HomeMy WebLinkAbout06030035 Application
.
Swimming Pool/Spa
Permit Application
CityofOumel/ C/a.y Township ,
Name I Phone
BUILDER: 'POO}-" 0 F Fu N 13/7- g3'1- 3 3 ( I
Permit No.:
D300.35
Fax
317-g']Q-II2o
P.O. Box I Address City State
38t1, CJ..A e.f:( S Cl2-.f€ k. \2-D. '"?LA-t r-J FI EU) IN.
Name I Noe( J Chf'IS Phone Fax
OWNER: VIS ;J17-5/;q-i7 0
Streel Address City State
13'775 [V\ PrG Ie. TAI-LHN l)g. ell Q/nB- IN.
LaINo. Subdivision Section
Co~struction 1-5 S t\ \)\)1- €- c\'2-EO-E-\<.
Location: Address of Construction Oty State
131'1'5 (Y\P.GIC STALL-ION :?R. C4R,(T'\Et.-- IN
Zip
4'blb~
Zip
4fc1J~2.
Zoning
Zip
4bt'32
Flood Zone: Y/N
TOTAL So. FOOTAGE:
(pool and Deck) I 1'7 ~Q
Frf:Lt: '
I SUb AS'I::'
ri7I Pool Cover: i Y/N 1 'Ct c' /-OA 1(,or Commercial Pools, state
Ll..J ' Df:p 0 IJPIICi'",'C 01 be' built:
~ Septic Syslem:Y~n'" 7 o;;;;,~. ? Ci!)o Lce "IIf, illl:
L..!L-.J 'r at n.1;~ "M!v,L'OC:~' or!'~; I'll'
~ Sump Pump: Y/N ,"'tt1/v r:- i IN" eii:ial PooiS'Qlprovide
~i' '\ "'(', ;:(ifyes,iiidicatedrainaseou1 p <::L/Os' e9-' ease No.:
" \ ' ' ' \" I' IVDI r"" .
" ,';" .. .,j , ,,; AN 10' ~
':, ili ill I' A
. \ t j" \ I : 1] I :
Sarety reatur.. (Including pool covers) .~al,1!~omP!rM!tbln'\la~..~"lmmJnl:Pool Coda 675 lAC 11).4-27 .Safety Features". Eg.... syltems
that Involveoteps wltb three or more rill.. wUl nllllil\'e a bandi'alllnsta1led to'spedllcatlonl or the Indiana Pool Cod..
1'1 \\1 il'-,'
Tho underetaned apel that In)' COftltruction, fe;.conllruction, enlarpment. relocation'mil_lion or structure. or any ebange in the use of land or structuI'U requOIted
by thllll!lPlicallan, will comply wllh and conrOnn to, all lI!lPllcablcllwa or the SlIle of indian. (for lUldentia1 pooll, 675 lAC 20- \.1.11hrousl\20-\.1.22 and 675 lAC
\0-4.\ throusl\20-4.27; for coromarclal poola! 675 lAC 20.1.1-\ throush~~.l-9) ~~?Anrlnl OnIlnancc of Cannel, Indiana - 1980, adopted under the authority of
Acll of 1979, Public Law 178. Sec, I, ct, SOlI.; Cliiiiiil AallOl11bl)'oftlie siate of Indiana, and all Acll amendatory thereto.
NOTE,' lfpoal construction requires access to property through a right-at-way, not contatning an established driveway. the applicant
mllSt gain approvals through the City of Carmel Engl7UJerlng Dept. (571-1441)ortherlamilton County Highway Dept. (773-7770).
(WhIchever Is applicable.) / "'" '
I hereby certifY that the improvement / swimming pool will not be used or occupied until a Certificate '\f Occupancy has been issued by
the D~partment of Community Services, Cannel, Indiana. / )
"7/</-3'1 S- I :;7) j SP NSREU
1" , IIc . hlal
I
I
wner or Authorized Agent 3' 7 f'. 1-:-
\ ~1...,.rT
(Yl1 kel.s 7N'3~9S
D (Phone No,)
RETYPE:
If'
Eetimaied Cost of Consbuclion:
(poolandDeckl I 3R,DOO
Pool Jeated: Y/N
,
Auto Filter: Y/N
C/
Inspection Fees: ,/0'7 If 6
Celt. Of Occupancy: -)1 )0
. L~}}"J :>''1''1,(2.0
C/~~/
Fee'lreceived by:
tY\ A-Q. c; E
(Print)
BZAApproval: Y/N
Date:
By: DepL of Community Services