HomeMy WebLinkAbout19060063 ApplicationOFFICE USE ONLY
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CITY OF CARM E L
PERMIT #
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SWIMMING POOL APPLICATION
FOR RESIDENTIAL AND COMMERCIAL PROJECTS
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Please complete form and email to permits(cDcarmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
NAME Perma Pools CorpHONE
P
317-782-9956
RECORD
STREET
ADDRESS 5245 Elmwood Ave
CITY
I Indianapolis
STATE
IN
ZIP
46203
E-MAIL TEST
ADDRESS efrushon@permapools.comF
METHOD
CONTACT ❑ PHONE ® E-MAIL
PERTY
NAMEEric and Mary Holechko
PHONE 317-443-0229
ER
E
STREET
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ADDRESS 1 2542 Scottish Bend
YCarmel
T
STATE IN
1"P4603]3
PROJECT
NUMBER 29-10-34-003-011.000-018
LOCATION
LOT
NUMBER 45
SUBDIVISION
Lynnwood
STREET
ADDRESS12542 Scottish Bend
�ITMCarmel
STATE IN
zIP46033
OES SUBDIVISION HAVE A HOMEOWNERS
SSOCIATION? ® YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
L
PROJECT
® RESIDENTIAL
❑ COMMERCIAL
COST OF
ON
$ 65 000
TOTAL SQUARE
FOOTAGE
9 R%
DETAILS
(EXCLUDINGILAND)
7
(INCLUDING DECK)
"' `
SUMP
PUMP
❑ YES
® NO
POOL COVER ®
YES ❑ NO
AUTO FILTER
® YES ❑ NO
SEPTIC
SYSTEM
❑ YES
8 NO
POOL HEATED ®
YES ❑ NO
IF
HEATED ®
GAS ❑ ELECTRIC
POOL
BLUE
SLIDE El YES ® NO
IS ANY PART OF PROPERTY
WITHIN SPECIAL FLOOD El
YES � NO
COLOR
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 Carmel Unified Development Ordinance, Section 1.29: Late Fees may be assessed on missed inspections, including occupancy without a C/O.
This permit is valid only if construction commences within 180 days of the date of issuance of this permit and must be completed, having the
Certificate of Occupancy issued, within 18 months of the date of issuance. Class I Structure Permits are subject to the State of Indiana General
Administrative Rules (GAR 675 IAC 12) regarding expiration time frames for beginning and completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with and conform to all applicable laws of the State of Indiana and the Carmel Unified Development Ordinance (Z-625-17) and
amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen,
bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been
issued by the Department of Community Services, Carmel, Indiana.
I also certify, under the penalties of Perjury (Indiana Code 35-44-2-1) that all of the information 1 have provided in this Application and other documentation
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 would
tend to hide, obscure, or otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed.
Ed Frushon
MAY 10 2019
Signature of Owner or Authorized Agent
Printed Name
Date