HomeMy WebLinkAbout06030019 Application
COjlstruction 38
'Location: Address of Construction
Eltimated COlt of Construction:
(pool and Deck) I LL'J -
";,tJOI
Pool Jeated: Y/N CY:J
~
Slfely features (IIIdudlDI pool oovers) shaD oomply with Indlln Swlmmlul Pool Codes 675 lAC 10......17 uSlfety Features". Elren sylltems
lblllnvolvo slepS with three or more rlso.. wID require I hlndnlllutllled to lpeclfIcltlonl of the Indllnl Pool Code.
'The undcrllpcd ape. that any conltnlction. re-conltrucdon, enlarpmcnt, relocation or alteration of SU'UCtUI'tt or lilY chanse In the ute of land or Itructuru requated
by lIli. oppllcarton, wllloomply wllll ond confann to, oIIappllcab1c lawo of lbc Stile of indiana (for residential pools. 67~ lAC ZO-I.l-t lbroup 200\.1.22 and 67~ lAC
IO-4-llbroup 20-4-27: for 0_la1 pool., 67~ lAC 20.\.1-1 ,lbroUP 20-3-9) and lbc~~'lMl.~f~~ und.. the authority of
Actl of 1979, Public law 178, Sec. I, et. Seq.. Ocnenl Assembly of the State of Indiana, "T~.IYU .... V..JI
NOTE.' Ifpool construction requires access ta property thraugh a right-ofway, not containing an established driveway, the applicant
must gain approvals through the City ofCan>l$/ Engineering Dept. (571-2441) or the Hamilton County Highway Dept. (773-7770),
(WIttchever Is applicable,)
I -----..........
I hereby certify that the improvement /Iwimming po Will not be used or oecupie un' a Certificate of Occupancy has been islued by ,
the n.;partment of Community Services, Cannel, I diana, ,~/
e fl-,'
JrJ,bM J Y1J.iJ/ii, /7
signatur%r Owner or Authorized Agent 7
^iA 71
I ~\~r:y- 1V\I~ls 1JLf-3W5
(print) D (phone No.)
BZA Approval: Y/N
,
BUILDER:
OWNER:
Flood Zone: Y!N
Auto Filter: Y/N
~=~::pa ~D ~cg~o~T~;;::\\
Cit;y of Carmel/Clay To' on I
Nan>e
,
pennit No.:
() b ()'3 (}(J I
FIIll
PIO'f,hc.
Phone
'3/7 -JTJ -IILa
State Zip
.=-1/ tl6/~ If
Fax
Name
Lot No,
Subdivision
--
Stale Zip
'((MEL -It-J L)(pcJ 3 <-
Section Zoning
CL/4
City Slate Zip
J~i-+ Ci4'R/IIEL -r,J cf6d.3"Z....
(pool anJg~~ SI'I;;~E: ~ i~~:
Pool CoverRem!ASED r\1'I For Commercial P()O~. stale
SUbject t lE.!!ill...dONSTfi~' of !Ol bemg built:
Septic System:Y/N D~SCD?lpf.;lncellNith 'j 'JL; I/'i},': '
DE~' tau L~^ajCa, re~t;JS
Sump 1'JtH/lp;, y Fe,: ,,; ad COmmercial Pool. - provide
(if yes, Ui'dibaie '~I'11\','=: p~:Z ~~~j~ Release No.:
INDIANA ItI'L-
FEES;
Permit Fee: ' ~
Inspection Fees: /07 00
-S /, %U
Date:
Cert. Of Occupancy:
TOTAL:zf S-S-j gO
ro,..._:..~m~_~In~~1~1n.......' .0\.._1:.....,;".. 0.., 6".. 101
Fee R"""ived by: