STATEMENT OF ACCOMPANYING FORM - A
Name : MNP ELDER CARE
A Unit Of Madathupalayam N. Palanisamy Gounder
Memorial Trust (Reg No. 4/50/2019),
645/6, Kunnathur Road,Perundurai,Erode-638052.
Survey number of the site : Old [Link].670,New [Link].429/1A1B,429/2B2
1. Location (Street Number, Ward Number)
Name of Village : Karumandichellipalayam
Panchayat Union/Panchayat/Township/ : Perundurai Muncipality,
Cantonment : Perundurai Taluk, Erode District.
2. Year of Construction
AREA OF THE
YEAR OF AGE OF
[Link] BLOCK NAME FLOOR NAME BUILDING IN
CONSTRUCTION BUILDING
[Link]
BLOCK-I 5267.00 2024
1 GROUND FLOOR 1
RCC PLAN
BLOCK-I FIRST FLOOR
5284.00 2024 1
2 RCC PLAN
BLOCK-I SECOND FLOOR
5284.00
3 RCC PLAN
2024 1
BLOCK-I THIRD FLOOR
4 5284.00
RCC PLAN
2024 1
BLOCK-I FOURTH FLOOR
3757.00
RCC PLAN 2024
5 1
BLOCK-I FOURTH FLOOR
6 492.00
GI SHEET PLAN
2024 1
25368.00
TOTAL BUILDING AREA
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3. Approximate cost of construction : Rs.3,89,09,855/-
4. Purpose for which the building is being
Used or purpose to be used : Hospital Building
Purpose for Which the Building has : Medical
Either To been used
5. Details for construction of the building
(Particulars of the foundation soils,
Specification of the various parts under)
(i). Foundation : RCC Column Footing
(ii). Basement : R.R.M. in Cement Mortar
(iii). Super Structure : Framed Structure
(iv). Floor and Roof : Cement Mortar Flooring, Tiles & RCC, GI sheet Roof
6. Period for which licence is required : 3 Years (12.02.2026 to 12.02.2029)
7. Carpet area of the building : 18010.00 [Link]
8. Number of persons To be accommodated : 500 Nos
Date: 12.02.2029
Signature of the Owner of the Building Signature of the Structural Engineer
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STRUCTURAL SPECIFICATION
A. Framed structures with reinforcement cement concrete columns, beams & slabs.
(i) Maximum span of the beam 7.40 meters.
(ii) Maximum unsupported length of columns – nil.
(iii) Maximum size of the column 200mm x 500mm
(iv) Maximum size of the beam 230mm x 380 mm.
B. Design load on the structure.
(i) Live load at floor level – 3.0KN/Sq.m.
(ii) Live load at Roof level – 1.5 KN/Sq.m.
C. Dead load assumed other then the self weight.
(i) For floor finishes – 1 KN/Sq.m.
(ii) For partitions – 1.5 KN/Sq.m.
D. Other service loads as per actual.
(i) Over Head Tank
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FORM - B
(Form of certificate of structural soundness under sub – section (4) of section 4 of the Tamil Nadu public
buildings (Licensing) Act, 1965 (Tamil Nadu Act 13 of 1965) referred to in rule 4 of the Tamil Nadu public
buildings (Licensing) Rules, 1966).
I certify that I have inspected the building mentioned in the statement and furnished below its
salient technical features.
1. Foundation
(i) Depth below ground level : 1.98m
(ii) Nature of soil met with foundation level : Hard Gravel Rocky
(iii) Pressures are foundation : 29.06 T / Sq.m.
(iv) Probable safe bearing capacity of the
Strata met with at foundation : 40 T / Sq.m.
2. Super structure
(i) Maximum stress in the most critical section
Masonry & concrete : Brick in cm. 32.08 T/Sq.m
Concrete - 250 Kgs / Sqm
(ii) Nature of masonry any concrete and its
Safe permissible stress : Brick in cm.15 T/Sq.m
Concrete - 250 Kgs / Sqm
The structural soundness of the building has been verified by me with the reference to ISI loading
standards 875 (Latest version) and other relevant Indian standards code of practice and I declare that the
building for the purpose noted in the statement. A license may be granted for the period of 3 Years from
(12.02.2026 to 12.02.2029)
Date: 12.02.2026
Signature of the Structural Engineer
4/8
FORM - C
(Form of certificate of structural soundness under sub – section (4) of section 4 of the Tamil Nadu public
buildings (Licensing) Act, 1965 (Tamil Nadu Act XIII of 1965) referred to in rule 4 of the Tamil Nadu public
buildings (Licensing) Rules, 1966).
I certify that I have inspected the building mentioned in the statement and furnished below its salient
technical features.
3. Foundation
(v) Depth below ground level : 1.80 m
(vi) Nature of soil met with foundation level : Hard Gravel
(vii) Pressures are foundation : 29.06 T / Sq.m.
(viii) Probable safe bearing capacity of the
Strata met with at foundation : 40 T / Sq.m.
4. Super structure
(iii) Maximum stress in the most critical section
Masonry & concrete : Brick in cm. 32.08 T/Sq.m
(iv) Nature of masonry any concrete and its
Safe permissible stress : Brick in cm.15 T/Sq.m
RR Masonry-45.0 T/Sqm
The structural soundness of the building has been verified by me with the reference to ISI loading
standards 875 (Latest version) and other relevant Indian standards code of practice and I declare that the
building for the purpose noted in the statement. A license may be granted for the period of 3 Years from
(12.02.2026 to 12.02.2029)
Date: 12.02.2026
Signature of the Structural Engineer
STATEMENT TO ACCOMPANY THE CERTIFICATE OF STRUCTURAL
SOUNDNESS
5/8
Location of the building : New [Link].72/1A1A,
Name of the place : MNP ELDER CARE
A Unit Of Madathupalayam N. Palanisamy Gounder
Memorial Trust (Reg No. 4/50/2019),
645/6, Kunnathur Road,Perundurai,Erode-638052.
Age of the Building
AREA OF THE
YEAR OF AGE OF
[Link] BLOCK NAME FLOOR NAME BUILDING IN
CONSTRUCTION BUILDING
[Link]
BLOCK-I 5267.00 2024
1 GROUND FLOOR 1
RCC PLAN
BLOCK-I FIRST FLOOR
5284.00 2024 1
2 RCC PLAN
BLOCK-I SECOND FLOOR
5284.00
3 RCC PLAN
2024 1
BLOCK-I THIRD FLOOR
4 5284.00
RCC PLAN
2024 1
BLOCK-I FOURTH FLOOR
3757.00
RCC PLAN 2024
5 1
BLOCK-I FOURTH FLOOR
6 492.00
GI SHEET PLAN
2024 1
25368.00
TOTAL BUILDING AREA
1. Numbers of storey : Ground Floor + 4
2. Type of short description of structures – street
R.C.C. Framed or load bearing masonry : RCC Framed Structure
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3. Purpose for which the building is certify for use : Hospital
4. The period for which the building will be : Medical
Structurally sound : (12.02.2026 to 12.02.2029)
Number of persons to be accommodated : 500 Nos.
Remarks : Good
Dated: 12.02.2026
Signature of the Owner of the Building Signature of the Structural Engineer
DECLARATION
I, [Link].,B.E.,M.E.,(Str).,AMIE.,CE(I).,FIV.,MISTE.,(Reg No: 03/2024/RSE-
I/EDTCP) Son of [Link], 237-6, Sivam Nagar, Near Nallappas Theatre, Perundurai, Erode-
638052.
Station : Perundurai
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Date : 26.07.2025
Signature of the Structural Engineer
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