HomeMy WebLinkAbout05090090-Application Swimming Pool./Spa
Permit Application .
~ ~ of Oam~ l Oa~ To~ , .
Name
OVgNER:
Construc~on
Location:
Phone Fax $~ 7
·
J .~3~ - ~lb
P.O. Box / Address
Name
Ci~ S~te
Phone
z~p
Lot No. Subdivision
Address of Construction
Section
Fax
Estira~d Cost of Consmiction:
(Pool and Deck)
Zi~
Zonin$
Zip
RETYPE:
pool I.~eated: Y/N
Flood Zone: Y/N
Auto Filer: Y/N [~
For Commercial Pools, sutte
Class built:
Commerc/al Pools - provide
Inelud ool onvera) shaft eomply with lndtant Swimming Pool Codes 6'/S IAC 10-4-2'; "Safety Features". Efrees systems
~s~.batar~ ( In~p ......... ~._n ,=__u,~ +~ .eelfltnflons of the indiana Pool Code,
that brvolve 8tel~ with thFee or moFe rteers y/us reqlllre a
Tim that any constroction, m-congmclton, enlar~nant, relocation or altemtinn of structure, or any chan~o in the use of ~ or almetm~ ~que~ted
mid~rg~ned q~ea ltcable laws of the State of Indiana (fei' re~denttal pools, 6?$ IAC 20.1 1 *1 through 20-1.1 .'~1 and 675 IAC
by fids al~licagon, will anmply with and coefo~ to, ell aPP ............ .._~,__.. A~;e,,.--~1 Indian& _ 1980, adopted under Ihe authority of
154-1 d:a~ 20~27; ~r commercial pools, 675 lAC 20-I.
Aote of lgT~, Public Law t?S, Sec. I, eL Seq., CknerM As~nbly of tho Stea~ °f Indiana, ~nd ~1A~ s~a~ ~M' - ..... ' --1/cant
· ,,o=;.
mu~ ~a~n approval~ through t~ ClO~ oy c'armet ~n~noen~g ,.~os. ,. --- ....
(W~ i~ applicable.) ' · -~ will not be used or occupied un~l a Cer~cate of Occupancy has been issued by
I hereby ~ tlmt ~he improvement / swimming poo~
~ ~t of community Services, Cannel, Indian~
{Phone No.)
nZaA~d= Yf~ L_--]
FEES:
Inspection Fees: