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ELECTRONICALIY FILE YOUR PROJECT WITH STATE OP INDIANA at http:l/www.in.qov/dhs/2650.htm.
This on-line filing is through a secure site,you can use it to submit your project info�mation, pay�the�fees and upload your project plans.
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g ,�i\ Project num6er i Release date
�'"' a�, �`, CONSTRUCTION DESIGN RELEASE 371840 � 05/28/14
i�°,4�`�'*'���}s��, State Form 41191 (R9I5-98) Construction type Occupancy classification �
t�,?# R�i +in) Report Printed on: May28, 2014
, � ;� II-B, SPK B, REM
" Sco e of release
, .iaies.� —___. P
Indiana Department of Homeland Security INDIANA �2 � ARCH ELEC MECH
DIVISION OF FIRE&BUIIDING SAFEN � 7�^1i 1/''�{ PLUM
pLAN REVIEW DIVISION ,� I neF� ^�rl ;4 i �� Type of release
402 W.Washington St.;Room E245 i3 ����""��`� Standard
Indianapolis, IN 46204 ----.�- —°�- �S:-�'-----J �
Available At Your Local Licenca Branch project name
To: Owner/Architect/Engineer SUPPORT HOOSIER SAFETY Cincinnati Bell
Schott Design
Kevin Hugh Boyle AR10700017 Streetaddress
7128 Waldemar Drive eio east ssth sireet
Indianapolis IN 46268 suite iso
Ciry County
� Fax&e-mail: 317387'1770,studiob@schottdesign.com Indianapolis HAMIITON
The�planr,specifications and�application�su6mitted�fforthe above-referencedproject have been reviewed�forcompliance�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, tBe conditions
listed beiow.THIS IS NOT A BUILDING PERMIT.All required local permits�and licens,es must be obtained prior to�beginning�construction work.A�I
construction work must be in full compliance wrth all applicable�State�rules�Any changes'�inthe released plans and/or spe`cifieations-must be filed with
znd released by ihis Office before any workls after'ed._T�hls�`release;may be`�susp"ended.oi,revoked if it is determined�to be is'sued m!error, in violation
of any rules of the Commission or if d is bzsed�on incorrect'or insuffcient�mformation.This'release shall expire by limitation;3and become null and
void, if the work authorized is not.commenced within one(1J year from the above.date. � ;
EONDITIONS - "` �
.' �, �,
Note:(A1A&A1 B): In accordance witfi?the affidavit swom undertpenzlties of per�ury in the application for construction tlesign release tBe plans
and speciFCations fled m conjunchon:witti this project shall comply with all of the��applicabie rules'and laws�of Fire Prevention and Buiiding Safety
: .. ... �. ._ . ..
Commission.Providing false information wnst�tutes"an,act of pery'ury,which Is a.Class D telony�.punishable�by 5 prison term.and a fine up to$10,000.
In�accordance with Section 19�of tfie General Administrative Rules(675 IAC'12--6-19)a complete�set of plans and specifcations that conform
exactly to the design that was�2leased by the o�ce of the�state��,building commissioner shall�bemamtained�on the construction jobsite_as well as a
copyofthedesigd�ielease ,'�. '�;� ��� ' - � -- �
�.,.� � i �- ' � ` }4 � �
�4G0603AF`--'Detaile8�plans and specfications for the revised fire supp�ession system shall be filed with the
� �'requlr`e_d application and`appropnate fees in accordance with 675 IAC 12-6- 3(a`), 675� IAC 12-6-
� t"�7(9)(17), and�675 IAC 13,1�8;"(N F P.A 13)_ ` ��"y � � "_ _ � j
jPlease be ativised that rf an administrative review of this�action is tlesired,a written petition for rewew must be fled�at the above address with the
iFire�Prevention`.and BuilCing 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 DepaRment of Fire
'and�Buildi"ng Services is ciosed during normal busines5fiours. In'the latter case;the filing deadline will be the frst working day thereaker. If you
'schoose to petition, and ihe before-mentloried procedure5�ara;followed,�yourpetitiomfor review will tie granted,and an administrative proceeding will
_, „ _,_,_,by_an administra6ve law judge of tha F.ire Prevenhon and Bmlding Safety Commission If a petition for review is not fled,this�Order will
6e conducted,_ . . _._�.,.m_. . . . ... . �..�._.... ,.___._.__...,.
be final,and you must comply wdh its requirements.
Code review offcial LOR4 PARMELE State Building Commissioner "�� /J
Iparmele@dhs.in.gov y � � �/� � /'
1 11.t. �1 I� / ���
Address(name,[itle of local offcial,street,city,state and�ZlP code -��"""'
BUILDING COMMISSIONER
CHARLES KIPHART StateFire�Marshal
ONE HAMILTON SQUARE SUITE 138 ���j-��
NOBLESVILLE, �IN� 46060
Fax.&e-mail:3177742559, Chuck.kiphart@hamiltoncounty.in. ov I
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