HomeMy WebLinkAbout06030012 Application
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Swimming Pool/Spa r' [g if'" ~-' -O'-;":-~:: Pennit No.: Bit O? OV I
Permit Application I rlJ i:=" .{~" 2~ l ~/ Ls I !'-'\\
City of Cannel/Clay rei:;p " I I
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Name Phone Fax
BUILDER: L c.. ~o 2- 2' - J D;I</
State Zip
I,! { ", 2..
Name Phone Fax
OWNER: ~ 5)
Of>! C ,. )~ ZtI ~JC
Street Address City State Zip
I/f~i-- ' .../
Lot No. Subdivision Section Zoning
Construction " ~-
p(,!;:'
Location: Address of Construction City State Zip
lMJI- el\-
Estimated Cost of Construction:
(Pool and Deck) I vd
qf, d 00 ~
TOTAL SQ. FOOTAGE:
(pool and Deck) I 'J.- 3 7 J....
UJ
GJ
Swnp Pwnp: YIN ~
(if yes, indicate drainage on ~
Pool Heoted: YIN
Flood Zone: YIN
.-\uto FlIter: YIN
B3
GJ
Pool Cover: Y IN
Septic System:YIN
RETYPE:
Ic~ IV I r I!-- I
For Commercial Pools, slate
Class of pool being built:
I
Commercial Pools - provide
State Design Release No.:
I
Hi::LE,~".SE:D FC1R C()NST~~! !rT;{"r-~~
. . Su.Q1ect to comolianeG with [-:.~t MfWI i!:.:l'fir'i"l"-::" .
The undersigned a~l<;;es thalfl1Y constructIon, re-constrUCtloh, enlarge'ment,'relocatlOn or alteratIon of structure, or any change In the use of land or structures requested
by this apphcation, will compl~ih~ndlcorkJriRft01,~1G.ppiiCable laws of the State of rndiana (for residential pools, 675 lAC 20-1.1-1 through 20-1.1-22 and 675 lAC
1 0-4~ 1 throughgyE!12"'rrcf"~~\~,WJ~P.9~t'J~~i'1f\9 22it..l;.:.!\tNo~gh.~~-3.9) an.d the Zoning Ordinance of Cannel, Indiana - 1980, adopted under the authority of
Acts of 1979.....p,u.b1jc. La\Y:l"'1~S.fCV..1, e~Seq.} General ASSei'i'l!>IY ofllie"State of Indtana, and all Acts amendatory thereto.
U I Y L,.,- Gf\HMt:L I CLAY TOWNSHIP
Safety features (inc1u~.ing pool coY~1.&~ffl.mPly with Indian,a Swimming Pool CO~U~27"safety Features". ,
I hereby certify that the improvement I swimming pool wi~~1\~ l;j?j a Certificate of Occupancy has been issued by
the Department of Community Services, Carmel, In~,u", ~ 11
V ; IONS RE UIRED:
onding/Grounding
c~ r~ I<w'
Signature of Owner 'or A orized Agent
,
($-(< L
(Print)
HZ:\. ApprovaL Y IN
13Z.-\ Docket No.:
C. Y'iL-~
FEES:
r;o Ie. fl. y
/
D
(Phone No.)
Date:
,/
Fee Received by:
3-..;/~~1o
S:Pernlits/FormsfPool Application
Permi Fee:
Inspection Fees: