HomeMy WebLinkAbout05-30-14_plan_design_release04292005-plumbing.pdfELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http://www.in.gov/dhs/2650.htm.
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CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on:May 29, 2014
Project numberRelease date
37126505/29/14
Construction type Occupancy classification
Scope of release
II-BA-2, REM
Type of release
Project name
Street address
CityCounty
PLUM
Addendum
Blaze Fast Fire'd Pizza Carmel
12697 N Pennsylvania Street
Suite 'C'
CarmelHAMILTON
To: Owner / Architect / Engineer
DK Design Group
Dean M DeKryger AR10500064
1104 S Mitchell Street
CadillacMI49601
Note :(A1A & 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 shall comply with all of the applicable rules and laws of Fire Prevention and Building Safety
Commission. Providing false information constitutes an act of perjury, which is a Class D felony punishable by a prison term and a fine up to $10,000.
The plans, specifications and application submitted for the above referenced project have been reviewed for compliance with the applicable 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. All required local permits and licenses must be obtained prior to beginning construction work. All
construction work must be in full compliance with all applicable State rules. Any changes in the released plans and/or specifications must be filed with
and released by this Office before any work is altered. This release may be suspended or revoked if it is determined to be issued in error, in violation
of any rules of the Commission or if it is based on incorrect or insufficient information. This release shall expire by limitation, and become null and
void, if the work authorized is not commenced within one (1) year from the above date.
CONDITIONS:
A1No Conditions.
Please be advised that if an administrative review of this action is desired, a written 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 State statute, or a day in which the Department 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 will be granted, and an administrative proceeding will
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.
Code review official
Address (name,title of local official,street,city,state and ZIP code
LORA PARMELE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL,IN46032
Indiana Department of Homeland Security
DIVISION OF FIRE & BUILDING SAFETY
PLAN REVIEW DIVISION
402 W. Washington St., Room E245
Indianapolis, IN 46204
DEPT OF COMMUNITY SERVICE
Fax & e-mail:
SUPPORT HOOSIER SAFETY
Available At Your Local Licence Branch
In accordance with Section 19 of the General Administrative Rules (675 IAC 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.
2317794022,dean@dkdesign.cc
Fax & e-mail: 3175712499,jblanchard@carmel.in.gov
State Building Commissioner
State Fire Marshal
lparmele@dhs.in.gov