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Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-9B)
Report Printed on: April 20, 2007
E-Filed, No hard
325323 copy will be mailed 04/20107
Construction type Occupancy classification
Release date
V-B
M, REM
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY I PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
INDIANA 02
~OO~EQgOO
Scope of release
ARCH ElEC MECH
PLUM
To: Owner I Architect I Engineer
Leech Hensley Architects Inc
April E Hensley 00124
7785 E 126th St
Fishers IN 46060
SUPPORT HOOSIER SAFETY
,
I Type of release
Standard
Project name
Hamilton Beverage
Available AI Your Local Licence Branch
Street address
2282 E 1161h 51
Fax & a-mail: 3178427994,lharch2@cs.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"!S 'NOT-A'BUIL.:DING'PE RM IT -:-AII 'required'local'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 islaltered.,This_....release rT!~y be~suspEmded,:or revoked if it is determi,ned.to be!is~ued iri\error, in violation
~f ,an~ rules of the Co~mis~ion or if it is b~~e9.roh i~c~ctect \~r ib~u~!fi~'ht iri~~r~@ol"!.~Th!~ release shall expire by'limjtatio'n,;. ~nd become null and
VOid, If the work authOrized IS not commenced,wlthln one (l)',year from the above.date.)" ., "j
CONDITIONS: ~ I':"' ,.' ,""~ '~~',/ ~:< "j "";" 'f_.J rt
r :;:.', ,
J "._~, ...
~ote :(A1A & A1B): In accordance~~~h\the affidavits~orn under p,enalttes of perj,ury in the,appJication for construction_design releas~ the plans
and specifications filed in conjunctiCl~jwith this project shall comply with all_of the' applicable rules and laws of Fire Prevention and BUilding Safety
Commission. Providing fal,seiiriforl1laiYon'constitutesan ~ct of perjury, which!is a Class D felony,'punishable:by a,prison term and a fi~e up to $10,000.
!-f-o, , . ,',_, '_ . ,
In accordance with Sectioni19 of the General Administrative Rules (675 IAC:12-6-19) a complete set of plans and specifications that conform
exactly to the desjgn'tharwas:rereas~d'by the office of the state-building commissioner shall be' maintained on the construction jobsite as well as a
copy of the design,rele'ase, '- /, ,
13B /"~-"1l~'.e~d~EFT ~AS B!"EN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE.
: Please be advisedtha~,if~:admin,istrative review of this actionis desired, a written petition for review must be ryled at the above address with the
Fire PreVen!io'n_'8D,d}~~JI_ifi~'g""Safeiy 'Commission Identifying the matter fo.r~whic~~a,review)s soug~t no later tha~eighteen.(18) day~ from the above ~
stated date;_ullless:ttieeighteenth day faUs on a Saturday, a Sunday, a legal hofiday~under State statute,' or a day in which the Department of Fire
and Bujl~i,ng'Servjces is-closed during normal business hours, In the latter case, the filing deadline will be the first working day'thereafter. If you
chooseto'petitio'n, and the before-mentioned procedures are followed. your petition for review will be granted, and an administrative proceeding will
be coricfucted by an administrative law judge of the Fire Prevention and BulldingSafety Commission. If a petition for review is not f[led, this Order will
i be fin-a( and you must comply with its requir~m'ents, ' .
'.
City
CARMEL
County
HAMilTON
- - -- -"'.'---- .-------_. ~ "-- ._----~ - ---~--'-- ~--
Filed By Code review official Code Enforcement & Plan Review Branch Director
ROBIN PHilLIPS v~d/S~
Address (name,title of local official,street,city,state and ZIP code I
DEPT OF COMMUNITY SERVICE State Fire Marshal Vl~ 0 ~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499, jblanchard@carmeUn.gov
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