HomeMy WebLinkAbout19070142 ApplicationD"VE 113E ONLY
CITY OF CARMEL PERMITS„a..�
� WIMMING POOL APPLICATION
FOR RESIDENTIAL AND COMMERCIAL PROJECTS
Please complete form and small to rn7liuC rca}i,9rLUv as an x+11¢ chment,
It you have any questions, please cell Building & Code -Services at (317) 571-x444,
BUILDER OF
NA
�1ue
"+C
P E
`7
RECORD
,y
I:
.- a,
OTREffi y C STATE P
ADDRESS
04A111. y� DESTMETN+HS
i � I , +ti�JM C3FGONYAGT NONE � E -Mail,
ADDRESS It�i;, fyCr t,+ i'K\lnj�+��^,'
PROPERTY
NAME
%
�N x..-.
OWNER
T
STREET
ADDRESS
PROJECTCO
Qr --7
WAAeEN 0D•W- .
LOCATION
/
LOT suRavtsNaN
NukoBER
sTNEErG` ,�a - ct1Y F Z, sr r zi.
ADDREss
ROES SUDDIVISION HAVE A NOMEOVIsIM 0 YESNo
ASSOCIATION?
PROJECT COSTOF pyJg TOTAL SOUARE
nEStneNTSAf. COMMERCIAL. CONSTRUCTION $' FOOTAGE
DETAILS Wt✓
iE%CGuONKi LANG W _ tINCGu6PfO REOKp * 1
P yNo POOLCOVER YES L»E NG'. AUTOFILTER y e YES Nd...
SUMP y,
PUMP es
P dr
SUN IWI TES XTIO. POOLNEATED EY. yes. L7 so HEATER OAS Et c-froo
TYS
ANT
] JPOOLy {t,�y} SLoke j,...i YES NO IOFMOPE
IStVRIANPARTSPECiAt FLOOD G..I XE NIT.
COLOR
'+I/ 1 ° "'�” " ' WARM AREA?
POOL BUILDERSWILL BE RESPONSIOLE FOR, Notifo0on to pool afMOM that dta siaboolMne are to' he made. Rob also Will reefs the va€lour codes applfeablo.
Pool buiWm shall inordinate wgth ow naaa for IN 111* vlor'd Access 10 sea on day's impmom are 3chaduted.
Under the Cermet 440111ed Oevetowf eat ordlnande, Scoltdrt 1,25; Lata Fees ma.Pile assasaed on missed frispacfions, includlop oecuponoy without a CO.
This permit In wild only if GonAtM daft CErrar noes within 180 days of tho date all Issuance of this Permit and must bo completed, having the
CortfaCiM of Omupsrwy Issued, within iS moolco; of the date of is luancs, Closer I Structure Peones are subject to the stood of loco" 6efrersf
Admthistholve RWea (GAR 675 GAC 12) regarern axpirstldn time homes for beginning and compkUng ccnatouctton,
t, tho undersigned, agoW that any oo"OFUCtonL enlargement, relocation, or afieration of a afruc4se, or any change in it* ow of tarts or strumums
retauasleo by this application will ma" with and conform to Aa appltoaTkr laws of ins State of lndtano end me Carmel Unread Desutopmenl Otcauu tv (U0 S, I T} and
amendments,, adopted Fader author"t F.C. 35-7 ei sell, 041wrai Aasemkiy of the State of Indiana, and all Acts amenoalory Iherelo. Ilurther "rely that onfy kitchen,
hath, and Door drains are connected to ma wortary sewer. t firthef cortlly that rho tgnatntedon %at not be used or Occ pext undi a Ceniticale of 0%. to arrcy has been
Mucci by the Department of Community Services, Carmol, Indwrs,
1 Wo celay, under the wtomes of Poqury(ndiana Cade 3544-2-1) that 1a of are information 1 bane provided in this Application arts other documentation
Is true and accurate to the best of my knowledge *W WW, and that I have not knowingly or intentionally pfavWed Or emitted Any Inlormatron that would
lend to hide, obscure, or otherwise miatead the Delo-- of Community Services regarding the truth of the matters addressed.
},"�a�,,'�f"f�/�y,�r�•�/'�j`�" j / _ f/`/�� jfffi�tjf��) jlTt(` // � (j�jjj��\1
i t,,.........<,..---
✓. .-.,-.�`..,L k:.. i ,. F- ,F�4:•f/:jYrf.__._ __i.+.—� " 'w"`..... .......Jf•... ......__._ ..
sgymewwwreraaswaeeasra .__ RlaMfnMY Vwe