HomeMy WebLinkAbout07040109 State Release
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Project number
CONSTRUCTION DESIGN RElEASE
Slale Form 41191 (R9/5-98)
Report Printed on: April 11, 2007
324899
Construction type
II-B, SPK
E-Filed, No hard Release date I
copy will be mailed 04/10/07-
, Occupancy classification I
8, REM
Scope of release
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
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ARCH
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TYpe of release
Standard
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MECH
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Available At Your Local licence Branch
To: Owner I Architect I Engineer
Architects Forum
Thomas G Jolly 19600180
5252 E 82nd St
Ste 201
1 Indianapolis IN 46250 'I City
Fax & e-mail: 3178428877, mnuckols@architectsforumllc.com Carmel
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
listed below. THIS IS NOT A BUILDING PERMIT. All required local permits and licenses must be obtained prior to beginning construction work. AJJ
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 in-sufficient 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
Organic Health
I Street address
! 12188 N Meridian St
I Cou nty
HAMILTON
Note :(A 1A & A 1 B): 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 D felony punishable by a prison term and a fine up to $10,000.
tn 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 shalf be maintained on the construction jobsite as well as a
copy of the design release,
4G0603AF Plans and specifications for the revised fire suppression system shall be filed with the required
application, fees, and complete details in accordance with 675 lAC 12-6- 3(a), 7(h)17 and 675 lAC
13-1-8, (NFPA #13)
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 wilt
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.
Filed By
Code review official
Code Enforcement & Plan Review Branch Director
Address (name, title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
State Fire Marshal
u~d/S~
V?l'O~--
DENISE FITZPATRICK
Fax & e~mail: 3175712499,jblanc..:!1arq@carmel.in.gQY_
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