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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
efile24-7~dhs.state,in.us, Or VISIT OUR WEB SITEAT www.in.gov/dhs/osbc _
¢5.,~ Project number Release date
~*'< "~ CONSTRUCTION DESIGN REI. EASE
, ~ ~,/~ 311950 copy will be mailed 08/05/05
"~ ~:~;'~, State Form 4~191 (R9/5-98)
~i~' = Construction type Occupancy classification
IN[~JANA 02 ARCH ELEC FDN MECH
Indiana Department of Homeland Security ~
402 W Wash ngton St, Room E245 I ,¢~¢~ ~[ ~ ~ ~l ~ Typeofrelease
SUPPORT HOOSIER SAFETY
To: Owner / Architect / Engineer NORTHWEST RADIOLOGY NETWORK
ARCHITECTS FORUM
THOMAS G JOLLY 19600180 Street address
5252 E 82ND ST t 2t88 N MER~DAN ST
STE 201
INDIANAPOLIS IN 46250 City County
CARMEL HAMILTON
Fax & e.maih 3178428877, M NUCKOLS@ARCHITECTSFORUM LLC,COM
of the Fire Prevention and Building Safety Commission. Toe 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 perrr~ts and licenses rc~Jst be obtained prior to beginning construction
work. AIl construction work must be in fu!! compliabce ~ ~ all applicable State rules. ,Any changes in the reteased plans agd/or specifications must
be filed with and released by this Office befo~b any Wbrk is altered ~is r~t~a~e maybe suspended or revoked ~ it is detb(mined to be issued in
error, in violation of any rules of the Commission Qrif it is based o8 ioc0rre~t 6[ insLifficient information This release sha!lexpire by limitation, and
become null and void, if the work authorized iS n0i commenced within 0ne(l) y~ar from the above date
CONDITIONS:
Note: A1A & A1B): In accordance with lhe affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications flied in conjunction with this project shall comply with all of the applicable rules and taw s 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
In accordance with Section 19 of the General Administrative Rules (675 lAC 12-6-19) a complete set of plans and specifications that conform
exactly to the design that w as released by the office of the state building commissiener shall be maintained on the conslruction jobsite as w ell as a
4G0603AF Plans and specifications for the revised fire suppression system shall be filed with the required
aPplication, fees, and complete details in accordance with 675 lAC 12-6- 3(a), 7(h)17 and 675 lAC 13-
t-8. (N.F.P.A. #13)
3C0501A Buildings that are heated or m~chanically cooled shall be constructed so as to provide the required
thermal performance of the various components in accordance with Section 501.1, IECC (675 lAC 19-
3-1). NOTE FOUNDATION INSULATION
Fire Prevention and Building Safety cornr~ssion identifying the matter for whioh a review is sought no later than eighteen (18) days from the above
w ill be conducted by an administrative law judge of the Fire Prevention and Building Safety Commission If a petition for review is not filed, this
Code Bqforcement & Plan Review Branch Director
Filed BV Code review official
Address (name,title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY S E~V ICESCARMEL,ONEJEFF CIVIC KENDALL SQUAREiN 46032 State Fire Marshal ~"~0~ ¢ ~1¢_~
Fax & e-mail: 3 t ~5Z!2426, igend a!l('Ob, ci,car ~!,in,u s