HomeMy WebLinkAbout05060112-Sq. Ft.***IM
IS TO BE A FINISHE
US~BE UPDATED ATTHE(
ENFORCEHENT.***
I CERTIFY THAT ALL OF THE ABOVE I TSTED INFORMATiON IS SHOWN COMPLETELY ANDACCURATELY ON THE
ATTACHED PLOT OR SITE PLAN AS SUBMITTED 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-509-5,
Under the penalties of perjury (]:ndiona Code 35-44-2-1), 3: hereby affirm under ooth that all of the
informotion my knowledge and
belief, end omittea any information that would tend
to hide, munity Services regarding the truth of the
matters addressed therein.
(Finished and
Porch
Total Sq. TOTAL
Ft. of
Garages
NOTE: Additional plans and/or information may be requ red, if subm tted p aris are not of sufficient c ar ty or deta, to
indicate the nature and extent of the w~rk proposed and to determine compliance with all applicable codes and
ordinances.
In addition to the above, the Building Inspector w I be provided w th any nformat on re at ye to comm tment, s
made in the zoning process for the prope~b/involved. This Would includ~ any Plan Commission and/or BZA
activity.
APPLICANT'S :'
ADDRESS: __
PHONE:
Department of Community Services
One Civic Square, Carmel, IN 46032 (317) 571-2444
s:Perrnits/forms/Perminfo Rev .lan '02 Rev. San. '02