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CONSTRUCTION DESIGN REL-;-~S;rr~~;;~mber
State Form 41191 (R9/5-9B) I C 1 t' t
ons rue Ion ype
Report Printed on January 19, 2006 ~XST' SPK
Scope of release
INDIANA 02 ARCH ELEC MECH
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW F 0000
402 W. Washinglon St., Room E245 S T:~~f release
Indianapolis. IN 46204 Standard
Release date
01/18/06
B. REM
Available At Your Local Licence Branch Project name
SUPPORT HOOSIER SAFETY
To: Owner I Architect I Engineer Clarian Health North
Synthesis Incorporated Cardiology Suite
Jenelle Smagala AlA 910118 I Street address
222 East Ohio Street I 116th Street and US 31
Suite 600 I
I INDIANAPOLIS IN 46204 'I City
IFax & e-mail: 3179519501,smagala@synthinc.com I CARMEL
I
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
Ii?ted below: THIS IS"NOT-ABUILDING PERMIT: AII"requiredlocal permits and licenses must be obtained"priorto beginning construction work. All
construction work must be in full compliance with all. applicable S1a1e rules. Any changes in the released plans andlor specifications must be filed with
and released by this Office before any work is'_~Jte'r~d:;;This:-":releaselllt3Y be~uspendedor revoked if it is determi~edto beis~,~ed in error, in violation
of any rules of the Commission or jf it is ba~e<:l6n ion-correct "()r ipsufficient inforl!lation.This release shall expire by limitation, and become null and
void, if the work authorized is not commenced within one (nyeClr from the above date.
CONDITIONS: < . .
I County
HAMILTON
Note :(A1A & A1B): In accordancewi1h 1he affidavi1 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 pe~ury, 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 lAC 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.
4G0603AE
Detailed plans and specifications of the fire suppression system shall be filed with the required
application and appropriate fees in accordance with 675 lAC 12-6-3(a) and 675 lAC 13-1-8.
(N.F.P,A,13)
All plumbing fixtures shall be properly vented in accordance with Chapter 9, IPC (675 lAC 16-1.3).
9P0901A
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.
Filed By
Code review official
DENISE FITZPATRICK
Code Enforcement & Plan ReView Branch Director ~l
~d~~:
V1?,O~ i
.-J
State Fire Marshal
I Address (name,title of local official,street,city,state and ZIP code
I DEPT OF COMMUNITY SERVICE
, JIM BLANCHARD ~I
ONE CIVIC SQUARE
CARMEL. IN 46032
lE.ax & e<mail: 3H5712499.jblanchard@carmel.i",gov
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