HomeMy WebLinkAboutRangeline Chiropractic CDRELEG7PZONICALLY FiLE YOUR PROJECT WITH STAiE CiF iNDiANA aY http://www.in.qav/d17s/2650.htm.
This on-line filing is through a securs site, you can use it to subm:t yaur project informatfon, pay the fees and upload yaur project pians.
t/se 9niern�d k3reawser fv iPi�w ita�� reporf, aP�er fsresuvs�r� are �as�i ccsnr�aaf��a�� tta �r��v �tais r�porY
� s� �r�, .
��� �
z� �
� �;� �
� � �� �
v �� � �
m. .
��a�
Project number
CONSTRUCTION DESIGN RELEASE 413023
State Form 41191 (R9/5-98) Construction type
Report Printed on: January 20, 2020
Indiana Department of Homeland Security
DIVISION OF FIRE & BUILDING SAFETY
PLAN REVIEW DIVISION
402 W. Washington St., Room E245
Indianapolis, IN 46204
To: Owner! Architect / Engineer
Ethos Workshop
Scott P Allman AR10500015
8311 W 10th St
Indianapolis IN 46234
, _..
<,,_ w�E�1�1��_ Q`2 %
�
�<
i ''� ;
/,... �
� -... _ _ -- ---�
Available At Your Local Licence Branch
SUPPORT HOOSIER SAFETY
Fax 8 e-mail: 3176082413, zachh@ethosworkshop.com
I I-B
Scope of release
ARCH ELEC MECH
PLUM
Type of release
Standard
Project name
Rangeline Chiropractic
Release date
01 /14/20
Occupancy classification
B, REM
Street address
1422 Keystone Way
City
CARMEL
County
HAMILTON
The pfans, specifications and application submitted for the above referenced project have been reviewed for comptiance with theapplicable 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 lacal permits and ficense5 must be obtained prior to beginning construction work. All
construction work must be in full compliance with alt applicabfe 5tate 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 ar revoked if it is determrned to be issued in error, in violation
of any rules of the Commission or if it is based on incorrect or insufficient information. This release shall expire by limitation, and become null and
void, if the work authorized is not commenced within one (1) 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 specifications filed in conjunetion with this project shall comply with all of the applicable rules and laws of Fire Prevention and Building Safety
Commission. 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 12-6-19) a complete set of plans and specifications that conform
exactly to the design that was released by the office of the state building commissioner shali be maintained on the construction jobsite as well as a
copy of the design release.
14B
4G0411AA
4G0412AC
This project has been reviewed under the 2014 Indiana Building Code.
No change in the character or use of any building or structure shall be permitted which shall cause
the building or structure to be classified within a different occupancy group or within a different
division of the same occupancy group, unless such building or structure complies with or is made to
comply with the current rules of the Indiana Fire Prevention and Building Safety Commission for new
construction for the proposed revised use of the building in accordance with 675 IAC 12-4-11(b).
No addition or a{teration shall cause an existing build+ng, 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 overloaded under
the provisions of the rules of the Commission for new construction in accordance with 675 IAC 12-4-
12(c).
146101163 Exit illumination and exit signs shall be connected to a separate emergency power source in
accordance with Section 1011.6.3, IBC (675 IAC 13-2.6).
AREL Pursuant to 675 IAC 12-6-21, the issuance of a design release does not relieve the owner from
required compliance with all applicable rules of the commission, even if noncompliant conditions
appear in the plans and specifications that have been filed with the division. The owner is
responsible for correcting any and all areas of noncompliance even if they are discovered
subsequent to the issuing of this design release.
Please be advised that if an administrative review of this action is desired, a written petition for review must be 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 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 Department of Fire
and Building Services is closed during normal business hours. In the latter case, the filing deadline will be the first working day thereafter. If you
choose to petition, and the 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, this Order will
be final, and you must comply with its requirements.
Page 1/2
ELECTftONICALLY FILE YOUR PROJECT W1TH STATE t3F 6NDiANA at http:t/wtvw.iat.ciov/dhs/2650.htm.
This an-line filing is through a secure site, you can use it ta submit your projecY iniormation, pay the fees and upload your project plans.
[Is� lnternet �resvvser to �le��r g#aa� r�pcart, ather br�ssus�r� ae� ra�t c�raapatibCe fo vi��r fhi� €��c�ri
Code review official TONY RIGGS
TRIGGS@DHS.IN.GOV Indiana State Building Commissioner
Address (name,title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE '
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499, jblanchard@carmel.in.gov
_. _ I
Page 2/2