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0132.97 State Release
�» ',.�y�E'�: ����. ��p������� ��;'^ t�.� ��,���°' �.'t��,e������ .���ii``c��' `,� ��� '(. ���" "".w_��ba> � c`��'���''����i.�'.���- ���� � �4�F �" 1 '� �� °�' � „`,,,y.�L���S��,�z;�i��w� -� �� ."�'3-{ $ ��c.s�' '�i ,y ; �t�`� � � � �� � � .,�.''e�d,��u i t1,. a� �i.5� 4 �:�,5�. '` -�.��axcA�" ?"e;' ��.. '�s. �.«„k y"Re " �,.,"�',�Yn `&i� ��`� �'+°�c-,�a.�a�� �� ��,� a +� Pro�ect�number �"� Receipt.n"umbe���,.. � Reieaseda�e�6s��.,c•�.� �'.� �. r�.� �.� �. �.�;���.�.�8 §�_=', �. '� 23772�z# 0237724„r�-�. 2i��/97�, '� ,�� � �Y�. �CON iRUCTION DESIGN RELEASE�q � ;y�.t u>u -�x��-'� � ���� �� � °�"-��� -�-a � �� �'anF�'kS,.'?+�m8 wnsd�+C'�"t��+�yr ,xP R1sia..�-� �.�� i'�• a v� p�•i Stale Form'47191(R7/1=95)# t u� ^-�^v.�.��.,. ��w�on typo",�S�a �t�r �pan�q�tiassfica6o�-a '�`�'1 �.�,- w ��ld� ��LS' - +;� �' � ""�X<N^�"S ��as.'�'+�,x,�'i �"�3 ���ss�"'�ti'��� �'n��`'q�y` -:.�.r�s �;u ��#I,�HR SP��+�a.�a�st�"',�7�`"' ��,�'s4'�*�'�k§c�".� �"`� F ��, '^�3� � '�,y` '�.r��'" �'�'i"LL"[5 �'"t'A�4'Y! 2. �ol release '*� 'r"�s`_ n L°&F' ��rt'�, �,`^ f�"e � h.a� �. x� . .,._ `.� SCOPa 1��e-�r4-� i ''�.�'"i'�.°t,�a -�'� � 7 4� a�� ��c��° �K�'-`'"���� �-��r �- �� h1ECFi- PT,U�SLEC P RT�ARCN= -�� � uz �,,h.���'`�.� �i�-r,��� ,�� ,ix a',�.�a�a-���'� .r� xf ������ �'eT�.�1 � � � ���h�a����� ._s�K n�� � �' r+ ����''+lt'ti'ia ��°�� Y ' �` � . �'a'�ICF4����f�� TYPe ot release ��`,° �p��� � �k � r y �'°r�'°r'���� '°+ b�'y �'�: u� :a��w$s�:y.:�Y+ ��� r r2,. ' dr �� r � � ��� � . x � � �� r� � � ST NDARD ,� ; s �s=�T ��`�`�'INDIAiVA�DEP�►R� :fVIENT�OF ��' ��' �..�`�` ���` M.- �: "�'. �-�`� a * � Prqecl�nzme y""'`� s '�"a'�f �.-.� . � �+ „l,�e. � "`y���d. r r r 7 t;$�z � t�' X t p av� i"�'1^' � �ti`��•'��s«�.��-�-'1'��"�-Hy`'��r+�" �,_� �# v..��,'�:x? ' ��,-`� „�f t � � e � y�e�3 �'����FtR'E�/�NDR�BUILDIP�.G �' � �' , �' � CONSECOxGCCA�� � ti'� ,�,�¢S., � Y � �����a, ��r' �Y�' F' -...T` ' ...r��' s . '..� +�i"`''',� •c'., � � >��`r�....�§����'����9���' :N�tsa.xEi�+z_+n' 'r S: "�* � ��� � ������SERVICES 3a � �:� StreetaCdress� r �., e � ` � �'�'r� ,. 'F r �+� �f^F ' �,,�, �: -a � � ��E���r-1�� ��:.i_ 4 E''� '��`�'�,, � � ���� � r�- 'x � 550�;C4�hiGR&S5I0 rRL• BLUp ���'� �"� �"� '�`��` §"" 9, . 1�' ,cw..ta�.K,�ssw.-°...u�x�su aa��..�,.x . .�.. a� : � � ` �402�W. Washington St�� � �m �.�� ���h ���y�� � �.°_� �,, � fi� ,. "� . : Y."• -r u e a �°��`"'`�'� ��.,�L� ��'�`a� �� HR��'��,�� :� A� � �k r ���'� � �f-�� �oo.m Er24J�c '�' � ��; � 's2 .p . -�n� �� � ,�k' � �� " � * "3°�Y '� i��� � Indianapolis .Indiana�46204 �°t � 4 ` � ��� �`��� 2 ` �� ��� �� �``�` ��* ��-� � "� �,- For more information;conditions& limitatrons re(er _F t� y- S! ��� �N �� r sY�a ' � r �y �_ i 'S1vS'a*Rk4��YF�'�c""�w'�7tv 'dh'w+�at".+Y�ht.Y°T �rt,.+Cld�r�Py+r ��;3�` .. � �to the.a lication torConstruction Design Release >-��-'�. � � Telephone=(317�)�232-6422 = �.��P� � �� �}�-�. 4 = q� � �; : �� A as. . and the ConstrucUOn Des� n Release � _� �k+ � � F ,�G � V a¢ � 'M � �:1 r P i � � A.x .�h� �� J'"'���� +� r ��� ��� � � , � �'"'. 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M '�� ��c-��a v -1� '� ,;f � � .- -�"'� �Y'�`v �,�>°- �+��' A9� 't!, �i.,'r i�1-c,%�,'t� �.�� ��r i�`��?�E�"� � � � , a . � � ��,.'s-.� � y�' `�'�N1` _ 'i � ^t �Y � i, ��( �.t .�v� x.� T y- �� � . � � q�,ry,�� r� €� ` r '.a�Z'c y �x�?�{j� '� �� � ��� � �. � � � .� 2��a �'`-t^i��p �s�.`s5'i- q�Y }�T' �� ' Af ���� �'� 4°. �.Y.L . . � ,,'�gb� Y . ♦ 41`>4i ��: I� ' � t'� �^s, � ��p y�� � ,9' � .R�``�(���.yn� � t -<.4y.aa:'�' ac11�� ra�qF' � . �.Y, JG�fS �^+��'h �. i-�*a��� x '�`' ��^Y'3 � 'I.'j, ��' � �Y ��'��!'p�,�"- ni. �x- �-�'e��r�i�i � i` �� r � � 1 `i,�� ._�-��."5..� K..`3^zy� . �S� �t �� x �'� Xe: �� t�?t� �� �"� ., £ :x' hw$-ZXtta-.- } '�` Y5 ,� !� � `� '� ���-,�'��.. �� � `Y- � ?.���� � ��'S�59�.�y"g �� ,>��� � �'��.� _r`� 3�-r .�+�"..�e'' ' ��"ss� ,. r &cz._ri,y".+....a,�°q`°+'�� ��1 �! .,= 4-� •3. ;,� a�c�Pi��'� � „ y �F� FL��.� � � > . h I � v� �"i Y W. � � ?a,i ,r,� � ,'�i �"� . �' � � T � � � � j �`� L � S.� .r d • �a�l� . �i . � _ �! ��� � �. �t�+ � i• ��• ,.� �a . - Fax ✓t€� - � � � y[ °� ` �� " � 6 s9 . �} -r- a «� � {M,+3��:o- �*'-�$��» 5 �w 'x' � ��-5+�+�:�o�wr.�...�.�z��_.-,��u� �{��� '��'� 1. 'L��'.�, F�'����2k' �r..P- ��� �* �,���`.��THIS��P��L�C'ARD=NIUST�e,� POST,�D�OtV�����- �� Y� e � x7t� �;�'� �.�C-�ma 'T�A!�s�a � �+ �'w' 'F4 Y' 1: ' y �- �x �- � � � � � PROJECT�SITE IN ISIBLE LOC�ATIC)N� �"� �� ��, � �, ������-�.��:�.,��.�� ��� .. � a��,�; �''''��`��`�' > �.�,�,�'�,,>, THIS IS NOT A BUIL'DING PERMIT,'�` s , � � +�.�'�;��- ���� ���� ��'�'��;�'�' �`���`.�� ,��� �"�THERELEASE`BECOMES NULL'AND VOID IF CONSTRUCTION ��'M1�' �.`�,��;,�,�� �' �� WORK I$ NOT?STARTED:WITHIN ONEsYEAR OF RELEASE DATE� s�`, � ,�, _� , ,s� ._., . <.,,� ����� ..v ____.._._,_..�_�.-,..�. �..a..,...a..__�.�.,��.,...,..�.�.y,�, ,. ....N. ���__ .s.._.,.�...—P . ��-��� �:��,�' .r� o"" "' 27 FEB 1�997 03:29 �� ?miecinumtier Receipinumber Re�easedaie a� a�°* ' ' 237724 00237�24 2i27i97 ;� ��� CONSSRUCTION DESIGN RELEASE }�� � ..�' $lale Form 41197�(R7/�t-95) • Conslmction type �cupancy classification . "v�__�% II-1HR SPK B-2 ,.�. , -. . - Scope of release - ' ^ JaAiana'Department of Fire and Building Services MECH PLUM, ELEC PF1RT RRCH r PLAN REVIEW DIVISION � -- � V . �Oftice of the State Building;Commissioner �402'.W.Washinglon SL, Room E245 _ 7ype o�release I�dianapolis,:lndiana 46204 � STRNDHRD � ' �. To: O.vner i Archllect/Engineer Pmjecl name THE INTERDESIGN GROUP INC CONSECO GCCA RTTN .JOEL P BLUM R2028 • 141 EfaST OHIO STREET Slreetaddress INDIRNAPOLIS IN 46204 550 CONGRESSIONRL BLVD City Counry CARMEL HRMILTON The plans.specifications and applicalion submitted for the,above referenced project have been reviewed for compliance with ihe�applicable rutes oi�he Fire Prevention and Buiiding Safery Commission. The prolect is released for construction subject,to,but not necessarily Iimited to,the conditions�listed below. THIS IS NOTA BUILDWG PERMIT. All required local pe�mits and licenses must 6e'obtained prior to beginning cons[ruction work. All consiruction work must be in (ull compliance �.vith ail applicable state rules. Any changes in'the released plans and/or specitications must be filed with and released by [his office before any work is attered This release may be suspended or revoked if it is determined �o be issued in error, in vioiation of any mles of tlie s�ate or if i�is tiased on incoirect or insuflicient information. This release shait expire by limitation,and become null and void, if Ihe work authorized isnot commenced�within one(1)year from ihe above.date. Upon completion,of this project,con�act thls department so arrangements can be made for final inspections. This contact may be by letter or statement � of substantial complecior,. CONDITIONS: 1 . No Canditions . - A set ot documents released by!his office shall be maintained on ihe construction site until the s c e is occupied (675 IAC 12-6-19). AnaUmen� Code re ' � �� ,_e Sta�e uiMin Com issioner '°�. c_ Atldress(name,title ol local otticial.slreef.ciry.sla(e antl ZIP code) .�� "�� - Pire marshal Terry Jones Dept , oF Community De�elopment One Ci�ic Square Carmel IN 46032 _ I � ' . ar"'s"'a�, 27 FEB� 199.Z+�. 03 {.29 ' � Pm�ecrnumber.� Receipcoumber Reiea3edate - � ;� .�` CONSTRUCTION,DESIGN RELEASE, 2377-24 0_0237724 2i27r97 � a r S�ate F,orm 41191 (R7'/'1 95}. C`onstNction Iype Occupancy classdica�ion -- U- � � , ._ , . . . .. . ;a� ;; i I�l-,1HR 'SPK B-2 !I � �+ Scope�:of release " �. ^, � Indiana`:Depa��ment+bf Fve"and'Bmldmg,Services' MECH .PLUM ELEC Pf1RT BRCH � � P,CAN:REVIEW.DIVISION � �' Oflice�;ot_Ihe�.Sta�e:8uilding.Eommissioner , 402 wWi�WaShmgtom_SC Room E245� Type bf.release_ " � ". I�dianapolis,Indiana 46204' � ^ STRNDRRD� � To Owne�/ArchitecthEngineer ` � ' � � Brdjec�name � � �' � _ 4 THE INTERDESIGN GROUP -ING CONSECO GCCA ' RTTN:JOEL P. BLUM A2'�D�28> � I � ��. � � � 141 ERST OHIO STREET stree�addregs INDIRNAPOL35 IN 462'-0'4 . 550 CONGRESSPONRL BLVD , . cry . .- . co�my: . CRRMEL HRMIliT,ON The}plans specdle`ations and�application sii6mitted for the�a6ove referenced pro�ectAhave been;reviewed for�compliance'wifh�he,applicable rules ottlie FrceEPrevention`'and Bui18ing'��,Satery�Commission The project is released for construcllon sub�ecCto but'not'necessarily lirt(ited ro.t_heponditions listed; ' _below..THIS°IS�:NOT-A`BUILDING P.ERMIT�%AlFrequired loc`aFpermi(siand lic,enses•must be�otifained'pnoi,to beginning constructroniwoik � � •- . . .All.constNctioniwork must be�in�full compliance ,vrth�all�apphcable�state rules Any;changes,in�the released•plans and/or specihcations must'be filed �with and releaseiiiby,thi's oNice",before,eny�work"is�altered This release may�be suspend`ed or revoked�if it is deteimined to be.issued in erroi,,�in �violation of any rules'of�ihe state�,orrif�u,is,6ased�,on incorrecipr�insufficientrinformation Ttiis;release shall eupire by limrtation,and become null and�void; ,_ d�tlie,work authorized is not commenced';wittiin one(A)��ye�cfrom��,the.above!date��..� . � � � � Upon.,completion�ot�hisproject,:contactthis�iiepariment!so�arrangements��,caq;be;made,for`final:inspections�.'This'contactmay'be:by��letteroGStatement ' � of substan�ial complehoa ` , . � � �CONDITIONS: � 1 . �NO, :r.O,Tld`l�t`-1'OT75' . - . '�. ,�: f i A"§ettofrdocumerits `released_by ttii`s�,oftice shalCtie:maintained�on the��construction site until:the;s c e`i's��.occupied;;y(675',IAC$-72-6-19): Attachment . .� Cdde�.ie ,/��� State' uildin �Co �issioner,� ' Y _..., . _. _. . -._. � ; ., _ .. ,.. . , � Addfess(name bfle o6local otbcra(,5fre2[�city stat�_and�ZlP code), ' � " ' ` � ' � ..r_. _. ' _ _ " _ _ _ . ,: �.� . ._., . ' . ,. . , ��,Fire'.marshaf - Ter:ry Jones Dept,, oF` Communi.t'y 'De�e;lapment � One Civic Squar.e' � Car,me';1. IN �5`032 Gx ,iFs c �y_ '1-�' � �»?^� .+v r.+,T`1"`• vi +�...�q^v.s�&�.:+�5 w-�. .yrv '�� +.. c � n'i>�'y�`,.�LrY��^"`�" �'��y.'�'�"�3-f���,.��t�a ��.�+�yr�-:d.i��5 '3` la�s�'�� �i7 �n�''.'��r�"3p4�yfc'S���,,"h'.,e,'�'<�`�� Y^'h� U.eslr�i��,.'P'. Carmel Clay�.'� -+�-a� .�`� '..-"� �,a. ���k�``'�'�'„�",.'� r .� �'.���'�' Permit N '�? � �-,30���� _"1 ���°-§' � *'�.t���� ����.+1dr4 "� . �-c4aa`-"° .,�'q' l ��aoi��p� � � �` � ..� Applicat�onsfor`��. �; �"';Dace . �. �.�-"`� � �'...a.,.at.� :�,t�s.�,��',�+ � ' °::�u+���'�-.�� .��.�:.�`'�C��'��`'�ta���'- -� R_�o'�II�F�e"����r� A ,. .,,��� .�-- s T�xP -a �- �� .�a. � , mprovement location�Permit ����� �'�' � �-'�S���e� y, , ��s���aY � �.�.��.s�-����� w- ��;��, a � ���:- s.���i3� '�--r..�'�`���'<`F:. ".' .�'t3+.. -� ����f�`�t:'r+-.�`�''�-.."P�> ..s.~.7;+t�"..''1�"' sa-'°'`T��� z�ti:�c"'�'iic�'a�`-�is-.`vk��,s�.'�,.a, ,.�T �s-permrt�s�yvalid only �Econswcu�on��s started wnh��,I20rdays�ofY�,�sumce�� allac�orn�s�WCaon�;comple[ed (.�o�ss�y�)��t�m 2 years of �.¢ �-£ ?i�:.3.r +�'L ' ' s� "�l' ' � -X T "�i�+. T G✓w�Xu.'fi� aaat, �ssuence datc,unlcss en esteension oCLme 6as beeo�oFEaaily gfnnted byyletterbyJt6e D�rccytor DepaNnent of Com., _m.yuniry De.`�.�elopmrnt�-��4, �� ��• ,, ��` �"t~ 'Y � r+,�nie '�'��r x�'"�� �^+� rxor+e='""` 3`°' ,�'xs2�5�3«r� vnx.:¢ �-�-�. �`��� � �-S -'��•����'.��45 ° � . v.�f4�'as+�:r�.�¢.�4 r�r �+awl�����r� �,'p ��'�����.,,,Y��:;..�i��°�rt��s"��i S"'�, � ��� �. .k. �-a� .�.^-"L'�v ,>t°. �� � � �"" BUII:DER�f`'`��` �Iy���.�T---°���rvic- e�s'�� �, ,,��-,;573�6281:� ,�. ��57,,�3 6857�„, �-- .. �� �� �'Z�,� �r•�;� �� �� -�550 Nx�M die""�S��S ite"4222�Car"�me`�`1�IN�03�������� ,��'� � - � `r5*'� �� -.�.�-tf+� .�°i.'t''.,rK...'�"+,��cy+�a a...�'�„�,"�,T��.�^�'s.z-�-�ut�'v�:._-'`T"���'�w:°�s.w��x�-.;va4• . - `�tss'�."J.�- 2° ,�a�'�i "' �,?' �w r�n ,a�. N szr. 3' ^: �+v,T` .P� ?lH�` %' i"' Ler ""`ozytt2 �� 2 i`�.` �P` +s..�i� F �-�s': � a � h � aTENANT IVA11 E� �e�-`. ` rk,>•• ��� �� �'�.�t'i'�`=�'s���a'- .'`�,F�-t'; �'��' � y� -e � � s�,�� �.��.�--.��,.c1� iConseco�,Companies�aH�Blde,l�,�2nd�Floor���� , r' ��r .� a'�.�-�����a4rr����;"�� , �a (if.applieable)..1'�=_�.'°ri' �f`2�x�.esi' _"a'�.._�-'it..rJ� ,v � r.?�•�5.. » �n r �2... s � s a„��.. �+t�t°_i�"%�.,1"r..�??J=+.�X��� � �.e. '�.�:'"����ers'R�..'�--�'.�-,�`c�'44'^.7w• 'ta � �.�`.�;'..�"r"r�4 :�F**'.y� �wvaeFr "t=�"'u � ^ .� �.exone�,,��tx' �,+. �' e,.z�. '� � ��;y�� �> �'�;=��;���� `'Conseco�C�ompanies�, '�-������wr^�`�� � ��'�� : �,- ;� `�— �� •OWNER ''"�,� n',��Lp��-�--"'`�''�'�_���' Mc_ '°` a .c. w�_,<, s � �-. �P �� �;.�z, ,e �r�y`'�.°'�"r-`,s- Lrrn�r"r�.a ��� -�� cmr;'.m.-�`�£��•t?i`�.,.q>TM�"`�'�i' srwre'3 ffi° �f.. � � � - ��"'rr> �'�'���w2v e wx��.'�n�r t^"` ��-a $ +.� ��.� �f,� `y�� 11815 N �s<Pennsylvania�� �-�:+�farmel��IN �46032;€ �_¢� , � -� ���.� � a''�. '3r.+.s-�'""4 "�i. .i.i'd'_c'a.��!...7Lxy.�'F.e�a13"z.Tr�.��£-�''.. io� _:�'m.al� s��v.�r"F��:u.��i��' sa '8 ` y r � "" �� i:or�,.�'4�3�Ueorvu�on ��,`d� 7'�sr'.u�T'"m"' �°�x.sR.�u� .�� s��'' . ` 'KU.y3ECf10N �' r�""��,.�-�' `,�,-�,�„�`�+� �.. ,,, �1� S dt °�� i r.h6��.t m�J' s,.e s u3• i'f�� -fr�� �' _ �T�-�.4�''f�'' n�, az- � F 'I.00n���� .550aGongressionai�H1°d �Y ���cs�'_�--`''1T r,�-���"�,� .�:���`��,r���-,�.u��'�g ������a� ,� �� y�-�`+'�� *'�`���}` ''wnoa�s'oe.�s�rrt�rno���'`-t�,���.�"` �`ry'�f rr� .� ��.��-.`t,`iyc��*e�.'��`'s '� F��,`� � ��.t �-550yCongre5�sional�Blvd ;� 2nd,.Floor-,�.�� ~��� � 18:�25;�s9��ft�5, , �, � _� � �iS . <.v�.,.. a_.+ws v � a? ..wv ^.�+u.� � '�'�I.i`..�4� f '+�'�(e7 -w} c`^ :ar..+w+�. sc- Q.r'^�+-'rJ�, . -c.ks_v.H e.�.e ne � y � s�x#rA�s^T'YPE OFyCONSTRUCTION.���"�'�`�� `s�`+ � �' ��F•. r�T�O�F�Il�1'IP�RO��MEyyNT� �, ���a`yx y„* f,,,,r �ot'�".i'7ktle a r�^y J°*�•cM1.eS ,%�-t't^�..�y�i:�.b .��+e' .+� � 4 �, a�tl i�i'E❑ New SVLLCti17e �5'ai��- �si� -:'�z 4rir�'zt6-"'d'f yF;S�i. , 'r .��y.l., ❑ S�g1ez,Facnily�z� s s�+"`t -Y� /� ,���. �.:�- ,� � w..°t-� r .� � �,,r� .�..-� �h�'tix,R�?3 ,� ��.,s�- n,�.,»� � �� '^ r `� �� ���° r\ �. .� * `92 ❑ �Commerc�al Teuant S ace � �' "'�'�.� `�� 9fi�2�s❑ Swgle F auly Cluster�-+-,z�,,�r � ,,,N � ia,� � � a,� ,.,� �- -,. �p ��.i:� �. k ry�� �� ;f 3'��❑ �Two Family y��.���'-r�f,ys`���'F �'t� ��'�Y,3�3"c`'❑ �Addit�on �,Porch ..�-y�Room_ : t.�'{r�`�'-�` �, �-yy x .s s a3 a .'c- -s,',F '�'. e°n a�I 9 �E .r -'2wyr-t & -'y� 1't ¢t -�5�-i� -s�j yk'y+.`�c..f� •' �' � '� -de�*�, ,. z���.L�'-`�->�� '�.�_,4'� "Remodel�'�`'�ei r ,".-" ����� � A 4 .,❑ Mulu Fauul '� �"'�,> ,� F .�N` ^-:�a-;�y�y�s� r�. �, a��?�..r iY :.�/C .2z..�y �:y�.i � � �. 6`J.ta,�� � ..`�j � ,�� �. .�Sa^`'c...4xq..���'N"'tl�y --Y � �--�r�S �7- Coaunercial /Industnal��'tw�`3�° ��� '45 ❑�Fou�'ndat�on Onl z�s " ,:,,rta• '` �'"�� f'�.e�N �".�� Y4+ �;,a `s-i•+' ?'..�- ,��� r1s f�`.G G� g� »��?-�}��� ot'� l.4.,-r _ y����+e�.J57,'�,�,Svfi� 5.�ri.��i�ss«7.�; � 6 �O ,1Farm ,.�, ..,�,z.•°s�;r.� ,, k � �c �'�ra16 �`.0 Demolihori�?c . a���a�.�.--a .s�'r� '�� r '�c- .�. y�� b'K .:+4� ��7^ t a3-ti-.r`*rc�1�.z� .+ f � -4.c�^:.rwf �4�+�- r c -y r x x N�xY �a;-�7 �`�❑ OTHER (Spec�fy) �' � � ' `�'' `^� "' ��7 s'"❑ Accessory Buildmg�.2'3 `3�'�''+�e� �--'�'��R i:d.s --'� < i ac -s tia -s s�B cTYPE OF SEWAGE DISPOSAL "" �s Ye" 1" ' 8�❑ Swimm�n Pool --�"��.� "`� �_ ' 1' ';'yt �� FL�... s �wY. . . . . 3� x i�..�"r.".. -Y��+ � 1u� t 1` �.. 5 . g � I f�va"c� � ai:� a � x. " r �"� �. °�y``/.�-s�����I KQ Publ�c System�(Name of System - '� �`�„9 ❑ Garage Detached�'�" }" �"Attached 'z Px Ml>�a �r� .,r . `�* _ . 't s 3-n.a �y u _'� �'n''fi.-c� ,�. � t-•i -`w'Y �s.r a,n�. �d• '�7i: > '-�-:? ._s..� �Pnvete (Septic�Tank etc) -5���q,�u.; �r.s" ;va .�:G�Lo.�trSP���f,>�f.,*`kh*-a'��'YES . �'.�� NO �"" ti<. ..'� -•:<� �r�.'� "'�s.F-'- , �' �H� Flood�Zones s� '�'�n �'��.'_�:<... � � .r.. y�,- � C TYPE OF WATER c.y. - -v< � i rr��,U`� .�e-as�"''r twYES *NO x� �i.t . ..t.�. �.. . .: � � >r.. a . -c� 3 Sum Pum ^NS,��y�,e..-, t"-3'#C�y�s ra�r�.'; c.NO y- ., ,,,y I }CL].TPublic Sys[em (Name of System ��^'�' I�� p p� � �.g,, Z._ '� �2 ❑ Pnvate (Well ' 'y ' '`��-• �� � �� :�Manufactured Truises � �YES +f � fN0 � � � + � �Ei D ZONING CLASSIFICATION OF PROPERTY �� ��'' ''Ptumbing�'CODE�.?��� + OCA ot 'CABO� " s,�- F�"' ��PresenL a`<�.7 ?"' . g'u'p+`"..; x �'.`�-'� '���a�.l�� � "f"'r`��i�''1'S4�'� s.�'�+F�"�i ��� L ""�i� 3.��.��,�`.e. - '�'� �^' a � "3� ,�.�.!' � .�c` ��� ��'Y. �,,�. . �x w ..r ��'.�(E clludmTLend ValueoF`$56 475 OO I�`�':;��'., ��� '?' ��W�°i�.".'7 k sDE E �Wi117:ams'�.�?��.���.�"z g ) (��s bmg L�cense H a� 1 0�0 8+7_6`'�U Y���� .� �SP- ��."��:i7+at"!'a'1"��.t k�r.s.�� �.X-"'.x,y"i`�:yr�L�.�n:n'F ', a5wv-�s+�,'Y "a�`w-3h�aa'S•Tt�'i�J"a 1 +}. .§�3'ri1'iN'.xr+a�Zf-as:,G.r.ynr.a�s a41'r�r.;. i�r'3Pphe'undecs�gn�d,aBre�e`sµthatanyr°°-�tni�t�on ie�¢swe�L_�n' azge _ r� c. 'on or�al�t��°°-„°fs-^tN.�twe�°_r:anyr��IIg�v���� '�" of l�and or structur,es requ�est�d by tkus;epplicatiou will comply �and confo all appl�cable laws of[he Statn of Indiana, and [he �'. �.�'� .<- � . �--'�-�e� ..r-�- c-.:.?,fl`i�.�.� ��--caF,. �w:�x.1"" '��,f�c ' x r '�e,.'. Zoning Ord�u�ance of CarmeTl,Indiana W1993 .(L„289),and amen�` en�ado�di�der�a�thonty o�9}cYS of 1979 Pubhc Law�178 Seo r. �,ol et�xq:General Asx mbiy of the State of Indiana^an.d a�A,cts.�am 'da,4�t�heme���s-�������� �e�'��"�.r;��� ��i 1�7I further c`erhfy that the_constructlon w�ll nol be med_;or occu �ed un -Certificate ojOccupanty haa Deen 6sued by the �= r`^ �_as% a � .. +u yr ,c -v ...i.., w.. . *�, - y-�..�+�,�iiT����'�-,�C3"�-� a�' .ibs.''�4���..a �F� ,�r'.`` ;-i r Department of Commun�ty Development Carmel,Ind�ane. ty�,gA,. .� � �rr�±E� y.g� �'+r -*"3iy+� �'�I further cerafJ}tLat on�ly ki cheP�, th,'la�undry'�`and tloo�����mtary uwer :,,���.1'.y`°a,�T�+��'`'�i'k���"^`"�: x S -r- ..y�. �sr-. -'7 s' Sts+°^-s'�-' t�'�-"'.y�r.:4rt.fi`-�= r� ^�i r .. `�t----�. -�"'��7 „� �'�xr�s��- � ��T�., � `�.�-:.t a+ � �-�, s � �" s �„- � -w..� `� -+ _•� TtON z � s�� `�->_ 7¢�'� ,tij/ T` - i s-'1;.��,.a�a.�y�...L��iTlL9FQ1A� �-''- {'�w.". ,y�+ s �t++sYr•'.'a+ � d�.�� �- " '-c_ �� ''. Y� -�, � "_� r r ,p., Y.- �ICA�Y+OOh�IJnder Sla1b Roogh In`� cer Base f- �Sig�anue of Ownet or Authonzed Agent y ;-"-� � o"p�p\'������g j`Ieb ed� �'�� \�n '�+�"� '� ��'��" '�__e,.a•..�. �ey,tYt�..��' t .z__ ��ss (�3 A' tiy'�'�! -N��`�'° �( . age >� �Stte Fln '�r'4'�+ O �� � `�' °1:� .x 3r� ' ..°`ar""W,�. J� ,' E _t�"f.r �RS�';' (h/�� "��' � �^� .r� ��'£".y; x' ,(.._2�+ r• �� �11550 'fi .Meridian sSt �''TSui 222 ��'�s'�T�,� �'�'`�������'���„�,�L��;r �.t� ��J� �.',`�S R-..�y -s-a e„�c.���'�'^ .�TXzG>a� r3w-''�,+�g''C(iY �T �.... ..kv� ,�. �,p -s- .:� . ,rr��' :Z "�u"s�� � Addre`ss� �`z.-G�rc '�'a`.s' a,�.�- s-��a'� - �y'i,��". vPlan �.���tllle�{Square Footage r ,_ sast.'�+'�"��c.ia'L"'iis -'�r�`«.�`t.n�. �" � �'7w �c..��+,-�- F rc'y :niP. � .,� ��'�Carme1,�IN�46032'�' "'�:•� �573 6033 x����`��o�t�"°���:E`R���`�'x'�° `��.��e'j'"'��y=°".�,�. �e�.� h�.. t�, res�` t:...� _.r.r§,- =� c�x:�a -.-.'^a fd'L4�, ����"� �i'Fees �� '��? ,e- r �, ����Ct �y w� .r.-^'.§cl' �r�- " s�' " � UF i u''y'�'���.fi� ��� �����lJ���°' ty �e -tf StatT Z�p ,•r Phonc t� t� s=� � � ,� �� � 'w ,�n,rs��,`'��f.,���A* � /� �.����tY��C��"�''�,�'�.. '��* ��`'�Certificate of�Occupan'�.t� �j Ur'�'.�.-� ��1�ci ct �o ted =s�'='^�/��.r�a!T��'���"``��,�� p �� �������U���r��+�W����� � "5 Lui�S s�`�.`t +�'l' rn & �"„�C.<-3q.x,S....e�„j�,s,.-,vd�����ttbx,'w -�.c � d' �' # ��'i` TOTAI: '� J�� ^-•� s� +' �5 Ti„Y"C"Cdq:_ ,� 'Lr'„���-'•�s-���'Lwi�w�Lt „ � f � �t. � � F fr' y'� -'Yra-' s �.r.� � i 0 tYr :°�`. T.}.n.�� rJ. r k'�ti . i � r - �% �..r;`f� ai$�au. x.�'i+.�"-�'�� / } �Ty 'Y `#^t �,Y' Po10Iw1�M ILIYISY�Y6 +. °s,�y�'���� `'�' e n� of Communny Development,,.�V",.��''�n��Recerved by"5���-�3�p'�1''� „ „i, � � qn �i�. ti '�tr� � '� S�J i ��,s�,^�-sm^ .y4�5..•; .n s'�i� ye:� F yr`� " ''e` � Z,�as �/�^ � �, 'C`'.���"�ih� ���'����1!k��it�•„�t;�� � y. �'.�.s'��,��'"t,` �„�''[`��,i�'�-.,, ,v� ,_-�_-�'.-� �l' .. ��,�,._..�,�..{ u� e:":.n....'"�n...tS.Ye:�� J_ a.N>�:-roR`�. -��. t .�v4�e °�t ..F..-�rs ! � � • ; � AFFIDAVIT TO 1NDUCE INTERIM REMODELING RELEASE - AND/OR EARLY FOUNDATION RELEASE CITY OF CARMEUCLAY TOWNSHIP oate: � �- -�`f - 9 7 Building Permit No.: Entity (Business or 8m= �� �� Individual): Applicant-Affiant: G• m-l-C�/te�- 1.�/z�.��nl/r� /� cr. (� " /1 ;, I a •- Project Name: l_0�2-��'�O � ! F}-e.cr�� . '" Address/Location: `5 SD � � - �m d ��� I, being duly sworn upon my oath, state the following: 1. I am executing this Affidavit for myself or as the authorized agent of the above-referenced Entity to induce the City of CarmeUClay Township ("DOCS") to allow me or the Entity to proceed with development pursuant to the Plans (defined below). 2. That this �davit shall bind me or said Entiry and any further reference to 'i" herein shall be considered as a reference to me or such Entity. 3. I have filed with the Office of the State Buiiding Commissioner ("SBC") of the Indiana Departrnent of Fre and Building Services for its review and approval, plans and specifica6ons (the 'Plans') for development of the above-referenced project (the 'Project"), which I believe to be in compiiance with all State of Indiana requirements including, but not limited to, the ruies of the Fre Prevention and Buiiding Safety Commission, the Uniform Building Code, the National Electric Code, the Nationai Plumbing Code and the Model Energy Code, all as amended from time to time (the 'Rules'). 4. I have presented to DOCS a copy of the Plans, and that any changes submitted to or required by the SBC will be submitted to DOCS in a timety tashion and that the Plans stamped with a final approval and accompanied by a Full Design Reiease wili be submitted to DOCS prior to scheduling the final inspecGon and issuance of a Certificate of Occupancy (C/O). 5. I further understand that application for an interim remodeling release and/or earfy foundation release will onty allow me or the Entity, after payment of ihe full fee to DOCS, to proceed at my�ts own risk. 6. I understand that by proceeding on an interim basis, I accept responsibility tor removing and replacing any consVuction found by pian examinabon or by site inspection not to compiy with the Ruies and/or those rules and reguiations of DOCS and/or ordinances of the City of CarmeVClay Tovmship. • f.'. ' � � 7. I further acknowledge that I am proceeding on an interim basis at my/the Entiry's ovm risk and that I assume and accept all liability for the project and will indemnify and hold the Ciry of - CarmeVClay Township, its officers, empioyees and agents, harmless from any and all liability to any � person or entity (including the Entiry), resuiting from proceeding torward without a stamped set o( Plans and a Fuil Design Release trom the SBC. ,., 8. I further agree'that I will pay me Gity of CartneVClay Township for any and all expenses, inciuding reasonable attomeys fees, it might incur in taking entorcement action against the Project. 9. I further acknowiedge that, in addition to the Ruies, I must comply with ali other rules and regulations of the City of Carmel/Clay Township and the State of Indiana as such relate to the Project inciuding, but not limited to, building codes and zoning ordinances as amended from time to time. DATED: �-�� - q � � .�•� (/'✓/� / ��� . Signature � G. rn��ch .� � � i✓ Printed Name STATE OF INDIANA ) )SS: COUN7Y OF HAMILTON ) Personally appeared before me, a Notary Public, in and for `��a,'nu-l'.�c�1 Counry, State of Indiana,acknowledged the execuUon of the foregoing Affidavit and indicated that the facts stated therein are true. The Affiant further represented that he/she has proper authority and resolutions to execu[e this A�davit on behalf of the entity. V��tn2ss my hand and Notarial Seal this �T day of �,P�`�, . 19�. c��-a, `�, L�,��lufkJ Notary Public �v� in • �lh ,��= Printed My commission expires: �O -/7-9 7 c:96docnum.1002.ghs/pg2 , dg/tyghs March 1996 _ , � ����,.'i+t��-� � y a *��.�'�����'�,�°�� r "c�'4�a�{t�z�'�°�."`1' � � ^Y a�'�,,.* •� c- ?��,.,s� ,- r � s c,�i� �"; .r.� t �,2'�°"'��1.- s� ��1�a} �a r"'�.s'�` a4= G� �tRECEIPT���`!5i ��� .�� .�...P;,�+e�'}������ �zi-4 ��A L..�`r '.:F 4 �xt �, a=:� r ��4�yY�O�� M �ft „t.;��"�'�;�,x��€'����' €,��- ,�?����, 'CITY OF,�.CARMEL�""'z.�,,3 � �'� �.a}!-''�za. �� , 1'1-�-(�'7 " � '.Oij _ t ..y �,g ��+y'� �r � '�*p��-.. .�A4,n1 ` .�" .�r,� '�s'[.±a+ xG-��'�f �' '°`{ �y� 4��c�w,���¢ . tK. .sZ `xF �1 T�'Y �4 T�i�I. 4 j �.F�J�""A 9.Y=T: �fM1= r � �a�.}F �� d. Y �,y � ' „����"'ilT���� �+4_ �i����4 �[,s�'a���yi �j����'� � � ��i`R-�k'� 1 RGa .i �,3 y Y�a�.n ��s �s�`�pi S� r',�' �'�'�"q���-C...�..LtY r��lCF� L �`P` a.FS�.�, ?�"�..r�,1,5,�e,wn..p'7" s-r' [` +�'�'�y . 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