HomeMy WebLinkAbout0222.02 Applicationo?l
11 of Cqq?
/Swimming Pool/ Spa
Permit Application
OtyofCarmel/Clay Tow ship
FE6 A 4 2002
PertnitNo.: W-6
BUILDER: Name o I _ _
(Ji I Ipr7? 1 OOfS -- Phone
9;'3 5SV 1 Fax
"-,;2-&28
P.O. Box/Address City - State Zip
J -
D ?XJK ?`?? 37A?NEUILL? S7f? -7/L)
l?O77
OWNER: Name
J:?,AUL 51 L0 ny 5?,? u? t Phone
g93 S37y Fax
-
Street Address
Mov fyw6a el City-
2461-W;lle Scats
-F N Zip
YGD 77
Lot No. Subdivision Section Zoning
Construction
T>°
1 N STr?
3 13u? OI?
S
Location: ,/
Address of Construe City State Zip
Estimated Cost of Construction:
(Pool and Deck)
Pool Heated: YIN
Flood Zone: Y/N
Auto Filter: Y(N
% a- t9?e
ok , G(
?" - E
1.O'1'ALSQ. DOTAGE:
o. v v k' l 1z;o
vonool Cover: Y, N
Z o G5
0X? ?6sP? Vstem:Y',,N D/
\j a ump Pump: Y/N
?J G. t?`l (if yes, indicate drainage on site p an)
RETYPE:
Internal Use
For Commercial Pools, state
Class of pool being buih:
Commercial Pools - provide
State Desizi Release No.:
V: 7'
Safetv features (incl kp versI all comply with Indiana Swimming Pool Codes 675 LAC IO-4 27 "Safety Features". Egress systems
that involve rteps ?Q'?V10 r more risers will require a handrail installed to specifications of the Indiana Pool Cade.
The undersigned age any construction, re-construction, enlargement, relocation or alteration, of structure, or any change in the use of land or structures requested
by this application, wil comply with and mnf'orr t to, all applicable laws of the State of Indiana (for residential pools, 675 IAC 20-1.1-1 through 20-1.1-22 and 675 LAC
10-4-1 through 20-4-27; for commercial pools, 675 IAC 20-1.1-1 through 20-3-9) and the Zoning Ordinance of Carmel, Indiana- 1980, adopted under the authority of
Acts of 1979, Public Law 178, See. 1, et Seq., General Assembly of the State of Indiana, and all Acts amendatory thereto.
NOTE: Ifpool construction requires access to property through a right-of-way, nor containing an established driveway, the applicant
must gain approvals through the City of Carmel Engineering Dept. (571-2441) or the Hamilton County Highway Dept. (773-7770).
(Whichever is applicable)
I hereby certify that the improvement % swimming pool will not be used or occupied until a Certificate of Occupancy has been issued by
t}te Department of Community Services, Carmel, Indiana.
Sig<rature of Owner or Authorized Agent
X1,6 lw, 19i4, L/QGuipU - -
(Print) ? (Phone No
B7?1 Approval: Y;,IV
137-1 Docket No.: nn Date:
CA?rrn?t?wa01L(7k ?I? ?
Reviewed! kpproved By: Dept. of Community Services
' SPECTIONS RE ED:
on 'Grounding in C/O
FEES: Permit Fee: a35.00
Inspection Fees: 106.00
Cert. Of Occupancy: a)-00
TOTAL: 3. a0
Fee Received b :
S:Permits/Forrns/Pools,Pool Application Rev. Aug. `01