HomeMy WebLinkAbout0132.97 Application (2) �
�d����° APPLICATION`FOR INTERIM o�ice useoN�v
\ i Project oumber
�"REMODELWG RELEASE
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State Form 26737(R/8-93) �'�
. Indiana Department of Fire andBuildingServices Filing tla�peD g9 ,
. PLAN REVIEW DIVISION TLL�
, Office ot the State Building Commissioner Occupancp CassiiicaeonQ
402 West Washington Street,Room W24$ y 2
, �Indianapolis.Indiana46204 �
INSTRUCTfONS:See reverse side/or:minimum qualifications and tiling Canswcnon rype
l �rz S��l.
procedures lor an Interim Remodeling Release. � i
Name ot Archltect/Engineer ' Ac4an � �
The InterPesign F,roup, Inc. � p�ck-up ❑ Mail-Out I
Atltlress{num0er and smeeC ary,�sfare.Z/P cade) I
141 East Ohio Street
Telephone rwmber Contact indiviaual I�
� 317 1 263-9655 Joel P. Blum
� - � -� OWNER'S CEATIFlCATE <., .' - '...-:_.- - . . � � .....
, .., � .. ,.. :. . .
I accept (ull�responsihiliry for removing and replacing any construction work A° ^��"9"a �"(o � i
found by plamexaminalion or by inspection,�to�be in violation�of ttie rules of the �,� �
�
Fire Prevention and.Building Safery Commission: I further agree noi to occupy . Name(rvpeaorpdnre� i
� or allaw�occupancy untii a full release has been issued by the Sta2e Building .
Commissionerandallknown.codeviolationshave�beencoriec[ed..l.understand Tom. Mills Vi�ce Pres. of 0 erations
that failure to pravide adequate pians, and, specifications' or requested� Teiepnone numter ,
covections thereto is a code violation. ( 317 ) 81 Z-6135
. �- .. '....� .. =::�. PROJECTINFORMATION.:. l �' ;.. . . '. .-.,:,. . . �
Name of project � �FacilRy use �� �
Conseco PCCA 2nd Floor � Office �
,Atldress�(numcer and street.suite or lloor,.ory,'siate;ZIP cotle) Counry
550 Congses.sional Blvd. � � Hamilton
Closest imersecnng street or matl Direc6on FROM inrersection w pmject
116th��&tpenns lvania St. ' ❑ N � E ❑ S ❑w
� . . .. ' ..:'. ��:d'-=1NTERIMRELEASECONOf170NS(OFFICEUSEONCI�.'. ' - � ', � �:`-` f � .: . .... ,- � = �
Thispartial release for remotleling is granted pnoeto tuil plan review and is.subject to all the rules of the Fre Prevenfion'and Building Safery Commission �
� and any local rules�for issuance of a 6uildmg,pgnnit`�by the loral official.As such,this release does:nof allovroccupancy of said praject untih a standard
release is issued by the State Building�Commissionec TNIS PARTIAL RELEASEIS NOTAPERMIT. '
Comments:
SCOPEOFRECEASE(OFFlCfUSEONL» ' � � ReleaseStamp
�j Architecturel Q �SVUdural � Eiectncal ❑ Other � .
❑ PWmbing f$ Mechanical � Partitions ❑ Other INYERIM RE&10DEliNG NELtHS't
Subject to complia�ce with
Cotle review o@icial condifions herein am!all Nppiir.aMe
�� z — /3 — 9 7 Rulrs of the FIRE PREVENTIOP4 ANQ
BUIIDING'SAFEiYCOMMISSIDR uAIG
�ncaro i�yortiaai iHELOCALAUiHORITPES
� Address(numoer and street.ciry.state.ZIP code) - /"—�'A°�'� ��
����k�f�1`�'�������
Date(monm aay yeaq I.�.number �
29003
MIN�MUM�UALIFlCATIONS ..
SPECIAL REdUIREMENTS THAT MUST BE MET TO RECEIVEAN INTERIM REMODELING RELEASE from Ne OFFICE OF THE3TATEBUILDING
COMMISSIONER�. � �' �
. 1. The project plans��and'Appliwtion for ConsiFuction Design Release'must be certified by a design and inspecting.archkec[or engineer.
'�� 2. Regular application must be on the'Application tor Construction Design Release"(State Form 37318). �
� 3. The occupancy of the project is Iimited,to 8�-2 througti 8-4's(oHices and.retailspaces).
4. The junsdiction in which Me project isiopted must have�a building depanment thatprovides routine inspections.and must have.an approved ordinance
as required by IC,22-13Q. : �, � �.
5. The proj�ci'shall�not be a ctia'nge ot occupaney ar use. �
flLING PROCEDURES� - � . -
The 'Application..for ConstruMion Oesign Release"�along with required documentation mustbe�filed.The'Application for Interim Remodeling Release'
must accompany the.onginafapplication.A request for an�intenm releaze can.only be.made at the ume of tt�e onginal tiling;requests received�after filing will �
not be accepted. , - I '
. A non-refundable partiel filing fee of 5700�.00 will be chargetl for the intenm�release at the time of filing.This is in addition to the regular processing fees �
required for t�e projeM. � . I
.. . �' . .. ... ..::-'PUIN�REVIEW PROCESS
. . .. .- . _ > -:�-_:.. s �
r�,.�:;'._-+� .
. The project will be assigned to a reviewer to check the�basic items as listed above, and that ttie drawings and documentation in the�su6inission are
cromplete: ,
Any questionable code item or mndition,other than�minimum qualifiption Rems,found during checking minimum qualifiqtions will.be noted on the intenm
release. . .
If everything is in order,an interim release (copy o/applica6on stamped re/eased��shall be issued.The release will be availabie tor pickup oF inailed.out,
. fve working days from filing date. If a release cannot tie issuetl,a phone call willbe made to the submitting design archRect or�engineer infortning him of the
problems.
-The projecCwill then tie placed in the appropriate bin of,receipt for regular review.
A stamped�set�at_plan5 WILL NOT be retumed with.ihe intenm.release.A copy of the'Interim Remodeling Release";stamped released,wiibserve.as the
noUficabon that the remodeling work�can begin. Extra plans,when proyidetl,will be�reNmed when full review is completed�and�the su6missiortfountl to be
in basic compliance wdh the�rules of the Fre Preverrtion and Buiiding Safery Commission. .
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