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***IMPORTANT NOTE: THE OFFICE OF BUILDING AND CODE ENFORCEMENT!
RECOGNIZES ANY ROOM/AREA DESIGNATED ON CONSTRUCTION PLANS AS A "BO~US
ROOM" TO BE AN UNOCCUPIABLE. UNFINISHED SPACE. IF AN AREA SO LABELED
IS TO BE A FINISHED SPACE, CONSTRUCTION PLANS MUST BE LABELED ACCORDINGLY.
IF IT IS DETERMINED THA TAN UNFINISHED "BONUS ROOM" AREA IS TO
BECOME A FINISHED AREA AFTER THE ISSUANCE OF THE PERMIT, THE PLANS
AND PERMIT RECORDS MUST BE UPDATED AT THE OFFICE OF BUILDING & CODE
ENFORCEMENT. ***
.-"";-
I CERTIFY THAT ALL OF THE ABOVE LISTED INFORMATION IS SHOWN COMPLETELY AND ACCURATELY ON THE
AlTACHED PLOT OR SITE PLAN AS SUBMmED WITH A BUILDING PERMIT APPLICATION TO THE CARMEL-CLAY
DEPARTMENT OF COMMUNITY SERVICES. I FURTHER CERTIFY THAT THE :JOINING OF WATER SUPPLY PIPING
SHALL BE MADE WITH LEAD-FREE SOLDERS AND FLUXES. FAILURE TO COMPLY WILL RESULT IN A REPLACEMENT
OF THE SYSTEM. PLUMBING CODE P-S09-S.
Under the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm under oath that all of the
information I have provided in the table below is true and accurate to the best of my knowledge and
belief, and that I have not knowingly or intentionally provided or omitted any information that wouldl' tend
to hide, obscure or otherwise mislead the Dept. of Community Services regarding the truth of the
matters addressed therein. .
BASEMENT 1st Floor 2nd Floor 3'd Floor Front Rear Total Sq. TOTAL
(Finished and Porch Porch or Ft. of
Unfinished) Sunroom Garages
?""Stb 2{,7L/ 32.n N )4 c;?~ 2'6D II~L I Db 73
)
I(
. APPLICANT'SSIGNATURE:'~/ - J!~5/'dj)~5)1n PHONE: 3 n~cl'-15-(,obf?
ADDRESS: ~ L 3 i (J, '16:t:i..- 5-!,/):",JI;M (0}1 5J T /II '-I (, 2 b [?'
Department of Community Services
One Civic Square, Carmel, IN 46032 (317) 571-2444
s:Permits/formsjPerminfo Rev Jan '02 Rev. Jan. '02