HomeMy WebLinkAbout06030058-Application
Swimming Pool/Spa
Permit Application
Oty ofCarmelI Clay Township
I
I
Name
PeJOI..S
o
P.O. Box I Address
:Jr7
City
-{)laj,rrHe{d..
Phone
-.eN.
.;
BUILDER:
3
Fax
Name
OWNER:
Street Address
LatNo.
Subdivision
:l-S>--
State
cL IJ..J
Section
Zip
'-{ 60 :12.-
Zoning
COflstruction 3.2- lLL/rltl'^S
Location: Address of Construction
So/sbur: Grcd-
~{'c::~k
City
State
II...J
Zip
Auto.Filter: YIN
TOTAL So. FOOTAGE: ~ RETYPE:
(Pool and Deck) I 2 '-I/Jif I :::II:
[YJ For Commercial Pools, state
Class of pool being buil~
Septic System:YIN ij UCi!lON
:t? . .lAnOIl"
Sump ~~o fa . 90\\ {eQ,(.o'llInmercial Pools. provide
(if yes, ~ CodeSStal' Release No.:
Su'o\ect ~ State a(\~~~,,"( S'2H
SaIety r..tur.. (IndudlDB pool coven) sban comply w1tb Indlansift ~ ~~~ 10-4-17 ''SaIety F..tures". EB'" systems
tbat Involve slops wltb tbree.or more rls.n will require a blndrtJ\ to sp~~llie Indiana Pool Code.
The urnfenrllll'led lareel that any conBtNction, re-con.tNction, entITlement, relocation or alteration of .tructure, or any change in the use of land or structurca requoatod
by thtuppllcalillll, will comply with snd conform to, III appllcablotlwo of tho StllD of Indillll (for I'OIidontial pools, 675 lAC 20-1.1-llhrougb 20-\.1-22 Ind 675 lAC
1().4.1 thrcugb 20-4.27, for comm...111 pool.. 675 lAC 20.\.I.llhrougb 20-3-9) IlId lIIo Zoninl Ordinance ofCannol,lndlsnl - 1980. adoptod undor lIIo IUthority of
A.II of 1979, Publlc ta"'178. Sec. I. cC Soq. Oenoral A>lCI1Ibly o(tho SlIlooflndlsna, snd III Acll amendltory_.
NOTE,' ([pool construction requires acce.iS to property fhrough a right.ofway, nof conta/1ling an e.itabltshed driveway, the applicant
must gain approvals through fhe City a/Carmel Engineering Dept (57/-2441) or the Hamilton County Highway Dept. (773-7770).
(Whichever is applicable.)
I berebY certify that the improvement I swimming pool will not be used or occupied until a Certificate of Occupancy has been issued by
the D~partment of Community Services, Carmel. Indiana.
32...
Estimaied Cost of Conslniclion:
(Poolllld Deck) I if. tJOO -
Pool Jeated: Y/N
I
~~
I
Pool Cover: : Y/N
i
,
Flood Zone: Y IN
Date:
TN~ION~~FQ~RE~
~dinWGroun~ . Fin \......99
FEES: Permit Fee: tj'l '7. /0
.
Inspection Fees: /O? () 0
Cert. Of Occupancy: . s-I. :5 0
~c/} _ TgrAL=:::'h. Jlo '..
__cJJf!2 ~ -':1 -/fdb
Fee cei by: ,
1!!t!:fIE/jgt,
ignsture Owner or Authonzed Agent
~r7P- MtI<..~ J<.
BZA Approval: Y/N D
BZA\~r&c MU-
Re\>iowed I Approved By: DepL of Commwlill' Services
.1/'7-1jLf-.3WS
(Phone No.)