HomeMy WebLinkAbout06040011 Application
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Swimming pool/Spa.
Permit Application
Citroi Carmel/Clay To
N
,
~UILDER:
P.O. Box! Address
-4'.
Name
OWNER: ge ('
Street Address
(poolanJg~~T;::Gp 1 RE;;'
Pool Cover: , Y/N r\tI For Commcreial Pools. state
L.L..-J Class of pool being built:
RELISc~~~~:Y/N ii \ ~,'
Sub'e p. PlJiQIY,.GONST N CommereW Pools - provide
j 6'f:"f~ 1111- e State De.Uln Release No.:
DE State and Local Cod Ions I ~
PT OF COM as.
01'1'\' Or R MUNITV ~inVlef!S
Sarety reatures (1lleludllll pool eavers) shall comply with 1n<ci&-oa~'1/1lBdtQii@l!WIl.$cMjf,l4l-4-17 "Slfely 'eatures", Elress syIIeIIlB
that Illvolve steps with three' or more risers wUl require a halldrald~\lJAspeelfl.at\oj,;'iI't tllf'Illdlalla Pool Code.
'n1e undersiped ap. that an)' conltruction. re-<:onltrucdon. en18raemcnt. relocation or alteration af 8tNOt\nCl, or any change In the ule of land or .tructurtl reqUOIted
by thllappllclrton, will comply with ond confonn to. all applicable IIWI of the Stale of Indlanl (for residonrtll pools, 67~ lAC 2o-l.\-\1I1rough 2D-I.l-11111d 675 lAC
10-4.\ through 20-4-27: for commercial POOII, 675 lAC 20-1.1-1 throup 20-3-9) and the ZoDlnll Ordinance of Cumel, Indiana - 1980. adopted under the authority of
Actl of 1979, Public Law 178, Sec. I, ct. Seq., General Assembly of the State of Indian., and all Acta amendatory lhereto.
Copstruction
Location:
Fax
'3 V"l Vy - .2tJ
State Zip
Ii'J LJ '" I b&'"
Phone Fax
]17 5'15 "'I~3L
City Stille
fV\'l.e..,L .f-, tv
Section
Zip
If; /;tJ 3?....
Zonln&
(J-Eer-.
State
Zip
Lf605'-
City
C () r /IJIIe
-,J
(!('ec:.{::.. 0r
Estimated Cost of Consuuclion:
(pool and Deck) I L.Jt OtJ 0-
Pool ~eated: Y/N
,
Flood Zone: Y/N
Auto Filter:
Y/N
tE
w=J
NOTE,' Ifpool construction requires access to property through a right-ai-way, not containing an establl8hed driveway. the appllcOIII
must gain approvals through the City of Carmel Engineering Dept. (57 J -244 J) or the Hamilton County Highway Dept (773-7770).
(Whtchever Is applicable.)
,
I herc~y certify that the improvement /.wimming pool will not be u.ed or occupied unlil a Certificate of Occupancy has been ;Slued by ,
the Department of Community Services, Cannel, Indiana.
ONS U
Bondinw'Grounding F'mal
~L~ -{Job OJ;~~
S' e of Owner or Authorized Agent
~rrl' ~;~L ,.-? /1 711.3415
. t) r'\Tl (phone No.) R:I'\M~ \- e \,{,
BZA Approval: Y/N L.L...J
BZADockctNC~~ ~~-o~
Reviewed / Approved By: nepL of CommwU~ Service.
FEES:
c/o
Permit Fee:
Inspection Fees:
f Occupancy:
~o
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