HomeMy WebLinkAbout06030031-Application
BUILDER:
Swimming Pool/Spa
Permit Application
OtyofC:umel / Clay Township .
Name I Phone Fax
fb'kS O~ -t:UN l~n-8;>q-'33I1' '311-'S~9-1/2o
City State
~I-a;,,-f,€./c( I h '
Permit No.:
03003
P.O. Box I Address
(..\-a...--k. S G-e el
Zip
I..{blbg
~J'
Rd.
Name Phone Fax
OWNER: 'fo N FA l2..A () 3n-~,+3-qq7ZJ ~
Street Address City State Zip
4rtg I De e yo CAfjV\~t.... IN, L(6033
Lot No, Subdivision Section Zoning
Corstruction hi ~.A-LL~Y 'r;goo\<. :u:- '-WO
Location: Address of Construction City State Zip
g-gl ::Deer- Q~ .a S', CA Rm~L- IN_ 4bo33
TOTAL so. FOOTAGE:
(Pool and Deck) I ~, &1 0
Pool Cover: [ Y/N [L]
'. _ =: _~Scp~~~!"m:Y~ ," [HJ
(f .. I, \j.. ", ~
\ \. . ":~ Suinp-Pump: -Y/N i I {'-'
: I (ifye., indicate ~n~ on p
'\\'<\\ ,,,0 - 7 2006 I,'" )'1
\ \1 ( Nlt"'\\\ l \'--' I
1,1\1,\ _~ \
Safety reatures (InducllDB pool.oven) sb,aU eo~ly_w\tb IndlanaSWlmmlnB Pool,Codes 675 lAC 10-4-27 "Safety 'eatures". EBressoyltll1Dl
tbat Involveltepl ",lIb tbre.. or more rtle~ will require a baodraU In~~spOcUlcadoul of tbe Iudlsoa Pool Code.
The undomaned -anel that any construction, re-Con.trucdon, enlarBetneriGiloc;don or all:eradon of structure, or any change in 1M use orland or structures requDltod
by thtllPPHcatlon, wlll comply with ond e..fan..., III sppllcablolawa of the Slaf,9!.~dlanl (for roIldondal pools, 675 lAC 20-1.1-llhrough 20.1.1.22 ond 675 lAC
10.4.llhrough 20-4.27: forcommorcill pool~ 675 lAC 20-1.1-llhrough 20-3-9) ~~J!I OnIlnance ofCannol,lndill\l-1980, adopted under the lull10rity of
AalI of 1979, Public Law 178, Soc, I, et Soq. ConOl'lI Alaembly orllle Slate of~'In'a1au$f!1 mdatory-,
NOTE!' Ifpool construction requires access to property throug"-..a rlght:~mpj'b.Fi.~".mt established driveway, the applicant
must gain "P,prova/s through the City a/Carmel Engl""erlng pIJpE{JfIBl/'!!..il! ,!f!,iii.;;;;;;;t(fJi1~Jf'rftay Dept. (773-7770),
(Whi<:JIever IS applicable,). C/7y 0 f: COM C1 LOCal C IflIl rem.Jl ' N .
I hereby certify that the improvement I .wimminB pool will not be U!edr;,~~IiW~Of ~;:"c;.?inCY has been issued by
the Department of Commwtity Services, Cannel, Indiana. IND. I ?~
JhliA ~M~ i ~~diriW~~R~D: C~
~of~rorAuthOrizedAgent 3t?-1/4 -~<tq5 FEES: PennitFee: 0'37. -s-v
--L'tlf\ Q 0 Ern, ~ -e.l 'Z Inspection Fees: / 0 '7 dO
,
(Print) (phone No.) S-I :)'()
BZA Approval: Y/N D Cert. Of Occupancy:
-I!~';/n~~~;~
FectF
r..timaied Cost of Conltruction:
(pool and Deck) I
Llh.ooo
Pool Jellied: Y IN
,
,
Flood Zone: YIN
Auto Filter: YIN
RETYPE:
iii
[Y]
UU,
CTI
For Commercial Pools, state
Class of pool beinB built:
I
-
Commercia1 Pools - provide
Stale Desilln Rei.... No,:
1-
I
Date:
pro..d By: DepL of Community Service>