Real Estate Addition Plans

REAL ESTATE ADDITION PLANS

Project Identification

Project Title:

Project Number:    Date Prepared:    Revision No.:

Property Identification

Owner / Applicant

Phone:    Email:

Contractor / Designer

License/Registration No.:    Phone:

Existing Structure

Year Built:    Existing Gross Floor Area:    Number of Stories:

Proposed Addition — Scope and Details

Proposed Added Square Footage:    Proposed Total Gross Floor Area:    Proposed Stories:

Site, Zoning & Setbacks

Zoning District:    Existing Lot Area:

Setbacks (ft) — Front:    Side:    Rear:

Lot Coverage — Existing:    After Addition:

Utilities & Services

Water Service: Existing   New Connection   Sewer Service: Existing   New Connection

Gas: Provided   Electrical: Provided   Stormwater Controls Included:

Attachments and Supporting Documents

Included (check all that apply):
Architectural Plans   Structural Calculations   Site Plan & Survey
Energy Calculations   Soils / Geotechnical Report   Mechanical / Plumbing / Electrical

Permits, Approvals & Zoning Conformance

Applicant warrants that submitted plans are prepared in accordance with applicable building codes, zoning regulations, and local ordinances. Any permit issuance is conditioned upon review and approval by the authority having jurisdiction and may require additional conditions. The applicant acknowledges responsibility for obtaining all required approvals, permits and inspections prior to commencement of work.

Zoning Variance Required: Yes    If yes, variance reference or case number:

Construction Schedule & Cost

Proposed Start Date:    Estimated Completion Date:

Estimated Construction Cost:    Deposit / Escrow Amount:

Insurance, Indemnity & Contractor Responsibilities

Contractor shall maintain at all times during construction general liability insurance, workers' compensation as required by law, and builder's risk insurance where applicable. Contractor shall indemnify and hold Owner harmless from claims arising out of Contractor's performance, except to the extent caused by Owner's negligence. Contractor represents that it is duly licensed to perform the work and that all tradespersons are authorized and qualified.

Insurance Carrier:    Policy Number:

Inspections, Changes & Remedies

All work shall be subject to required inspections. Any deviation from approved plans must be submitted for review and approval. Failure to obtain approvals or to perform work in conformity with approved documents may result in stop-work orders, denial of occupancy, and remediation at the responsible party's expense. In the event of default, the non-defaulting party may pursue all available legal and equitable remedies.

Disclosures

Lead-based paint present on site (if structure predates 1978): Yes    No

Prior structural damage or repairs: Yes    No    If yes, describe:

Governing Law; Entire Agreement

This document and the rights and obligations of the parties hereunder shall be governed by the laws of the state in which the property is located. This instrument constitutes the entire understanding between Owner and Contractor regarding the subject matter and supersedes all prior negotiations and agreements, written or oral.

Certifications and Acknowledgements

Owner certifies that the information provided is true and correct to the best of Owner's knowledge. Owner authorizes the submission of these plans for permit review and acknowledges responsibility for fees and compliance. Contractor certifies that plans stamped and submitted conform to applicable codes and that Contractor is responsible for performance of work in accordance with approved documents.

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