HomeMy WebLinkAbout05030149-ApplicationPool / Spa '
, o£ Carmel/ Cla)
BUILDER:
! Address
Name
OWNER: ~
S~eet Address
~cafion: ~s~ of Cona~cfion Ci~ State
Estimated Cost of Construction:
(Pool and Deck) ~
Pool Heated: Y/N [-~
Hood Zone: Y/N
Auto Filter: Y/N ['~--t-t-t-t-t~
Permit No' O,5~0 ~ <5
Fax
State Zip
Fax
Ci~ State Zip
~C~et q~Og'~ _ Zoning
Zip
TOTAL SQ. FOOTAGE:
(Pool and Deck) _~ -~
L eSo I
Pool Cover: Y/N [X~
Septic System:Y/N ~
(if yes, indicate drainage on s~-i~-pl~l
RETYPE:
For Commercial Pools, ~tate
Class of..ool bei~. built:
Commercial Pools - pro?de
State Desi Release No,:
Ac[s of 1979, Public Law 178, Se~. l, et, Seq., General Assembly of the S~ate of Mdi~ md all Ac~ a~dat~ thffeto.
NOTE: If pool cons~ction mquires access to prope~ through a ~ght~fw~, not containing an ~tabl~hed &iveway, the applicant
m~t gain approvals through the ci~ of Camel En~neeHng ~ept. (571-2440 o~ the Hamilton Coun~ Highway Dept, (773-7770.
~ichever ~ applicable.)
I hereby ce~ th~ ~e improvement / s~ pool ~ not be used or occupied ~ a Ce~cate of Oceup=cy h~ been issued by
· e Dep~ent ofComm~ Semces, C~el, ~a.
S~ffof ~er or ~o~ed ~ent ~: Pe~it Fee: ~ 0
~D FORCO, . ~T~L)C~ chon Fees ~
.d ~.,ccz-~. Cod~rt, Of Occup~cy:~ ~- ~ .
OMMUNrry S~iRVtCE~
B~ D~ket No.'. Date: CJq'Y 0~: CARMEL / CLA~,* ~ 7)VVNSHfpTOT~: