HomeMy WebLinkAbout06020022-Application
Construction
Location:
Fax
317 ,?39-/ /)"
Stale Zip
1:N c.r.r.:, 1.6
Phone Fax
3173'1. 5/,s-
City
Cs4-.RMeL
-
Slate Zip
....LV <!IPo3S
Section
Zoning
-\ j
Zip
C) 7'1
RETYPE:
I 1/-
S\\iimming Pool/Spa
Permit Application
City of Cannell Clay To
Name
BUILDER: L>()L-S r:: F4v
P.O. Box I Addre..
...56 ~r~,,-k. I?oa.
Name
OWNER: f\II
treet Addre.s
'PL
City State
&tv( r\1EL ..rU
TOTAL SQ. FOOTAGE:
(pool and Deck) I 15 A 1 If
IT]
Septic System:Y/N [J;LJ
Sump Pump: Y/N rt\Tl
(if yes, indicate dninaae on ~
Estimated Co.t Dr CODatnlc!ion:
(PoolandDeckl ~3Slo00
.
Pool Heated: Y/N
Flood Zone: Y/N
Auto FlIter: Y/N
CD
lliJ
[}[]
Pool Cover: Y/N
~
For Commercial Pools, state
CIasa of pool being built:
I -
Commercial Pools - provide
State nesilll1 Release No.:
I ~
]
]
Safety r.atu.... (Iudadl.g pODleDven) .ball.omply with Iadlaaa S:l~, Pel,~~~~\Q;G1t4Sl~1y Features". Egl'ISI.y.tem.
lhatlavolve slap. with three Dr more rI.en will require a baOlJralJ 1ItiWled.to lpRU1dftoal Of,tba:IadlaaJl'p'qalCode,
~ .:...4- 'i'A (":""III"t'm~janGC YJ~m ~Jl . ~...:;:..... -
The und...ltllleG _ thllll1Y oonS1nloUon, .....onstN.Uon. ..1.........~':lio1iGb~ O(al~tian ~~ '!'\'f.1I[!.'1' 5<!!'YJl!lonp In the UII oflond or .1nI.N... ..qUOSleG
by dill IPIIllcation, will COIIIpIy with and conform 10, II11P111lesble I.ws ofdlc SII..:oftridr.... !i&Pft!s.. . i~~~IJl!lO~~t~~lA!t3o;Jg -Ithroup 20.1.1.22 and 675 lAC
10...1 tI1roulh 20...27; for commercial pool.. 675 lAC 20- U .llhroual/.l\l-:!-9l'8l!'lJ'/JC ~J!II9JdiISlICllorC.nn.I.'lIla IS~1l8~.dOJlled IIl1der tho .ulborlty or
AetA Dfl979, Public Law 178, Sec. 1, oL Soq., 00n...1 Assembly oftlti ~ b'r tndillill, ~~~t are'\!P!Yi1hif0i9. N::; H J
NOTE: lfpool coII.tructloll requires access to prope11yr;;,~r.f,l!rig'~-<Jl-wml1lPr'cd1italnlllg all established driveway, the applicant
IIlllSt gain approvals through the City of Carmel Engilleering Dept. (57/-244/) or Ihe Hamilton COUllty Highway Dept. (773.7770).
(WhIchever is applicable.)
I hereby certify lhat the improvement / s
the Department of Community Servic .
01 will not be used or o~d until " Certificate or OCCUPWlCY has been Issued by
annel. Indiana. ;J../ 2-
030 /7
oS:
Signature Owner or Auth~rized Agent 7/cf:3 t.J 9.5
Mo.r:3e- M,Kds
(Print) D (Phone No.)
au Approval: Y/N
BU Docllet No.:
ondindGrounding
FEES:
Date:
C~~ H'~ -2-'22..-06
Reviewed / App vcd By: OepL or Communily Semcc.
C!.D_,..m_.JD_I./D_I .l_U".~_ DMI .&1I1t lnl
qo
Permit Fee: