HomeMy WebLinkAbout13060005 State Release i
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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http://www.in.gov/dhs/2650.htm.
This on-line filing is through a secure site,you can use it to submit your project information,paythe fees and upload your project plans.
i 4�t.��*F , Project number - Release date !
i � � "�= CONSTRUCTION DESIGN RELEASE 363258 03/18/13 �
tG 4� State Form 4N91 (R9/5-98) - �� '
� .� ��, Construction type Occupancy classification I� '�
� ��' Report Printed on: March 78,2013 II-B, SPK B, REM
n` +�
II ��..,�eiq_i" Scope of release �
; Indiana�Department of Homeland Security �NDIANA �Q ARCH ELEC MECH
�, DIVISION OF FIRE 8 BUILDINCo SAFETY � S 000o PLUM �
PLAN REVIEW DNISION Type of release �
402 W.Washington St.,Room E245 Standard
Indianapolis,IN 46204 HooSIER SAFEiv
AvallableAtYourLacalLlcenceBrancM1 Projecfname �
To:Owner/Nchitect/Engineer SUPPORT HOOSIER SAFE7Y � Lanter Eye Care
Architects Forum
Thomas G Jolly AR19600180 Street address
-- -- —J
8555 N River Rd 10610 N Pennsylvania St
Indianapolis IN 46240
City County
Fax&e-mail: 3178428877,tjolly@architectsforum.com Indianapolis HAMILTON
The plans,specifcations and application submifled for the above referenced project have been reviewed for compliance with the applicable rules of
the Fire Prevention and Building Safery Commission.The project is released for construction subject to, but not necessarily limited t0.the conditions
listed below.THIS IS NOT A BUILDING PERMI7.All required local permits and licenses must be obtained prior to beginning construction work.All
construction work must be in fuil compliance with ail applicable State rules.Any changes in the reieased plans andlor specifcations must be filed wiih
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 mles of the Commission or if it is based on incorrect or insuffcient information.This release shall expire by limitation,and become null and
void,if fhe work authorized is not commenced within one(i)year from the above date.
CONDITIONS:
Note:(A1A&A1 B): In accordance with the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifcations filed in conjunction with this project shall comply with all of the applicable rules and laws of Fire Prevention and Building Safety
Commissioa 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.
In accordance with Section 19 of the General Administrative Rules(675 IAC 12-6-79)a complete set of plans antl specifications that conform
exactly to the design that was released by the office of the state building commissioner shall be maintained on ihe construction jobsite as well as a
copy of the design release.
4G0603AF Detailed plans and specifications for the revised fire suppression system shall be filed with the
required application and appropriate fees in accordance with 675 IAC 12-6- 3(a), 675 IAC 12-6-
7(g)(17), and 675 IAC 13-1-8. (N.F.P.A. 13)
12P06045 Water supply piping shall be designed and sized in accordance with Section 604.5 and Table 604.5,
IPC (675 IAC 16-1.4).
8M0603 Duct construction and installation shall be in accordance with Section 603, IMC (675 IAC 18-1.5).
Please be advised that if an administrative review of!his action is desired,a written petition for review must 6e 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 irom the above-
stated date,unless the eighteenth day falls on a Saturday,a Sunday,a legal holiday under Stale statule,or a day in which the Department of Fire
and Building Services is closed during normal business hours In the latter case,the fling deadline will be the first working day thereaflec If you
choose to pefition,and[he 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,[his Order will
be final,and you musl comply with its requirements.
�� Filed By Code review offcial State Building Commissione �^ � nA � �
ROBIN PHILLIPS j�a'.� 6d�GL�
Address(name,title of local official,street,city,state and ZIP code /
BUILDING COMMISSIONER — - .
CHARLES KIPHART State Fire Marshal
ONE HAMILTON SQUARE SUITE 138 �����,pyJ
NOBLESVILLE, IN 46060
Fax&e-mail:3177742559,Chuck.ki hart hamiltoncount .in. ov
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