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Project number
Release date
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/S-9B)
Report Printed on: March 24, 2006
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
~ ~ 0000
P:1HOOSIER SAfElY
Available AI You'r Local licence Branch
314473
Construction type
II-B, SPK
I Scope of release
ARCH ELEC
PLUM
I Type of release
Addendum
03/23/06
- [ Occupancy classification I
S, REM I
--- - -I
,
To: Owner I Architect I Engineer
CSO
Alan Tucker 910036
280 E 96th St
Ste 200
I INDIANAPOLIS IN 46240 I City - - [-county
CARMEL HAMILTON
tax & e-mail: ~75740957.atucker@csoinc.net _~J
The plans, specifications and applicatfon 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 NOTA 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
~nd released by this Office before any work is:al_tered.~This"jrelease may beisuspendedlor revoked if it is determi~ed.to be issued in, error, in violation
of any rules of the Commission or if It is based. on incohect a'r insuffi'ciellt inforrmltion.:,This release shall expire by: limitation, and become null and
void, if the work authorized is not commenced ;""ithin on'e(l)"year from'the above~dale. . '
CONDITIONS: . , , '. " . .
SUPPORT HOOSIER SAFETY
Project name
Conseco Building 0
Street address
540 N College Dr
Note :(A1A & A1 B): In accordance,:,:vit~~the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications flied in c~njunction:.with this project shaH 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 0 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.
:4G0412AC No .addition or alteration shall cause an existing building, structure, or any part of the :permanent
heatirg, ventilating, air conditioning, electrical, plumbing, sanitary, emergency detection, :emergency
'.communication, or fire or explosion suppression systems to become unsafe or overlo~ded under
.: tile provisions of the rules of the Commission for new construction in accordance with 675 lAC 12-4-
12(c).
i4G0412AF 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 accordancewith 675 lAC 12-4:12(d). .. .'. ... .. ... ...... ... . .... . .J
pie"a'se be' advised ih"aiTr'an administrative re"vie'w'of'this'"aCtiori'is"desired, itwrittlin 'petition'fo'r review must be-filed-afthe 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 Code Enforcement & Plan Review Branch Director
PATRICIA CRAYTON v~d/S~
Address (name, title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V11'O~
JIM BLANCHARD
ONE CIVIC SOUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499,jblanchard@carmel.in.gov
Page 1/1
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, 1016
Stille Form 28284 (R2/3-95)
Rotum In: INDIANA DEPARTMENT OF FIRE AND BUILDING SERVICES
PLAN REVIEW DMSION
omCE OF THE STATE BUILDING COMMISSIONER
INDIANA GOVERNMENT CENTER SOUTII
402 W WASHINGTON ST RM E245
INDIANAPOUS IN 46204-2739
WWvl.state.ID.us/sema
ADDENDUM APPLICATION
DESIOi': PROFESSIONAL I OWNER J
PLEASE PRINT CLEARLY
Name
CSO Schenkel Shultz
Address (site Jocaoon. number and street)
280 E, 96. Se, Suite 200
Signatwo ofOesign Profes~onal (if 1<quirod)
.;Iv... .ty- ~
Phone Number
848-7800
Architect! Engineer Number
910036
E-Mail Address
bbaltz@csoinc.net
Name of project
CoDSOCO Building D
Project Number
314473
Project Address
540 N, College Dr,
Facility Use
Office
Code Review Official
Patricia em on
County
Hamilton
City
Cannel
Contact Pemon
leffGroth - 817-2780
ADDEi\DA - REVISIONS .
Documents required for this filing:
1. Addendum Application.
2. One assembled set of modified drawings which clearly identify the changes.
3. Addendum fees for each system affected.
NOTE: An addendum may not be used to enlarge or expand the scope of the original filing release,
Addendum change is to the followiog systemS: 1t Architectum1
1t Plumbing
To ELectrical
Brief description of the work covered by this addendum: Project was originally organized in 7 phases. Three have been eliminated and two have been
combined. Work eliminated includes new finishes and some office demolition & construction in the areas shown clouded on the Cover Sheet
.
6i5 lAC 12-6-18 (GAR) Addendum 3nd Rcvision Design Rclease
-"-
Sec, 18, Ca) No design changes or additions to the scope of work shall be made on a construction project subsequent to the issuance of an
applicable design release unless an addendnm or a revision design release is issued by the Office of the State Building Commissioner with thc
approval of the Office of the State Fire Marshal .
(b) Such design changes shall not include increases in project height or area.
C e) Subsequent to the issuance of an addendum or revision design release, the origina1 design release remains io effect as modified by the
addendum or revision design release.