HomeMy WebLinkAbout06040082 Application
Eatimaled Cost of Construction:
(pool and Deck) I Jj ---
~,Ci{j-
Pool Jellied: YfN [y]
~
BUILDER:
OWNER:
Copstruction
,Location:
,
Flood Zone: YfN
Aulo Filter: YfN
.,
Swimming Pool/Spa
Permit Application
CityofOumel/ Clay Township
Name I
I
~
I PomiIN;.,Plto11174
Fax
3 7 7 ff3 -
State
r,J
Zip
1fG,i6~
Phone
317
Fax
v y'
State
Zip
:5
Zoning
P,O. Box I Address
TOTAL So.
(Pool and Deck)
I
Pool Cover: : Y/N
!
Septic System:Y/N N
Swnp Pump: Y/N
(if yes, indicate drainage on s
.J .J
Zip"
'-It..OS~
RETYPE:
I-rr;-
For Commercial Pools, stale
Cw.sofpoolbemgbuUc
I ~
Commercial Pools - provide
State Desian Release No,:
1.-/
I
Safety reatur.. (IncludlDI pool coven) sball comply wltb Indiana Smmlllln, Pool CodeI 675 lAC 10-4.17 "Sarety 'eatures". Eire. I)'stems
tbat Involve stepl wltb tbrae' or more risen will require a bandl1llllDstaIJed to spedllcadonl or tbelndlanl Pool Cod..
The uncfmiFed apel that InY construction, re-conltnlCtion. enlargement, relocation or alteration of structure, or any chanp in the u&e of land or structures requOIted
by thtllppllcsti..., will comply with IlId c...form 10, III appUcsbIelaws of tho Stale of Indiana (for ruidondal pools, 675 lAC 20-1.1-1 1I1rough 20-\.1-22 Ind 675 lAC
10-4.11I1rough 20-4.27; for commercill pooll, 675 lAC 20-\.1-1 tI1rough 20-3-9) and tho Zonlnl OrcIInlInce of CannoI.lndlanl - 1980. adopted undor tile IUlhotily of
Acll of 1979. Public Law 178. Soc, I. et SOlI. Ooneral Auombly of tile SlIte of Indiana. and III Acll amonclltory -,
NOTEI' !fpool construction requires accal to properfy through a rlght-ofway, not contatnlng an atabllshed driveway, the applicant
",...t gain approval. throug/J the C1fy o/Carmel Englne.ring Dept (5'7/-244/) or the Hamilton Counfy Highway Dept. (7'73-'7770),
(Whichever Is applicable,). ~. .
I hereby certify that the improvement / swimming pool will not be used or II until a Certificate of Occupancy has been issued by
the D~partmeDl of Commwrity Senoices, Cannel, Indiana.
PION
unding
C/O
. ~ -~;2~~,'
~ Owner or Authorized Agent i
M()-Cje. M~\<.'t'l, 317 -1It/-J./tiJ Inspection Fees: )//,(){)
~Approval:Y/N 0 R~~A~Eb FOR CONSTRUCTIOftert, Of Occupancy: ,:(3. ::2)
. Subject to compliance with all regulations . ---,.;(/ / - //J 1\;'
BZA Docket No.: Date: ,,1 CoIAt", Md Locel Cades. TOT ALf"'_ b If) ~ V U
DEPT OF COMMUNITY SERVIC
~ ::::L./ CLAY TO
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