HomeMy WebLinkAbout0005.91 State ReleaseCONSTRUCTION DESIGN RELEASE
State Form 41191134
INDIANA DEPARTMENT OF
FIRE AND BUILDING
SERVICES
1099 North Meridian St.
Suite 900
Indianapolis, Indiana 46204
Phone (317)232-6422
STATE;
Prolect No.
Receipt No.
Retesss Date
165872 n
195872
17/2R:917
Construction Type
Occupancy Classification
U-N
R-2, Addition
Scope of Release
Foundation; Structural
Rrchit.ent.ural
Type of Release
Ste ndrtrA
Project Name
Crooked Stink Golf Club
Street Address
1964 Burning Tree Ln.
City County
Cnrm�l Hnx�i T 4.nn
For more information, Conditions & Limitations;
refer to the Application for Construction
Design Release and the Construction
Design Release.
i
THIS PLACARD MUST BE POSTED ON
PROJECT SITE IN VISIBLE LOCATION
THIS IS NOT A BUILDING PERMIT
THE RELEASE BECOMES NULL AND VOID IF CONSTRUCTION
WORK IS NOT STARTED WITHIN ONE YEAR OF RELEASE DATE.
CORRECTION REQUEST SHEET Project Number Receipt Number Date
• •*A�►y,
d State Form 41192 (R5/6-91) Construction T
,i Indiana Department of Fire and Building Services Type Occupancy Classification' PLAN REVIEW DIVISION
e� 402 West Washington Street, Room C227-32 Scope of Release Requested
r•r• Indianapolis, Indiana 46204
of Release
To: Owner/ArchnairVEngineer Project Name
�1
Street Address
a City County
Dear Sir: We are holding the above referenced project from further review and release for the reasons indicated below, wherein the plans and/or
specifications fail to meet requirements of the Departmental rules affecting such building, structure, or system.
Any questions concerning this matter should be addressed to the Code Review Offii
possible to the Code Review Official in order for us to continue processing your p
application will be subject to denial by the State Building Commissioner in accodance wi
Address: Name, Ti le of local oXlcial, strati, city, state, Zip code
4
• J
.r r...A
e APPLICATION FOR FOUNDATION RELEASE
-State Form 40662 (R 3112-M
e
Indiana Department Of
Fire And Building Services
PLAN REVIEW DIVISION
1099 North Meridian St., Suite 900
Indianapolis, Indiana 46204
SIMMONS S ASSOCIATES, INC.
BANK ONE CENTER/TOWER
111 MONUMENT CIRCLE, SUITE 13500
p�v
OWNER'S_ CERTIFICATE
I agree to take full responsibility for removing and replacing any construction Authorizetl Si
found by plan examination or by Inspection, to be in violation of the building
codes. I further agree not to proceed with above grade construction until the
complete building plans and sppecifications have been reviewed and released
by the Department of Fire antl luildin Services. NOTE: STA7E FORM 37316R Authorized name
WITH APPROPRIATE FEES MUST eE FILED WITH THIS FORM.
FFICE USE ONLY
�(5.ncy
F
Construction Type
Facility Use
GOLF CART STORAGE
Complete set of plans:
V Provided ❑ To follow (Give date)
If "To follow" is Date to be sent:
checked, please
give estimated
date of shipment
PROJECT ADDRESS
Name of project
GOLF CLUB
Street address of project City County
1964 BURNING TREE LANE CARMEL HAMILTON
=OFFICE USE ONLY "FOUNDATION ONLY" RELEASE
release, development and foundation work to grade level only, is granted subject to all rules of the Fire Prevention and Building Safety
ny local rules for issuance of a building permit by the local official. THIS RELEASE IS NOT A PERMIT.
ame
N0 C0.1io i-7-70,-,/
plan reviewer Date Phone 317
/Z _ PH 14G1 P 5 /2-,7-/ 90
/� S�Ey �vrsHE2
UE.ol. pG Cdinirr . /%Ev66 .
"003
FOUNDATION RELEASE
Subject to compliance wilt, all ?Applicable
Rules and Regulations of thr
FIRE PREVENTION ANC
9WLDING SAFETY COMMlSSjON
tilF
S1AIF BUILDING COMMISSIONER
number
DISTRIBUTION
White copy • OwnerlArchltecUEnglneer
Canary Copy • SBC file
Pink copy • Local offical
Goldenrod copy • SBC district offical
460 3Z
31 DEC; 1990, 11:04
;. CONSTRUCTION DESIGN RELEASE
State Form 41191R4
4
Indiana Department of Fire and Building Services
PLAN REVIEW DIVISION
Office of the State Building Commissioner
1099 North Meridian St., Suite 900
Indianapolis, Indiana 46204
Simmons & Associates, Inc.
ATTN.Fredrick A. Simmons, AIR
111 Monument Circle; # 3500
Indianapolis, Indiana 46204
165872 00165072 112/28/90
U-N IB-2, Addition
Foundation, Structural
Architectural
Standard
Crooked Stick Golf Club
treat Address
1964 Burning Tree Ln.
�ity County
Carmel Hamilton
The plans, specifications, and application submitted for the above referenced project have been reviewed for compliance with the applicable rules of me tue Prevention and
Building Safely Commission. The project is released for construction subject to. but not necessarily limited to. the conditions listed below. THIS IS NOT A BUILDING PERMIT. All
required local permits and licenses 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 and released
by this office before any work is altered. This release may be suspended or revoked if it is determined to be issued in error. in violation of any rules of the slate or it
it is based on incorrect or insufficient information. This release shall expire by limitation, and become null and void. if the work authorized is not commenced within one
(1) year from the above dale.
Upon completion of this project, contact this department so arrangements can be made for final inspections. This contact may be by letter or statement of substantial completion.
CONDITIONS:
1. The posting of an official design release placard and
maintenance of one set of state -stamped plans and specifica-
tions on the job site are required by Rule 6, Section 19,
GAR (675 IAC 12-6).
2. Additions; alterations, and repairs to existing build-
ings shall be so constructed that no existing building,
structural, electrical, plumbing, or mechanical system
becomes unsafe or ox7erloaded in accordance with Rule 4,
Section 12, CAR (675 IAC 12-4-12).
3. This release does not include electrical, mechanical,
and plumbing work. Plans and specifications for adding or
remodeling these systems shall be filed as a new project
before commencing work in accordance with Rule 6, Sections
3(8), 6, and 7, CAR (675 IAC 12-6),
fi
A set of documents released by this
& 13025
Name. Title of Local Official, Street, City, State and ZIP
be maintained on the construction just°
Fire
(Jesley Bucher, Director
Dept.. of Community Development r~
40 East Main Street Ex°` °eD c r
Carmel IN 46032
work is completed (675 IAC 12.6-19).
2. :EKYa!-ICl1!i OF COMPLIANCE
T•. be cdmpletid by Submittals
FOR OFFICE -USE ONLY -
SSC Project No. Filing Date
/,C J7 M 1 I,3Ec2o}90
PROJECT LOCATION (Mast be Complete and afxursi
Name of Project
City and County
CR-IJRAddress
(S/fe Lowr/On)
Suite or Floor (If applicable)
Facility Use
1964 BURNING TREE LANE
GOLF CART eTORACF.
Closet Intersecting Street or Road
Direction FROM Intersection TO Project
❑ North ❑ South ❑ East ❑ West
'OWNER'S CERTIFICATE (Must be exacutel
As owner Of the project for which this application Is being filed, I hereby certify:
1. The description of use and information contained on this application Is correct and;
2. The structure will not be occupied or used until all known code violations are corrected and;
3. the project will be constructed In accordance with the released documents and applicable rules of the Commission and;
1. The Architect(s) Engineer(s) listed below have been retained to design and Inspect the structure in accordance with state laws and;
5. The inspecting Architect / Engineer will be retained unit( completion of the structure and;
6. Any changes to the released documents will be filed with the Office of the State Building Commissioner and;
7. Another application will be submitted at such time as the described use may change.
Authoriz Signature
Name of Owner
Y
Name rryped or Printed)
Street Address
KENNETH
Title Phone No.
City, State, ZIP Code
DIRECTOR
MRAFICATE'
DESIGN ARCHITECT I 9—N-61NEMERU
(Vast be executed tot aft sew b;dldin s or add(t/om exceedtn 30.= Gross Cubit /let or say alteration affecting Stmearral Safety)
As the design professional for the project for which this application, plans and specifications are being filed, I hereby certify:
1. 1 am qualified and competent to design such buildings, structures, and systems and;
2. 1 and / or my employees have a working knowledge of the applicable rules of the Commission for such buildings, structures, or systems
and:
3. The plans and specifications to be filed in conjun to with this application (A) were created by me and / or my employees, and (B) are
under my dominion and control, and (C) compl with applicable rules of the CCommission and;
4. The project data contained this applicati s co ect and corresponds with the plans and specifications to be filed in conjunction
with this application. '
Signs
Name of Firm (it applicable)
`11 ............ ...'.
'A?
z
SIMMONS & ASSOCIATES INC.
am (Typed or Printed)
Street Address BANK ONE CENTER/TOWER
FgFO
��r,�•;��G�
r
FREDERICK A.S IIIMONS AIA
111 MONUMENT CIRCLE SUITE
Indiana Registration No. ® Architect
City, State' ZIP Code
. ; 3135 .
y t S�OF
1_ i
#3135 ❑ Engineer
INDIANAPOLIS IN 462 — 1
NOT al and signature shall appear on each page of the drawings) (Tracing(s) before coPymgl:
Pnone No.
(.�
�� '•.,/N^IP
foundations, partials and addenda; Title page of the speclfk:aticns; and letter noting compliance
i�P. r
���, '••.; • �'`
and variances.
—DO
..�,
FY C�
ALL CORRESPONDENCE WILL BE TO DESIGN ARCHITECT I ENGINEER, IF NONE THEN TO THE OWNER.
.. INSPECTING ARCHITECT ENGINEER CERTIFICATE'
(Must be executed If design archiffoctlaingirew certificate to required)
As the Inspecting professional for the project for which this application Is being filed, I hereby certify:
1. 1 have been retained to provide reasonable and periodic site Inspection of the construction through to completion, to determine general
compliance with the released documents and applicable rules of the Commission and;
2. 1 am qualified and competent to Inspect such buildings uctures, and systems and;
3. 1 will cause all noted deviations from released docu ifits, end code violations to be corrected, or notify the owners and authorities
having jurisdiction of the specific deviations and;
e. 1 will cause a Statement of S stantlel Co Dleft be s mltted to the Office of the State Buliding Commissioner upon completion
of the project.
A. S/1
Slgna re
Name of Flrm (ll applicable)
Q��\CK
..7E %
Y
a (Typed or printed!
Street Address
BANK ONE CENTER/TOWER
rINC-
' P� qF0 icy
�0�
J+
FREDERICK A. S.. ONS AIA
I^dlana RapletntbLI Architect n No.
City, State, 21P Code
3135 .
13135 ❑ Engineer
INDIANAPOLIS IN 46204-51
�� +•,
F: f �V
111 multiple Design! Inspection Prohealonate are Involved /n the carrtllcat/on proee68
one o. .
I
aubmJt an siddRlana/ page with the appropriate Intormatbn.
632-3500
Page Two of Four
.3:.._ _.
3. Y!a V or Er'T DATA
".. '" FOR OFFICE USE ONLY - '
To be completed by Submlttee
SBC Project No.
Filing Date
/6 1U I
o
DEC 2`0199V
PROJECT DESCRIPTION (Must be eamplNs) -
FLOOR AREAS
ESTIMATED COSTS
Scope of Work
Total Existing (It applicable)
❑ New Building $]Addition ❑ Remodeling ❑Change of Occupancy) Use
Sq. Ft.
Building Permit to be Issued by
Sewer
Addition(s) pl applicable)
Addltion(s) (It applicable)
®City l Town ❑County ❑None
❑Public ❑Private ❑None
338 Sq. Fl.s
15 000.00
Fire Suppression System in Bulltling Detailed Suppressions System Plans and Spec's Remodeled (It applicable) Remodeling (It applicable)
❑ Full ❑ Pon tot ® None ❑ Provided ❑ TO Follow 720 Sq. Ft. 5 15 000. 00
If Patlar, SpecifyWhere• Located In Flood Plain (r County Plan Commission) Total Building Area Sq. Ft. Total Project Cost
❑ Yes ®No s 30 000.00
Building Type and Occupancy- Building Height (Stories)• No. of Buildings this submittal Volume Cu. Ft. (Fss Category E only)
(DesCrlDa ll necessary)'
ONE
Serving Flre Department and Address
City
Township
CARMEL
Does project Include: (Check If yes)
Indiana Rehabilitation Standard used?
❑ Elevator or lift ❑ Combustible fibers storage ❑ Fireworks storage ❑ Explosives storage
❑ Yes Mo
Evaluation Documents Provided?
❑ High pile storage ❑ Boller or pressure vessel ❑ Haurdous or flammable materials storage
❑ Yes ® No
Describe proposed use of facility in DETAIL, types of materials stored or handled. If any. (Flammability? Activities pursued?`)
SCOPE OF WORK LIMINTED TO 338 SF ADDITION TO AN EXISTING ELECTRIC GOLF CART
ST RAGE AREA AND THE ODELING OF I F FOR A PORTION OF THE
Describe previous or current use of facility In DETAIL (It existing facility)'
EXISTINGT E SPACE,
No. of Persons Employed
(Max / SDI/U
General Comments'
NO. of Persons (Public)
SCOPE OF WORK INCLUDES MINOR WORK TO LIGHTING AND FLOOR DRAINS.
- GENERAL INFORMATION "
Has Other Work at this location ever been filed
What Year and Month
Previous SBC Project No.
❑ Yes ❑ No ® Not known
Does project Include use of a separately
filed Master
Manufacturer Name
Master or Modular No.
or Modular Plan
❑yes Na
Has Construction started
If Yea, has a Notice of Violation or Investigation been Issued It No, Probable Construction Starting Date
❑ Yes K] No
1 ❑ Yes ❑ No ASAP
' ENERGY DESIGN DATA
Indiana Climate IZone
Type of Heating Fuel
No. of Tenents
No. of Electric
No. of Gas Meters
Calculated Uo Values
❑ North ❑ Central ❑ South
I
I
Meters
I
BTU I HR I SF / Deq. F
Walls (Adjusted
for openings) .15 Uo
Does project contain skylights, greenhouse,
solarium, or large glass areas If yes, OTTV OTTV
Dyes ❑ No of roof = , of walls =
Roof I Ceiling
Energy Calculations Provided
Potable Hot Water Provided? Is It recirculated?
Dyes ❑No
❑Yes ❑No ❑Vas ❑No
Assembly .05 Uo
Floor$ (Unheated
Air Infiltration Rate Per Table 53 Total Non • Residential Lighting Power Budget TheRange
❑Yea ❑No K.W. Heating Cooling
Below) --- Uo
10
General mments-
Slab at Grade R
qCOPF LIMITED TO MINOR REVISIONS TO LIGHTING AND FLOOR DRAINS
Crawl Space Walls --- R
HANDICAPPED ACCESSIBILITY -
Move handicapped parking
Does access within building
Do toilet rooms and equipment
JDoes access to building meet Is
buildingp desiGpned for
spaces and signaga Dean
comply with table 33-A. I. B. C.
meet Handicapped Accessibility
Handicapped Accessibility access
aEsplability
provided ❑ Yes ❑ No
❑ Yes ❑ No
Code ❑Yea ❑ Nc
Code ❑Yes ❑ No
Dyes ❑ No
General Comments'
SEISMIC DESIGN - -
IS this project classified as an ESSENTIAL FACILITY, GROUP Et or HIGHRISE? (Saw IBC Chapter 23) ❑ Yes J0 No
Have seismic design procedures been followed per coda requirements? ❑ Yee 11 No
HEALTH CARE FACILITIES'
Type of Facility (As L/cenaotl Dy Sun Board of HaalM)
If Nursing Home:
❑ Residential Custodial Care ❑ Nursing Home ❑ Outpatient Sugary ❑ Hospital 1
❑ Intermediate Gn ❑ Skilled care
Admitting and Discharge Policy
Plans Shows Critical Hooting Area
Emergency Power Service
Provided
❑ Yes ❑ No
❑ Yes ❑ No
❑Cisnerator ❑Battery ❑None ❑Other (Specify)'
nu 1 c use aaparara tmaaf It sddfllonal space Is requtnd
Pegs Three of Four