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HomeMy WebLinkAbout1291.98 Application (2) r AFFIDAVIT TO`INDUCE INTERIM!REMODELING RELEASE AND/OR EARL'Y FOUNDATION RELEASE CITY OF CARMEUCLAY TOWNSHIP Date: /� �/3- °�� � �a �/ � Building Permit No.: Entity (Business or � /' individuap: ��%���C,r�Kh� �S� Co.� �Nc, Applicant-Affiant: �T �c�� Project Name: �/Uf✓� �D✓is�-5 Address/Location: �3��y �. l'IC�iDiAf� 7i �.t�2e�kt �N 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 tlie City of CarmeUClay Township ("DOCS") to allow me or the Entity to proceed with development pursuant to the Plans (defined below). 2. That this,Affidayit sliall bind me or said Entity and any further reference to "I" herein shall be considered as a-refe�ence to rrie:o�such Entity. 3. I have filed with the Office of the State Building Commissioner ("SBC") of the Indiana Department of Fireand Building Servicesfior its review and approval, plans and specifications (the "Plans") for development of'the above-referenced project (the "ProjecY'), which I believe to be in compliance with a11,State of'Indiana requirements including, but not limited to, the rules of the Fire Prevenlion: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 "�ules"j:�- = :' � �r,.. - '' = I4:"� I havepresented to DOCS a copy oflthe Plans, and that any changes submitted to or ;equirel7 py;the SBCwill be submitted to DOCS in a`timelyfashion and that the Plans stamped with ayfinal.approval�and accompanied by a Full Design,Refease will be submitted to DOCS prior to schad�fing;th� final inspection and issuance of a Certificate of Occupancy (C/O). 5. I' further understand that application for an interim remodeling release and/or earty foundation relea§e will only;allow me or the Entity, after payment of the full fee to DOCS, to proceed at my/its own risk. 6. I understand that by proceeding on 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/orthose rules and regulations of DOCS and/or ordinances of the City of CarmeUCtay Township. 7. I 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 Ciry of Carmel/Clay Township,:its officers, employees and agents, harmless from any and all liability to any person or entiry (including the Entity), resulting#rom proceeding forward without a stamped set of Plans and a Full Design Release from the SBC. 8. I further agree that I will pay the City of Carmel/Clay Township for any and all expenses, including reasonable attorneys'fees, it might incur in taking enforcement action against the Project. 9. I further acknowledge that, in addition to the Rules, I must comply with ail other rules and regulations of the Gity of Carmel/Clay Town§hip and the State of indiana as such relate to the Project including, but not limited to, buiiding codes and zoning ordinances as amended from time to time. DATED: �� ��3� 9� Signat e �r�,an-f M�Y—�� Printed Name STATE OF INDIANA ) )SS: COUNTY OF HAMILTON ) Personally appeared before me, a Notary Public, in and for ������� County, State of Indiana, acknowledged the ezecution of the foregoing Affidavit and indicated that the facts stated therein are true. The Aifiant further represented that he/she has proper authority and resolutions to execute this Affidavit on behalf of the entity 1 Witness my hand and Notarial Seal this l-a day of (X���-k , 19�� L� � y-!��� i- / N tary Public � � °•=^: � —,� i �- / ��'1at/ -.�UnIK_'����= —._�::� Printed -� = -�; : ^:''.`; _ My commission expires: �� � ���? � c:96docnum.1002.ghs/pg2 dg/tj/ghs March 1996