HomeMy WebLinkAboutState Release- CONSTRUCTION DOCUMENT RELEASE
State Form 41191 R3
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Indiana Department -o? Fire Prevention and Building Safety
PLAN REVIEW DIVISION
Office of the State Building Commissioner
1099 North Meridian St., Suite 900
Indianapolis, Indlana'46204
To: Owner/Arch itect/Engi neer
I', TM Archi tect:s
')TTN.Gordan S. Mensa
?ti02 N. Heridian tt,
Indianr,poliss, IN 46160
Project No. Construction Type
1.ariiF,li (1.I.)
Release Date Occupancy Classification
1-..5....A"t k) l; E 2rrlrid
Scope of Release
F ritind . , St ruc. t , , 11MO-1
I"lu«Ih. , Elr�c.t . r At -oh.
Type of Release
Standard
Project Name
Cr, chran In:atlrnitt;tl Agency
Street Address - —1
II'I"" c. R" I(IH I irtr, Rri.
CArlrls 1 H in)i. I tun
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 it it is determined to be Issued In error, in violation of any rules of the state or if it is based on Incorrect or Insufficient informa-
tion. This relea3e shall expire by limitation, and become not] and void, it the work authorized is not commenced within one (1) year from the above date.
Upon completion of this project, contact this department so arrangements can be made for final inspections. This contact may be either by telephone to 317-232-2222, or by letter/
statement of substantial completion.
CONDITIONS:
Il A 22-iniAr tji 30 - i noh attic eccm- op,:piny sltriiI be pro)ided
per Section x1115(,), IRC. (6715 TAC 1' 2)
2. Foundation si11 plate anr;hor• bolts shall be ®n:hr,ddid a mini-
(Trum of ).5 incheA into unreinforcPd m�aonr}r, or 7 ilrhra into
concrete: nr reinforced mat gr,ry, por Sr:r,t ir,n 2902(f), IEIC
(6.'5 IAL' 13--2)
3, Anc:hoI- bolts shatI br: s p m c e d not mr,rra than sig•: Fcit.,t als:+rt
par Seot ion 290T(f),TRC. (6?5 IAC 13
The local building official may require that a set of documents released by this office be maintained on the construction site until work is completed (675 IAC 12.1-20c).
Attacpmyntsl a t Proi rrt Pia .(reviewer j2 State Building Commissioner
G K ). 0 S � rtjttt �/ i
Address: Name, Title of Local Official, Street, City, State and ZIP rode
Char ire, Kipharr
8tti !ding CGmrn l.4.S i. tiv r'
"It Ea=.t t4c=in C:tre�t
C:,arure1 Tid x;611'.,;