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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http:lhvww.imgovldhslfirelbrancheslplan_mviewlindex.htmi.
This on-line filing is through a secure site, you can use it to submit your project information, paythe fees and upload your project plans.
As of July 1, 2007 the existing a-file site efile24-7®dkta. in. gov will no longer be in service.
CONSTRUCTION DESIGN RELEASE Project number I Release date
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a 4a 330101 11120107
State Form 41191 (8915.98)
mr?? a Constmctton type _ Occupancy Classification
.?? Repot Printed on: November 20, 2007 E%ST B, REM
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Scope of release
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Indiana Department of Homeland Security INDIANA 02 ARCH ELEC MECH
ift DIVISION OF FIRE & BUILDING SAFETY F 0000 PLUM
PLAN REVIEW DIVISION Type of release
402 W. Washington SL, Room E245 S
HOOSIER SAFETY Standard
Indianapolis, IN 46204 Avail u u Your Local Lic eranm Project name -
To: Owner I Architect I Engineer SUPPORT HOOSIER SAFETY Coastal Corporation Center Building 4 TI
JRA Architecture LLC Salon Suites of West Cannel
Andrew C Churchill 00327 street address
7222 N Shadeland Ave 10385 Commerce Dr
Suite 200 _
Indianapolis IN 46250 City County
Fax & email: 3175811475, jra@Jraarch.com CARMEL HAMILTON
The plans, specifiratione,aed_apPlicatiat.submitted far the above referenced project have tteen 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 necessanly limited to, the conditions
listed below. THIS IS NOT A BUILDING PERMIT. Al required local permits and licenses must be obtained priorto beginning construction work. All
construction work must be in full compliance with all app4h able State rules. Any changes in the released plans arMlor specifirauons must be filed with
and released by this Office before any work is allered.;This release, may be suspended or revoked if h is detemitr ed to be issued in error, in violation
of any rules of the Commission or if it is baseif on incdrtect or insufficient information. This release shall expire by limitation, and become null and
void, if the work authorized is.rwt commenced within one (1) year from the above sate.
CONDITIONS:
Note :(AtA & A1B): In accordance ,with the affidavit sworn under perie ies 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 fire up to $10,000.
In accordance with Section 19 of the General Administrative Rules (675 tAC 12-&19) a complete set of plans and specifications that confonn
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-
-Al No Conditlons.
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 fall 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
do&e 16 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 lawjudge of the Fire Prevention and Building Safety Commission. If a petition for review is not filed. this Order will
'befina6 ,and,you _muslcomply with its requirements. _
Filed By Code review official
ROBIN PHILLIPS
i Review Branch Director
Address (name,title of local official,strem,city,state and ZIP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
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