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Home My WebLink About06120068 Revision Info REVISION / PLAN AMENDMENT or ADDENDUM to STATE RELEASE For CommerciilI, Institutional, Industrial, or Multi-Family Projects City of Carmel; Department of Community Services Permit has been issued: ~ Yes No. If yes, PERMIT #: 0 <0 / ;t 00 10 8" BUILDER of RECORD: NAMEC4mL/,.5/ Ce:."'5T/ltA.C~ PHONEj79_ /SSS t:?1<7'. /l(; J?9 - YSJ" STREET ADDRESS: 11 IS" E. G.,s I'" :5/: CITY: STATE: ZIP: r...<J BEST METHOD OF CONTACT: I Ct!lc. /J~ - ~F/- 0.t7:'I BUILDER'S EMAIL ADDRESS: ~'I"-\-M. sTCMj.C~"", LOCATION & PROJECT INFO: PROJECT NAME: DA.. s4u LOT # and SUBDIVISION NAME: (If applicable) .6 0 ~T.?' ADDRESS OF CONSTRUCTION: / 0 f'S rv. p e.-vrvs LVA-^'~ 57. I ;z:;.voPLS. ~. NEW SQUARE FOOTAGE OR 3<3<. C NEW ESTIMATED COST /7<31 ooe AREA AFFEffiD BY REVISION;.vO ~ OF CONSTRUCTION: /\.10 eN /joNc,,/C' STATE COMMERCIAL DATE OF AMENDED RELEASE: NEW SCOPE(S) OF 0 FDN 0 STR 0 ARCH X MECH :0 DESIGN RELEASE #:. 'l ~.r 8" 0 0 / 1 /0 7 u v / I RELEASE:, 0 ELEC 0 SPKLR OTHER(S): #..zoo NEW FOUNDATION TYPE: b( SLAB 0 CRAWL SPACE o POST & BEAM 0 BAsf:MENT (Walkout _ Y _ N ) PLUM # of Floors: Elevator/Lift: 0 YES )( NO 1..-1 0 at> BLDG. CONSTRUCTION TIPE: r"" "fn tt: OCCUPANCY CLASSIFICATION: E DMENT/REVISION, AND lOR STATE RELEASE ADDENDUM/UPDATE INFORMATION: L rV w <....~ 7J'f't O/LJ::U'l:YVh-L <5"!A-rE:' #JLA.r..J FLEX.. /OLU.MALXJ...,. , W /2 FLeYf':5, c C~ A/tCff, /'1 B/-f.. . , 'r"\"\r;t.\ ..... ,....:t-,\~:] ': ._'..\.;'.<;\....0\\5 _ _r'l, G........ ,\ ,.n(,U\v.~ _r.C,tJ.) \'. ..,'~ ','4\"..11: ~:'; \0 con:'j<"~J"\ ~);:;'O.\ i..J!~';:..-.-..\f\CS~:)! _ ~-< ,....---~ ~, r.---:::l [1 \\.it T-=-~l " Class I structure permits ~~~....bjecft~~tlf~t&~eriH\~dnhhi~t~~t'i~eRuteS~fth~ State of Indiana (See 675 IAeI'2) ~eiardin~ ~~pird~io~,~im~-fraMes':for pi' OF C.~)\V~ "j tb,egfuning'ln',(completingconstruction. ,~\)J\ \\\ '1\\ I. the undershmed, agree tlG:~ C:o~struc9-Ptl}#cdnst~tion, enlargement, relocation, or alteration of a strUctUr'i, Or any ch~~~ the;.. u~RL4nd o~; \ )11 structures requested by t~W\tcWi"n ~ comF~Y.. '&fth"...ana'conform to, all applicable laws of the State of Indi~,V!1~ theJ . g{)~llJ of C~ell I Indiana - 1993~ (Z~ 289) anWMendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the St,a,te ot6Ipdiana, and all Acts amendato~0 I thereto. I also certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certifY, urider the pe:n~ti~Q.{P,e,rjury.(lndiani Code 35~44~ 2~1) that all of the information I have provided in this Application and other documentation is 'true arl'daccurii; to the best of my I knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information that would tend to ~de,~E~s...l!~..Qr..__~ otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed. I also agtee"that-the-construction will not be used or occupied until a CenmcareofOccupancyhas been issued by the Department of Community Services, Carmel, Indiana. ~~ Signature of Owner or Authorized Agent Print A \\;C E' hit//. '72Y'-J / Is /07 o/te . OFFICE USE ONLY: ************************************************************************ NEW INSPECTIONS REQUIRED: Rough In Meter Base Final Site PLAN AMENDMENT/REVISION FEE: ADDmONAL SQUARE FOOTAGE: NEW INSPECTIONS REQUIRED: (If additional Inspections other than what already remain on the existing permit are requlred.),..i- r!&13 ol;~.T' TOTAL: Upper Footing Lower Footing Under Slab , Date Reviewe Approvea: Dept. of Community ervices S;Permlts/FormS/Plan Amend Commerdal, Ind, Inst, Multi Fee Re 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.ln.gov/dhs/branches/planrevlew/index.html Project number Release date CONSTRUCTION DESIGN RELEASE Stat. Form 41191 (R9IS-9S) Report Printed on: January 5, 2007 INDIANA 02 ~o~.Q.QPO Indiana Department of Homeland Security DIVISION OF FIRE SAFETY I PLAN REVIEW 402 W. Washington St., Room E245 Indianapolis. IN 46204 Available At Your Local Licence Branch To: Owner I Architect I Engineer SUPPORT HOOSIER SAFETY James D. Simpson & Associates Engineers James D Simpson 20158 13686 Stone Drive Carmel IN 46032 322800 Construction type V-B, EXST Scope of release MECH 01/05/07 B, REM Type of release Partial Project name New Office Space for Dr Sally Booth Street address 10485 Pennsylvania 5t SI. 200 City Carmel County HAMILTON ax & e-mail: .jdsaengine@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'tS'NOT-A BUtL:.DING"PERMIT-:-Att, required' local'permits'and ,ticenses' must'be'obtained'prior to beginning'construction work. All {onstruction 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~er.e,d.\~his~~el~flse.rT!~.y bf~~sp~nd~~.~l?r revoked if it is determ!n~d,t~ ~~:is:>ued in,error, in violation ~f .an~ rules of the Co~mis~ion or if it is b~~e~ior. ir,c~~ect.of i,n~uf1ifi~l"!t i~f9~~~iOI"!: l~i~ release shall expire ~y li~itation, a,nd be~ome null and vOid, If the work authorized IS not commenced within one (1 ),year from the above date:- - , : , I CONDITIONS: L. : l \J 1 . _ _, ~," '.' I I \:' f I ! / Note :(A1A & A1B): In accordance with',the affidavit sworn under penalties of perjury in the application for construction design release the plans and specifications filed in conjunctionWJth this project shall comply with all of the applicable rules and laws of Fire Prevention and Building Safety Commission. Providing false information"constitutes an act of perjury, which is a Class D felony punishable by a prison term and a fine up to $10,000. I /--',' ! In accordance with Section 19 of the General Administrative Rules (6751AC 12-6-19) a complete set of plans and specifications that conform exactry to the designCthat was released 'by the office of the state building commissioner shall'be maintained on the constructfon jobsite as well as a Copy of the design,release. ' I ' IA 1 No Conditions. , I Please be a~is~d thJt i{~~ admini:ir~tive review ~f this action is desired. a written petition for review must be filed at the above a~dress with the " Fire Prevention and Building Safety Commission iden. tifying 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 land 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 pet!tio"n, and the before-mentioned procedures are followed, your petition for review will be granted, and an administrativ~ 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 t:na( and~ou mus~:mPlY W:h ~s :::~::= __. H __ __ _ _____ _ _ ___ ___ ___ __J Filed By Code review official Code Enforcement & Plan Review Branch Director TONY BRADSHAW LJ~d/.S~ Address (name,titfe of local official,street.city,stale and ZIP code DEPT OF COMMUNITY SERVICE State Fire Marshal V??'o~ JIM BLANCHARD ONE CIVIC SQUARE CARMEL, IN 46032 Fax & e-mail: 3175712499, iblanchardfo)carmeLin.nov ~ Page 1/1 LARGE FORMAT PLANS \\\