'0 V S77: co CITY: rJD?t-S BUILDER'S EMAIl ADDRESS: LOCATION & PROJECT INFO: PROJECT NAME: LOT # and SUBDIVISION NAME: (If applicable) STATE COMMERCIAL DESIGN RELEASE #: RELEASE: NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE o POST & BEAM 0 BASEMENT (Walkout _Y _ N) o FDN 0 STR 0 ARCH 0 MECH ?<!LUM ELEC 0 SPKLR OTHER(S): NEW SQUARE FOOTAGE OR AREA AFFECTED BY REVISION: # of Floors: BLDG. CONSTRUCTION TYPE: Sf /LnCCUPANCY CLASSIACATlON: 8' DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION: 1/~IfLS ;c S-b..-*~ 111'}VSC -#1 ~ --p/ivwt; c)~. c 'dC'l"liN CONol(-\ latIOns _---:-~\;j ?:; \: ': \ ,,'J\ .,-- r2: ((- n \C";~ \.~ ,_~~-''-'-~--\ \ \, ';' \ \0 CO oca\ ~ :'\\':?_>--- 1111\1 Class I structure permits arc subject to the General~ ~Uj~ t ~G a (See 675 lAC l~)\~k~ding expirat1o~i~es I~q\ \)\ ....t:l'l O\1,~!iI~ e\J!llliti onstruction. 1\ \\ '\ \ nEro \ \ ~ j L the undersilmed, agree that any constrUctkM:"ie~fiA~ e'm'epF.tielocation, or alteration of a structure, or ~\ly\c~ange'1n the use of land ~:...-:-\ structures requested by this application ~l~tH, and co ~\i!ral'plicable laws of the State of Indiana, ~d'the\(Zoning O~nance of Carmel lndiana - 1993" (Z,289) and amendments, :cr~p[ed under authority of LC. 36-7 et seq, General Assembly of the State of 0di~and'alrActs 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 (Inaiana Code 35~44~ 2~1) that all of the information I have provided in this Application an~ other documentation is true arlp ~S9trate.totlie~st of my I knowledge and belief, and that I have knowingly or intentionally provided or omitted any information that wdUld tend to hide, obscure, or otherwise mislead the Dept. of Co nity Services regarding the truth of the matters addressed. I also agree that the construction will not be used or occupied until a Certmcac ccupancyhas been issued by the Department of Community Services, Carmel, Indiana. 4Aet- /Pltf/2 c9 Print /2/3100 Date OFFICE USE ONLY: ***********************1*;*************************************l*~******* NEW INSPECTIONS REQU~RED:\l;-\~LAN AMENDMENT/REVISION FEE: r.elL 11011 b tI ~ ~ Jb a.5S€f'5-tJ, "'1~Qr- 0 C~ Upper Footing Lower Footing Under Slab ADDmONAL SQUARE FOOTAGE: NEW INSPECTIONS REQUIRED: (If additional inspections other than what already rema~ I ftl TOTAL: lZ ['O[O~ (Date) Rough In Meter Base Final Site 6f -f"'h; 0 ate !1o./Lt..ZfYl.Crf; / /l!kr,hl'?/. V,;) Ph~./;/.hq/(Jo. ReviewedjApprov d: Dep. of Community Services S:Permlts/Forms/Plan Amend Commercial, 100, Inst, Multl , Would you like to reduce your turnaround time? ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT efUe24-7@dhs..;n.gov, 0, VISIT OUR WEB SITE AT www.ln.gov/dhsJbranchesJplan rev;ew/lndex.htmJ Project number CONSTRUCTION DESIGN RELEASE Slate Fonn 41191 (R91S-9S) Report Printed on: December 12, 2006 E-Filed, No hard 321159 copy will be mailed 12/12/06 Construction type Occupancy classification Release date iI-8, SPK 8 Indiana Department of Homeland Security DIVISION OF FIRE SAFETY I PLAN REVIEW 402 W. Washington St., Room E245 Indianapolis, IN 46204 INDIANA 02 ~OO~EQgOO Scope of release ELEC PLUM To: Owner I Architect I Engineer Curran Architecture Shawn Curran 9600043 802 Mulberry St Noblesville IN 46060 Available'" Your Lo",1 Licen~ er.,nc;h SUPPORT HOOSIER SAFETY Type of release Partial Project name Cornerstone Dentistry Street address 912 S Rangeline Rd Fax & e-mail: 3177739828, scurran@curran.architecture.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 Safety Commission. The project is released for construction subject to, but not necessarily limited to, the conditions listed' be!ow.'THISIS NOT-A BUILDING PERMIT:" All required local perm its andlicenses'must'be obtainecfpriorto' beginning construction work. All (;'onstruction work must be in full compliance with all applicable State rules, Any changes in the released plans andlor specifications must be filed with and released by this Office before any wor~, is'~lt~d.~Ihjs~:;re!~:!'lser:D;~y be~~s~ndedpr revoked if it is detenniped}i) b~,;J~;_~ed in error, in violation of any rules of the Commission or If it is base~:()n i~~ect 9r insuffidellt info~atjon.\This release shall expire byilimitation,_and become null and void, if the work authorized is not commeni:ed3Nithin on~J1Jye~r frOm the abovtida~~. ,-, "'" - .-' CONDITIONS: :,: i:e ,:::::: ',:::f: f:::. ::..: f:. r Hf: City CARMEL County HAMIL TON -~::':',>--:::::_;:::--<:,:- . Note :(A1A & A1B): In accord~h~,w.itb-the affidavit'nl:)\'I?"n, under ~1"I_i;lIti.!'l:~,()f perj~ry),nme, applic~~i?l1.for"r:;()nstructjo_rl,d,~sign release the plans and specifications filed in ~,riju~~j,9~'\Ylththis proj~c(sliall corT\p_Iy With altof the applicable,mle:s:_arid'liiwf()f Fi~ Preven~j9n and Building Safety Commission. Providing f~I~~;_,!,~!qci\~!,i;~p Constitut~~:!3.n.,~,ct of ~jury, whicH~:js i:I::Class D f~(.my:,~Lmishab!e"..,~Y a'~iison terrryand a fi~e up to $10,000. In accordance with S~-9t(~~'h9:;:~i\~"~-~neral Admin,iiif~tive R~I:~S (675 IAC.12+19) a co~Ple{e':set of pla:n~ a8.d specifications that conform exactly to the design)hatwas':re1e:asedby the office ,of the state,building commissioner shallbej-naintained:on the construction jobsite as well as a copy of the design}#.1~~'s~_:t . ~- 'e" , . Please 9_e'~;@_i:~:~dth~t-';ifan administrative review ~fth'i~ action is desired, a 'Nritten petition for revi~\~i'~ust be filed- ~tthe above address with the Fire Pr~~~mjp.p:and Building Safety commi_ssion jdentitying~he matter for which a review is sought no later than eighteen (18) days from the above- stated;,:date;"u'nless the eighteenth d~y}aUs'O;n,~'SatprdaY'i:I ,?ur_~ay, ~leg~,L~ol,ldayunder S~ate statute, or a day in which the Department of Fire )and Building Services is closed duri~_g-no'~al bu~jness ho~rs. l_ncthe ICitter ~s-e;"the!iling deadline will be the first working day thereafter. If you 'choose to petition, and the before-mentioned procedu'fes:are' followed, yo'ur petition for review WIll be granted, and an administrative proceeding will be'conductedby an'administrative law judge of the Fire Prevention and-Building Safety'Commission: If a petition for review isnotfiled, this Order will be final, and you must comply with its requirements. Filed By Code review official Code Enforcement & Plan Review Branch Director DENISE FITZPATRICK v~d/S~ Address (name, title of local officia\,street,city,state and ZIP code DEPT OF COMMUNITY SERVICE State Fire Marshal V7?,O~ I JIM BLANCHARD ONE CIVIC SQUARE CARMEL, IN 46032 Fax & e-mail: 3175712499, iblanchard@carmel.in,Qov Page 1/1 LARGE FORMAT PLANS /