HomeMy WebLinkAbout05060067-Sq. Ft.RTANT NOTE:
RECOGNIZES ANY ROOM/AREA DESIGNATED ON CONSTRL
ROOM" TO BE AN UN.(
! CERTIFY THATALL OF THE ABOVE LISTED INFORMATiON IS SHOWN COMPLETELY AND ACCURATELY ON THE
All'ACHED PLOT OR SITE PLAN AS SUBMI'FFED WITH A BUILDING PERMITAPPLICATION TO THE CARMEL-CLAY
DEPARTMENT OF COMMUNITY SERVICES. I FURTHER CERTIFY THATTHE .1OINING 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-509-5.
Under the penalties of perjury (]:ndiana Code 35-44-2-1), ]C hereby affirm under oath that all of the
: table below is true and accurate to the best of my knowledge end
intentionally provided or omitted any information that would tend
to hide, obscure e ' Dept. of Communily Services regarding the truth of the
matters addressed therein.
BASEMEN~ ~
I Foor
(Finished and
Unfinished)
Porch
sunroom
Total Sq.
Ft. of
Garages
NOTE: Addit'onal plans and/or information may be required, if submitted plans are not of sufficient clarity or detail, to
indicate the nature and extent of the work proposed and to determine compliance with all applicable codes and
ordinances.
In addition to the above, the Building Inspector will be provided with any information relat ve to commitments
made in the zoning process for the prope~/involved. ~his would include any Plan Commission and/or BZA
activity,
APPLTCANT'S SIGNATURE:
ADDRESS: __
PHONE:
uare, Carmel, IN 46032 (317) 571-2444
$:Perrnits/forms/Perrninfo Rev .lan '02 Rev..lan. '02