HomeMy WebLinkAbout06030172 Application
BUILDER:
OWNER:
Construction
Location:
.
~
I .",,", No. ,
()fo o:~() J 7<3
SWimming Pool I Spa
Pennit Application
Uty of Carmel I Gay Township
Phone
Name
t=1A~
P.O. Box 1 Address
r.i
Phone
Name
State
Street Addreas
.:TA...J
Section
LatNo.
-3
SubdiYiaion
k
City
State
Addr..s of Construction
JDh
JEWeL 0 f!- Je.MEL- 7..J
TOTAL SQ. FOOTAGE: J-..
. (Pool and Deek) I / s ~ 2- 'J::!.
Estimaled Cost of Construction:
(Pool and De<:k) I
Pool Heated: Y/N
Flood Zone: Y/N
Auto Filter: YIN
Fax
311 f3f-j/Z-D
Zip
f.{~(t:;lr
Fax
Zip
lf~a3<.,
Zoning
Zip
40032-
RETYPE:
I II ~
For Commercilll Pools,. state
Clus of pool being built:
I
]
an
Commercial Pools - provide
State Desilm JU!Fase No.:
I
]
Sarlt)' reallll'll (Iadadllll pool coven) I U eomp IlIIladllDa 5..I_al Pool CodeI675 lAC 10-4-27 "Sarely Ji'eaturu". EgrellIY1teml
that IlIwlYe IIIps with three or more ..... wi ulre a ~lDdralll..tatled to lpedfleatloDl or tbe Indlaaa Pool Code.
Thl undOlllaned...... IhatlllY conl1lUOllan, ro...OII8lI\IOtion.lftlllplNn~ rolOCltion Of al_ti... or ._re. or .ny ch"lle In the us. or land or IlnIetul'Cl ..quested
by thll IppltClltion, will e01l\1lly with and CllI\rorm to. In applicable I.... oCtile Slate .rlndilll. (CII' nsidentill pool.. 675 lAC 20-1. H lhroulh 20.1.1-22 .nd 675 lAC
10-4.( tlmluah 20-4-27; Cor _Ial pool., 675 lAC 20-1. H throuah 20-3-9) and the !anini Ordillmce oCC.rmcI, indian. - 1980, odopted under the .uthorlty or
Aela or 1979. Public Law 178, S.c. 1, .t. Scq" OOneral _bly orthe SlIte orlndi.... md .11 Acll amond"DrY thereto.
NOTE: qpool con,/rUction requ/rel accell to property Ihrough a righl-ofway. not containing an established driveway, the applicant
mllll gain approwl, Ihrough Ihe CiJy of Cannel Engineering Dept. (S7/-244/) or Ihe Hamilron County Highway Dept. (773-7770).
(W1Ilcheveruapplicable.) ~~
I hereby certify that the improvement / ,wimming pool will not be u,ed or occupied until " Certificate of Occupancy hal bcen issued by
the Department of Community Semces. Cannel. Indi a. '2/3/ ) j: 0
-zAJ
Permit Fee: f? 3, ? 0
1/4 ~ 3 f[5 Inspection Fees: /0'7 00
(Phon1No~t ",ED FOR CONSTR~T
Subject to compliance With all r e;l~ Occupancy: 5/ )0
of S.ot d e larr-ons .J/
,~e an local Codes. :AL: ...:tlf 6:1 ;2..?O
Date: C~~ O:,.COMMUNITY SERVI ES
F CARMEL / CLAY TOWN
By: nepL of Communily $eM'" IN DIANA Fee Received by
FEES:
SJBDature er or Authorized Agent
.~. {JrF ~eJ5
( rin!)
BZA Approwl: Y/N 0
C!.D_IMII2_ 1D_"ID_1 .._1l".~_ D_ AIt_ l^'