HomeMy WebLinkAbout 0788.98 Contractor AffidavitDate:
AFFIDAVIT TO INDUCE INTERIM REMODELING RELEASE
AND/OR EARLY FOUNDATION RELEASE
CITY OF CARMEL/CLAY TOWNSHIP
6/24/98
Building Permit No.: 1 PIN
Entity (Business or
Individual): RET Construction
Applicant-Affiant: F A. M h) �&
Cons —Project Name:
Address/Location: 540 N. col>ega Dr- (1- tors Bldg )
I, being duly sworn upon my oath, state the following:
1. I am executing this Affidavit for myself or as the authorized agent of the
above -referenced Entity to induce the City of Carmel/Clay Township ("DOGS') to allow me or the
Entity to proceed with development pursuant to the Plans (defined below).
2. That this Affidavit shall bind me or said. Entity and any further reference to "i" herein shall
be considered as a reference to me or such Entity. .
3. 1 have filed with the Office of the State Building Commissioner ("SBC') of the Indiana
Department of Fire and Building Services'for its reviewwd approval, plans and specifications (the
"Plans") for development of the above -referenced project (the 'Project"), which I believe to be,in
compliance with all State of Indiana requirements including, but not limited to, the rules of the, Fire
Prevention and Building, Safety Commission, the Uniform Building Code, the National Electric Code,
the National Plumbing Code and the Model Energy Code, all as amended from time to time (the
'Rules').
4. 1 have presented to DOCS a copy of the Plans, and that any changes submitted to,or
required by the SBC will be submitted to DOCS in a timely fashion and that the Plans stamped with
a final approval and accompanied by a Full Design, Release will be submitted to DOCS prior to
scheduling the final inspection and issuance of'a Certificate of Occupancy (C/O).
5. 1 further understand that application for an interim remodeling release and/or early
foundation release will only allow me'or the Entity, afterrpayment of the full fee'to DOGS, to proceed
at myAts own risk.
6. 1 understand that by proceeding tow an, interim basis, I accept responsibility for removing
and replacing any construction found by plan examination or by site inspection not to comply with
the Rules and/or those rules and regulations of DOGS and/or ordinances of the City of Carmel/Clay
Township.
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7. 1 further acknowledge that I -am proceeding.on.an interim basis at my/the Entity's own
risk and that'I assume and accept all liability for the project,and will indemnify and hold the City of
CarmeVClay Township, its officers, employees and'adents, harmless•from any and all liability to any
person or entity (including the Entity)', resulting from proceeding forward without a stamped set of
Plans and a Full Design Release from the SBC.
8. 1 further agree that I will pay the City of Carmel/Clay Township for any and all expenses,
including reasonable allomeys fees, it might incur in taking enforcement action against the Project.
9. 1 further acknowledge that, in addition to the Rules, I must comply with all other rules
and regulations of the City of Carmel/Clay Township and the State of Indiana as such relate to the
Projecfincluding, but not limited to, building codes and zoning ordinances as amended from time to
time.
DATED: S
Signature
OVA /7? •
Printed Name
STATE OF INDIANA )
)SS:
COUNTY OF HAMILTON )
Personally appeared before me, a Notary Public, in and for Hh Mr LTD �J County, State of
Indiana, acknowledged the execution of the foregoing Affidavit and indicated that the facts stated
therein are true. The Affiant further represented that he/she has proper authority and resolutions
to execute this Affidavit on behalf of the entity.
Witness my hand and Notarial Seal this 2 .5 day of SU. t,� 6 . IA -
�llofary P�ubs�rasgOBssoN1 �
NOTARYPUBLiC STATE OF li0►ANA
MARTON COUNTY
My commission expires: /g
C/
c:96docnum.1002.ghs/pg2
dg/4(ghs
March 1996
T.