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Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Pdnted on: December 13, 2005
Indiana Department of Homeland Security ~ INDIANA 02
402 W, Washington St,, Room E245
To: Owner / Architect / Engineer
Rowland Design, Inc.
Eric J Rowland 19400063
701 E. New York Street
Indianapolis IN 46202
SUPPORT HOOSIER SAFETY
315035
Construction type
EXST
Scope Of release
ARCH ELEC MECH
PLUM
Type of release
Standard
Project name
Amice Mutual insurance
Release date
12/13/05
Occupancy classification
Street ~ddreSs
14300 Clay Terrace Boulevard
City County
Fax & e-mail: 3172632073, erowland@rowlanddesign,com CARMEL HAMILTON
The plans, Specifications and application submitted for the above referenced project have been reviewed for ~emplia~ee with the applicebie rules of
the Fire Prevention and Building Safety Commission The project is released for construction subject to, but not necessarily limited to, the conditions
listed below THIS IS NOT A BUILDING PERMIT Afl required local permits and licenses must be obtained prior to beginning construction work All
construction work must be in full compliance with att applicable State rules Any changes in the released plans and/or specifications must be flied with
and released by this Office before any work is altered This release may be Suspended or revoked if it is de erin ned to be issued in error, in violation
of any rules of the Commission or if it is based ~n incorrect or i~suffi~i~n nfo~mat on T6 s re ease shall exp re by mitati0n and become nult a*~d
void, if the work authorized is no commenced within one ( )year from ~he above Uate:
CONDITIONS:
Note :(Al A & A1B): In accordance with the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications filed in conjunction With this project shafi comply with all of the applicable rules and laws of Fire Prevention and Building Safety
Commission. Providing false ibformation constitutes an act of perjury, which is a Class D felony punishable by a prison term and a fine up lo $10,000
In accordance with Section 19 of the General Administrative Rules (675 lAC 12-6-19) a complete set of plans and specifications that conform
exactly to the design that was released by the office of the state building commissioner shall be maintained on the construction jobsite as well as a
copy of the design release,
4G0603AF Plans and specifications for the revised fire suppression system shall be filed with the required
application, fees, and complete details in accordance with 675 tAC 12-6- 3(a), 7(h)t7 and 675 IAC
13-1-8. (N.F.P.A. #13)
3C0501A Buildings that are heated or mechanically cooled shall be constructed so as to provide the required
thermal performance of the various components in accordance with Section 501.1, IECC (675 lAC
19-3-1).
Please be advised that if an administrative review of this action is desired, a wri[ten petition for review must be filed at the above address with the
Fire Prevention and Building Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above -
stated date, unless the eighteenth day falls on a Saturday, a Sunday, a legal holiday under Sta~e statute, or a day in which the Depadment of Fire
and Building Services is closed during normal business hours in the latter case, the filing deadline will be the first working day thereafter If you
choose to petition, and the before-mentioned procedures are followed, your petition for review wfil be granted, and an administrative proceeding wifi
be conducted by an administrative law judge of the Fire Prevention and Building Safety Commission if a petition for review is not filed, this Order will
be final, and you must comply with its requirements
Filed By Code review official
ERIK KASSIG
Address(name, eof oca offlcal,street,city,stateandZIPcode
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, iN 46032
Fax & e-mail: 3176712499, jblanchard~armel.in.gov
Code Enforcement & plan Review Branch Director
State Fire Marshal 20~ll~ ¢ ~
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