HomeMy WebLinkAbout05060146-State ReleaseCONSTRUCTION DF. SI(
State Form~.1191 (R9/$-98)
Report Printed on: June 15, 2005
mt of Home
Or VISIT OUR WEB StTE AT w ww .in.
Project number
10291
Construction type
II-B. SF~
B. EC MECH
PLUk~
06/09/05
Occupancy(
B. RESM
Dwner /Archite~ / ~gineer SUPPORT HOOSIE~ SAFETY
MAGNUM RESOURCES
ROBERT STEFANSKI
STE109
iN 46268
INDIANA C~ FOR
BARIATRIC MEDICINE
Street address
11495 N PENNSYLVANIA ST
County
HAMILTON
ot necessarily limited to, the
md
copy of the c
4G0603A
Fi[ed By
(N.F.P,A. #13)
'ev[ew official
DE~qlSE Ft'rZ PATPJCK
code
~p to $10,000
that conform
~obsite as well as a
~/ith the required
7(h)17 aha 675 lAC 13-
r a Department of Fire
3ereafter. If you
~ an administrative proceeding
~ot f~d, thiS
E~f~Branch Director
Page 1/1
/~, '~ 'i~ CONSTRUCTION DESIGN RELEASE
~ State Form 41191 (R9/5-98)
i~ ] Frinted June 15, 2005
Report
on;
Indiana Department of Homeland Security
402 W. Washington St., Room E245
Indianapolis, IN 46204 L~' ~ces?_ sA~Y j
Available At Your Loca{ Lice riCe Brar~ch
SUPPORT HOOSIER SAFETY
To: Owner I Architect I Engineer
MAGNUM RESOURCES
ROBERT STEFANSKI
3905 VINCENNES RD
STE 109
INDIANAPOLIS IN 46268
Fax & e-maih 3~72289448,
Would you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile_2~. Or VISiT OURWEE] SITE AT www,in.~[ov/dhs/osbc
Project number
310291
Construction tv~e
Release date
06~09~05
~ classification
The plans, specifications and application submitted for the above referenced project have been review ed for compliance w/th the applicable rules
of the Fire Prevention and Building Safety Comm~sioe. The project is released for construction subject to, but not necessarily limited to. the
conditions listed below. THIS IS NOT A BUILDING PE~.MIT, All required lecal permits and licenses must be obtained prior to beginning construct/cfi
work. All construction work rc~st be in full co[Aolla~ce W/th all applicable State [ulas. Any changes i~ the re/casco plans and/or specifications must
be filed w/th and released by this Office ~fote any Work is altered. This release may be suspended or revoked if it is detern'~ned to be issued in
error, n violation of any rules of the Co.ss!on e¢if it is based o~ incorrect or insufficient information. This release shall expire by limitation, and
become null and void, if the work authorized is not commenced w thin one (1) year from the above date.
CONDITIONS:
NOte :(A1A & A 1 B) In accordance w [th the affidavit sworn under 3enalties of perjury in the application for construction (]es]gn release the plans
and specif cations filed n con unction w/th this project shall comply w ith all of the applicable rules and law s of Fee Prevention and Building Safety
Commission, Providing false information constitutes an act of perjury, w h/oh is a C~ass D felony punishable by a prison term and a fine up to $1
io accordance w/th Section i9 of the General Administrative Rules (675 [AC 12-6-19) a complete set of plans and specifications that conform
ceXactiy to the design that w as released by the office of the state building con~missioner shall be maintained on the construction jobs/re as w ell as a
opy of the design re.asa.
4G0603AF Plans and specifications for the revised fire suppression system shall be filed with the required
application, fees, and complete details in accordance w ith 675 lAC 12-6- 3(a), 7(h)17 and 675 lAC 13-
~1-8. (N.F.P.A. #13)
Please be advised that if an adr~nlstratNe review of this action is desired, a written petitlor for rev~w must be filed at the above address w/th the
Fire Prevention and Building Safety Commission ldentifyin~ the matter for w h/oh a review is sought no later than eighteen (18) days from the above
-stated date, unless the eighteenth day fails on a Saturday, a Sunday, a legal hol~ay under State statute, or a day in w h/ch the Department of Fire
and Building Services is closed durtng normal business hours~ in the latter case, the fl/leg deadline w ill be the first w orkicg day thereafter, if you
choose to petition, and the before-mentioned procedures sre follow ed, your petition for ray/aw w ill be granted, and an adr~nistrative proceeding
w iii be conducted by an administrative law judge of the Fire Prevention and Building Safety Corr~mission. if a petition for review is not filed
Order w ill be final, and you must comply w/th its requirements
[-~,-~-~ ~[~--:-,-;~,~--~ Code Enforc~ Plan Review Branch Director
Address (name,tit~e of local official.street.city,state and ZIPcode /
L~
JEFFDE~T OFKENDALLCOMMUNITY SEiRV iCES State Fire Marshal ~0~ P ~
ONE ClV lC SQL[A RE
CARMEL. tN 46032