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_ Project number Release date
Ii! 5T'!!.~-., CONSTRUCTION DESIGN RELEASE 322994 12/22/06
~-'I~ ._..':-; ..,t State Form 41191 (R915-98) Construction type
::r;, ,..,;",_!:, Report Pdnted on, December 22,2006 V-B B
'a~~~ 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
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Type of release
Standard
Available AI Your Local Licence Branch
To: Owner J Architect I Engineer
JRA Archilecture LLC
Andrew C Churchill 8600327
7222 North Shadeland Avenue
Suite 200
Indianapolis IN 46250
ax & e-mail: 3178061061.jra@jra-arch.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 Safuty Commission. The project is released for construction subject to, but not necessarily limited to, the conditions
listed below. THI81S NOT ABUILDING PERMIT. All required local permtts and licenses must be obtained prior to beginning construction work. AU
construction work must be in full compliance with all applicable State rules. Any changes in the released plans andlor 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
Coastal Corporate Center Building 1
TI Morter Health Center
Street address
10439 Commerce Dr
City
CARMEL
County
HAMILTON
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Note :(A1A & A1B): In accordance wtth 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 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 petitton for review is not filed, this Order will
be final, and you must comply with its requirements.
Filed By Code review official Code Enforcement & Plan Review Branch Director
FRED BENNETT ?J~d/S~
Address (name,tttle of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal Vl~O~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & a-mail: 3175712499, 'blanchard@carmel,in.oov
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