HomeMy WebLinkAbout05060111-State Release
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9/5.9B)
Report Printed on: June 3, 2005
Would you like to reduce your turnaround tim e?
ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7@dhs.state.in.us. Or VISIT OUR WEB SITE AT www.in.gov/dhs/osbc
Project nurn ber E-Filed, No hard Release date
309365 copy will be mailed 06/02/05
Construction type Occupancy classification
: INDIANA 021 ARCH FDN
Indiana Department of Homeland SecuritYI 1 STR
DIVISION OF FIRE SAFETY / PLAN REVIEW I F 0000
402 W. Washin9ton St., Room E245 S ' Type. of release
Indianapolis, IN 46204 i HOOSIER SAFETY J Partial
Available At Your Local Licence Brane Project name
SUPPORT HOOSIER SAFETY I SPECII\L TY RSK INTERNATIONAL Ii'JC
I~B. SPK
Scope of release
B
To: Owner I Architect J Engineer
AXIS ARCHrTECTURE INTERIORS
DRE'N WHrTE 19400087
618 E MARKEr ST
INDIA NA POLIS IN
Street address
CONGRESSIONAL BLVD
Fax & e.mail: 317264B165, CKESTERSON@AXISARCH.COM
City
I CARMa
I County
HAMIL TON
----.-J
46202
The plans, specifications and application submitted for the above referenced project have been reviewed for compliance with the applicable niles
of. t.~~~,~i~~opr~~.~nti,?~.~.n~.~~i!~~nJL~~.f.ety,~~~~"~~~~;"l"11~,p'r?~c,~ ;~.,!;~I:~~.~~,,!?,~.~,~~~.t~,~~.ti()nsu~j~?~_t()~.b~t,~,()t;~~.c~~.s~r,i!x .linited to, the
co'nditions listed below. THIS IS NOT A BUILDING PERMrT. All required local permits and licenses ITlJst be obtained prior to begirinlF\g construction
'+' ark, All construction work must be in fu!b I~p Ie y changes in the rele lor specifications rrust
~e filed with and released by this Office II ailer suspended or revo 'ne4 to be issued in
~rror, in violation of any rules of the Co ' I t information. This r ire ~ Iinitation, and
~,~ ):0'
~ecome null and void, if the authorifSd ce~F e above date,
WNDmoNS:
IiIote :(A 1A & A 1B): In ace
~nd specifications filed in
~l1TI1ission. Providing
If, accordance w ith
exactly to the
QOPY of the desi~Ar"
:A2 r i,nstallation permit sha~ be obt~i,.,e~ from th'e El~vator Safety Divisio~ in accordance with
5!.\\\e11l1.1-1 ).
:: :';-.--..::!"~<, ,- ,-':":; .........:".. -'
4G0603AE) /'~~<<ed plans and spe~ifjy.ationsof\pafires!:l[lpra$SiOn) system sha!,IJ;Ja,fifed with the required
"/"appjitation and appropriate fees in accordance with 675 lAC 12-6.3(a) anCfU75 lAC 1~-1-8. (N.F.P.A.
13) .,:, ':', ,," " ..,"',: : ,',' ) '", " , , '
4G060'6AH A complete street addressor simil!'lF desqripflofl sl:iall be furnished in accordance with: 675 lAC 12-6-
6(c)(2).
the affidayjt~..~.C,lrn und~:,:.pE)~S of p:~r~,qryin:t~e ap~ljca.tionJpr con~g~.lCtiO;lil;~esign release the plans
,ith this Pr&jeCt'Shall cqr;w>Jy w ith'~II Of_~rre applic8,?Je ru~s and la~_s o.flrre Pre\r~_ntion and Building Safety
constitute~::~f1\'FCt of pg~ury, w h~ iSi.~-raass DtTlon~.-punishab]~by,-,:prison t~,~rn and a;fine up to $10,000.
eneral Ad~nistfative ~,es (675 ~'r 1,~.iB-19) a co.lTPlj3te set of PI~ns)Wd specifr~ations ltlat conform
by the of~ce of the state building(porrmssioner s~all b.e rraintainj;!d on;iple constt~tion jopsite as well as a
4G0603AA
This project release is for the building shell only and does not include the finish of Ofle or more tenant
spaces. Tenant space finish may be filed as a new project in accordance w ~h 675 lAC 12-6-6 or as
one or more addenda to released systems in accordance with 675 lAC 12.6-18 before commenciflg
work.
This is a partially submitted and released project. Subsequent submittals shall be accompanied by a
completed standard I partial form (ACDR) and proper fees in accordance w ~h 675 lAC 12-6-15(c).
SYSTEMS REMAINING: MECH, B.EC, AND PLUM
4G0615A
Rease be advised that if an administrative review of this action is desired, a written petition for review m.Jst be filed at the above address with the
Fire Prevention and Building Safety Corrmission 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 w ill be the first working day thereafter. If you
choose to petition, and the before-mentioned procedures are followed, your petition for review w ill be granted, and an administrative proceeding
w ill be conducted by an administrative law judge of the Fire Prevention and Building Safety Cormlssion. If a petition for review is not filed, this
Order w ill be final, and you must cOOl)ly w ith its requirements.
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