HomeMy WebLinkAbout13040197 Application P-
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1SWINIMING POOL / SPA CONSTRUCTION
For Commercial,.Iustitutional,ior Residential Pioject§ u' —7
4 City of Carmel;Departmeniof Community Services PERMIT#:f So TO i q /
BUILDER of NAM • / ( PHO.EP a F•' 7
RECORD: :!.� E. dfraf 6' 4""" .3/7 FIO9- .0 / t • 261?-/S7
STR P o R 40,'C CY 6'2. CITY: JT J [r/lF ZIP:
0�! �-�
BUIILDDDEERRS EMAIL ADDRESS: BEST METHOD OF TACT:
1CP,QeG e 2lr1✓03 Cal 40/.cacc /7
PROPERTY NAME: , Q PHONE: FAX:
OWNER it'G//!� u2S C16sJ /S, —71(a—
INFO: STREET ADDRESS: .' CITY: / STATE: ZIP
//Pi,i , Y Le- aicu-ccr ht X077
PROJECT ADDRESS OF CONSTRUCTION::I�,� /� /
LOCATION I i S-ff�1 / l�it/nD Yin Le- Or f' cc ,f t c(ca 7.7
INFO: PROJECT NAME:(If applfcab le). l LOT'#and SUBDIVISION NAME:(If applicable)
L 0 33 e,Sc a// -
ESTIMATED COST / ��q C SQUARE FOOTAGE RE TYPE, �.
OF CONSTRUCTION: (I'-,&(/� . '' .Including dedc area: Jere 2_ IF APPLICABLE:•
SUMP PUMP: ❑ YES /�'t'I NO. p,DOL COLOR:. e4-41C-WAS IS_ANY PART OF PROPERTY WITHIN —,.
(If YES—INDICATE DRAINAGE fDN Sl l -p �nI M -/Yrh�-9 g- SPECIAL FLOOD HAZARD AREA ❑ YES �d N0
'STATE COMMERCIAL l.. S'Oi!;POOL S v SCOPE(S)OF /`-
DESIGN RELEASE# IF COMMERCIAL: RELEASE: POOL COVER:KES ❑ NO
4
AUTO FILTER ❑ YES N 0 D a 2 g 2n?3 SEPTIC SYSTEM J
❑����"��Y��-�FSNO POOG;HEATED: S% NO
IF HEATED: t GAS ❑ EIFCaRIC. SCI IDF:SrobG.B_/"nSZICNO DIVING BOARD: ❑ YES >NO
POOL BUILDERS+ ILL BE RESPONSIBLE FOR Notificastt_too pool . ,tha{ se inspections are to be made,and also will relate the various codes
applicable:,Paol�i:uilders.shall coordinate with owners..for • 2Cfo1' ce�s$ jsit�®�'tdl 4ylilesopections;are scheduled'. Under the Carmel / Clay Zoning
Ordinance, Chapter 29.0,Sec.29.06.08: "Late Fees,shads d'S9 gri eg r'3 je&ifygp,54�) ngmccupancy without a C/O"-
V
This permit is valid only if construction commences within.180 da _ f �if> a gedite $� tAnd must be completed,having the
Certificate of Occupancy issued,within 18 months of the date of issuan ss t$f�f -r koi mtlAdt,bsdVJectto•the State of Indiana General
I,the undersigned,agree that any construction,reconstruction,enlargement,relocation, A �Y, pletingnstruction.
Adm`nd b tgne ,agree a applicatian of a conform cti expiration
ale applicable enlargement,
laws of the State of Indiana a urP y change in the use of land or structures
a and th yp/�rdinance of Carmel Indiana—1993"(Z-289)and
amendments,adopted authority of I.C.236-7 et seq,General Assembly of the State of Indiana,,and all Acts am`A/ [a orythereto.. I further certify that only kitchen,
bath,and floor drains are connected to the sanitary sewer, I further certify that the constructidnwill not he 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 inform t t . ould tend to hide;obscure;or otherwise mislead the De .of Community Services°regarding the truth of the matters
address � e
3/43
Signature of Owner or,Authorized Agee Printed Name ate
OFFICE USE'ONLY:*#•x:t*x**e*zxe:rr*:ex:ere++x**ax*r:ee*ew:e:ex:tz*xx 1.er: :t+: :e :ezx#ies*is as**a:iz*wenxrs:erx:e:e+:*+:xx/*�*+*s;*sx*******rrww+z++:
INSPECTIONS REQUIRED: PERMIT FEE(Flat Rate +'Sq. Ft.fee): ‘. )1 36 O3
1/7-1a NDING /"GROUNDING • q a
V/ INSPECTION FEES: \ . CO
•
2"d BONDING/GROUNDING t�j Y
CERTIFICATE OF OCCUPANCY: a
FINAL- Bldg FINAL- FORESTRY
FINAL-Carmel Fire Department TOTAL:- e 7lo_e• IAA a .'
4 �. Fee'eceived by: sate
(T _ OOP
Reviewed/ 'ed: Dept.of Community Services i( ate)'
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