HomeMy WebLinkAbout14070051 Application s� ��� :
� � SWIMNIING POOL / SPA CONSTRUCTION �
For Commercial, InstituNonal, or Residential Projects � /,
'�o��x" City of Carmel;Department of Community Services PERMIT#: �7�7 OOS�
BUILDER of NAME: PHO FAX:
RECORD: UR�cL-- '�c�. Ccf»i,oR^>>( �r1a] 53o�^i' �'7� 53��
. . 57REEf ADDRESS: C1TY: SfATE: Z�: �
`� �O �l . �j`I k�STfLt�T .'JUilMJAk'cya S I'`� - � �o,�(�
BU[LDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
�EFF 2 P� U.eer�c;o�. C'o.�-• CECL 5-�-3.�c;8
PROPERTY NAME: PHONE: FAX:
OWNER .Jv�� c' �a8�� S 379-�(�0� —
INFO: ��ETAOOaESS: cm:� � " s�n�: va:
/SG3 2L'Slc.�/ ��1(� �f+(LVrrCL /.� �G6S'o2
PROJEGT �DRESS OF CONSTRU �(`?�� �
LOCATION � � 'cj ` C'.a�,« 1,� �L Go3,�-
INFO: PROJECT NAME(tf appli e �UL 0 9 2014 LOT.#andSUBDMSIONNAME:(If applica6le)
lG(a CK ooi�ED STIC� �TA -.
ESTIMATED COST � SQUARE FOOTA E Z Pe� RE TYPE,
OF CONSTRUCTION: �S�S�v Incl ' • Z' �� �� IF APPLICABLE:
SUMP PUMP: ❑ YES �IQO p00L COLOR: �N�� IS ANY PART OF PROPERTY WITHIN ��
(If YES—INDICATE DRAINAGE ON SIfE PLAN) SPECIAL FLOOD HAZARD AREA: ❑ YES LS IVO
STATE COMMERCINL CLASS OF POOL SCOPE(S) OF
DESIGN RELEASE # ^J I/y- IF COMMERCIAL: /vI� RELEASE: /`�I� POOL COVER: �YES ❑ NO
IF APPLICABLE:
AUTO FILTER`. ❑ YES f�NO SEPTICSYSTEM: ❑ YES [�NO POOL HEATED: L�YES ❑ NO
IF HEATED: �GAS ❑ ELECTRIC SLIDE: ❑ YES L�NO DMNG BOARD: Ce7�YES ❑ NO
POOL BUICDERS WILL AE RESPONSIBLE FOR: Notification to pool owners that these inspections are to be made, and also will relate the various codes
applicable. Pool builders shall coordinate with owcers lor the insPector's access to site on days insPections are scheduled. Under the Carmel/Clay Loning
Ordinance, Chap[er 19.Q Sec 19.06.08: "La[e Fees shnll be assessed on missed inspections,including occupancy withwt a C/O".
This permit isvalid only if construction commences within 180 ays of[he date of issuance of[his permit and must be wmpleted,having the
Certificale of Occupancy issued�within IS months ofthe_�a(��ssuance. Class 1 Structure Permit5are subject to the S[ate of Indiana General
Administrative Rules(CAR 6'/S IAC 12�regardinr�g7���ii}ime Games for beginning and completinP construction.
l,t}�e undersigned,agree that any constructi �uc�fia�ei��rgem �jC�orztion,or alteravomof a strutture,or any change in the use of land or structures
, reyuested hy this applieztion will cpo 'm��@'I+18�¢ �ryV�1�F���� ��the Stare of Indiana�and the"7oning Ordinance of Carmel lndiana—1993°(Z-289)and
amendments,adopted under authoM �.�R;.� ��6:2p M�y�i RS`,��� e State of Indiana,and alI Atts amendamry thereto. I funher certify that only kitcheq
�'(� � ��Q�
bath,anA Iloor drains are mnneaed t� e sanit�y��`l�u�i��eRKy that the mnstruction will not be used or occupied until a Certificare of Occupancy has bcen
issued by the Departmcnt o�Commun0�e�.�,PR���,�� N� �
I also cettify,under the penal�iesQ�'�d��r�(Ind gn��ode 35-444-I)[hat all of the information I have provided in this APplication and other
documen[azion is crue and accursel4'o the bes�of my knowledge and belief,and that I have not knowingly or incentionall}�provided or omitted
any informa�ion that would�end�o hide,obscure,or ot6erwisc mislead the Depc.of Communiry Services regarding the truth of the ma�rers
addressed.
����� S�FFa�r� ��2,<< �I�/�o,�/
Si of0 morAvthodzedAgrnf PrinhENeme Datc
OFFICE USE�ONLY:xx:rna�wxnw���+a�x�:+x��s.r.r,��rr+:x+:��x�rc:ex�wwwwez�::e�:x«�x+��n�ee��x�xwwx+w.:�a+�«���:��:+��n����zrx�xv.w+,+�r+.+:
INSPECTIONS REOUIRED: K /�
PERMIT FEE (Flat Rate + Sq. Ft. fee): �/ `4'� .�
�/° BONDING / GROUNDING �(�� �O
INSPECTION FEES: "f
2n° BONDING / GROUNDING /� F��
CERTIFICATE OF OCCUPANCY: V�'�•✓�-'
FINAL- Bidg _FINAL- FORESTRY p
FINAL—Carmel Fire Departrnent TOTAL: � __1�_�(�j :�
� ,/
� 7— �� ' �Y-'
^ �_ I ,� / // /�� Fee ceiv Dat�
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R iewed/A�r e Dept.of Community Servic- (. e .