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ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT
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CONSTRUCTION DESIGN RELEASE
State Form 41f91 (R915-98)
Report Printed on: September 22, 2005
Indiana Departm e nt of Hem eland Se curity]
DIvls,o. oF SAF ¥ .LA. REV £W
402 W. Washington st., Room
Indianapolis, N 46204
To: Owner/Architect I Engineer
S~REE A RCHrI'ECTS INC
KENNETH A SEBREE 2498
97 DOV ER STREET
SURE 400
AVON IN 46123
Fax&e-mag: 3172727800, s usie~se breearchite cts.com
i Project number Release date
! ~0 . ~ 0911610__5
¢ Construction type Occupancy classification
i Scope of release
i ARCH B_EC
Type of re ease
SUPPORT HOOSIIB~ SAFETY
IU-MG-OB CLARIAN NORTH HOSPITAL
Street address
11700 NORTH MRIDIAN STPJ~T
ELOOR 3
City i
i County
CARMEL HAMILTON
~plans. s~:i~ioations a-r~'~ application submitted for th~ ~ i~d project hav~ ~ rev~w~d fo; ~1~ w ffh the ~plicab~
of the Fire ~even~n and Bu~ing ~fety ~sion. ~e pro, ct is released for construct~n subject to. but not necessarily li~ed to. the
cond~ns listed be~w. ~ ~ ~T A BULD~ ~E. All requir~ ~at per~ and licenses ~st be obtain~ pr~r to ~ginning construc~on
work. All cons~uct~n work ~st be in full co,lAnce w ~h a~ appl~ab~ S~te ru~s. Any changes in ~e re~ased p~ns and/or sp~ff~at~ns ~st
be f~d w ~h and re~ased by this ~f~e before any work ~ aEered. ~is rebase ~y be suspended or revoked ~ A is deter~ned to be issued
~ND~DNS:
~te :(A1A & A1B): ~ accordance w~h the aff~av~ sworn under penates of per~ry ~ the applioa~n for consEuct~n design release the plans
and s~c~at~ns find in c~nct~n w ~h ~ pro, ct shall co~ly w ~h all of the appl~ab~ m~s and ~w s of Rte ~evention and Bui~ing Safety
~ss~n. ~ovMbg fa~e infor~n const~utes an act of ~rjury. w h~h is a ~ss D felony pun~hab~ by a pr~on term and a fhe up to $10,000.
h accordance w ~h Sec~n 19 ~ ~e General Ad~nistmtive ~s (675 ~C 12-6-19) a coyote set of pbns and specE~at~ns that conform
exactly to the des~n that w as re~as~ by the off~e of the s~te bu~ing co~s~ner shall be ~intained on the cons~uction jobs~e as w ell as a
copy of ~e des~n m~se.
4G0603AF Rahs and specifications for the revised fire suppression system shall be filed with the required
application, fees, and co~lete details in accordance w~h 675 AC 12-6- 3(a), 7(h)17 and 675 AC 13-
1-8. (N.F.RA. ~13)
Note: ~e grounding of all receptacles and fixed electric equipe~nt in patient care areas shall be in
accordance w ~h AHicle 517.13.
~ase ~ adv~ed that E an ad~n~ative rev~w of this act~n is desire, a w r~en peach for rev~w ~st be find at the above address w ~h the
-s~ted date, un,ss the eighteenth day falls on a ~turday. a Sunday. a ~gal hol~ay under State s~tute, or a day in w h~h the ~par~nt of Rte
choose to ~t~n, and the before-~ntioned procedures are follow ~. your per,ion for rev~w w ill be granted, and an ad~n~trat~e proceeding
Order w ~1 be final, and you ~st c~ly w ~h ~s require~nts.
~ ~de ~force~nt & ~n Rev~ B~anch ~-'rector
Address (na~,t~b of bcal off~ial,str~t,c~y,s~te and Z~ code
~ OF ~MM~ S~E ! St~t~ ~
O~ C~ SQUA~
~, ~ 46032
FaxA e:~il; ~17571249~
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