HomeMy WebLinkAbout19070123 ApplicationWME lee MY
CITY OF CARMEL PERMIT %br�3
SWIMMING POOL APPLICATION
FOR RESIDENTIAL AND COMMERCIAL PROJECTS
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Please COMplete form and Small to pennitsyr�Carmel in ov u an altachmeM.
N you have any quutions, please call Building 4 Code .LMCaa at (317) 571.2441.
BUILDER OF
RECORD
E Blue Haven Pools
°"°"E(317) 714-4831
SSS P.O. Box 562
CITY LebanonMEIN
`4605
VSs arutherford@bluehaven.com
�
e PHONE ❑ EUAL
PROPERTY
NAME-- fael & Ann Basso
Y
PHONE,
OWNER
(317)260.9462
14460 Pemberton Ln
'Carmel
STATE IN
"4603
PROJECT
LOCATION
FARM
RU11SEn r
#=,�.
IN CD ( (�JDO
Lor
MUS ER pea I �' swX Overbrook Farms
A3TROD u14460 Pemberton Ln
`T"�Carmel
STATE IN
'46032
DOES SURDMSION HAVE A HOMEOWNERS
ASSOCIATION? B YES (LETTER OFHOA APPROVAL REWIRED) ❑ NO
ETAALS
t3 RESIDE)MAL ❑ COaiMERCW.
�T'bNaTMkipN E 65 970.0
TdfA1GSQUARE
E 11776
IIXCLtDWGLAND) !
(INCLUDING
DECIO
sump
PUMP ❑ YES 19 No
POOLCOVER B YEB ❑ XO
AUTO FILTER. 8 TIES ❑ 110
SYSTEM ❑ yE3 8 NO
Pooi.H ATw YE9 ❑ NO
IF 8 am ❑ ELECTRIC
White
3LmE ❑ YES 8 NO
RI ANY PART OF PROPERTY
WITHIN SPECIAL FLOOD
❑ YES d NO
HAZARD. AREA?
POOL BUILrsak3 WIL BE REeeONSIBL FOR: Notification to pool omens that three kapodlans ala W be made, and also WE rehab pal yarims and" applkebb.
Pod bidden shat WnAfinab with omwa for the nspmWaSccass to aka on days Inspection ant mheduled.
Under the Carmol Unpfed Dwetama rt Ordfn ,Sanbn1.23: Lain Feet MY be aaaaaaad an mbaad inspo"we; mchmblg oceopency WkMaIa Gb,
Thio peemk b valid any X construction commehea within 730 dqe of the dab W hausuee of m. Pott and must be eemplsted, having IM
Cerlmar4 of Ocwpancy Nsuso, wkhln 14 madM of fin 4W ofinwn , C6ae I Sbucaas PerrlNte an sublecito the Slate of kxWre ffoneral
Adminletretlre RUW (GM.6i41AC 12) nhganllnp expindon ghats hanhea for bepknNng and caTlating mrhebhhcUary
aderpamarISrelaratlo a aofIn h the Sas diene a e94MIs.
I, fie undenlgnad, apes tut airy ompty
a abWura, na Mry oed
wtlm, d,.m, n WONState
raRUMe. by Sots placi u cls win comply µN,36. cordohl, k aN el Alum laws dtha te0In Imo, a snot SN Camel tinkled veto. I Development Ordhance tt o* M ) old
IndianaDe
pnendrenb, he T al asq, I Ae"in dte Etat d I M1stlhn any that chy
and d Ada amandatound!a
sin Soar tlreNe ora
dMins 0 wW t 0 sora
ed b eaMtay hpo
I hatlrarcarUfythetto oonsshwflon w31 not M used a ocapiad urhM a CemAnte d Ocaganry hes been
n VAII n C s bow,
im
feWrq bytq OepnimemdComnNNly BOrMeea, Cpm., hNlllb6
fCon y S craw,
1 also cw*, under the Families of Penury (Incame Code 35442.11 San aR sf the hdmmaMn 1 New KwAdod in this Appikakon and atlr dee mtatlen
is bw and acvawnda to iso bin of my knorNdge and MIM, and that I have not krewkey a Intrtanany povWW er ommad any fnfamation that µQuid
fain m hide, olnuni s, a MhervAae m1aleso the Dept of Commonlyaervleag ragareling IM both of the matins addrmeod.
Amy Rutherford Amy Rutherford 7/17/19
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