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CITY OF CARMEL
PERMIT RECEIPT
tV.
OPERATOR: vdolan
COpy # 1
See: Twp: Rng: Sub:SBE Blk: Lot:22
PARCEL ID ........: ZSBE022
DATE ISSUED.... ...: 04/27/2006
RECEIPT #.. .......: 21924
REFERENCE ID # .... 06040106
SITE ADDRESS ...... 4019 TOLBERT PL
SUBDIVISION ......: SHELBOURNE ESTATES
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: BRAD & SASHA HOSTETTER
ADDRESS ..........: 4019 TOLBERT PL
CITY/STATE/ZIP ...: WESTFIELD, IN 46074
RECEIVED FROM ....: POOLS OF FUN
CONTRACTOR. ......: ATTN: ABBY HOLMES LIC # POOLSOF
COMPANY ..........: POOLS OF FUN
ADDRESS ........ ..: 3891 CLARK CREEK ROAD
CITY/STATE/ZIP ...: PLAINFIELD, IN 46168
TELEPHONE ......... (317) 839-3311
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 2,208.00 487.80 0.00 487.80 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 652.30 0.00 652.30 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
1264.50
2505
-------~----
------~~----
1264.50
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Swimming Pool/Spa
Permit #: 06040106
Date: 04/27/2006
PARCEL ID #: ZSBE022
LOT & SUBDIVISION: 22 SHELBOURNE ESTATES
ADDRESS OF CONSTRUCTION: 4019 TOLBERT PL CARMEL, IN 46032
Township?: Zoning: S1 Flood Zone: N
Lot Split:
PROPERTY OWNER INFORMATION:
Name: BRAD & SASHA HOSTETTER
Ph. #: 3178735203 Fax #:
Street Address: 4019 TOLBERT PL WESTFIELD, IN 46074
CONTRACTOR INFORMATION:
Name: POOLS OF FUN
Ph. #: (317) 839-3311 Fax #: (317) 839-1120 Email:
Street Address: 3891 CLARK CREEK ROAD PLAINFIELD, IN 46168
PERMIT TYPE: RESPOOL ; RESIDENTIAL SWIMMING POOL
Estimated Cost of Construction: $44000 Square Footage (Pool & Deck Area): 2208
State Design Release #: Commercial Pool Class:
Pool Heated: Y Pool Heat Source:
Septic System: N Sump Pump: N Pool Cover: Y
Auto Filter: N
Special Notes/Conditions:
LOT 22, SHELBOURNE ESTATES. SWIMMING POOL.
* NO NOTES *
Safety features (including pool covers) shall comply with Indiana Swinuning Pool Codes 675 lAC 10-4-27 "Safety Features." Egress
systems that involve steps with three or more risers will require a handrail installed to specifications of the Indiana Pool Code.
NOTE: If pool construction requires access to property through a right-of-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, re-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 of Indiana (for residential pools,
675 lAC 20-1.1-1 through 20-1.1-22 and 675 lAC 10-4-1 through 20-4-27; for commercial pools - 675 lAC 20-1.1-1 through 20-3-9) and the
Zoning Ordinance ofCarmcl, 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, Carmel, Indiana.
APPLICANT NAME: MARGE MIKELS
FEES:
RES. BONDING/GROUNDING 55.50
RES FINAL 55.50
RESIDENTIAL C/O 53.50
RES SWIMMING POOL 487.80