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E ST��
Prqect number Release date
�' � CONSTRUCTION DESIGN.RELEASE
j�`� <= 369199 02/11/14
1 :� �'';°1 State Form 41191 (R9/5-98)
�a g ,,�. : �r Construction type Occupancy classification
tw�4°- �'•. Report Printed on: February t 1, 2074
� ..,,y j II-B, SPK B, REM
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�.,,��8`�� Scope of release
Indiana Department of Homeland Security � DIANA QQ� ARCH ELEC MECH
DIVISION OF FIRE&BUILDING SAFEN �,,, :� � �f��� �� YLUM
PLAN REVIEW DIV�SION � *a �� T peof release
402 W.Washington St., Room E245 Standard
Indianapolis,IN 46204 Noes�fM Snterr j
Pvailable At Your Local Licence Branch project name
To: Owner/Architect/Engineer SUPPORT HOOSIER SAFETY First Databank
Schott Design
Kevin Hugh Boyle AR10700017 St�eetaddress
7128 Waldemar Drive soo East estn streec
Indianapolis IN 46268 suice eoo
City County
Fax 8 e-mail: 3173871770,studiob@schottdesign.com Indianapolis HAMILTON
The�plans;specificatrons and applicahomsubmRted�for the��above referenced projecthave�beemreviewed for compliancewith�the applicable rules of �
the Fire Prevention and Building Safety:Commissioa The project is released for construction subjecCto, but not necessarily limited to, the conditions
listed below.THIS IS NOT A BUILDING PERMIT All required local permits:and licenses must be obtained prior to begmning;construction work.All
construction work must be in full compliance wdh all applicalile State"rules"Any changes in the released plans an,d/o�,specifications�.must be filed with
and released by this Office before any woik�is altered �This.,�release:may be auspend'ed:orxrevoked if it is determined to be issued in�:error,in violation
of any rules of the Commission or rf�it is basetl on mcoirecYor insufficient iriform'ation�.This�''release shall expire by limdatioo,::and become null and
Joid, if the work�aulhorized is�notcommenced within one(1)year from the above date�. j
CONDITIONS: ' '�-; '
I a� � � !
Note:(A1A 8 A1 B): In accordance wtti the affdavit sworn under,penalties of peryury in the application fofconstruction design release the plans
and specifications filed in con�unction:witli�this project shall comply with all'of the�applicable rules�2nd laws��of Fire Prevention and 8,uilding Safety
Gommission. Providing false iriformatlon constitutes am,act of peijury,which�s a Class D felony punishable 6y a prison term�and a fine up to$10,000.
. . j£":i. <_-. .
In accordance with Section.79'of the General Admin�istretive Rules(675 IAC12-6-19)a complete,�,set of plans and specific2tions 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
copyofthedesigdirelease ='�-t���' �:' '
� � �..,.:� e . _ ��
_.a sy . � „� �_ �.. . . '� ;
�4G0603AF �°'Detailed plans,and specifications fo� the revis`ed fire suppression system shall be file;d with the
x i required,�applica4ion and`'appropriate fees in accordance �tiith 675 IAC 12-6- 3(a), 675� IAC 12-6-
! `'Z(g)(17), and 675 IAC 13 1-8�(N F"P:A. 13) ` � � `�-- � �
IPlease be advised��tfiat ifan administrative review of this ac6on is tlesiied, a wntten-petition for review must be filetl et the above address with the
f Fire Prevention,and Building Safety Commission identifying the matter for which a review is sought no later than eighteen(18)days trom the above-
�stated date;unless the eighteenth day falls;on a Saturday, a Sunday, a legal holiday underStste�statute,or a tlay�in which the Department of Fire
�and�B`ilding Services is closed during normal business hours In the latter case„the,filing deatlline will be the frst working day thereafter. If you
ychoose to petition,and the before-mentioneG piocedures,are followed,your petition'for review will be granted,and an administrative proceeding wiil
be conducted by an administrative law judgepf the Fire Prevenhon and Building;Safety Commission If a pehhon for review is not filed, Ihis Order will
.„__._ ._ ........�,......._.. ..mm...�._' _.......,_._... ._. __, _.._ .
be final and you must comply w�th its requirements.
Filed By Code review offcial State Building Commissioner
STAN ADKINSON Q�1 � �
I %`it. CS��
Address(name,title ot local offcial,street,city,state and ZIP code -Y�`°`'
BUILDING COMMISSIONER
CHAR�ES KIPHART State Fire Marshal
ONE�.HAMILTON SQUARE SUITE 138 ���-��j[�f,GO-�rJ
NOBCESVILIE, IN 46060
Fax&e-mail: 3177742559, Chuck.kiphart@hamiltoncounty.in.gov
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