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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: vdolan
COPY # : 1
· · 1 05 Lot:ll
Sec: Twp:17 Rng.03 Sub.02 Blk:
PARCEL ID ........ : 1713050007006000
DATE ISSUED ....... : 04/20/2005
RECEIPT # .... : 18058
REFERENCE i~'~ ...: 05040073
SITE ADDRESS ..... : 3504 HINTOCKS CIR
SUBDIVISION ...... : BRIDLEBOURNE
CITY ............. : CARMEL
IMPACT AREA ...... :
OWNER ............ : RICH & CHERYL GOLLETT
ADDRESS .......... : 12758 APSLEY LN
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM .... : BLUE HAVEN POOLS
CONTRACTOR ....... : LIC # BLUEHAV
COMPANY .......... : BLUE HAVEN POOLS OF INDIANA
ADDRESS .......... : 1739 N. COUNTRY CLUB ROAD
CITY/STATE/ZIp ...: INDIANAPOLIS, IN 46234
TELEPHONE ........ : (317) 209-1400
UNIT
FLAT RATE
FLAT RATE
FLAT RATE
SQUARE FEET
IT :
METHOD OF PAYMENT
TOTAL RECEIPT :
QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
1.00 53.50 0.00 53.50 0.00
1.00 53.50 0.00 53.50 0.00
l. O0 51.50 0.00 51.50 0.00
800.00 337.50 0.00 337.50 0.00
496.00 0.00 496.00 0.00
AMOUNT
496.00
496.00
NUMBER
7104
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Swimming Pool / Spa
PARCEL ID #: 1713050007006000
LOT & SUBDIVISION: 11 BRIDLEBOURNE
~F CONSTRUCTION: 3504 HINTOCKS
?: 17 Zoning: S1
CARMEL, N 46032
Flood Zone: N
~ROPERTY OWNER INFORMATION:
Permit #: 05040073
Date: 04/20/2005
Lot Split: N
CONTRACTOR INFORMATION:
BLUE HAVEN POOLS OF INDIANA
Fax #: 3172091500 Email:
Street : 1739 N. COUNTRY CLUB ROAD INDIANAPOLIS. IN 46234
PERMIT TYPE: RESPOOL
N
Filter: Y
; RESIDENTIAL SWIMMING POOL
Square Footage (Pool & Deck Area): 800
Commercial Pool Class:
Pool Heat Source:
Sump Pump: N Pool Cover: Y
LOT 11 BRIDLEBOURNE. RESIDENTIAL SWIMMING POOL.
800 SQ.FT. * NO NOTES *
Safety features (including pool covers) shall comply with Indiana Swimming Pool Codes 675 [AC 10-4-27 "Safety Features. Egress
systems that involve steps with three or more risers will require a handrail instalIed to specifications of the Indiana Pool Code.
NOTE: ]f pool construction requires access to property through a rlgh~.of-way, not containing an established driveway, the applicant must gain
approval~ 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-l. 1-1 through 20-l. 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 CaSmel, Indiana -/980, adopted under the authority of Acts of 1979, Public Law 178, Sec. I, et. Seq., General Assembly
of the State of lndiana, and alt Acts amendatory thereto. I further certify that the improvement/swimming pool will not be used or occupied until
a Certificate of Occunancy has been issued by the Department of Community Services, Carmel, Indiana
APPLICANT NAME: DENISE RUTHERFORD
53.50
RES FINAL 53.50
RESIDENTIAL CIO 51.50
RES SWIMMING POOL 337.50