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1 of
CITY OF CARMEL .,
1 PERMIT RECEIPTL~
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See: Twp:18 Rng:03 Sub:775 Blk:33__bot:174
PARCEL ID ........: 1709330005013000
DATE ISSUED.......: 04/18/2006
RECEIPT #. ........: 21799
REFERENCE ID # .... 06040065
OPERATOR: vdolan
COpy # 1
SITE ADDRESS ...... 12580 PEMBROOKE CIR
SUBDIVISION. .....: CLARIDGE FARM
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: RAM HOLDGRAFER
ADDRESS ..........: 12580 PEMBROOKE CIR
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY. .........:
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
PERMA GLASS CORP
LIC # PERMPOO
PERMA-GLASS POOLS
6004 US 31 S
INDIANAPOLIS, IN 46227
(317) 782-9956
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESBNDGND FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESFINAL FLAT RATE 1. 00 55.50 0.00 55.50 0.00
RESC/O FLAT RATE 1. 00 53.50 0.00 53.50 0.00
RES POOL SQUARE FEET 1,368.00 403.80 0.00 403.80 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 568.30 0.00 568.30 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
568.30
2318
568.30
CITY OF CARMEL / CLAY TOWNSHIP
I IMPROVEMENT LOCATION PERMIT APPLICATION
For: Swimming Pool/Spa
Permit #: 06040065
Date: 04/18/2006
PARCEL ID #: 1709330005013000
LOT & SUBDIVISION: 174 CLARIDGE FARM
ADDRESS OF CONSTRUCTION: 12580 PEMBROOKE CIR CARMEL, IN 46032
Township?: 18 Zoning: S1 Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: RAM HOLDGRAFER
Ph. #: 3175809988 Fax #:
Street Address: 12580 PEMBROOKE CIR CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: PERMA-GLASS POOLS
Ph. #: (317) 782-9956 Fax #: (317) 782-9935
PERMAGLASS@IQUEST.NET
Street Address: 6004 US 31 S INDIANAPOLIS, IN 46227
Email:
PERMIT TYPE: RESPOOL ; RESIDENTIAL SWIMMING POOL
Estimated Cost of Construction: $35000 Square Footage (Pool & Deck Area): 1368
State Design Release #: Commercial Pool Class:
Pool Heated: Y Pool Heat Source:
Septic System: N Sump Pump: N Pool Cover: N
Auto Filter: Y
Special Notes/Conditions:
LOT 174 CLARIDGE FARM. SWIMMING POOL.
CONDITIONAL RELEASE: 3 ISSUES TO BE MET, SEE FILE
. NO NOTES'
Safety features (including pool covers) shall comply with Indiana Swinuuing Pool Codes 675 IAC 10-4-27 "Safety Features." Egress
systems that involve steps with three or more risers will require a handrail installed to specifications afthe Indiana Pool Code.
NOTE: If pool construction requires access to property through a right-af-way, not containing an established driveway, the applicant must gain
approvals through the City of Carmel Engineering Department (571.2441) or the Hamilton County Highway Department, (773-7770) whichever
may be applicable.
I, the undersigned agree that any construction, fe-construction, enlargement, relocation, or alteration of structure, or any change in the use of
land or structures requested by this application, will comply with and conform to, all applicable laws of the State oflndiana (for residential pools,
675 lAC 20-1. ] - J through 20-1. ] -22 and 675 lAC 10-4-) through 20-4-27; for commercial pools - 675 lAC 20-1.1-] through 20-3-9) and the
Zoning Ordinance of Carmel, Indiana ~ 1980, adopted under the authority of Acts of 1979, Public Law 178, Sec. 1, et. Seq., General Assembly
of the State of Indiana, and all Acts amendatory thereto. I further certify that the improvement/swimming pool will not be used or occupied until
a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
APPLICANT NAME: R.L. GROCE
FEES:
RES. BONDING/GROUNDING 55.50
RES FINAL 55.50
RESIDENTIAL C/O 53.50
RES SWIMMING POOL 403.80