HomeMy WebLinkAbout19060004 Application
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Please complete form and email to permits@carmel.in.gov as an attachment.
If you have any questions, please call Building & Code Services at (317) 571-2444.
BUILDER OF
RECORD
NAME PHONE
STREET
ADDRESS
CITY STATE ZIP
E-MAIL
ADDRESS
BEST METHOD
OF CONTACT PHONE E-MAIL
PROPERTY
OWNER
NAME PHONE
STREET
ADDRESS
CITY STATE ZIP
PROJECT
LOCATION
PARCEL
NUMBER
LOT
NUMBER
SUBDIVISION
STREET
ADDRESS
CITY STATE ZIP
DOES SUBDIVISION HAVE A HOMEOWNERS
ASSOCIATION? YES (LETTER OF H.O.A. APPROVAL REQUIRED) NO
PROJECT
DETAILS RESIDENTIAL COMMERCIAL
COST OF
CONSTRUCTION
(EXCLUDING LAND) $
TOTAL SQUARE
FOOTAGE
(INCLUDING DECK)
SUMP
PUMP YES NO POOL COVER YES NO AUTO FILTER YES NO
SEPTIC
SYSTEM YES NO POOL HEATED YES NO IF
HEATED GAS ELECTRIC
POOL
COLOR SLIDE YES NO
IS ANY PART OF PROPERTY
WITHIN SPECIAL FLOOD
HAZARD AREA? YES NO
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.
OFFICE USE ONLY
PERMIT #________________
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.
I, 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 I 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.
________________________________________________________ __________________________________________________ ________________________
Signature of Owner or Authorized Agent Printed Name Date