HomeMy WebLinkAbout06040070 State Release
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/\:"'STA~-" Project number I Release date
/-<.~''''''"~}, CONSTRUCTION DESIGN RELEASE 314688 12/06/05
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f3'1,'"'-. _;~ State Form 41191 (R9/5-9B)
,.'.i . .MI\' Construction type I Occupancy classjfication
:~i,~ \~!f Report Printed on: December 6. 2005
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~~~....~.~-~~/~i;/ Scope of release
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Indiana Department of Homeland Security INDIANA 02 ARCH ELEC MECH
DIVISION OF FIRE SAFETY I PLAN REVIEW ~oo;'.Q.QPO PLUM
402 W. Washington St., Room E245 Type of release
Indianapolis, IN 46204 Standard
Available At Your Local Licence Branch Project name
To: Owner I Architect I Engineer SUPPORT HOOSIER SAFETY 5t Vincent Carmel Hospital
BSA LifeStructures Barialric Support Space
Monte L Hoover 4069 Street address
9365 Counselors Row 13500 N Meridian 5t
. Indianapolis IN 46240
I City I County
Carmel
Fax & e-mail: 3178197288, mhoover@bsalifestructures.com HAMILTON
I
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.in.us, Or VISIT OUR WEB SITE AT www.in.gov/dhs/osbc
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:
Note :(A 1A & A 1 B): In accordance with the affidavit swom 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 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.
3B
THIS PROJECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE.
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)
4G0412AC No addition or alteration shall cause an existing building, 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 lAC 12-4-
12(c).
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.
4G0603AE
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Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.ln.us, Or VISIT OUR WEB SITE AT www.ln.gov/dhs/osbc
Flied By Gode review official Code Enforcement & Plan Review Branch Director
TERRY LOCOCO v~d/S~
Address (name,title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V1l'O~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
I Fax & a-mail: 3175712499, iblanchard@annel.in.gov
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