HomeMy WebLinkAbout19060023 ApplicationOFFICE USE ONLY
CITY OF CARMEL PERMIT �q bi0o(j� 3
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SWIMMING POOL APPLICATION
FOR RESIDENTIAL AND COMMERCIAL PROJECTS
�NDI0.N�
Please complete form and email to permitsocarmel.ln.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 671.2444,
BUILDER OF
RECORD
:-
NAME Hendrick Pool
PHONE317-335-2660
ADDRESS
ADDSTREET 6383 W Pendleton Pike
CITY McCordsville
STATE
ZIP�P
4605
E-MAIL
ADDRESS Gary@hendrickpool.com
BEST METHOD
OF CONTACT ❑ PHONE R E-MAIL
PROPERTY
OWNED
NAMEMichaelHanson
PHONE 317-431-8757
no,RESS 10541 Westfield Blvd.
01TMlndpls
STATE IN
"4628
PROJECT
NUMBER 17-14-07-01-01-003.000
LOT
NUMBER 3
SUBDIVISION Howard Park
STREET s10541 Westfield Blvd.
G'TY
Indpis
STATE
21P4628
DOES SUBDIVISION HAVE A HOMEOWNERS
ASSOCIATION? ❑ YES (LETTER OF H.O.A. APPROVAL REQUIRED) ❑ NO
PROJECT
DETAILS
I* RESIDENTIAL El COMM
COST OF I
CONSTRUCTION i$ Ll atgQO
(EXCLUDING LAND)
TOTALSQUARE *r�
FOOTAGE
(INCLUDING DECK)
'.-
SUMP ❑
PUMP YES ❑ NO
. ER
POOLCOVER R YES ❑ NO
AUTO FILTER YES NO
SEPTIC ❑ YES ElNO
SYSTEM
POOL HEATED �l YES ❑ NO
IF GAS ❑ ELECTRIC
HEATED
POOL
IS ANY PART OF PROPERTY
COLOR -:
SLIDE ❑ YES [I NO
WITHIN SPECIAL FLOOD [I 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 Carmel Unified Development Ordinance, Section 1.29: Late Fees maybe assessed on missed Inspections, including occupancy without a G0.
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 676IAC 12) regarding expiration time frames for beginning and completing construction.
I, the undersigned, agree that my construction,: reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
,pyycu,cu oy u ea gyynuauon mn .'py wim e,- wrnurmcoal appncaole Taws or rnesane or inmiana am me uarmei Uninep uevelopment Urdinan e, (Z-625-17).and-
amendments, adopted under authority of 1 C 36-7 at sec, 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 hot be used or occupied until a Certificate of Occupancy has been
issued by the Department of Community Services, Carmel, Indiana -
I also certify, under thppenalties of Perjury (Indiana Cod 36-44.2.1) that all of the information 1 have provided in this Application and other: documentation
Is hue and accurate the best of m owledge and Ief, and that i have not knowingly or Intentionally provided or omitted any information that would
trend to hide, c , or otherwise stead t Dept. Community Services regarding the truth of the matters addressed.
Gary Hendrick s"-t
SI9�tur99f erorA dzedA9ei,f Printed Name Date -