HomeMy WebLinkAbout19080041 Application (2)c'+yt�'�fr
SWEY IING;POOL / SPA- CONSTRUCTION
For Commercial, Institutional, or.Residential Projects
4'NUnX� City of Carmel; Department of Community Services PERMIT #: l woo
BUILDER of
NAME:
IZ Aix LU f'a
PHONE: FAX:
3 - 937� ^2 y-,01-
RECORD:
STREET ADDRESS:
CITY: STATE: ZIP:
3 D AJ, e-k_(42
14 RjIfoc 10032-
BUILDER'S EMAIL ADDRESS:.
BEST METHOD OF CONTACT:
t- YW T
If )-Z�-j4,ev ef1��� , �a
3 0 72 zr-z
PROPERTY
OWNER
NAME:
ri G, 14p-% Co'
PHONE: —FAX'
3 /' `.i73 - goa Jc1l7h, 12 0
INFO:
STRffr.ADDRESS:
CITY: STATE: ZIP:.
-f�±;r
D C ,7. Ct;/. J
44,n ±--Lf 4d'?Z
PROJECT
ADDRESS OF CONSTRUCTION:
.�
LOCATION
N
INFO:
PROJECT NAME:,(If applicable)
LOT# and SUBDIVISION NAME: (If applicable)
'k y 7
ESTIMATED COST
q e�
SQUARE FOOTAGE /� r%I
RE TYPE,
OF CONSTRUCTION: / c5^ 0 t e
Including deck area: )Ve f�; c%
IF APPLICABLE:
SUMP PUMP: ❑
YES V NO
POOL CO OR:
IS ANY PART OF. PROPERTY WITHIN
VN0
(If YES=INDICATE DRAINAGE' ON SITE PLAN)
to �J/ ' -
'SPECIAL FLOOD HAZARD AREA: ❑ YES
STATE COMMERCIAL
DESIGN RELEASE # ^
CLASS OF POOL
IF COMMERCIAU
SCOPE(S) OF
RELEASE:
POOL COVER: ❑ YES k, NO
q
S / L-
IF APPLICABLE: Nd
(
el
AUTO FILTER: ❑
YES �1 NO
SEPTIC SYSTEM: ❑ YES NO
POOL HEATED: ❑ YES NO
IF HEATED: ❑
GAS ❑ ELECTRIC
SLIDE: ❑ YES IVNO
DIVING BOARD: ❑ YES NO
POOL BUILDERS WILL'BERESPONSIBLE FOR: Notification to pool owmersthat these inspections are to be made, and also will relate_ e 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
Ordinance, Chapter 19.0, Sec. 29.06.08: "Late, Fees shall he assessed onmissed inspections, including occupancy without a C/O".
This permit is valid only if construction commences withiii 180 days ofthe.date .of issuanceof this permit and must be completed, having the
Certificate of Occupancy issued, within 18 months of the date of issuance. Class 1 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.
,11 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 willcomply 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 ofl:C. 36-7et 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, undenthe penalties of Perjury (Indiana Code 35-44-2-1) that all ofthe information 1 have provided in this Application and other
documentation is true and accurate to the best of my knowledge and belief, and 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.
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Sigvatitre ofOwnery AuNo Agevt Rivted Nam2. atD e
____...........
'INSPECTIONS REQUIRED:
Is' BONDING / GROUNDING
2"d BONDING / GROUNDING
FINAL- Bldg _ FINAL- FORESTRY
FINAL _ Carmel Fire`Department
PERMIT FEE (Flat Rate + Sq. Ft. fee):
INSPECTION FEES:
'CERTIFICATE OF OCCUPANCY:
TOTAL:
Reviewed/Approved: Dept. of Community Services (Date)
Fee Received by: Date