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Project number
I Release date
08/08/06
I- Occupancy classification
B, REM
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on: August 8, 2006
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St, Room E245
Indianapolis, IN 46204
INDIANA 02
J:1Q,Q,OO
319974
Construction type
EXST. SPK
Scope of release
ARCH ELEC MECH
PLUM
To: Owner I Architect I Engineer
Designplan Inc
Thomas R Strayer 00051
9800 Association Ct
Indianapolis IN 46280
SUPPORT HOOSIER SAFETY
Type of release
Standard
Project name
Firestone
,I
:1
Available At Your Local licence Branch
Street address
250 E 96th St
Fax & e-mail: 3178051362, ronc@deslgnplanlnc.com
I
City
INDIANAPOLIS
I County
HAMILTON
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 dale.
CONDITIONS:
Note :(A 1A & A 1 B): In accordance with the affidavit sworn under penalties of pe~ury 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.
3B
THIS PROJECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE,
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.
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State Fire Marshal
Filed By
Code review official
ROBIN PHILLIPS
Address (name, title of local officiaJ,street.city,state and ZIP code
BUILDING COMMISSIONER
CHARLES KIPHART
ONE HAMILTON SQUARE SUITE 138
NOBLESVILLE. IN 46060
Fax & e-mail: 3177742559, cek@co.hamilton.in.us
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