HomeMy WebLinkAbout04060075 Contractor Affidavit
AFFIDAVIT OF RELEASE
City of Carmel/Clay Township
DATE: JPI(o b
Notice is hereby h"vcn by the signed representative below of: PINNACLE INC. that their firm was no
longer associated with the prqject foeatcd at: 706 PRO MED LANE, the construction or a COMMERCIAL
BUILDING, (pERMIT #: 04060075) as or their release to the ,u-chitect lor submittal to the then, Indiana
Department or Fire & Building Services, to obtain a Commercial Design Release. Their design elements
were released on their construction plans, dated April 30, 2004.
It W'LS the underst,mding or the above.mentioned firm, that the owner and/or builder or this project would
eomply with any and all notes and specifications listed on said construction plans, and rurther, that all
requirements by the Indiana Dep,utment or Fire & Building Services regarding inspections and
eertilications would be organized by the builder and/or owner, as regards their firm's involvement. This
firm reports on JULY 18. 2006, that they have become aware that these conditions were not met by the
O\,,,er and/or builder; that they were not contacted by the m\Oler/builder regarding the notes, eonditions,
,md requirements; that rurther changes were made during the construction process without their
knowledge or approval; tbatthey believe violations presently exist on this project. As of the date or t11is
alJidavit, PINNACLE INC. requests release rrom the City of Carmel, ollice of Building & Code Serviees,
for 'my responsibility/lia 'lity as relates to the construction or thc above-mentioned building.
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Signature or Representative or Firm
Name printed
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(Date)
STATE OF INDIANA
County of Hc('1 ; /-10 n.
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Before me, the undersigned, a Notary Public for 1/ 8f7l i lion County, State of Indiana, personally
appeared IV/i c.nAa..1 ~. lie rc:>loI and acknowledged the executlOn of the foregOIng 1I1strument
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RELEASE GRANTED:
1._... t\~Jt
~chard; Building Commissioner
X YES
NO
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Name Printed
S:Permits/Affidavits/Affidavit of Release