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Project number
CONSTRUCTION DESIGN RELEASE
State Form 41191 (R915-98)
Report Pdnted on: November 8.2005
Indiana Department of Homeland Security
DIVISION OF FIRE SAFETY I PLAN REVIEW
402 W. Washington St., Room E245
Indianapolis, IN 46204
To: Owner I Architect / Engineer
Designplan Inc
Thomas R Strayer 00051
9800 Association Ct
Indianapolis IN 46280
Fax & e-matt: 3178051362, ronc~designptaninc.com
313892
Construction type
I EXST. SPK
I Scope of release
INDIANA 02 ARCH ELEC MECH
j Standard
Avall--~ble---~t--3;~r L~cal i"i;~e~ Bra~l~h Project name
SUPPORT HOOSIER SAFETY L E A F
Street address
525 Congressional Boulevard
City County
Carmel HAMILTON
Release date
11/08/05
Occupancy blassificaflon
B. REM
The plans, specifications and application submitted for the above mferencad project ha~e been ~eviewed for compliance with the applicable miss of
the Fire Prevention and Buiiding Safety Commission. The 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 permits and licenses must be obtained prior to beginning construction work. All
construction work must be in full compliance with all applicable State rules. Any changes in the released plans and/or specifications must be filed with
and released by this Office before any work is a~tered. 331is~ raleese mpy be~us~e~_ or revoked if it is datermi~ned ~0 be issued in error, in violation
of any rulea of the Commission or if it is base¢[~ i~lcorrect or i!lsuf~ient info~natiom ~This release shall expire by limitation, and become null an¢
void, if the work authorized is nol commenCed:With~! one (!) year from the above data~
CONDITIONS:
Note :(AIA & A1B): In accordanca ~ the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications filed in conjuriction with this project shall comply with allof the applicable rules and laws of Fire Prevent[on and Building Safety
Commission. Providing false lnformafi0n 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 Adrn~nlstrative Rules (675 lAC 12-6-19) a complete set of plalls and specifications that conform
exactly to the design that was released by the office of the state building commissioner shall be maintained on the canstruction jobsita as well as a
copy of the design release.
A1 No Conditions,
P ease be advised that if an administrative review of this action is desired, a written petition for review must be filed at the above address with the
Fire Prevent!on and 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 in which the Departrnent of Fire
and Building Services is closed dudng normal business hours. In the latter case, the filing deadline will be the first working day thereafter, tf you
choose to petition, and the before-mentioned procedures are followe~, your petition for review will be granted, and an administrative proceeding will
be conducted by an administratiYe law judge of the Fire Prevention and Building SafetY Commission. If a petition for review is not flied, this Order witl
be final, and you must comply with its reauirements.
Filed By Code review official
ROSIN PHILLIPS
Address (name,title of lecal official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
Fax & e-mail: 3175712499, jblanchard@armel.in.gov
Code Enforcement & Plan Review Branch Director
State Fire Marshal
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