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Project number Release date
INDIANA 02
~OO~EQAQPO
324803
Construction type
EXST, SPK
Scope of release
ARCH ELEC MECH
PLUM
Type of release
Standard
Project name
5t Vincent Carmel Hospital
Breast Center Phase 4
Street address
13500 N Meridian St
03/27/07
Occupancy classification
B, REM
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5-98)
Report Printed on: March 27, 2007
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY / PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
To: Owner I Architect I Engineer
BSA LifeStructures
Monte L Hoover 4069
9365 Counselors Row
Indianapolis IN 46240
Available At Your local UcetlC6 Branch
SUPPORT HOOSIER SAFETY
City I County
IFax & e-mail: 3178197288. mhoover@bsalifestructures.com CARMEL HAMILTON"
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 10, but not necessarily limited to, the conditions
listed' below.'" THIS'IS'NOTpA' BUllDING'PERMtT":""AII'required' local' permits'and'licenses'must 'be'obtained'prior to'beginning construction worle All
gonstruction work ,:"ust be in full complianc~ with all appli~able State rules. ,:,ny changes in the rele~~e~ pla,:!s a~d/or spe~~cation"slmust ~e fi!ed ~th
~nd released by thiS Offic.e ~efore ~~y.wo~ 1~.~tte~d'11hls~r;eI~flse.llJ~y blf'~ps~nd~:~r revoked if It IS determ~~~d:~9 ~;Is~yed In,error, In Violation
9f any rules of the Commission or if It IS b~~~Jon I.n,cqn;-ec.t ,Of iPfutfifHt'"!t ;'!t.o~~!'onllh's release shall expire bYO'hmltatlon"and become null and
void, if the work. authorized is not commenced'within one (1)}year from:the abOve date~ \ r! I) //
CONDITIONS: t'-.- U U ~ ~ U 1.1 \..l U \.J 1.1 ~ '0::V L:=J
I .~ ---\ .
t-!ote ;(A1A & A1B): In acco~d~~pe. ~~h;the affidav!tsY'{om underpenalties..of pe~_~,lfY in_the.appJic~tionJor"c.onstructiorl~design releas~ the plans
and specifications filed in conjunction1with,this project,shall comply wilh'all'of the_applicable rules!and laws'"of Fire Prevention and Building Safety
Commission. Providing false informationwnstilutes[an act of pe~ury, which',is a Class D felony, punishable by RRrison term:and a fine up to $10,000.
lh accordance with Sect~n'19 of'theG~nera' Admini;t;aiive RJles (675 J.~C;12-6~19) a co~pJete:set of plank and specific~tions tha~ conform
~xaclly to the d~si9J1.~ha(was,rel~a5edrby the office~of the state" building c~'mmi_~~ioner Sh~I_I~b~"maintained on the construction jobslte as well as a
copy of the deSlgn,'elease. / . I
/' ',I' '
3B /THI~RO~~ET ~AS BEE~:REVIEWED UNDER THE 2003~NDIANA BUILDINGCODEj
Please be advised thJ!iran'administrative reviewoUhi_s,actionis desired, a written petition for review mJst be filed at the above address with the
Fire Prevention and"_Building'SafetyCommissionidentifying the matter for which:a revie,vi.is sought no later than\eighteen (18) days from the above-
stated date~'uriless'ttie_;elghteenth day falls on a 'Saturday, a Sunday,"8 legal holiday unde'r staie statute,:Or a day,'in which the Declartment of Fire
and Buildfng ~~~~esis'C16sed 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 gra'nted, and an administrative proceeding will
be conducted by an administrative law j~dge of.the F.ire Rre'vemtion and Building'Safety Commission" If a petition for review is not filed, this Order will
be fina( and you must comply with its'r~q~J~~rTi~ri~s'. ,- '.' " )
Filed By Code review official Code Enforcement & Plan Review Branch Director
ROBIN PHILUPS ~d/S~~~
Address (name,title of local official,street,cily,state and ZIP code
DEPT OF COMMUNITY SERVICE State Fire Marshal Vldf'O~
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499!jblanchard@carmel.in,gov
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