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CONSTRUCTION DESIGN RELEASE
State Form 41191 (R915-96)
e1. :.' }1i Report Printed on: December 21. 2007
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Indiana Department of Homeland Security INDIANA 02
DIVISION OF FIRE & BUILDING SAFETY c 0000
PLAN REVIEW DIVISION J
402 W. Washington St., Room E245
Indianapolis, IN 46204 A'OSIFe snrny
Avvllaale At Yevr Local Lkenc. Branch
To: Owner I Architect I Engineer SUPPORT HOOSIER SAFETY
Studdio 3 Design
Project number
330836
Construction type
1-A, SPK
Scope of release
ARCH ELEC MECH
PLUM
Type of release
Standard
12/21/07
Timothy W Cover 910110
8604 Allisonville Road
Suite 330
Indianapolis IN 46250
x & e-mail: 3175721236, tcover@studio3design.net
Protect name
1-2, REM
The Heart Center of Indiana Sleep Lab Study
Street address
10580 North Meridian Street
City County
Cannel HAMILTON
the Fire Prevention and Building Safebj Commission. The project is released for construction subject tc, 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 Slate rules.; Any changes in the released plans andlor specifications must be flec with
and released by this Office before any work is altered, This release may ba'suspended or revoked if it is determined to be issued in.error, in violation
of any rules of the Commission or it it is based on incorre,cfor insufficient information. This release shall expire by limitation, and become null and
void, if the work authorized is not commenced within one (1) year tram the above dale,
CONDITIONS:
Note .(A1A & Al B): In accordance with the affidavit swom 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 aprison term and a fine up to $10,000.
In accordance with Seclion 19 of the General Administrative Rules (675 IAC 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.
4GO412AF No addition, alteration, or repair shall reduce existing exit capacities to less than that required under
the provisions of the rules of the Indiana Fire and Building Safety Commission for new construction
in accordance with 675 IAC 121-12(d).
4GO603AF Plans and specifications for the revised fire suppression system shall be filed with the 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)
Please be advised that it 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 (16) days from the above -
statea date, unless the eighteenth day falls 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
choose to petition, and the before-mentioned procedures are followed, your petition for review will be granted, arid an administrative proceeding -mill
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
I
Code review official
GERALD KELLEY
Code Enforcement & Plan Review Branch Director
?`/?7?f? b
Address (name,fille of local official,streel,city,state and ZIP code
DEPT OF COMMUNITY SERVICE
JIM B CHARD State Fire Marshal n
v
ONE CIVIC SQUARE N ?F/1pwol-
l!
CARMEL. IN 46032 ?
Fax & e-mail: 3175712499, jblanghard@carmel.iri
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