HomeMy WebLinkAbout04040166 Sq. Ft. APR-21-2004 WED �3,27 PM �AA N0, P. Ol
***IMPpRTANT NOTE: THE OFFlCE'OF BUILDING AND CODE ENFORCEMENT
RECOGNIZES ANY ROOM/AREA DESIGNAT,�D ON CONS'fRUCTION PLANS AS A "BONU9
R�OIW"TO BE AN UNQ�GUPIABLE, UNFINISHED S ACE, IF AN AREA SO LABELED
IS TO B� A FINISHEQ`SPAGE, CONSTRUCTION PLANS MUST' BE I.ASELED ACCORDINGLY.
IFIT 2'S D�?''ERMlNEO THATAN UNflMlSHED "BOlYUS ROOMyAREA t5 TO
BECOMEAF7NlSHEDARE�9AETB,(t�TSSU.4N EOFTHEPERMI_T, THEPLANS
ANp PERMIT RECORDS US BE UPDATED AT TH� OFFICE 0� BUILDTNG 8e CODE
�NFORCEMENT.***
I CERIIFY 7HAT AU.OF 7HE ABOVE 11�D INFORMATfON x5 SHOWN COMPLETELY AND ACNRATELY ON THE
ATTACHER PLO7 OR S1TL'pLAN AS SUBMIffED WTTH A BUiLAlNG PERM17 APPLICATION TO THE CARMEL-CLAY
pEPARTMEPfT OF COMMUNITY SERViCES, T FURTHER CER7IFY THAT T}1E JOINING OF WA7ER SUPPLY PIPING
SFiALL B�.MADE WIfH LEAD-FREE SOLDERS AND FLUXES. FAIWRE 70 GOMpLY WILL RESULT IN A REPLACEMENT
OF THE SYSfEM. PLUMBING CODE P-509-5.
Vnder thppenalries ef perJury (Tnd�ana Codc 35-44-2-1), I hereby affirm undsr octh thot uU of thc
info�mation S hnve provided lo the fable below is true ond eew�ate to the best of my knowlcdge end
btlief, onE thal I have not knowingly or intentfonally provided or omitted nny 1nfo�mation thnt would tcnd
te hlda, obseure o� otherwise mialead ihe Dept. of Community Servlces regording the tw�th ef the
mntte�s oddressed thereln.
9ASeh0ENT 1 Floor 2" Floor 3 Floor �rant Rear Tatal Sq. TOTAL
(Flnished and PorCh porch or FC. of
I1nflnl5hed) Sunroom (i8�pge9
�l� aaaa a5 N/� a� rJ /� 50� �`�
NOTE: Add�lonal pians endJOr Info�eGon may be required, if subrollted plans ara not of Suffiqent clarity or debll, ro
indicate the ndture a�d`e�ctent of the work proposed dnd to deterrnlne compllance with all appllcable codes and
ordinances.
In additlon to the ahove, the Bu(Iding InspecYor wiil be provided wifh any I�formatlon relative tn commitments
maQe in the mning p�ocess for the prepelty Involved. This would lnciude any PVao Commission and/or B7A
dctivlty.
APPLiCANT"S SIGNATURE: �,aN?�� P ONE: SI O "`(n Q��.
ApDRE55; �� Fi •�i�D� f.�.�.Q E � ; �' �
Department of �amrvst�nity Services
One Civic Square, Carmel, IN 46032 (317) 571-24�4�4
s:PartnlraJfcrms/Yerminlo�Rev]an`02 aev,Jan.`02
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