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"-"'� ProJect number Release date
"�`'�'��� CONSTRUCTION DESIGN RELEASE
`�!�-� 370759 04/15/14
� ¢C\ SWte Form 41191 (R9I5-98)
�ni+J }i{ Construction�type Occupancy classlFlCatlon
'"+-� . ��'�� �� Report Pnnted on:April 15,2014 II-B, SPK M, REM
\\�� I
� �s `�� __ Scope of release
Indiana Department of Homeland Security INDIANA Q2 ARCH ELEC MECH
.DIVISION OF FIRE 8 BUILDING SAFETY � e �(}��. �UM
PLAN REVIEW DIVISION � � T e of release
402 W.Washington St., Room E245 `� L �"� Standard
Indianapolis,IN�46204 uoos�u+sav[:�r
......__. _. _..___....___._.___
Rvailapla A1 Vour Locel Lkancs Bmnc� p�oJett nemB
To: Owner I Architect I Engineer SUPpORT HOOSIER SAFETY yyhite House Black Market -
Shremshock
Timothy J Shremshock AR11300072 sereet adaress
6130 S Sunbury Road t4390 Clay 7eRace elvd
Westerville OH 43081 SpaceE01
Clty County
ax 8 e•mail: 614545d555,areimer�dshremshock.com Carmel HAMILTON
The plans, specifcations and application submitted�for the above referenced project heve been�reviewed for compliance with the applicable rules of
Ihe Fire Prevention and Building Safety Commission.Theproject is releasadfior construction subject to,but nol necessanly limited to, Ihe conditions
listed below. THIS IS NOT A BUILDING PERMIT.All requlred local permits�.and Ilcanses must be obtained pnor to beginning construction work.All
conswction work must be in�full compliance with alLapplicable.State rules..Any changesin the released plans and/or specifications must be filed with
antl released by this Office betore any work is`altered�.�.This release.may,be�suspended�or revoked if it is detertnined to be issued in error,.in violation
of any rules of Ihe Commission or if it is based on Incoaed or insuKcient infomiation.This release shall expire by limitation,and become null and
yoid, if the work authorized is not commenced within one(1)year from the above dale.
CONDITIONS:
Note:(AtA 8 A7B): In accordance with the affidavit swom under penalties o(perjury in Ihe application for constniction design release the plans
and specifcations fled in conjunclion with this project shall comply vritF all of the applicable rules and laws of Fire Prevention and Building�Safety
Commission. Providing false information constiWtes an.act of perjury,which is a Class D felony punishable-bya prison term and a fine up to$10,000.
In acwrdance with Section 19 of the Ganeral Administrative Rules(675 IAC 12-6-19)a complete set o�plans and specifications that conform
exacUy to the design that was released by the office o�Ihe state building commissioner shall be maintained on the construction jobsite as well as a
copy of lhe design release. �
4G0412AC No addition or alteration shall cause an existing building, structure, or any part of the permanent
heating, ventilating, air conditioning, electrical, plumbing, sanitary, emergency detection, emergency
communication, or fire or explosion suppression systems to become unsafe or overloadetl under
the provisions of the rules of the Commission for new construction in accordance with 675 IAC 12-4-
12(c).
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)
Please be advised ihat if an administrative review of[his action is desired,.a wntten pe[ition for review mus[be�.fled at the above address with the
Fire Prevention and Building.Safely Commission identitying the matter for which a review is sought no later than eighteen(18)days(rom ihe above-
statea date,unless lhe eighteenth day falls on a Salurday,a Sunday,a legal holiday under State staWte,or a day in which the Department of Fire
�and Building Services is closed dunng normal businesshours. In the latter case,ihe filing deadline will,be the frsl working day thareafter. If you
choose to petition,and�the before-mentioned procedures are followed,your pelition for review will be granted, and an administrative proceeding will
be conductetl by an administrative law judge of the Fire Prevention and Building Safety Commission. If a petition for review is not filed, lhis Order will
be final,and you must compy with its requirements.
i Code review official LORA PARMELE State Building Commissioner
Iparmele@dhs.in.gov ,/
IAddress(name,title ot local offcial,street,city,state and ZIP code -+r�`�'-- f, /�p',(� ��_1_r`A
IDEPT OF COMMUNITY SERVICE � � ,�
IJIM BLANCHARD State Fire Marehal /� j�$
� ONE CIVIC S�UARE o��-r/' �Sy J/�(� A�
CARMEL. IN 46032 � � - .. JC,Y4!�+ •;= j
N '-_ M�1r -� ���4 '' N
Fax 8 e-mail: 3175712499, �blanchard caimel.in. ov � - � w
yb �QGS _.'` �
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