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-- Project number
~-'"'~,~ CONSTRUCTION DESIGN RELEASE
~.~ ~.~ ~.~ State Form 4t191 (R915-98) 3116~20
Construction
t,vpe
V-B, EXST
'~ ~' Scope of release
Indiana Department of Homeland Security
~lease data
I Occupancy classification
HOOSIER SAFETY
SUPPORT HOOSIER SAFETY
INSIGHT ENGINEERING INC,
DONALD W FISHER 900066
765 RANDALL DRIVE
UrFEC
INDIANAPOLIS IN 46280
ax & e-mall: 3178489080, sfouts~lnslghtengtheerthg.com
~licatlon submiffed for
B. EC MECH
PLUM
Standard
Project name
96TH STREET PROFESSIONAL pARK
BULDING 2
~reet address --
9755 RANDALL DRIVE
~ID~A NA POLLS
'Tcounty
HAMETOi',
specifinatlans must
~ may be suspendeo or revoked if it is determined to be issued in
r if it is based o~ This release shall expire by limitation, and
authorized is not commenced w;thin one [I) year from the above date.
Note :(A1A & A1B): h accordance with the affidavit sworn under penalties of perjury in the applicatlan for constructinn decign release the plans
and speciflsations flied in conjuncgon with this project shall comply with all of the applicable rules and taw s of Rre Prevention and Building Safety
Com~ssion, 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.
In accordance wifh Section 19 of the Genera AdminlstratNe R~las (675 lAC 12-6~19) a complete set of plans and specifioatlans that conform
exactly {o the design that W as released by the office of the state building commissioner shall be mainta ned on the constructlan jobsife as w e I as a
cOpy of the design release.
4G0412AC No addition or alteration shall cause an existing building, structure, or any part of the permanent
heating, ventilating, air conditioning, electrical, plumbing, sanitary, emergency detection, emergency
communication, or fire or explosion suppression systems to become unsafe or overloaded under the
provisions of the rules of the Corr~nission for new construction in accordance with 675 lAC 12-4-12(c).
4G0412AF No addition, alteration, or repatr shall reduce existing exit capacities to less than that required under
the prov sions of the rules of t.he Indiana Fire and Buiding Safety Commission for new construction in
accordance with 675 lAC 12-4 12(d),
Rease be advised that if an administrative review of this action is desired, a wrttten petition for review must be filed at the above address w ~h the
Rre Prevention and Building Safety Commission identifying the matter for Whinh 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 Rte
and Building Services is closed during normal business hours, in the latter (~ase, the fi~g deadline w Ill be the fimt w orldng day thereaftar, if you
choose to petition, and the before-mentioned procedures are fcl~w ed, your petition for review w~l be granted, and an adr~nistrative proceeding
w ill be conducted by an edn~lstratlve law judge of the Fire Prevention and Bu~ing Safety Commission. it a petition for review s not filed, this
Order will be final, and you must comply with ~s requirements.
Code review official
=ATR~C[A CRAYTON
BULLDOG COMMISSIONB~
Ct~RLES KiR-~ART
ONE HAMILTON SQUARE SUITE 138
.LE IN 46060
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