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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http:l/wow.in.govldhsffirelbranches/plan_reviewFindex.html.
This on-line filing is through a secure site, you can use it to submit your project information, pay the fees and upload your project plans.
As of July 1, 2007 the existing e-file site affil e24 -7®dhe. in. gov will no longer be in service.
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R915.98)
6 - Report Printed on: September 10, 2007
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Indiana Department of Homeland Security INDIANA 02
DIVISION OF FIRE & BUILDING SAFETY F 0000
PLAN REVIEW DIVISION S
402 W. Washington St, Room E245
Indianapolis, IN 46204 HOOSIER SAEEIY
Available N Ywr Logl Ucance anncl,
To: Owner/ Architect ! Engineer SUPPORT HOOSIER SAFETY
BSA LifeStructures
Monte L Hoover 4069
9365 Counselors Row
Indianapolis IN 46240
328654 09/08/07
Construction type 1 Occupancy classifrcation?
I-A, SPK 12 REM j
scope ii release
ARCH ELEC MECH
PLUM
Type of release
Standard
--?
pr4ict name
St Vincent Carmel Hospital Gelato Da Vinci
Coffee Bar
- - - --- - ----- - - -
- - - ------ - - ------------
13500 N Meridian St
& e-mail: 3178197288, mhoover@bsalifestructures.com I CARMEL
HAMILTON
fie Fire Prevention and Building Safety Commission. The project is released for conswction subject to, but not necessarily limited to, the conditions
;ted below- THISIS NOT A BUILDING PERMIT. All required local permits and licenses must be obtained prior to beginning conslrbction work. All
instruction work must be in full compliance with all applicablerState'rules lAny changesn the released plans and/or specificetionsimust be flied with
nd released by this Office before any woili is alteredaThis release may be,suspended or revoked if it is determined'6 be issued in error, in violation
f any rules of the Commission or If it is basetl on I'A4rect or luffk ienl irnfamalionrAis release shall expire 6y'fmitatich*find become null and
aid, if the work authorized is not commenced within one (1) year from the above date. Q/ L
ONDITIONS:
? I
[r r .
ate :(A1A & A1B): In accordance with the affidavit sworn under penalties of perjury in flea applicafon for construction design release the plans
id specifications filed in ionlunction with this project shall comply with all of the applicabWrules and laws of Fire Prevention and Building Safety
ommission. Providin g false information consfitutes,an act of perjury, which is a Class D felony, punishable by a prison term and a fine up to $10,000.
i accordance with Sedion'19'of the General Administrative Rules (675 IAC+12-6-19) a complete set of plans and specifications that conform
xactly to the design that was released by the office- of the state building commissioner shallbe maintained on the construction jobsile as well as a
opy of the desigmrelease. - I
4GO603AF Plans and-specifications for the revised fire suppression system shall be filed with t e required
application .fees, and complete details in accordance with 675 IAC 12-6- 3(a), 7(h)17 and 675 IAC
,13-1-8. (N.F.P.A. #13) I
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) dayi from the above -
stated date, unless the eighteenth day falls on a Sattirday, 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, youi petition for review will be granted, and an administmfive proceeding will
be dobducted by an administrative'iaw 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.
ed By
Code review official
DENISE FITZPATRICK
tress (name,title of local official,street,city,state and ZIP code
-PT OF COMMUNITY SERVICE
1 BLANCHARD
E CIVIC SQUARE
2MEL, IN 46032
Review Branncch DDiireecct/or ----- -- ------?-i
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