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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http://www.in.gov/dhs12650.htm.
This on-line filing is[hrough a secure si[e,you can use it to submi[your project information,pay ihe fees and upload your project plans.
Use Iniemet Btowser to View this report, other 6rowsers are no(compafible to view this report
- Project number Release date
�"`'�"'� CONSTRUCTION DESIGN RELEASE
''a State Form 47191 (R9/5-98) 371292 05/13/14
. '� x Constructiontype Occupancyclassification
� �"� � ' � + Report Printed on: May 13,2014 II-B A3
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..�� ��a�:��"� Scope of release
Indiana Department ot Homeland Security �NDIANA ��QQ I ARCH ELEC FDN MECH
DNISION OF FIRE 8 BUILDING SAFEN � � ��}�� ' PLUM STR
PLAN REVIEW DIVISION ; � � Type of release
402 W.Washington St,Room E245 '� ea �"°p
Indlanapolis,IN 46204 I` _+{aosiea snfen , Standard
Available A�Ym�LoCa1 Llcence BrancM1 project name
To:Owner/Architect/Engineer SUPPORT HOOSIER SAFETY Sl. Mary and St.Mark Cop�ic Orthodox Church
ConnectingSpaces LLC
Donald A Highlander AR00880182 street address
56 Milford Drive 12174 Shelbourne Rd
Suite 2
Hudson OH 44236 city counry
Fax 8 e-mail: 3306533520, don@connectingspaces.com Carmel HAMILTON
The��plans,specifications-and�apptication�submitted�forthe above�referenced�prqecbhave�beemreviewed�for-compliance�with4he��applicable mles of
the Fire Prevention and Building Safery Commission.The project is.released for construction subjectto,but not necessarily limited tq the conditions
listed below.THIS IS NOT A BUILDING PERMIT Alf requl�ed bcal permits and fcense�s musl be obtained pnor to beginnvng;4conshuction workAll
Gonstruction work must be in full compliance vnth all applicableiState�rules �Any.Ghanges�in the released plans aodlor specifications�must be filed with
and released bythis Offce before any work is�sllared.'°��h�release,*'rFlay,�besuspended,o�revoked if it is determmed to be:issued imerror,in violation
of any rules of the Commission or d it is based�on incorred�or.insuffcienNin(ormation.This�reiease shail expire by limitation;.and�become null and
Joid,if the work authonzed isnot commenced wrthin one(1)year from the above date �
CONDITIONS�. �''�,..'�"� „���n '
i ��'�'tR;�= � �mx� ti :xaa �. r, u�.� .
Note�:(A1A 8 At6) In accordance�tfi the aff�davit swom under�penalties of pegury'm the�,application for construction`design release the plans
end specifcations filed m conjunet�n�with this proj'e`ct shall compiy with aii of the applicable�rules`and fawsAOf Fir,.e Prevention and Building Safety
6ommission. Providing false�infortna'tion constdutesxaniact of perjury,whicfi:is a Glass D felony�punishable tiy a,pnson terni;and a fine up to$10,000.
�3 ud-�,�`(`'r�d��, w�i..y �q ... Ns :4 ",f� .� r_ e r�.
In accordance.with Sechon 19,of the General Administrahve Rules(675 IAC,12 6-19)a complete set of pla�ns and speafcations ihat conform
gxactly to the:design that w`as"��.released by the offcepf the state�tiuilding commissioner shaU be mamtamed`on the construciion jobsite as well as a
r` �a aa : i� -_ii . k
copy of Ine design�r�ase ���re �a �j � ��t � �� �y i� ;
� ��-�� 3sF �_� �k��4 ��s. -,�� r� �M air �� �� I'm
�4G0603AE�-� Detailed plans and specifications�of the fire suppressi n system shall�be filed��,with th"e required
( 'P�'�,-t� x�v : . *n^� t�� ..� n-
� app�eation�a�nd appropriate.fees in�accordance�with 675 �AC 12 6 3(a), 675 IAC 12 6-7(g)(17), and
� '�;�675a1P;C 13-1-8. (N F P A 13) �r (P� t�° � ,w� � ���'
,y� ±_�,��` ��:# fr.n'�r.:a. -��' ::d: ��;j"�rsv� '�"�.��..?«��-"r r*- �b'. .
�4G0607A5�� Plans and specifications for the fire detection and alarm system shall be filed in accordance with
���` 675 IAC 12 6-3(a) and,7(g)(18) � _ �r � 's,
�Please;be'advised fhat if an administra(ive rewew of,tliis�action°is'.8esired a written pehhon�for review musl tie filed at ihe�above address with tFie
Fire Prevention and Building Safety Conmmission identifymg';the'matter,for whicli:a review is sought no9ater than eighteen(18)days from the above�-
`stated date, unless ihe eighieenth day falls on�a Saturday a Sunday, a�leyai holiday under State staWte or a.day in whi�h.the Departmentbf Fire
and Building Services is closed during normal businessPhours. In the latter case,the filing deadline will be the first working day thereaftec If you
choose to peti[ion,and the before-mentioned procedures are followed,your petition forreview will be granted,and an administrative proceeding will
be conducted by an adminisVative law judge�of the Fire Prevention and Buiiding Safety Commission. If a petition for review is not fled,�his Order will
be final,and you�must complywith its.requiiements.
Code review offcial JASON�BUCHANAN. State Building Commissioner '^ )
jbuchanan@dhs.in.gov y , � / �
I���(: ��(_
Address(name,title of local official,street,city,state and ZIP wde J
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD State Fire Marshal
ONE CIVIC S�UARE '�s/%�yt�p�'�/y�
CARMEL, IN 46032
Fax�&e-mail: 3175712499, �blanchard carmel.in. ov
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