HomeMy WebLinkAbout06100004 Revision Info (3)
REVISION / PLAN AMENDMENT or ADDEl\1JJUM to STATE RELEASE
For Commercial, Institutional, Industrial, or Multi-Family Projects
City of Carmel; Department of Community Services
Permit has been issued: -1L- Yes
No.
If yes, PERMIT #: () ~/ 0 !9 () e L/
BUILDER of NAME:
RECORD:
PHONE:
~~{~
r
FAX:
.r77
mY:
/~/>t.S
STATE:
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BUILDER'S EMAIL ADDRESS:
LOCATION
&. PROJECT
INFO:
PROJECT NAME:
~,McL. 1,c.I
WJZ-
NEW SQUARE FOOTAGE OR
AREA AFFECTED BY REVISION:
NEW ESTIMATED COST
OF CONSTRUCTION:
~
NEW FOUNDATION TYPE: 0 SLAB 0 CRAWL SPACE
o POST & BEAM .0 BASEMENT (Walkout _Y _ N)
STATE COMMERCIAL
DESIGN RELEASE #: J Z 1/5''1
'2.
DATE OF AMENDED RELEASE:
NEW SCOPE{S) OF 0 FDN 0 STR 0 ARCH Iid"'MECH 0 PLUM
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
# of Floors:
Elevator/Un:: ~ YES
BLDG. CONSTRUCTION TYFE: / / ~ / 1 ~ tk OCCUPANCY CLASSIFICATION:
RELEA5t:D FOk (;UN::i I HUl,; IIUN
~llhjO~t tQ rgr.r:1pli.J.ri:e ':;ith 61: rE~~rlitk.l1 h~
of State and Local Codes.
I! 1- C'c
./I ,,.... I.......
Class I structure permits are subject to the General Administrative Rules of the S[~te of l~dial]N~t 6i5 JtC 12) regarding expiration time frames for
beginning and completing construction. IMI \J
. I. the undersilmed, agree that any construction, reconstruction, enlargeIll;ent, relocation, or alteration of a structure, 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 Carmel
Indiana - 1993" (Z~289) and amendments, adopted under authOrity of r.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 sanitarf 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 pro~ded or omitted any information that would tend to hide, obscure, or
otherwise mislead the Dept. of Communi Services regarding the truth of the matters addressed. I also agree that the construction will not be used
or occupied until a ertiIicate of Occu cy has been issued by the Department of Community Services, Carmel, Indiana.
H Uu r1Cl-a
Print
Ih/Cll
Date
Signatu .
OFFICE USE ONLY: ********************************************
/,NEW INSPECTION/> R~QUI.RED: J:.. ...Jt /
c:..;/~, S 3"J5(JfJ$Q#l. fA) { C (' , ~ 'I (I ~.- ~ .
Upper Footing Lower Footing Under Slab )F'>IJ ARE FOOTAGE.
'"r' NEW INSPECTlONS REQUIRED:
Rough In Meter Base Final Site~! (If additional Inspections other than what already remain
'III TOTAL:
~(p _/
1> Fee Rec Iv~. by;
**********************
2& 7. (JO
I
n the exlstlng permit are required.)
Reviewed/Approve Depl. of Community SeNice
S:Permlts/FonnS/Plan Amend Commercial, Ind, Inst, Multi
Item
1 of
1
CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: slillard
COpy # 1
See: Twp: Rng: Sub: Blk: Lot:
PARCEL ID ........: 1609360000009001
DATE ISSUED.......: 01/16/2007
RECEIPT #........ .: 24072
REFERENCE ID # .... 06100004
SITE ADDRESS ...... 912 RANGE LINE RD S
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: B & D CARMEL PROPERTIES, LLC
ADDRESS..........: 914 S RANGE LINE
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM....:
CONTRACTOR .......:
COMPANy.... ......:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
PARAGON GENERAL CON.
LIC # PARAGEN
PARAGON GENERAL CONTRACTORS
7320 E 86TH ST #100
INDIANAPOLIS, IN 46256
(317) 577-9144
FEE ID UNIT QUANTITY
CIIPLAMEND FLAT RATE
TOTAL PERMIT :
METHOD OF PAYMENT
1. 00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
267. 00 0 00 267.00 0.00
---------- ---------- ---------- ----------
267. 00 0 00 267.00 o. 00
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
267.00
015400
------------
------------
267.00
-
1-
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24w7@dhs..in,gov, Or VISIT OUR WEB SITE AT www.in.gov/dhs/branches/plan review/index.html
Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on: December 28, 2006
E-Filed, No hard
321159 copy will be mailed 12/28/06
I Construction type Occupancy classification
II-B, SPK B
Scope of release
Release date
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
~OOOO
MECH
To: Owner I Architect f Engineer
SUPPORT HOOSIER SAFETY
Type of release
Partial
Project name
Cornerstone Dentistry
HOOSIER SAFETY
------------ "----
Available At Your Local LlcenceBranch
Jack J Kibort PE 19400047
770 Edison Way
Carmel IN 46032
Street address
912 S Rangeline Rd
rax & e-mail: ,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 'BLJILDING'PERMIT:'All'required'local'permits 'and'Hcenses'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 wor isj~tter~d.tlhis';~elease,f11~y be:!~wsp~nde,qipr revoked if it is determin,~dAp 9~ns,~,yed injerror, in violation
of any rules of the Commission or if it is b~~e(jr6n IrtcoiTect~or insufficient ir1forl11a~iOn!1fr"his release shall expire bY;liniitati6n, ~'nd become null and
~oid, if the work authorized is not commen~,edt:'\dthiR one 06;year fr'Q'miH,e aboJ~i~dat~:mi~\ t1~ :b7 "TIC11i>' ;
CONDITIONS: "'; ill! 'il;:) %PjjjKLk' FE k1' 4it tJ ">; ffi, "';i!'~~i1t1fl( ,fu~Fjt18pt
City
CARMEL
I County
HAMIL TON
I
Note :(A1A & A 1 B): In accor < the affidavit sworn under penalties of perjury,in,theapplicationifor,construction,design release the plans
~nd specifications filed in c",,, .~~ this pro*:C'tTs~all COrl),pj'y"wiiftfiIn?f t~,~2ap'p'ii'caHY~}ul'1:~:1an'd'Taw_~L9f F~~~p';'e'V'enj!.~n and S;uilding Safety
Gommission. Providing falseiconstitutes:an act of pe~ury, whictliis atClass D felony,punishable:by afprison term,and a fine up to $10,000.
j >J)::tf?i\FK1/,;:Hi)<; :)UG':';':' T;< J:.,:_,X' i'J:!i} ry:: ;>< ,y:: i
In accordance with Section\19."of,the:Gemeral AdmiriLstiative Rules (675 IACi12~6-19) a completeiset of plan's and specifications that conform
exactly to the design:('"*'"'w"" '[by the office':of the state;rbuilding commi.S~ioner shall!be':~aintained':on tbe construstion jobs!te as well as a
copy of the designd!V~ >,,~ ( ,; ',~~ '~, ~:;G :', ,:,;; ,
i , ,,', ::':':"" ;"::0<': >:j~'); V,; .:f~~' <r' ;:iE' j
ules:a comp'l[l~~?nd fig~1 releai:~ fPL a parti~ijy1led andrf~I~~sed prOj~ct in ~ccordance
IPlease be a ;},!,:~~n:~'~~l~i~~r~:i~~~~~~~;i~,:;i~;i~t,actio~'rj:~ desire~~:l~ Jt;~ten P~ti~i~~! fo~1~view m"~~~ bJ~~!~? at th~~'bove a1dress with the
Wire Preve il~ing Safety Commission:identifying the'matter!for-which.'a:r~YI~,yv,tS sought!19."later than:e:lg~.teen!(18) days from the above-
~stated daI, " . ' e1?eighteenth day falls on a S'atui"Cfay, a Sun'c{ay:a:Yt'egal holida'y Drider State 'statutI{ or a da'y' irfwhich the Department of Fire
land Bl!ll~]n',fL$_~iVices is"closed during normal business hours. In the latter case, the filing deadline will be the first working day the~eafter. If you
lChoos~j,ti)tPetition, and the before-m.~n!ioned pr,osecjures.:ar,e,fo,llo:wed,:yourpetition .for revieV<i!,wili be granted, and an administrative proceeding will
tbe condu'cted by an administrative IClw'j~cl,ge,'of th~ ~ire ~re:Venti8ri and.BuilCfi:ng.Safety ComTission. If a petition for review is not filed, this Order will
~be final, and you must comply with its requirem'ents>t ;f 1;,., ~ . ::,,' . ' !
Filed By Code review official Code Enforcement & Plan Review Branch Director
DENISE FITZPATRICK v~d/S~
Address (name, title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE - Slate Fire Marshal VI?, 0 ~
JIM BLANCHARD
ONE CIVIC SQUARE
I CARMEL, IN 46032
, Fax & e-mail: 3175712499, jblanchard~carmel.in.gov
Page 1/1
1 2/28/06
Building Commissioner
City of Carmel
RE: SBC321159
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,
\111\111111"/1///
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CURRAN ARCHITECTURE
Shawn M. Curran, RA
scurran@curran-architecture.com
President
-'
Registered Architect, Indiana License #9600043
Expires 11/30/07
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