HomeMy WebLinkAbout05080225-State ReleaseWould you like to reduce your turnaround time?
ELECTRONICALLY FILE YOUR PROJECT WITH STATB OF INDIANA AT
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R9t5-98)
Report Printed on: August 19. 2005
INDIANA 02
~ndiana Department of Homeland Security
O,V,S,ONOFF,.ESAPET¥,PtA."-B'., FNNNN
402 W. Washington St., Room E245 ~ S U~JU}~
To: Owner / Architect / Engineer
A RCHFFECTS FORUM
THOfv~AS G JOLLY 19600180
5252 E 82ND ST
SUITE 201
INDtANAPOLIS IN 46250
Fax & e-maih 3178428877, MNUCKOLS@ARCHITECTSFORUMLLC.COM
Project number
311986
Construction type
ARCH FELEC [vlECH
Release date
E-Filed, Ne hard
copy w ill be m ailed 08/1 8/05
Occupancy c~as s ification
%EE BELOW
Available At Your Local Licence Branch Project nam e
SUPPORT HOOSIER SAFETY
UROLOGY OF INDIANA
Street address
12188 N MERIDIAN ST
City County
CARMEL HAMILTON
~Pfle ptans specifications and apptioation submitted for the above referenced project have been review ed for compliance w ith the applicable rules
of ~he Fire Prevention and Building Safeb/Comrr~ssion The project is released for construction subject (o but not necessarily limited to the
conditions lis~ed below THIS IS NOT A BUILDING PERMIT Ali required local permits and licenses mus~ be obtained prior ~o beginning construction
work All cons(ruction work must be in full compliance with alt applicable State rules Any changes in the released plans and/or specifications must
be !ited wlth and released by this Office before any work is altered. This release may be suspended or revoked If it is determined to be issued ,n
error ;n violation of any rules of the Cornrr~ssion or if it is based on incorrect or insufficient information This release shall expire by lirr~tation, and
become null and void. if the work authorized is not commenced w ithio one ( ! ) year f rom the above date
CONDITIONS:
Note :tAlA & AIB): In accordance wlth Ihe affidavit sworn under penalties o¢ perjury in the application for construction design release !he plans
and specifications flied in conjunction w ith this project s hall comply w ith all of the applicable rules and law s of Fire Prevention and Building Safety
Corrt~ission Providing false information constitutes an act of perjury, which is a Class D feiony punishable by a prison term and a fine up to $10000
In accordance w ith Section 19 of the General Administrative Rules (675 ~AC 12-6-19) a complete set of plans and specif cations that conform
exactly to the design that w as released by the office of (he s~ate building commissioner shall be maintained on the construction jobsite as w ell as a
copy of the design release.
4G0603AF Rahs and specifications for the revised fire suppression system shall be filed with Ihe required
application, fees, and complete details in accordance w ith 675 .'AC 12-6- 3(a), 7(h)t7 and 675 lAC 13-
1-8. (N.F P.A. #13)
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 delection, emergency
communication, or fire or explosion suppression systems to become unsafe or overloaded under the
provisions of the rules of the Commission for new construction in accordance with 675 lAC 12-4~12(c).
*B-TENA NIT FINISH
Rease be aewsed that f an administrative review of this action is desired, a w dtten petition for review must be filed at the above address w ith he
F~re Prevention and Building Safety Commission identifying the matter for w high a review is sought no iater than eighteen (18) days from the above
*stated date. unless the eighteenth day fails on a Saturday. a Sunday a !egei holiday under State statute or a day in which the Depa~ment of
and Building Services is closed during normal uusiness hours In the latter case. ihe filing deadline w iii be the first w orking day thereafter If you
choose [o petition, and ~he before-mentioned procedures are !ollow ed. 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 Safeb/ Comrr~ssion f a petition for review is not filed this
Order w iii be final, and you must comply w ith its requirements
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ELECTRONICALLY RLE YOUR PROJECT WITH STATE OF INDIANA AT
e file24-7~dh~ sta~e !ri:us! Or V~S!T OUR WEB SITE AT www !n~gov/dhs~os bc
F~ted BY Code review of Ecial
DENISE FFZPATRICK
Address (nal~,:r~le of ocal of¢icial,street,city state and ZiP code
DEPT OF COMrvttJNITY SERV~ES
JEFF KENDALL
ONE CVIC SQUA RE
Code Enforcercent & Plan Review 9ranch Director
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