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Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Prinled on: Augusl18, 2006
INDIANA 02
~OO~,QAQPO
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY I PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
To: Owner I Architect I Engineer
BSA LifeStructures
Monte L Hoover 4069
9365 Counselors Row
Indianapolis IN 46240
Available At. Your local Licence Branch
SUPPORT HOOSIER SAFETY
320439
Construction type
II-B, SPK
Scope of release
Release date
08/18/061
B. REM
ARCH ELEC
PLUM
Type of release
Standard
Project name
5t Vincent Carmel Hospital
Board Room and Fitness Center
MECH
Street address
13500 N Meridian 5t
City
CARMEL
County
HAMILTON
Fax & e-mail: 3178197288, mhoover@bsalifestructures.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'NOTMA-BUII.:.DING'PERMIT -:-AH' required'local' permits'and 'licenses'must'be'obtained' prior to' beginning' construction work. AliI
gonstruction work must be in full compliance with all applicable State rules. Any changes in the released plans and/or specifications)must be filed ~th
and released by this Office before any work is-altered.1This"release may be"suspended'or revoked if it is determined,to be:issued injerror. in violation
9f any rules of the Commission or if it is b~~e~Io!! (n:C~~ect'9r ir~uf;fif.i~~t i~f?>~~'iOI1! t~'iS release shall expire by{limitatio'nJu;d become null and
void. if the work authorized is not commenced within one (1 )/year ITom-the above date..:.-,\\ I )1 ,I /;/
CONDITIONS: , I! II \J l_~-_" I' tI U U \ l fj \\ / ( -.
I .'~
)
Note :(A1A & A1B): In accordance with}he affidavit sworn under penalties of perjury in the application for construction design release the plans
~nd specifications filed in cpnjunction lwi!~ this project shall comply with all of the applicabie rules and laws of Fire Prevention and ~uilding 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.
I~ accordance with secti6"n 19 of the G1neral Administrative Rules (675 lAC 12.6.19) a complete set of plans and specifications tha\ conform
exactly to the design'tha(was releasedJby the office of the state building commissioner shall be maintained on the construction jobsite as well as a
Copy of the design.release. / I
38 / THIS P'RO:JECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE.
4G0412A~-- , N~-~~ticfn, '~;er~tion, or repair shall reduce existing exit capacities to less than that reqLed under
//. .)he provisions of the rules of the Indiana Fire and Building Safety Commission for new c'onstruction
/ , ,,' in accordance with 675 lAC 12-4-12(d). I
/ ,
4G0603AF' Plans and specifications for the revised fire suppression system shall be filed with t~e required
'.' application, fees, and complete details in accbrdance with 675 lAC 12-6- 3(a), 7(h)17 and 675 lAC
13-1-8. (N.F.P.A. #13) . )
Please be advised-that ifanadmTnistrativereview of-thisaction is'desired, awTitten petition forreview rTiUSf6efiledatttle 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. I
Filed By Code review official Code Enforcement & Plan Review Branch Director
GERALD KELLEY ~d/5~
,
Address (name.title of local official,street,city.state and ZIP code ,
DEPT OF COMMUNITY SERVICE ,
State Fire Marshal V1~O~ I
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499, jblanchard@carmel.in.gov
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