HomeMy WebLinkAbout06050096 State Release
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Project number
Release date
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on: December 8, 2005
314765
Construction type
EXST
12/08/05
M, REM
Scope of release
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY I PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
~~OOOO
~OOSJER SAfETY
Available At Your Locall..icence Branch
ARCH ELEC
STR
FDN
To: Owner I Architect I Engineer
Carter & Burgess
James R Kimball Jr 00141
465 Medford 8t
Charlestown MA 02129
SUPPORT HOOSIER SAFETY
Type of release
Standard
Project name
CVS Canopy Renovation
Street address
1421 S Range Line Rd
''Fax & e-mail: 6172250216, jim.kimball@c-b.com
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:-AII required-local' permits' and' licenses' must ,be' obtained 'prior to 'beginning construction work. All
construction work must be in full compliance with all applicable Slate rules. Any changes in the released plans and/or specifications, must be filed with
and released by this Office before any work is alter~d,~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 with,in o:n'e (1):'yearfrom.the above'date.
CONDITIONS: , ,', ',:" k_;':"_" ,;.; :!~, \,., ,:"
City
CARMEL
County
HAMILTON
Note :(A1A & A1B): In accordance with the affidavit sworn under penalties of pe~ury in the application for construction design release the plans
and specifications filed in conjunction5vith this project shall comply with all of the applicable rules and laws of Fire'Prevention and Building'Safety
~ommission. Providing false information constitutes, an act of perjury, which is a Class D felony punishable by a prison term and a fi,ne 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
~opy of the design'release.
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No Conditions,
; Please be advised that if~nadministrative review of this action is desired, a wn'tten petition for review m~st be filed at the above address with the
i Fire Prevention and :Building. Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above -
t 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 S,eivices is closed during normal business hours. In the latter case, the filing deadline will be the first working day thereafter. If you
ichooseto petition, and the before-mentioned procedures are followed, your petition for review will be granted, and an administrative proceeding will
fbe 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
i be final, and you must comply with jts requirements."- .
I
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Filed By Code review official Code Enforcement & Plan Review Branch Director
ROBIN PHILLIPS -CJ~d/S~
Address (name,title of local official.street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V11-0~
JIM BLANCHARD
ONE CIVIC SOUARE
CARMEL, IN 46032
Fax & e-mall: 3175712499, iblanchardfii'!armel.in.aov
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