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Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-9B)
Report Printed on: January 31,2006
INDIANA 02
~IQAQPO
Indiana Department of Homeland Security
OIVlSION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St, Room E245
Indianapolis, IN 46204
To: Owner I Architect I Engineer
HKS Inc
Ronald A Skaggs 8802006
1919 McKinney Ave
DALLAS TX 75214
Available At Your l..ocal!..lc,,"c. Branch
SUPPORT HOOSIER SAFETY
314224
Construction type
I-A,SPK
Scope of release
ARCH ELEC MECH
PLUM
Type of release
Addendum
Project na.me
Clarian North Medical Center
Adult Sleep Lab
Street address
11725 N Meridian 5t
Release date
01/31/06
City
CARMEL
County
HAMILTON
ax & e-mail: 2149693397, mmclean@clarlan.org
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
Jisted'below:-THIS'IS'NOTwkBUIl.:DING'PERMIT'7"AII'required'local'pennits'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 specificationsimust be filed with
and released by this Office before any wo~ isialte~.:rrhls~relE!~se Qtay b t9r revoked if it is determi~edsto ~:lssl,led in;error, In violation
of any rules of the Commission or if it is b~se[fOn incorrect or insufficient i, is release shall expire by; Ii tionJlnd beCome null and
void, if the work authorized is not commenced1'wi1hin aile (1);yEfar fromlfhe abo " , !
CONDITIONS: ' ;0' hi ~a ~ W\ jffi 1$l. l!t i1fllL~?S .
I ~\~~1#~i};ii,+i1;C .~. - ,
Note :(A 1A & A1 B): In acco~~a~,~L'Mtti;the affidavi! s~~ under p~!1altie~ of perjury)nth~ applic~ti9n,for~nstru~iol)~esign release the plans
and specifications filed in conjun~idn;with this projectshall comply with all,of the:applicable rules and laWspf Fire Prevention and Building Safety
90mmission. Providing fa,I~;"icn~9..~~H(mconstitut~s~CI~ ,act of P!,!,rjury, whicry,is ~:Class 0 felony\punishable;',by a)rison temrand a fire up to $10,000.
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In accordance with Sectio,n::1~, ()fthe'G~neral Administrative Rules (675 lAC'12~~-19) a completE;'set of plans and specifications that conform
exactly to the desig,n:that~s,I~I,~~sed by the office of the state',building cOmmissioner shall be' maintained: on the construction jobsite as well as a
copy of the designireleasEI;-~;~';j~<~/'" . " :"i' i
j fi~;::?j'i;~;;"j'}~0~~$;:' ~:;;; <~i
IA 1 Z!;0NO:Cori'dition~, ~;,' "
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! Please be/advis at;ifan administrative action is desired, a for review'must be above address with the
t Fire Preventi'o',l'and Building Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above -
!stat~d'idat~;,:unfess the eighteenth d~y ~al!~',on a.~at~rday, :~Sunday, a legal hol"tday;und~r State statute, or a day in which the Department of Fire
jand'Bulldlng Services is closed during,normal ~usiness ~ours. In the latter case;t.the'filing deadline will be the first working day thereafter. tfyou
lchoo'se to petition, and the before-mentio'ned proceduresarefollowed;;your petition\for review will be granted, and an administrative proceeding will
'b~,l::~~q,l;l~~_Q"I:?Y,,~f:l.~cjmLl'li~~rC:!t!YE!.I~~j!:l,gg~w2!,~E~~,.~~~X~I'l~gl'l_Cl_I')_r;l_I:Il;l,il~!~9..9,~!~~,fp~,l!Ii~~Lqn~,ltc:!~~~~~~_~~~,!"~y~w is ~'='..2tliled, this Order 'Nill
be final, and you must comply with its requirements.
Filed By Code review official Code Enforcement & Plan Review Branch Director
DENISE FITZPATRICK v~d/S~
Address (name,title of local official,street,city,state and ZIP code
OEPT OF COMMUNITY SERVICE State Fire Marshal V1~O~
JIM BLANCHARO
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499 iblanchardft'jJcarmel.in.nov
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