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CONSTRUCTION DESIGN RELEASE
State Fonn 41191 (R9/5-98) Construction type I Occupancy classification
Report Printed on: February 9. 2007 EXST A-2. 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
~O~EQAQPO
HOOD
Type of release
Standard
Available At Your local Licence Branch
To: Owner I Architect I Engineer
Captive Aire Systems
David C Miller
23 Blvd Motif
Suite 201
City I County
Brownsburg IN 46112
._~ ~... CARMEL HAMILTON
ax & e-mail: 9192275929.dave.mlller@capllvealre.com
l
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
Iistedbelow.THIS'IS'NOTABUlt01NGPERMIT~.Atlrequiredlocalpennits 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 andfor 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 detennined to be issued in error, in violation
of any rules of the Commission or if it is based on incorrect or insufficient infonnation. -This release shaH expire by limitation, and become null and
void. if the work authorized is not commenced within one (1)'yearfrom the above date.
CONDITIONS:
SUPPORT HOOSIER SAFETY
Project name
Mud Bugs Cafe
Street address
20 W Main St
In accordance with Section 19 of the General Administrative Rules (675 lAC 12-6-19) a complete set of plans and specifications that confonn
exactly to the design that was released by the office of the state building commissioner shall be maintained on the construction job site as well as a
copy of the design release.
3M0507 A The complete installation of the exhaust hood and hood suppression system shall be in accordance
with Section 507, IMC (675 lAC 18-1.4).
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 _. .-
Filed By Code review official
PATRICIA CRAYTON -tJ~d/S~
Address (name,title of local official,street,city,state and liP code
DEPT OF COMMUNITY SERVICE ,
JIM BLANCHARD State Fire Marshal V?~o~
ONE CIVIC SQUARE
CARMEL. IN 46032
Fax & e-mail: 3175712499, ibJanchard@carmeJ.in.gov
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