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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