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CONSTRUCTION DESIGN RELEASE 1329402
State Form 41191 (R915.98) Constructi
Report Printed on: October 16, 2007 vA
Indiana Department of Homeland Security
DIVISION OF FIRE & BUILDING SAFETY
PLAN REVIEW DIVISION
402 W. Washington St., Room E245
Indianapolis, IN 46204
To: Owner I Architect I Engineer
Levy Engineering Consultants
Don E Spencer 10403982
6515 East 82nd St
Suite 206
Indianapolis IN 46250
INDIANA 02
?TF
A S OOOO
Aval AuTour Loral lJ"a Branch
SUPPORT HOOSIER SAFETY
& email: 3175943409, dspencer@thelevygroup.com
ARCH ELEC MECH
PLUM
10/18/07
B, REM
Type of release
Standard
Project name
Camp Bow Wow
Street address
489 Gracile Drive
city County
Carmel HAMILTON
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. All
construction work must be in full compliance with all applicable State riles. 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 insufficient 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:
Nate :(AIA & At 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.
In accordance with Section 19 of the General Administrative Runts (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 shall be maintained on the construction jobsite as well as a
copy of the design release.
4GO412AC No addition or alteration shall cause an existing building, structure, or any part of the permanent
heating, ventilating, air conditioning, electrical, plumbing, sanitary, emergency detection, emergency
communication. or fire or explosion suppression systems to become unsafe or overloaded under
the provisions of the rules of the Commission for new Construction in accordance with 675 IAC 12-4-
12(c).
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, ora 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 will
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
DENISE FITZPATRICK
Address (name,title of local official,street,city,slate and ZIP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
Review Branch Oirector
CARMEL, IN 46032
LFax & e-mail: 3175712499, jblanchard@carmel.in.gov
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