HomeMy WebLinkAbout06120006 Revision Info
I
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 #:
(,lee !2(!)OOCp
BUILDER of
RECORD:
BEST MEDiOD OF CONTACT:
LOCATION
&. PROJECT
INFO:
lOT # and SUBDIVISION NAME: (If appllcab!e)
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
..if"
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST & BEAM '0 BASEMENT (Walkout _ Y _ N )
STATE COMMEROAL
DESIGN RELEASE #:
NEW SCOPE(S) OF 0 FDN 0 STR 0 ARCH
o PLUM
o ELEC 0 SPKLR OTHER(S): i
[fSf srt:- OCCUPANCY CLASSIFICATION: .}; ~
I
DESCRIPTION OF AMENDMENT/REVISION, AND/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
RELEASE:
# of Aoors:
[) NO
BLDG. CONSTRUCTION TIPE:
t1.pUl(:~IV't.'ca.J.. S~{;z ~.1-PA.4~ /~r(Q-1/l~
(~'(( ~ ~ ?i7
~ M~ ~ ~t ~e0W"~ I P:;;/lJ-r::r-f<.E;{t-;Ld -Plr.
(\~"- ,,'0'0
G ,\~ 0\'- &
~ .\\\- W:)' C
..- t~\ __ ,,(.,'" _' 1\ -' .
c~v\) "-:;,?}:,-~ 0v'0\'-.'1 c.:(....'C\~..\ '5 \
..... _ r)."l ,roD - \" \ _ '!"i. r-i. I
Class I structur~ ~e~~~1e~~_~o:'t~e ~Jieral.t\dpummative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
'i;,\eC 0' "J\o (\\-l\"~ 1 CV.... beginning and completing construction. !
I. the undersim1ed~~ee that ~cfuSttucFe1!rrecon~p'"pction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
strUctures requested by ~plK:a' '. c?,.I{1plY&!th, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~28~.~ ts, adQPt~a under authority of LC. 36~7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
thereto. I also certify t.1i\~ 'tchen, bath, and floor drains are connected to the sanitary sewer. I further certify, under the penalties of Perjury (Indiana
Code 35~44~2~1) tha&aHof 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 "i
otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also agree tbat the construction will not be used
or occupied until a Certillcate ofOccup cyhas been issued by the Department of Community Services, Carmel, Indiana.
7fmolhy 7f~'/
Prmt
/2-17 lob
Date / /
Rough In
Meter Base
Final
~\I1YLAN AMENDMENT/REVISION FEE:
I ADDIl10NAL SQUARE FOOTAGE:
NEW INSPECTIONS REQUIRED:
(If additional Inspections other than what already remain on the existing pe
Sig
OFFICE USE ONLY: **************************************** *****************************
NEW INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Site
Reviewed/Appr ved: Dept. of Community Services
S:Permlts/FormS/Pla Amend Commercial, Ind, Inst, Multi
TOTAL:
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
eflle24-7@dhs.Jn.gov, Or VISIT OUR WEB SITE AT www.ln.gov/dhslbrancheslplanreview/lndex.html
Project number
CONSTRUCTION DESIGN RELEASE
Slate Fonn 41191 (R9/5-98)
Report Printed on: December 4, 2006
E-Filed. No hard
321930 copy will be mailed 12/04/06
Construction type Occupancy classification
EXST. SPK B, REM
Release date
Indiana Department of Homeland Security
DMSION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
i Indianapolis, IN 46204
INDIANA 02
A. ~ 0000
Scope of release
MECH
To: Owner I Architect I Engineer
Space and Sites LLC
Lowell D Hamilton 05084
6 E Taylor St
Shelbyville IN
SUPPORT HOOSIER SAFETY
Type of release
Partial
Project name
Current in Carmel
Street address
1 S Rangeline Rd
46176
City
Carmel
County
HAMILTON
ax & e-mail: 3173920709.spaceandsltes@sbcglobal.net
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-BUILDINGPERMIT.-AII-required-local'permits and-licenses'must be obtained-prior to beginning construction worK. All
construction \\fOrk 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.:1llis', release may be sus~nd~or revoked if it is determined to be'issued in error, in violation
elf any rules of the Commission or if it is base(;! ,or! inCOrrect -(ir insuffi(;ient inforrnation,-:eThis release shall expire by.limitation,and become null and
void, if the wOrk authorized is not commeneed,within one, .0 ) year from the above date."-
CONDITIONS: . .
Note :(A1A & A1B): In accordanc~-'^?Ih-the affidavit ~~m underPf3r'!alti~ of pe~~,ry.iT1the applicati()n..forc::onstru~on des_ign release the plans
and specifications filed in conji.mcti_on\Yi!h this proje_ct shall comply With al,l:()f the applicable rules:and iaWs' of Fir~ Prevention and Building Safety
Commission. Providing faJse_i_":form~~o"n constitut~_--Cln_ act of perjury, which is a Class D fel~y_punishable:by a})rison term and a fine up to $10,000.
In accordance with Secti~n--1 E":(,f,'th~~~neraJ Administrative Rl!les (675 IAC'-12-6-19) a co~-ple~e set of pl~~s a~ specifications that conform
exactly to the design th:at_waS"releasEHf by the office' of the state'building cOmmissioner shall be maintained-on the construction jobsite as well as a
copy of the design:~elea.se:
. . .
4G0615AA . This constitutes' a complete and firiiil release for a partially filed and released project in accordance
.wjth675IAC12~-3(c). . .......
Please be adVised_ that if an administrative revi6y,( of this'actiOll'is desired,'a written petition for~,review mu~t be tiled at the above address with the
Fire Prevention"and 8,uilding Safety Commission id_e~tifYing the matter for which,a review' is sought no I~ter than ,eighteen (18) days from the above -
"stated date,'unless'the eighteenth day falls on a Satumay, a Sunday; a legal holiday under State statUte, or a day in which the DePartment of Fire
and Buil~hlg_$~rilices is closed during nannal business hours. In the latter case, the filing deadline will be the first working day thereafter. If you
ch~-~~o-,Petition, and the before-mc.mtioned ~ures a,re,followed,)'()ur pet~onJor rElivievv_will be granted, and an administrative proceeding will
ibe C9!1duct6d by an administrativelaviju~,ge,of)the Fi~ preVentjon and Building Safety Comf!'ission. If a petition for review is not filed, this Order will
be final, and you must comply with its requirements;', - '
File,d By . . Code review official Code Enforcement & Plan Review Branch Director
ROBIN PHILLIPS v~d/S~
Address (name, title of local official,street,city,slate and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V1?,O~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499, iblanchardfij)carmel.in.Qov
/
Page 1/1
LARGE FORMAT PLANS
r
,"
.....
j