HomeMy WebLinkAbout06100004 Revision Info (2)
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:
Yes
No.
If yes, PERMIT #:
SCe.-IO 0 VO 'I
G~r10.4'--
FAX:
BUILDER of
RECORD:
NAME:
STATE:
/N
ZIP:
2
,To,..,L '"I'-
AD}(RESS OF CONSTRUCTION:
7/2 S. RAr'1.,e;.u,.;E {z'P
BEST METHOO OF CONTACT:
1'181-0 50 - /72-
LOT # and SUBDIVISION NAME: (If applicable)
d /(j,-D"I.3".c>a,,&o-<!:>o 0
LOCATION
l!r. PROJECT
INFO:
PROJECT NAME:
NEW SQUARE FOOTAGE OR
AREA AFFECreO BY REVISIO'l:.c~t; ...~:
STATE COMMEROAL
DESIGN RELEASE #:
'32//5'1
# of Roars: :2-
NEW ESTIMATED COST
OF CONSTRUCTION:
~Z-
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST ~ BEAM 0 BASEMENT (Walkout Y N )
DATE OF AMENDEO RELEASE:
/O!z'3!E>{..
NEW SCOPE(S) OF 0 FON 0 STR ~ARCH 0 MECH
RELEASE: 0 ELEC 0 SPKLR DTHER(S):
o PLUM
Elev,tor/Uft: qrYES 0 NO BLOG.CONSTRUCTIONTYPE: //.;3 SPL OCCUPANCY CLASSIFICATION: g
DESCRIPTION OF AM7DMENT/REVISION, J;D/OR STATE RELEASE ADDENDUM/UPDATE INFORMATION:
tJf)d'ii'-k 11 -:S-!;:;-H, IX. V'J 1/Y.SCZ ')0 ~clLlcl. e- . /It::. ell .
Class I structure permits are subject [.0 the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
beginning and completing construction.
, l. the undershmed, agree that any conscruction, reconscruction, enlargeIT1:ent, relocation, or alteration of a scructure, 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 -1993" (Z~289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, 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 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 I 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 ofqccupancyhas been issued by the Department of Community Services, Cannel, Indiana.
/'1AU:.. Ut3~
Print
/~/z 71ot;..
Date
OFFICE USE ONLY: ************************************************~***~**********/ ~***** l1
JJEW INSPECTIONS R~pUIR~D: ( N AMENDMENT/REVIS!. ' ...,. { l
<,-,:./16 aS5~ed'w/()r~l/?E f,rf
Upper Footing Lower Footing Under Slab aNAL SQUARE FonT.A .
Rough In
Meter Base
Final
Site
NEW INSPECTIONS RrnUNU!~:
(If ,ddltlon,llnspectJons o~r'( ~1Oli:oaVi_"'n 0.(>.
TOT~ .
... (-tAd-PI 17 .
Fee r1!elve by:
proved: Dept. of Community Services (Date)
S/Plan Amend Commercial, Ind, Inst, Multi
lvi-I!; /!~ 0,1#/0&
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/dhslbranches/plan review/index.hlml
Project number
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
~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 (R9/5-98)
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
Avllllablo At Your local Ucence Brandl
SUPPORT HOOSIER SAFETY
Type of release
Standard
Project name
Cornerstone Dentistry
Street address
912 S Rangeline Rd
ax & 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'below.~THIS'IS'NOT~A' BUIl:.DING' PERMIT:"'AII"required'tocat'permits 'and 'Iicenses'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
~nd released by this Office before any wo~ i~'a~te~e,d'J!his:,'~el~!'Ise }T,!~Y be'~~sp~nd~d,C?r revoked if it is determ!l"led.:to i:>e:iss,ued in]error, in violation
of any rules of the Commissioner if it is basede'en incorrect or in?ufficient informationTThis release shall expire bYilimitation,~nd become nutl and
~oid,if the work authorized is not commencedwrthin o'n~p b~ar from\the a~o.;e:dai~'."#~;\\ \ t 'sf <(,')3.' !
CONDITIONS: lJ I:J \.J L::::.:.:> ,",,' Lt ,-.:j I.... '-...i r;; tJ, \\)7 f: '7"< 1 '
! ~ ~~, h~,",,_
I A~~~
Note :(A1A & A1B): In accord~n~With\the affidavitswom underpeTlal,ties of pe~~n',in.the applicati()n,f(?r,construC!iol"l,design release the plans
and specifications filed in conjunction;W1th this project'shall comply"\yith all of the'applicabie rules:and laWs:of FirErPrevemtion and Building Safety
Commission. Providing fals~inforniatk)p~oonstitut~Sjfl_n ,!ct of p~~ury, which'isaClass D f~lony,punishabJeby a'prison teriil.and a fi,ne up to $10,000.
; ,/,~__', ,__'" ': \ ' ' : " : ". '''' , ',:_ I",' . "" .
Ip accordance with Sce~ti'?I"l'19c?ft~ G~meral Administrative Rules (675 IA9'12~ij.;19) a complete"set of plal)~ a:nd specifications that conform
exactly to the desigrl.th~twa~s:r:elease~<bY the offieepfthe state building c()mmissioner shalJ'be,maintainedon the construction jobsite as well as a
copy of the desigl) rel'ease:;~: o'1')l ',~:- "~ I. ;'" ~,,- L:. l' i~..; f~: ,', ~, j
I .;.<:?rt~4J::<~;..:'::~::$:J'.,_. /"~~~""'. ;~'. ': ,'y C' .~ f~~ ..... ~:. !
IA2 l?;.An;el~vatori~S!allation pe,r:>'it'Sha!IL?e obtaj~e~'from the Elevator saf~ty:piviSion\i~ accordance with
I ~c,S,~~~.SC!(~~.f1C21-1-1),c;;f', if 0: . .... '.: f I
114G0603.ty;.2Ji.f;'ThiS~.p;'Oject1ielease is \,for:- tHe bu'il'din9?hell only and1doesj~oL,!n6Iude.tre !i~,ish of one or more
t.'.~lenant spaces, Tenant spacefinrsh shall be filed as.a'new proJect.;n accordance With 67? lAC 12-6-
, I." /7 6~ef~re com.~enc~ng _~~r~~, :.' ~ S'V., ..,~"," ,./: ,.~_". '. ". i
j4Go.615A ThiS IS a partially sub'!',tted,and;releasediProJec!.,S!'bs\lquent submittals shall be accompanied by a
~ completed standa'rd:j partial'form,(ACDR).and properJees in accordance with 675 lAC 12-6-15(c),
~--~-'--SYSTEMS'REMAINING~Mech-:-eli''-c~'-andplum-'-'------,-~-,~--,~.~-~-,--"
City
CARMEL
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 will
be final, and you must comply with its requirements.
Filed By Code review official Code Enforcement & Plan Review Branch Director
DENISE FITZPATRICK ~~d/S~
Address (name,title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V1?,O~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e.mail; 3175712499, ibJanchardrri'lcarmel.in.nov
Page 111
10/23/06
Building Commissioner
City of Carmel
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,
\\\\\\11111/1/1///
~,~~" M. Cf.J. III//,>::
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CURRAN ARCHITECTURE
Shawn M. Curran, RA
scu rran@curran.architecture.com
President
Registered Architect. Indiana License #9600043
Expires 11/30/07
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