HomeMy WebLinkAbout19030044 ApplicationOFFICE USE ONLY
er�,
CITY OF CARMEL_ PERMIT# i
°# �° SWIMMING POOL APPLICATION
FOR RESIDENTIAL AND COMMERCIAL PROJECTS
'Mali
Please complete form and email topermltsCrDcarmel.in.Dov as an attachment.
If you have any questions, please Call Building 8 Code Services at (317) 571-2444.
plI DEROF<
RECORD,
NAME Parma Pools CorpHONE
p
177$2-9956
ADDRESS 5245 Elmwood Ave
CITYIndianapolis
STATEIN
�p46203
E4AAIL
ADDRESS efrushon@permapools.com riOm
BEST METHOD
OF CONTACT ❑ PHONE 8 E4AFd4
PROPERTY >''
OWNER
N"""EJohn &Beth Peasley
PHONE 262-501-3331
STREET 6935 Doe Run Dr
CITY
TATESTATE IN
"P46032
fROJECt ' - "`
LO±KATION
..
PARCEL
N MBER 29-09-22-303-042,000-018
HUMBER 42
SUBDIVISION Buckhorn Estates
Doe Run Dr
DITMCarmel
6TA IN
46032
ADUREs8935
DOES SUBDIVISION HAVE A HOMEOWNERS YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
ASSOCIATION?
-
PROJECT
DETAILS
8 RESIDENTIAL ❑ COMMERCIAL
COST OF
�EXCLUDINOLAND) ;�0000
TOTALSOUARE
FOOTAGE
ONCLUOINODECK) ;2354
SUMP ❑ YES B NO
PUMP
POOL COVER [sl] YES ❑ NO
AUTO FILTER ❑ YES ® NO
.
SEPTIC ❑YES M NO
SYSTEM
POOL HEATED yES ❑ NO
IF
H B OAS ❑ ELECTRIC
HEATED
.
-POOL
c Blue
COLOR i
SLIDE ❑ YES 8 NO
IS ANY PART OF PROPERTY
WITHIN SPECIALL FLOOD ❑ YES ❑ NO
HAZARD AREA?
POOL BUILDERS WILL BE 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 owners for the Inspector's access to site on days inspections are scheduled.
Under the Comer Unified Development Ordinance, Section 1,20r Late Pass may be assessed on missed Inspections, including occupancy without a CIO.
THIS permit Is valid only N construction commences within 180 days of the date of Issuance of this permk and must be t:anpleHad , having file'
Gertlfiq#ta of Skcupancy Issued, chitin 18 mordNs of the date of Issual cs. Class i St uctun P•rmiEs an aul)Jec4 to"Slate of In�ana General
AShninBtra(IVe Rgiea (GAR S761AC 12) rogaNin9 expirotldn tlmo trams; for heginning and complefilg censtnwyon.
i If agree that any conswo8on, raconsaucuon, enlargement rebca8on, or eherotion o(a structure, or any change in Me uta of band of structures
CaQyshr ed t>Y tole applicatcn will comely with arld Ognlfpnrl W all epplkable WVrs W the Steal of indlana 9� fhe CetmN UndroC Qwebp?lent Ordinahce (Z$25•t 7) and
shred
alndltdnients, adoWd urMer autiwrity of LC. -T et se"q, Oegerol AssemWy;o( Ura Stefe of lndiena, and aA Aots am@itidstory d(ere69: i IuMer certify that only kitdNm,
bath; slid floor drains are connected to dte sanMary sewer. I tuMar cerci Mat Me wnsiruction coil not hellsed or oaupisd un51 a Cert{ficate m Ooauparvy has beatn "
Issued by the Deparbnent of.Community Servkes, Carmel, Indiana.
Ialso cgrlify, under the penalBes of Perjury (Indiana Coda 35.44-2.1 j that all of the information I have provided m this Application and om•Idocumentation ,
Is,trire and accurate to the best of my knowledge and belief, and that Ihaw not knowingly or IMentkmallliprovided or mitled any informatign that would
tend to hkleF obscure, or othmwlse mislead the Dept. of Community Services regarding the truth of that makers addressed.
E' Frushon
agmtar. dttlarW Er Aemwlad AApwwa Printed Nana �!'