HomeMy WebLinkAbout04120017 State Release
Would you like to reduce your turnaround time?
B.ECTRONICALL Y FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@sema.state.in.us, Or VISIT OUR WEB SITE AT www.ai.org/semaJosbc
Project number
Release date
CONSTRUCTION DESIGN RB...EASE
Slale Form 41191 (R9fS-98)
Report Printed on: Noverrber 20, 2004
306370
Construction type
EXST, SA<
Scope of release
11/20/04
S, REM
, , INDIANA 02
Indiana Department of Fire and ~
' Building Services ' F 0000
PLAN REVIEW DIVISION . 5
Office of the State Building Camm issioner HOOSIER SAFETY
402 W. Washington St., Room E245
Indianapolis, Indiana 46204
To: Owner I Architect I Engineer
ARCH B.EC
MECH
Available At Your Local Llc/I'nce Sranc
Type of release
Standard
Pf'"Oject name
RONALD E BLAND 4285
118 WEST LORETTA DRIVE
INDIA NA POLIS IN 46217
SUPPORT HOOSIER SAFETY W R CLOUSE 2ND FLOOR
Indiana State Emergency
Management
De I I f F' d Bu'ld' Street address
par men o. Ife an I 109
Services 3091 EAST 98TH STREET
Public Safety and Training
Institute
City
INDIANAPOLIS
County
MARION
Fax & e-mail:, 3177820976, renee@designapp.com
The plans, specifications and application subrritted for the above referenced project have been reviewed for corrpliance w ith the applicable rules
of the Rre Prevention and Building Safety CorTTTission. 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 perrrits and licenses ITI.Jst be obtained prior to beginning construction ,
w~ . I
All construction work lTlJst be in full corrpliance w ith all applicable State rules. Any changes in the released plans and/or specifications trust be filed
IN ith and released by this Office before any work is altered. This release may be suspended or revoked if it is determned to be issued in error, in I
violation of any rules of the CorTTTission or if it is based on incorrect or insufficient information. This release shall expire by lirritation, and become
null and void, if the work authorized is not comnenced within one (1) year from the above date.
OONDrrKlNS:
Note :(A 1A & A 1B): In accordance w ith the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications filed in conjunction with this project shan corrply w ith all of the applicable rules and law s of Rre Prevention and Building Safety
CorTTTission. Providing false information constitutes an act of perjury, which is a Oass Dfelony punishable by a prison term and a fine up to $10,000.
In accordance w ith Section 19 of the General Adrrinistrative Rules (675 lAC 12-6-19) a corrpleteset of plans and specifications that conform
exactly to the design that w as released by the office of the state building corm1issioner shall be maintained on the construction jobsite as well as a
copy of the design release.
4G0615A
This is a partially submitted and released project. Subsequent submittals shall be accorrpanied by a
completed standard I partial form (ACDR) and proper fees in accordance with 675 lAC 12-6-15(c),
SYSTEM REMAINING: PLUMBING
.
Rease be advised that if an adrrinistrative review of this action is desired, a written petition for review rrust be filed at the above address with the
Fire Prevention and Building Safety CorTTTission 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 w ill be the first working day thereafter. If you
choose to petition, and the before-mentioned procedures are followed, your petition for review w ill be granted, and an adninistrative proceeding
w ill be conducted by an adninistrative law judge of the Fire Prevention and Building Safety Cormission. If a petition for review is not filed. this
Order w ill be final. and you lTlJst COfll)ly with its requirements.
Filed By
Code review official
DENISE FITZPA TRCK
State BuildinQ Corrrrissioner
Pj")..
~~
Address (name,title of local official,street,city,state and ZIP code
SR. DEV. OOMPLIANCE ANALYST
KIRT HAVLIN
DIVISKlN OF OOMPLIANCE
604 NORTH SHERMAN DRIVE
INDIANAPOLIS, IN 46201
Fax & e-mail: 3173275174, ariQQs@indYQov.orQ
State Fire 1\1arshal
~ Y(..--P
PaQe 1/1