HomeMy WebLinkAbout1291.98 State Release ,.
Prolect number Receip�number Release date •
'CONSTRUCTIONDESIGNRELEASE ���"`��'�����' `i�� ������f�' �� ��� '`"`�'
SCate Form 41191 (R9!5-98) Construc�ion rype Occupancy classification
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Scope of release
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Type of release
�tlY��F1�F1 ���/1fl I IVI�IVI 1 �� Prolectnamet�lilFif;7'1
��tl"l� ii9Y� �U�LDI��I Tk'R57�:;., A1'it,�?;;tiii'a .Chlt:
SC�,�I�G�7 Street atldress
402 W. VI/ashington St. ��;��� �.a ��,�� �r} ;Hr: -;�,•
Cily Counly
Roo�a E245 c,atar,iFi, wc,MSt,�rc;�r;
Bndiar�apolas, Indiana 46204 For more information, conditions & limitations; refer
Telephone (317) 232-6422 to the application for Construction Design Release
and the Construction Design Release.
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THIS PLA�A�D NIUST �E POSTED OIV
�ROJEC� SOTE OIV VISl�LE 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
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�n' f16 N(�U ;� 1998 r OH I 1.7 Pro�ectnumber Receipinumber Releasedate
CONSTRUCTION DESIGN RELEASE 2r�nno� nn �Fnnn> t � n5;9H
Slale Form 01191(R915-98) Conslruction tyDe Occupancy classilication
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� scope ol ralease
IndlaneDepartmentofFlreandBuildingServlces hiECFI F.LEC fakl;H
PLAN�.REVIEW DIVISION
Offlce ol the Slate Building Commissloner
402.W.Weshington St., Room E245 . 7yoe ot reiease
,Indladapolis,Indiana 46204 STFl1JDt�RD
To: Owner/Amhitecl/Enginear Project nama �
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.OPTTI•1R RRCHi'PF.CTS 7t4i: 'I'kHl7H.l., al?Uiti�lRti LtJ!:
RTTN . CARL DRUiD 'Pi19'H N:iiln4
7 N MF.R T D i F1N 5�� i n t n Streel addrass
ThJDiNIJRPC�C,iS TIJ 4R'2f14 1:iR64 N riF.k1J)iuid s'P
���y County
cF�kr•tE�.. Nar�I I.,•I•i,��
The plans,sPeci(ications and�applicatlon submilted for lhe above referenced pro�ecl have been reviewed lor compliance with lhe applicable rules of Ihe
Flre Preven6on and Building.Safety:Commis3ion."The.proJect is reieased lor consiruction-subIect to,bul not necessadly Iimiled to,lhe condilions listed
below. THIS IS NOT A BUILDING PERMIT. All reqvlred local permits and Iicenses musl be oblained prbr�o beginning constniction work.
All consiruction work musl be��in WII compliance wilh all applicable Stale rules. �Any changes in the.released plans a�d/or speci0calions must be filed
with and released by Ihis OKce belore any work is altered. This release may be suspended or revoked if it is determined lo be issued in error,in violation
of any rules of ihe Commission or il il is'based�on incovect or Insu�cient Inlormalion. This release shall expire by Iimitalion,and become nult and void,
if the work authorized is nol commenced within one(1)year from ihe above date.
CONDITIONS:
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Please be advised Ihat il an�edminlsUalive review of lhis actlon Is desired.a wriltan pelitlon for reJlew musl be�led Al lhe above addmss wilh the Fire Prevenlion and Building
Safety Commisslon Identifying Ihe matter for which e review is soughl no lateclhan eiyhleen(1B)days from Ihe above-stated date.unless the eighleenth day lalls on e SaWrday.
e Sunday.a le9al holiday under Slate staluta,or e day In which Ihe DaOatlmenl of Fue end 9ullding Services is closed dunng normal business M1ours. In the laller case.Ihe
filing deadlina wdl be.lhe firsl working day Ihereatler. If you choose lo petilion.end iha bBfuFe-menlioned proce0ures are lollowed.yourpe lilion lor review will be granled,and
en edminisfralive procaeding vnll lie wnduC�etl:by an adminlslrative law�ud9a ol Ihe Frte Pievenlion and Building Safely Commiasion. If e palillon lor radew is no1 fded,ihis
Order.will be final and ou musl can I with ile re uiremeN3. -
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A set of documents released by Ihis o�ce shall be maintained on the construcli n site untillhe sWcture is occupied (675 IAC 12-6-19).
Allachmenls � C ' cia� G Slate Bull g Commissioner
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Address(neme,fitle ollocal oRcial,slreel,city,�slefe and ZIP codo) � .b1�'�-�
Stale ir � ha
TPrr�,i ..Tnnes �
pPFt. , n.f Cnmmunit.y I)P.VP. Inr��r�Prii.
OnP Ci �ir. Square
C,gr�nr>I LIJ 4f;f137
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� .�N�R'��IQ I.IFi NOVp 7.:39N.� llfi : ] i . � Projec(number Receiptnumtier Releasedate
d� � CONSTRUCTION DESIGNRELEASE' ^� 260007 pn >.fi0007 11 •n5�98
3���,� ' State�_Porm47191(R9/5�-98) Constmctiontype� � Occupancyclassification
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Scope of release
Indiana Departmenf�ofFire�and Building-Services � MECH EI:�EC ARCH
.PLANREVIEW�DIVISION � � �
"Office�.oLthe'State�,Building�Commissibner
�402.W1Wa`shingtoniSt.. Room,E245 � ' TyPe'otrelease - �
'In"dianapoiis, Indiana 46204 T � . , '$TRNDARD . � '
� Ta�Ownei/AmhitecU�Engineer ' Projactname
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OPTIMR pRCH.TTECTS INC: TRAVSL ADUTSCSR:-; INC
RTTN.CRRf., DRUI:D TOTH R3004
7 N MF..RIDTFiN ST 1010 streeeaddress
INDIANRPOLIS IN 46204 t3664 N MEkIDIAN ST
c�ry - cou�ry. -
CARMEf.. HAMTLTON
The plans,�specifications andapp6catign submittedYor the�:above reterenced projeet have'been reviewed'for compliance�with the applicable�rules ofthe
Fire.Prevention�and Building�Safety`Commis'sion. The project'is,releaseil for construction sutiject to,;but.not necessanly'limited tonthe�condilions.lisled
.below. THISJS;NOTA'BUILDING PERMIT. All required.local'permits,and licenses�musf.tie obtained prior�to�.beginning�:constructiom.work.- �
.All const�uclion work musCbe in'full'compiiance�witFilall applicable'State rules: Any'changes:in�lhe;released plans and/o�specifcations�:must;be�filed
with,and released'by this Office�betoreany work isaltered. This ielea"se may be'suspended,-or revo�ed d d isdetermmed`lo be�i'ssued in error,�in violation
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of any rulesof;tfie Commissionbr di4is based on incoriector�in`suffcienhinformatibn: This release,shall expi�e��by�limitatiom,and,become null and'voitl,.
it tM1e wo�k.autliorized is not commencetl wit6in;one(1)`year from�:the above date. �� '�� ` � " �
CONDITIONS: 5
1. . Nri C.onditinns , '
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Please 6e advised�.that if arcadminisiraliJe�eview of ihis'action isdesired.a.written pelition for review must be fled zt the above'address wilh'.the FiFe Prevenbon and�Biiilding
Safety�Commission identifyinc�.tFe matter foFwhich a rev�ew.is sought nolater than eigliteen(18)tlays.from the atiove stzted�date,unless the.eighteenth day falls on a SaWrAay,
a'SUntla`y,a legal holiday untleqState statute",o[a��.tlay in ivhich�the Depanmen4of Fre`and BuilBiog Services isclosed during'normal busiriess hours. In�fhedatter case;lFe
filing tleadline will be the firsl woiking�.,day ihereafter. If you choose�to petition;antl.lhe beFOre-mentioned procedures'aie(ollowed,your petition for revievi will be granted,and
an'administratiye�pmceeding wiil.be conducted tiy en administretive�aw�udge o(lliefire Prevention and Building Salety Commission.„If a peti6on,for-review isnot fled;Ihis
Ordei wiil tie final and ou must com I .with its re uirements. " '
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A set of documents.released by tfiis offce shall'.be maintained on the;construction site(until thestructure is.occupied (675 IAC 12=6-19).
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At�achments Co e � i �iaf State Bwld ng Commissione�
���� �1.��_ f .��,- � �
Address(name;:fitle o/local olficial,streef,ciry,�s(ate and ZIP code)
Stzte Fire Marshal�{�/ / / /
T9-.C.C,1 �TpT'1H5 �� // / //' � � � ' ,��
Dapt . of Cnrnmunity Devel.opmnnY. J! � � �_
G.cr.r�. �/
One Cic�ic Squar9 ./
CArm91 T.N 46(132 r�
2. CERTIFIGATE OF COMPLIANCE .• . .
(fo tie completed by submitte�J � SeC projea number Fiiing dace
Z6 � � 07 qEp2Q ]99R
Please indicate how you wish to receive the design release and plans.
We will mail to the design professional(ownerilno design pro/essiona� ❑ MAIL
We wiil call the design professional(ownerilno design prolessional� X�: CALL FOR PICK-UP Da V 1 d TOth � 9 51 . 1 01 0
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Name of pmject Closest imersecting street ar road
TRAVEL ADVISORS INC .
Atltlress(sife locafion,number and sbeetJ Suite or floor(it applicableJ Direction FROM intersection TO pmjeci
13664 N. Meridian Stre t ----- �Xrvorcn ❑ Soutn ❑ east ❑ wesr
Ciry and counry Is projec�within city limi(s?
Carmel (Hamilton) �xves ❑ No
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As owner of the pmject for which this application is being(iled.I hereby certiy:
1. �he description of use and intormation contained on this application are correct:
2. the project will be constructed in acwrdance with the released documents and applicable rules of the Commission;
3. any changes[o Ihe released'docum s will be filed with the Oflice of ihe State Buiiding Commissioner.
Authorized si a ur Name o6owner or business
FLYNN AND ZINKAN REALTY C0.
Name(ryped or print Address(number anC streef)
S epen P. inkan 36 S. Pennsylvania St. - #750
rNe Ciry,state;ZIP code
Gen. Par.tner Indianapolis , IN 46204
Telephone number Faciiity use
( 31A 634. 6002 Retail
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As ihe design pmfessional br ihe project tor which this application,pians and specifications are being filed,I here6y ceniry:
1. I am qualified and competent to design such buildings,structures,and systems and have attached a copy of my current registration card;
2. the plans and specifications filed�in conjunction with ihis application were created by me and I or by my persons under my immediate personal
supervision and will comply with all applicable building laws and rules of the Commission;
3. the project data contained on ihis application are correct and correspond with the plans and specifications to be filed in conjunction with this application;
4. the design professional identified below will inspect the construction covered by this application at appropriate intervals to de[ermine general compliance
with Ihe released documents and applica6le rules of the Commission and will�cause all noted deviations from reieased documents and code violations
ro be corrected or notify the owner and auihorities having jurisdiction of ali specitic deviations and code violations:and
5. I aftirm under penalty of perjury that the representations contained herein are true and i further understand that providing false information constitutes
an act of perjury,which is a Class D Felony punishable by a prison term and a fine of up�ro$10,000.
Responsibiliry is for ihe tollowing systems: Site Founda[ion SiruCNral
X�Architectural X�{Mechanical
�'��.AC • 7Electrical A Ab e c O e (speci(y)
q�' y�?,.�r_m..A.d�B� S na�u � Name of firm(ilapplicableJ
� �y��,:a ^�\� �ap OPTIMA ARCHITECTSi INC .
� `/ ' ' \�:.�o Na �typedor rinf ) . Atldress(numberandstreet)
y.. . I��a Carl David Toth 7 N. Meridian Street - #1010
� vi, ,.�s�a,[) 'a �
� �� �s � Indiana registration number �{qrchitect Ciry,state,ZIP wde
� \\ 5.:�3'[ CTF�' <.' a
6 0 �� 3004 ❑ Engineer Ind '1a-napolls � IN 46204
'�y,, i i -; -Q� ,�'�� NOTE: Seal and signature�aRixed before reproduction shall appear on each.page oLall drawings antl Telephone number
�,�a�T`-q"+.. -�,+"] a"> Ne title page of all specifications: �
,r� '�'ti�-r� y-�,�.. _', All correspontlence wilfbe to tlesign ArchitecGEngineer,if none then ro the owner. R 1 7} 9 S 1 . 1 O 1 O
Named{qypei�iq��lE4�j�professional(rypetlorprin�erf� � NOTARYCERTIFICATE
Carl DdVld TOCh STATEOF �,nd 'u��� l
Indiana registration numher X�C q;chitect COUMY OF �ar7��✓� J SS:
3004 ❑ Engineer gefore me the undersigned, a Notary Public for said County and State, personally appeared
Name of firm(i�applicable) (f �� j�u I'cQ T fti ,who under[he penalry of perjury acknowledges ihe
S22 AbOV2 foregoing statements as true this _� �L3+�' day of ��}� M.� . �q�f�
Atldress/number and streery
Signature of Notary Public��j � • a
City,state,ZIP code ���G����"e"
My commission e�qir s: Counry of residence
2S d0 !� l�ari b orl
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3. PROJECT DATA • • • •
(To be completed by submitter) Please answer all pertinenf Guesfions. SeC�ecc number Filing da�e
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�Scope of work Total existinq(Ilapplicable)
❑ New buildin ❑ Addition }�gRemodelin ------ S . FL ------
Is this constmction the resutl of fire or naNral tlisaster? Sewer ❑Existing❑�PropoSed Addition pt applicable) Adtlition(It applicable)
❑ Yes 3�}No X�C Public ❑ Private ❑ None ------ Sq. Ft. $ ------
Fire suppression system in building Detailed suppression system plans and specs �Pemodeled(1/applicableJ Remodeiing(IlapplicableJ
7�}full ❑ Partial ❑ None ❑ Provided �Xfo follow 1 600 S . Ft. ------ �
Ii partial,specify where' Located in flood plain(✓county Total building area square feet Total project cost
p/an commission/
❑ }Q��10 ______ $ ______
Buiiding constmction rype antl occupancy classitica[ion Building height Number uf buildings ihis subminal Volume cubic feet
T e V 1 hour lSmriesJ ORe (DescriOrineecessary) ' (Feeca[egor�Eonly)
Indiana reha6ilitation standard(Rule Q�usetl? Evaluation documents provided� Use of wnversion rule(Rule 1�proposed?
❑ Yes X$� No ❑Yes ❑ No ❑ Yes ❑ No
Does project include:(Check it YesJ
❑ Elevator or lift ❑ Combustible fibers storage ❑ Fireworks storage ❑ Explosives storage
❑ Hi h ile stora e ❑ Boiler or ressure vessel ❑ Hazardous or flammable materials siora e
Describe proposetl usa of�aciliry IN DETAIL,including rypes of flammable or combustible materials stored or handled'
Describe previous or current usa of faciliry IN DETAIL Qt existing lacilityJ.'
_. .._...... . ........... ... .._........... .. . ._...... . ..._._....__ . . ......._ .. . ........... ..._ .........._. . ..._............ ....._....
Number of persons employed
Existing retail space to remain retail space (Maz/shik)
�eneral crommenis' Number of persons.(publicJ
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Has other work at this loration ever heen(iled? Does pmject include use ol a mastar plan design release or a factory built modular or mobile stmcture?
ves ❑ No ❑ Unknown ❑ ves 7Q�Xt�o
What year antl month Frevious SBC project number Name oi manufacturer(i/lactory 6uilQ Master plan/Modular file number or motlular/mobile
Last 5 ears � _____ sealnumber
Has constmction started? If Ves,has a notice of violation or invesigation been issued? If No,probahle construction staM1ing date?
❑ Yes �No ❑ Yes ❑ No ----- A. S.A..P. �
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Inaiana climate/zone Type oi heating tuel Number of tenants No.of eledric meters No.of gas meters BTU/HPoSF/Deq.F walls
(Ad usted!or openingsJ
❑ North Centrel ❑ South Uo
Does,proiect wniain skyiiqhts,9reznhocse.solarium,or If Yes,OTTV of mof OTTV ol Walls Roof/ceiling assembly
large�glass area? -
❑ Yes o _____ _____ ' Uo
Energy caiculations provitled? Potable hot water provided? Is it recirculated? Air infiltration rate per 7able 502.4.2 Floors(Unheated belowJ
❑ ves No es ❑ No ❑ ves o es ❑ No Uo
Total Non-residential lighting power 6udget Thermostat range heating _ Thermostat range cooling Slab at grade
K'N 68 � 75 R
General comments' Crawl space walls
A R
ACCESSIBILITV• " � ._ - SEISMICDESIGN
X� Yes ❑ No Have accessible parking spaces and signage been provided? Is lhis project classified as an ESSENTIAL FACILITY,
X�Yes ❑ No Does access within building comply with IBC Chapter 11? GROUP E1 or HIGHRISE2/A � Yes ❑ No
(See IBC Chapter 16J N .
X�C Yes ❑ No Do toilet rooms and equipment meet accessibility code? Have seismic design procedures
X C�C Yes ❑ No Does access to building meet accessibility ccde? been followed per code N�p ❑ Yes ❑ No
X�C Yes ❑ No Is buildin desi ned for access ada tabilit ? � requirement? .
Type of taciliry(as licensed by Indiana Department ol Health) If nursing home
� ❑ Residential custodial care ❑ Nursin home ❑ Out atient sur e ❑ Hos ital ❑ Intermediate care ❑ Skilled care
Admitting ana tlischarge policy provitletl Plans show critical heating area Emergeocy power ❑ Generator❑ Battery ❑ None
❑ Yes ❑ NO service
❑ Yes ❑ No ❑ Other(Specily)'
'NOTE:USE SEPARATE SHEET IFADDITIONAL SPACE lS REOUIFED Page 3