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HomeMy WebLinkAbout0003.93 State Release14 DEC,, 1992,.12:24 CONSTRUCTION DESIGN RELEASE State Form 41191 (R6 / 6-92) rsU Indiana Department of'Fire and Building Services PLAN: REVIE W:DIVISION Office oUthe State Building_Commissioner 402 M Washington St:,.Room_ W245 Indlariepolfs; Indiana'46204 number of release Architectural itect / Engineer Project name Lessee GTE.North Inc. Meridian Mark One ATTIA,Thomas L. Pottschmidt 19845 North U.S. 31 Street address' Westfield, IN 46'A74 11611 N, Meridian City I County The plans specifications and application submitted for,the`above referenced projecthave been reviewed fors compliance. with the. applicable rules of the m Fire Prevention and Building Safety Comission , The project is released for construction subject: to, but not necessarily limited to, the conditionslisted below. THIS IS: NOT A. BUILDING'. PERMIT All required local permits and licenses mustbe.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 as with and releed, by thisoffice'.before any woik is altered: This release may be suspended or revoked:if it determined to be issued in error, in vio- lation of: any, rules _o6the statedrif it is based onincorrect"or insufficient information. Thisreleaseshall`ezpire by limitation, and become null and void, if:w theork'authcriiedis not commencedwithin one 0) veanfromthe above date. 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. Additions, alterat onsi and repairs to existing build- ings:shall be so constructed'that no existing building, structural, e''lectrical., plumbing, or mechanical system becomes unsafe or overloaded in accordance with Rule 4, Section 12, GAR (475 IAC.12-4-12). 2. P1'ans.and specifications for the revised fire suppres- sion system shall be 'fTled with the required application, fees, and complete detail's in accordance with Rule 6, Sections 3(a) and'7(h)17, GAR (675 IAC 12-6).and Section 1-9..2, NFPA'#13 (675 IAC 13-1). A set of doctliments released by this office the construction site until the structure: is occupied (675 IAC 12-6-19). ,ttachments 13025 Code, review,pfljsi@( it_t State'. (ding Commissioner ,d_ dress s'(name,^-. title of local official,. street, city, state and ZIP code) Stat Fire ershal Director / �. Dept., of Community Development rtl One Civic Square Carmel IN, 46'032 No Text CONSTRUCTION,DESIGN RELEASE Stale Foam 41191 (R6/,6-92) INDIANA DEPARTMENT OF FIRE AND BUILDING SERVICES 402 W. Washington St Room W245 Indianapolis, Indiana 46204 Telephone (317) 232-4422 Proje- number Receipt -number Release date 1971167 it01(31167 12%11/92 Construction type Occupancy classification L`1,- e.E:' . `'•.� iC P- Rrnr�de } Scope of release Hrchi'terf,rireL Type of release Standard project name Maridi tin Hark One Street address IIF311 11, tieri6ian 'nt City County Formoreiinformatlon,.conditions & limitations; refer to:the?Appllcation for Construction Design Release and the'Consteuction'Design Release. THIS PLACARD MUST BE POSTED ON PROJECT�SITE IN VISIBLE LOCATION THIS IS•NOT_A BUILDING PERMIT THE RELEASEBECOMESNULL ANDVOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN`ONEYEAR%OF;RELEASE DATE. No Text CONSTRUCTION DESIGN RELEASE "II State Form <1191 IRS i 6 921 .. Indiana Department of Fire and Building. Services PCAN REVIEW DIVISION Office of the State Building Commissioner 402 W. WashingtonSt., Room W245 Indianapolis, Indiana 46204. WRIGHT PORTEOUS LOWE BONAR RTTN.TIM SCHWALM 3021 E 98TH ST N 110 INDIANAPOLIS IN 46280 Project number Receipt numoer Release dare 00199492 M99492 101/10/94 IConstruction type IOccuoancv dassdicauon II-FR EXST SPK $-2 Scope of release MECH PLUM ELEC PART ARCH Street M1 name PAUL REVERE INSURANCE EXPANSION The plans, Specifications. and application submitted for the above referenced project have been. reviewed for.complianr.e.with.the.aonlirabfe niles.cf.the. -. `'ira r reaenfidn erld'Btl(Iding Saiely i;ormmssiun. -I ne project is released Tor construction subject to, but not necessarily limited to, the conditions listed below. THIS IS NOTA 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 releasedby this office before any work is altered. This release may,besusoended or revoked if it is determined to be issued in error, in vio- lation of any, rules of the state or if it is based onincorrect 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 date. ' 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, Plans and specifications for the revised fire suppres- sion system shall be filed with the required application, fees, and complete details in accordance with Rule 6, Sections 3(a) and 7(h)17, GAR (675 IAC 12-6) and Section 1-9.2 NFPA #13 (675 IAC 13-1). - �}�xas.% ieR. Mtnn y x; i'SI `i4x•ti � pr� � i.* 1 dr s d . „•_ y ..d .�+R ;. � r a j i •>rFn . ' -(Y A�1A� �1 •,::. A ;4 F . w ,: i•: ' 4 �.. N .:A�/P.3iS.i.+^� < n .. [u„t An 1 Yam,•. 1h1 t> S;ir At 1 7 _: W ,:. ,,. { 3� yl�yl LJ 0 A set of documents released by this office shall be maintained on the construction site until of local official, street. ;Terry Jones U1 'Dept, of Community Development ;One. Civic Square I, 'Carmel IN 46032 's�kyl �,' �1. is•occupied (675 IAC 12-6-19) No Text (To Be Completed By Submittee) SEC ore u r tl I Filin date 4 9 .r 12-28-93 4. s, i.'<eY tiny J srl � tn'' r4 ..y,.,::.n.:<. •...s. .. Y w Name of project City and _county Paul Revere Insurance Ex ansion ' Carmel - Hamilton Address'(Site location, number and street) Suite or floor (If applicable) Facility use 1.11 Congressional Blvd 1st Floor Office Space Closet intersecting street at road Direction FROM intersection TO project 16 & Pennsylvania ❑ North. ❑ South East ❑ West lS. • .r. w�._ .. A.'z •,�-r�, .!3k'.' ra. oOWNERS.CERTIFICATE'(Must Be Executed)%:,?,>S'3k,' 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; , 2. the structurAill not be occupied or used until all known code violations are corrected; 3, the projeoMill be constructed in accordance with the 'reteased documents and applicable rules of. the Commission; 4. the Architects)/Engineer(s) listed below have been retained to design and inspect the structure in accordance with state laws; 5. the inspecting Architect/Engineer will be retained until completion of the structure; and �t 6. any changes to the released documents will be filed with the Office of the State'.Building'Commissinner. Authorized atui — - — — Name of owner Browning Investments, Inc. Nam (iypedorpnned) Address (Number and street) - David A. Lies 11550 North Meridian Street Title Telephone number City, state, ZIP code Asset Manager (317) 573-6848 Carmel, IN. 46032 �s}k'`„t;xrn•';=:;„*R,,I^'*•;4';'``*''','fj,'•'-^.'�a`,`;s'.'„'DESIGNARCHITECTIENGINEERCERTIFICATEa� to Must Be Erecufed for all new bulldln s or,addltlons exce_edln 30 000 Gross Cublc, /eet or an slteratlon_ allectln Strucfural 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; 2. 1 and/or my employees have,a working knowledge of the applicable rules of the Commission for such buildings, structures, or systems; 3. the plans' and specifications to be filed in conjunctionwith this application (A) were created by me and/or my employees, (B) are under my dominion and control, and (C) comply with applicable rules ofthe'Commission; and 4. the project data contained on this application are correct and correspond with the plans and specifications to be filed in conjunction with this application Responsibility is for the following systems: - ❑ site❑ Foundation ❑ Structural ❑ Architectural ❑ Mechanical ❑ Plumbing ❑ Electrical Oii�Abov'!!!a!r ❑ Other S eci/ 'i ' ' Name of firm (It applicable) `� ••''i U,. Wright Porteous Lowe Bonar 1�f t�� � Name (Typed or printed) Adtlress(NumberandsueeQ ` s = Tim Schwalm 3021 East 98th Street, #110 [��'Q 870 O V 13 Indiana registration number Architect City, state. ZIP code STATE OF 870013 . -. , . _ _ ❑ Engineer Indi a_na'po1 i,s-, IN. 46280 NOTE: Seal and signature affixed before reproduction shall appear on each page of all drawings and Telephone number - `��� - ♦ the title page of at specifications. All tomes ondence will be4o desl n Architect/En Ineer, If none then to the owner. (317) 575-6930 °plaeoun►oa Iry � E C . rCER K a a �n'T� INSPECTING:ARCHITECTIENGINEER CERTIFICATE „ sn , - � 5(Must Be Executed If Design ArchlteoUEnglneec CeRlllcate Is Required) �' • , _, As the inspecting professional for the project for which this application is being filed, I hereby cer ily: 1. I 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; 2. 1 am qualified. and competent to inspect such buildings, structures and systems; 3..1 will cause all noted deviations from released documents and code violations to be corrected or notify the owners and authorities having jurisdiction 4i41'sd481`Rs jeviations; and •' �- i r Gsd a-S entofSubstantial Comple' a sub itt d to the Office of the State Building Commissioner upon completion of the project. •` % `(,15i ;•.,,._;: ';/���� .Signature 0�0 g - - Name of firm (it applicable) Wright Porteous Lowe Bonar No. Name (Typed orprinted) Address (Number and street) p� ':Sa 8 i 3021 East 98th Street, WO STATE OF Indiana'registrationnumber %❑, Architect bily,-slate, ZIP code -r.A,/DIAN?'•. �•' 87001.3 ElEngineer Indianapolis IN. 46280 In certification u„T TBe1le7pho)ne5n7um5b-e6r - - -'9®BOO ia a a, �olved s''�dn- -.a. Professionals . _•.. '� �l-� i.�Ga����, :•, adtlot p- tfih'prolatelnforrtl.-."poce sbmen eappr930 QI J ` tJ \ itr(.r 'I PROJECT .DESCRIPTION'(MusdBe`Cornplete)t, *c�^, <^�t;' 3"�,4 ;gfV;f FLOOR AREASr3r'33,it3;:+�'�=.�;'.� ESTIMATED COSTS,=::-,: Scope of work Total existing (If applicable) 5 ATE BUILDING ❑ New building ❑ Addition Remo eling S Ft. . r Building permit to be issued by Sewer ElExSiting ❑ Proposed Addition (If applicable) Addition (If applicable) ' J2 City/town ❑ County ❑ None )E] Public ❑ Private ❑ None S . Ft. $ Fire suppression system in building Detailed suppression system plans and specs Remodeled (If applicable) Remodeling (If applicable) ElFull ❑ Partial ❑ None ElProvided ElTo follow 688 s . Ft. $ 5 .160.00 If partial, specify where' Located in flood plain (✓county Total building area square feet Total project cost plan commission) ❑ Yes ❑ No '' Building type and occupancy' Building height Number: of buildings this submittal Volume cubic feet B-6 Slands) ' 5 (Describe if necessary) ' (Fee category E only) Serving fire depanmi address (Number and street) CarlaidT Fire Department City Carmel T ownshiplay lR,ehabilitation Does project include: (Check if Yes) Indiana Standard Elevator or lift El Combustible fibers storage ❑Fireworks storage ❑storage used?Explosives El Yes ❑ No Evaluation documents provided? ❑ Hi h pile stora e ❑ Boiler or pressure vessel ❑ Hazardous or flammable materials Storage 1 ❑ Yes ❑ No Describe proposed use of facility IN DETAIL, types of materials stored or handled if any. (F'mmmability?) General office area Describe previous or current use of facility IN DETAIL (If existing facility).' Number of persons employed (Max/shift) General comments' Number of persons (Public) =?t1.'Ff oia"'";.^.GENERAL' INFORMATION _ _ Has other work at this location ever been filed? Does project include use of a separately filed master or Master or modular number ❑ Yes n No ❑ Unknown modular plan? ❑ Yes ❑ No What year and month Previous SBC project number Name of manufacturer Has construction started? If Yes, has a notice of violation or investigation been issued? It No, probable construction starting date? ❑ Yes ❑ No ❑ Yes ❑ No Indiana climate/zone Type of heating fuel Number of tenants No. of electric meters No of gas meters BTU/HR/SF/Deq. F walls ❑ North ❑ Central ❑ South (Adjusted for openings) Does project contain skylights, greenhouse, solarium, or If Yes, OTTV of root large glass area? OTN of Walls Rool/ceiling assembly Uo _ Yes ❑ NO Uo Energy calculations provided? Potable hot water provided? Is it recirculated? Air infiltration rate per Table 53 Floors (Unheated below) ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Uo Total Non-residential lighting power budget Thermostat range heating Thermostat range cooling Slab at grade KW R General comments' Crawl space walls HANDICAPPED ACCESSIBILITY' SEISMIC DESIGN R ❑ Yes ❑ No Have handicapped parking spaces and signage been provided? Is this project classified as an ESSENTIAL FACILITY, ❑ Yes ❑ No Does access within building comply with Table 33- A. I. B. C. ? GROUP Et or HIGHRISE? ❑ Yes ❑ ElYes El NO Do toilet rooms and equipment meet handicapped accessibility code? (See leis Chapter 23) No El Yes - ❑ No Does access to building meet handicapped accessibility code? Have seismic design procedures np been followed per code ❑ Yes ❑ No ❑ Yes ❑ No Is building designed for access adaptability? requirement? ' '" ``�>+ • _; i P "f0HEALTH CARE FACILITIES ?'iT 7.�*'st,t'[r , '''•-: Type of facility (as licensed by Indiana Department of Health) ❑ Residential custodial care ❑ Nursing home ❑ Outpatient sure It nursing home ❑ Hospital El Intermediate care ❑Skilled care Admitting and discharge policy provided Plans show critical heating area Emergency power El Generator El Battery El None ❑ Yes El No service ❑ Yes ❑ No 'NOTE USE ❑ Other (Specify)' SEPARATE SHEET IFADDITIONAL SPACE IS REQUIRED Page 3