HomeMy WebLinkAbout06110077 State Release
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Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9fS-98)
Report Printed on: November 9, 2006
Scope of release
E-Filed, No hard
322088 copy will be mailed 11/09/06
Construction type i Occupancy classification
EXST is I
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Release date
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Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY I PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
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ARCH ELEC
PLUM
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Type of release
Standard
To: Owner I Architect I Engineer
Rejuve Salon
Mini Dhanjal
9873 N Michigan Rd
I Carmel IN 46032
b City 'I County
Carmel I HAMILTON
' ax & e-mail: 3173340146.jbridenstine@kortbuilders.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. All required tocal 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:
SUPPORT HOOSIER SAFETY
Project name
Rejuve Salon
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Availabla At Your Local Licenca Branch
Street address
4873 N Michigan Rd
Note ;(A1A & A1B): 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
copy of the design release.
3B
THIS PROJECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE,
NOTE: Mechanical release is for the installation of the Restroom exhaust fan only. All other
mechanical is shown as existing.
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.
Code Enforcement & Plan Review Branch Director
----~;review official
~ PHILLIPS
Address (name,title of local official,street,city,state and ZIP code
Filed By
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
State Fire Marshal
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Fax & e-mail: 3175712499, iblanchardlfi:lcarmel.in.Qov
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