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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
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY/PLAN REVIEW
402 W~ Washington St., Room E245
Indianapolis, IN 46204
To: Owner / Architect / Engineer
The Environments Group
Donald E Pikul 00115
303 E Wacker Dr Ste 800
Chicago IL 60601
CONSTRUCTION DESIGN RELEASE
State Form 41191 IR9/5-98I
Report Printed on: October 20 2005
SUPPORT HOOSIER SAFETY
Project number Release date
313975 10/20/05
Construction type Occupancy classification
EXST SPK B. REM
icope of release
ARCH ELEC MECH
PLUM
Type of release
Standard
Project name
Liberty Mutual Personal Markets
Street address
11611 N meridian St Ste 105
City - County
CARMEL HAMILTOh,
~:ax &e-mag: 3126445299, dpikul~envgroup.com
The plans, specifications ana aoDlication submitted for the above referenced project nave been reviewed for corcohance with the applicable rules of
the Fire Prevention and Building Safety Commission. The project is released for construc[ion subject [o DUI not necessarily I~mlted to. the conditions
listed below. THIS tS NOT A BUILDING PERMIT. All re~dired local [}ermits and licenses must be obtained prior to beginnir~ construction work. Ail
construction work must be in full compliance with all app icable State rules, Any changes in the released plans and/or specifications must se filed with
and re eased by th s Off ce before any work s altered Th e ~-e ease may be suspended ~r revoked if it is determ ned to be issued in error in violation
of any rules of the Commission or ~f ~t is based on incolfect or ~esufficiedt i,~fo ~,r~ abe n:;~This release shall exo~re by km~afion, and become null and
~oid. if the work authorized is not commenced within one (1 ~ year fram the ab~ date.
CONDITIONS:
Note :(A1A & A1 BI; In accordance with the affidavit sworn unaer penalties of perjuw in the aoolma[[on for cons[rucuon aes gn release the plans
and spec ficat ohs filed in con unction With this project shall comply with alt of the applicable rules and taws of Fire Prevention and Building Safety
Commission. Providing false informs{ion 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 0fthe General Administrative Rules (675 lAC 12~19) a complete set of plans and specifications that conform
exactly to the design that was released by the office of the state building commissioner shall be maintained on the construction jooslre as Well as a
COpy of the design release.
4G0603AF Plans and specifications for [ne revised fire suppression system shall be filed wltn tne required
app cat on, fees and compete aetails in accordance wth 675 lAC t2-6- 3(a) 7(h)17 and 675 lAC
~ 3rl-8. (N.F.P,A. #13) th
Please be advised that if an administrative review of this action is desired, a writtel~ petition for review must be filed at the above address vath e
Fire Preve~ttion an8 Building Safety Commission 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 n wn~cn the Department of Fire
and Buildibg Services is closed during normaibusiness hours, n the latter case. thefi ngdead new be the flrst work ng day thereafter, fy'ou
ChOOSe to petition, and the before-mentioned orocedures are followed, your pebtlon for review will be gramea, and an administrative proceeding w~ll
be conducted by an administrative law judge of the Fire Prevention and Building Safety Commms~on If a petition for review is not filed this Order will
be final, anc you must comply wgh ~ts reau~remen[s.
Filed By Code review official
TONY BRADSHAW
Address (name,tl6e o¢ Iocal official,street,cl~y state and ZtP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL IN 46032
Fax & e-ma~ancnare@armeLi_n_~g, ov
Enforcement & Plan Review Branch Director
State Fire Marsha
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