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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA at http://www.in.gov/dhs/fire/branches/plan_review/index.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. Would you like to reduce your turnaround time? Page 1/1 CONSTRUCTION DESIGN RELEASE State Form 41191 (R9/5-98)
Report Printed on: January 8, 2010 Project number Release date 344011 01/08/10 Construction type Occupancy classification Scope of release V-B B, REM Type of release Project name Street
address City County ARCH ELEC FDN MECH PLUM STR Standard FIRE DAMAGE REPLACEMENT FOR DR. LEHMAN 370 MEDICAL DRIVE CARMEL HAMILTON To: Owner /Architect /Engineer Jerry Hoffman Jerry G
Hoffman AR00034274 1107 South Tillotson Ave Suite 2 Muncie IN 47304 Note :(A1A & A1B): 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. 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 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 rules. 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 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: 8B 8B1104 THIS PROJECT HAS BEEN REVIEWED UNDER THE 2008 INDIANA BUILDING CODE. Accessible routes shall comply with Section 1104, Chapter 11, IBC (675 IAC 13-2.5). 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, 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, 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 Address (name,title of local official,street,city,state and ZIP code GERALD KELLEY JIM BLANCHARD ONE CIVIC SQUARE CARMEL, IN 46032 Indiana
Department of Homeland Security DIVISION OF FIRE & BUILDING SAFETY PLAN REVIEW DIVISION 402 W. Washington St., Room E245 Indianapolis, IN 46204 DEPT OF COMMUNITY SERVICE Fax & e-mail:
SUPPORT HOOSIER SAFETY Available At Your Local Licence Branch In accordance with Section 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 of the design
release. 7652824490, jhoff@usarchitectsmuncie.com Fax & e-mail: 3175712499, jblanchard@carmel.in.gov State Fire Marshal State Building Commissioner