HomeMy WebLinkAbout19070198 Applicationa
' `' SWIhOdUNG POOL / SPA CONSTRUCTION
For Commercial, Institutional, or Residential Projects
4p� cJ
man City of Carmel, Department of Community Services PERMIT #: (Q O 7 0 1 "! L�
BUILDER of
NAME:
PHONE:311. �� ��? PAX:.I'_758-1�4
RECORD:
lea
STREET CITY: STATE: ZIP;
V. b 1-l1n0)
ust e
BUILDERS EMAIL ADDRESS:.
BEST MEMOD OF CONTACT:
L,COwI 31 -94-SZ-711
PROPERTY
NAME:
��
PHONE: FAX:
9/4'x70-61AC
OWNER
+ tR
INFO:
STREET ADDRESS:
CITY: .. STATE; ZIP:
k0eq,a
SIJ. LALObB2
PROTECT
ADDRESS OFCONSTRUCfION:
C) Y4vv►'e� �3a
LOCATION
q We
INFO:
PROJECT NAME: (If applicable)
LOT * and SUBDIVISION NAME; (If applicable)
L00 1^e
ESTIMATED COST
`5(�
SQUARE FOOTAGE
IL6M
RE TYPE,
OF CONSTRUCTION: u(A ,ob
Including deck area;
IF APPLICABLE:
SUMP PUMP: ❑ YES -, NO
POOL COLOR: S
V l L.ivtet'
IS ANY PART OF PROPERTY WITHIN ts�f
El YES NO
(If YES—INDICATE DRAINAGE ON SITE PLAN)
i n-i
SPECIAL HOOD HAZARD AREA: R
STATE COMMERCIAL
CLASS OF POOL
SCOPE(S) OF
DESIGN RELEASE At
IF COMMERCIAL:
RELEASE;
POOL COVER: X YES ❑ NO
IF APPLICABLE;
AUTO FILTER: W YES ❑. NO
SEPTIC SYSTEM: ❑ YES ;(NO
POOL HEATED: YES ❑ NO
IF HEATED: GAS ❑ ELECTRIC
SLIDE: ❑YES NO
DIVING BOARD: 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 / Clay Zoning
)rtfinance, Chapter Z9.U, sec. Zv.Vn.Va: -tare pees snmi ae assessea on msssea
This permit is valid only if construction commences within 18U 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 me of land or structures
requested by this application will comply with and conform, to all applicable laws of the State of Indiana and the `Zoning Ordinance of Carmel Indiana - 1993" (Z-289) 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 aro connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certifloate 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 informapon that would tend to hide, obscure, or otherwise mislead the Dept of Community Services regarding the truth of the matters
addressed Al / A
e BONDING / GROUNDING
2n° BONDING / GROUNDING
FINAL- Bldg _ FINAL- FORESTRY
FINAL — Carmel Fire Department
ReviewedjAppmved: Dept. of Community Services (Date)
.drip A- F� _1 �1 9, X15
EtiatedName »ate
PERMIT FEE (Flat Rate + Sq. R. fee):
INSPECTION FEES:
CERTIFICATE OF OCCUPANCY:
TOTAL:
Fee Received by: Date