HomeMy WebLinkAboutSleep Number CDRELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http://www.in.gov/dhs/2650.htm.
This on-line filing is through a secure site, you can use it to submit your project information, pay the fees and upload your project plans.
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CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on: May 9, 2022
Project number Release date
430336 05/09/22
Construction type Occupancy classification
Scope of release
II-B M, REM
Type of release
Project name
Street address
City County
ELEC MECHPLUM
Standard
Sleep Number
14511 Clay Terrace BlvdUnit 100
CARMEL HAMILTON
To: Owner / Architect / EngineerL & M Associates Ltd.
Donald W Laukka AR19500013
10907 Valley View Rd
Eden Prairie MN 55344
Note :(A1A & A1B): In accordance with the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications filed in conjunction 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.
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 if it is determined 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:
ACDS
4G0412AE
4G0412AF
14W1104A
14B1100HC
4G0603AS
4G0606SPK
9E250
This project has been reviewed under the 2014 Indiana Building Code, 2014 Indiana Fire Code, 2009
Indiana Electrical Code, 2012 Indiana Plumbing Code, 2014 Indiana Mechanical Code, 2014 Indiana
Fuel Gas Code, 2010 Indiana Accessibility Chapter 11 (ICC A117.1 2009), and the 2010 Indiana
Energy Conservation Code (ASHRAE 90.1 2007)
The proposed building, addition, or remodel shall not put the existing building in noncompliance or intofurther noncompliance in accordance with 675 IAC 12-4-12.
No addition, alteration, or repair shall reduce existing exit capacities to less than that required under
the provisions of the rules of the Indiana Fire and Building Safety Commission for new construction in
accordance with 675 IAC 12-4-12(d).
Required means of egress shall be maintained during construction and demolition, remodeling oralterations and additions to any building, in accordance with Section 1104, IFC (675 IAC 22-2.5).
The current code for handicapped accessibility in use in the State of Indiana is Chapter 11 of the
Indiana Building Code (675 IAC 13-2.6) and ICC standard A117.1, 2009 edition (675 IAC 13-2.6).
This release does not include structural work. Plans and specifications for adding or remodeling thissystem shall be filed as a new project or as a partial before commencing work in accordance with 675IAC 12-6-3.
A Fire Suppression System Application, with the signatures of the system designer and the owner of
the installation, shall be uploaded to our website in accordance with 675 IAC 12-6-6 along with a
sprinkler design certification, (for the year of application) NICET CARD, shall be provided in
accordance with 675 IAC 12-6-9(b).
Grounding of service equipment shall be as set forth in Section 250, IEC (675 IAC 17-1.8).
Indiana Department of Homeland Security
DIVISION OF FIRE & BUILDING SAFETY
PLAN REVIEW DIVISION
402 W. Washington St., Room E245
Indianapolis, IN 46204
Fax & e-mail:
SUPPORT HOOSIER SAFETY
Available At Your Local Licence Branch
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 shall be maintained on the construction jobsite as well as a
copy of the design release.
9529447585, kleven@l-m.com
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http://www.in.gov/dhs/2650.htm.
This on-line filing is through a secure site, you can use it to submit your project information, pay the fees and upload your project plans.
Use Internet Browser to View this report, other browsers are not compatible to view this report
Page 2/2
AREL Pursuant to 675 IAC 12-6-21, the issuance of a design release does not relieve the owner fromrequired compliance with all applicable rules of the commission, even if noncompliant conditionsappear in the plans and specifications that have been filed with the division. The owner is responsiblefor correcting any and all areas of noncompliance even if they are discovered subsequent to theissuing 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.
Code review official
Address (name,title of local official,street,city,state and ZIP code
KIM HYTEN
JIM BLANCHARD
ONE CIVIC SQUARECARMEL,IN 46032
DEPT OF COMMUNITY SERVICE
Fax & e-mail: 3175712499, jblanchard@carmel.in.gov
Indiana State Building Commissioner khyten@dhs.in.gov