HomeMy WebLinkAbout06070173 State Release
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Project number
Release date
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/S-98)
Report Printed on: July 25, 2006
319770
Construction type
EXST
07/25/06
B, REM
Scope of release
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St, Room E245
Indianapolis. IN 46204
INDIANA 02
J;o~,Q.QPO
ARCH ELEC
PLUM
Type of release
Standard
Project name
American Health Network
MECH
"v.lIable At Your Local Lleence Branch
To: Owner I Architect I Engineer
Cornerstone Design
Dann Keiser 870146
8481 E 550 N
Otterbein IN
SUPPORT HOOSIER SAFETY
Street address
12425 Old Meridian SI
City I County
CARMEL HAMILTON
ax & e-mail: 7657644724.espacelnC@lndy.rr.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~ABUILDING PERMIT: AII'required tocal'pennits'and'licenses'must be obtained'prior to'beginning construction worle All
construction work must be in full comptiance with all applicable State rules. Any changes in the released plans and/or specifications must be fited 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: .'
47970
Note :(A 1A & Al B): 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 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
~py of the design,release.
,
'3B THIS PROJECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE.
i
'4G0412AF 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
i in accordance with 675 lAC 12-4-12(d).
,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
IFire Prevention and Building Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above-
jstatecfdate, 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 nannat business hours. In the latter case, the filing deadline will be the first working day thereafter. If you
ChoOse'to'petitio,'-, and the before-mentione'd 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 wtth its requirements.
Filed By Code review official Code Enforcement & Plan Review Branch Director
FRED BENNETT ~~d/S~
Address (name, title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal V1?,O~
JIM BLANCHARD
ONE CIVIC SaUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499!jblanchard@carmel.in.gov
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