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HomeMy WebLinkAboutApplicationPage 1 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 CARMEL BOARD OF ZONING APPEALS APPLICATION FOR DEVELOPMENT STANDARDS VARIANCE – HEARING OFFICER FEES: Single Family (Primary Residence) $176.00 for the first variance, plus $103.00 for each additional section of the ordinance being varied. Commercial and Other $711.00 for the first variance, plus $353.00 for each additional section of the ordinance being varied. DOCKET NO. ________________________________ DATE RECEIVED:_______________________________ 1)Applicant: _____________________________________________________________________________ Address: _____________________________________________________________________________ 2)Project Name: __________________________________________ Phone: ________________________ Engineer/Architect:______________________________________ Phone: _________________________ Attorney:_______________________________________________ Phone: ________________________ Contact Person:__________________________________________Phone:________________________ Email:_______________________________________________________________________________ 3)Applicant's Status: (Check the appropriate response) ______ (a) The applicant's name is on the deed to the property ______ (b) The applicant is the contract purchaser of the property. (c) Other: __________________________________________________ 4)If Item 3) (c) is checked, please complete the following: Owner of the property involved: __________________________________________________________ Owner's address: __________________________________________ Phone:_____________________ 5)Record of Ownership: Deed Book No./Instrument No.___________________________________________ Page: ______________________ Purchase date: _____________________________________________ 6)Common address of the property involved: ___________________________________________________ Legal description: ______________________________________________________________________ Tax Map Parcel No.: ____________________________________________________________________ 7)State explanation of requested Development Standards Variance: (State what you want to do and cite the section number(s) of the Unified Development Ordinance that applies and/or creates the need for this request). _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 8)State reasons supporting the Variance: (Additionally, complete the attached question sheet entitled "Findings of Fact-Development Standards Variance"). ____________________________________________________________________________________ _____________________________________________________________________________________ Office Use Only Page 1 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 CARMEL BOARD OF ZONING APPEALS APPLICATION FOR DEVELOPMENT STANDARDS VARIANCE – HEARING OFFICER FEES: Single Family (Primary Residence) $176.00 for the first variance, plus $103.00 for each additional section of the ordinance being varied. Commercial and Other $711.00 for the first variance, plus $353.00 for each additional section of the ordinance being varied. DOCKET NO. ________________________________ DATE RECEIVED:_______________________________ 1)Applicant: _____________________________________________________________________________ Address: _____________________________________________________________________________ 2)Project Name: __________________________________________ Phone: ________________________ Engineer/Architect:______________________________________ Phone: _________________________ Attorney:_______________________________________________ Phone: ________________________ Contact Person:__________________________________________Phone:________________________ Email:_______________________________________________________________________________ 3)Applicant's Status: (Check the appropriate response) ______ (a) The applicant's name is on the deed to the property ______ (b) The applicant is the contract purchaser of the property. (c) Other: __________________________________________________ 4)If Item 3) (c) is checked, please complete the following: Owner of the property involved: __________________________________________________________ Owner's address: __________________________________________ Phone:_____________________ 5)Record of Ownership: Deed Book No./Instrument No.___________________________________________ Page: ______________________ Purchase date: _____________________________________________ 6)Common address of the property involved: ___________________________________________________ Legal description: ______________________________________________________________________ Tax Map Parcel No.: ____________________________________________________________________ 7)State explanation of requested Development Standards Variance: (State what you want to do and cite the section number(s) of the Unified Development Ordinance that applies and/or creates the need for this request). _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 8)State reasons supporting the Variance: (Additionally, complete the attached question sheet entitled "Findings of Fact-Development Standards Variance"). ____________________________________________________________________________________ _____________________________________________________________________________________ Office Use Only 9) Present zoning classification of the propert y: _P_U_D _ 9a) O verlay Zone of pro pert y (if applicable):_N_IA _ 10) 11) Size of lot/parcel in question:_1_·_9 acres Present use of the property: _b_a_n_k _ 12) Describe the proposed use of the property: _h_e_a_lt_h_c_a_r_e_f_a_c_i li_ty_l _ free standing emergency department (FSED) 13) Is the property: Owner occupied _ Renter occupied Other _X _ 14) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this property that would relate or affect its use for the specific purpose of this application? If yes, give date and docket number, instrument no., decision rendered and pertinent explanation. Yes; August 4, 2003; Docket No. 164-02 Z; Ordinance No. Z-410-03 was passed by the Common Council of the City of Carmel, Indiana, which changed the Official Zoning Map, as part of the Zoning Ordinance, to designate the property as a Planned Unit Development District. 15) 16) Has work for which this application is being filed already started? If answer is yes, give details: No Building Permit Number: _N_1A _ Builder: _N_,A _ If proposed appeal is granted, when will the work commence? Anticipated to begin in 2019 17) If the proposed variance is granted, who will operate and/or use the proposed improvement for which this application has been filed? Riverview Health NOTE: LEGAL NOTICE shall be published in the newspaper according to the Chart on page 5 a MANDATORY ten (10) days prior to the public hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for inspection the night of the hearing. LEGAL NOTICE to all adjoining and abutting property owners is also MANDATORY, two methods of notice are recommended: 1) FIRST CLASS MAIL WITH CERTIFICATE OF MAILING sent to adjoining property owners. (The white receipt should be stamped by the Post Office at least 10 (ten) days prior to the public hearing date.) 2) HAND DELIVERED to adjoining and abutting property owners (A receipt signed by the adjoining and abutting property owner acknowledging the ten (10) day notice should be kept for verification that the notice was completed.) REALIZE THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT. Applicant Signature: Date: // /u/t,tJ/f The applicant certifies by signing this application that he/she has been advised that all representations of the Department of Community Services are advisory only and that the applicant should rely on appropriate Unified Development Ordinance and/or the legal advice of his/her attorney. Page 2 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 AFFIDAVIT I, hereby swear that I am the owner/contract purchaser of property involved in this application and that the fo rego ing signa tures, state m e nts and answ e rs he re in co n tained and the info rm atio n he rew ith submitted are in all respects true and co rr ect to th e best of m y know le dge and be lief. I, th e unde rsigne d , au tho rize the a p plican t to a ct o n m y b e ha lf w ith rega rd to this app licatio n and subseq ue n t hea rings and testimony . .. ,._ .. t UIA Mark R. Leach Printed Name: S T A T E O F INDIANA SS: C o un ty o f __ H_· _4. __ 111_..;.._I ....:/_+..;._.CJY]_-'------------- Before me the undersigned, a Notary Public (County in which notarization takes place) for ----~-R-vri--~' ~f_+~c[Y) County, State of Indiana, personally appeared (Notary Public's county of residence) ___;(n __ 0-1 __ \_( __ ~_. __ (_· _e.---=GL!:....:::....:G::;__1--- and acknowledge the execution of the foregoing instrument (Property Owner, Attorney, or Power of Attorney) CJO 1 - this ~d-~--- day of __.-=-=-o-=-O_Q..._ff{_IC,(2..-"--v ..:..'< __ -=--"==aa.....,,---- ( date) (month) _,, ,,,,.,.... / (SEAL) Notary Public--Please Print My commission expires: _ Page 3 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 Page 8 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 NOTICE OF PUBLIC HEARING BEFORE THE CARMEL BOARD OF ZONING APPEALS Docket No. _________________ Notice is hereby given that the Carmel Board of Zoning Appeals meeting on the ___________day of ____________________________, 20 ___ at ___:_____ p.m. in the City Hall Caucus Rooms, 1 Civic Square, Carmel, IN 46032 will hold a Public Hearing upon a Development Standards Variance application to: ________________________________________________________________________ (Explain your request--see question numbered seven (7)) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ property being known as (address): _____________________________________________________________. The application is identified as Docket No. ______________________________________________. The real estate affected by said application is described as follows: (Insert Legal Description OR Tax ID parcel number(s)) All interested persons desiring to present their views on the above application, either in writing or verbally, will be given an opportunity to be heard at the above-mentioned time and place. _______________________________ PETITIONERS (Note: When mailing out public notices to adjacent property owners, it is recommended that you inclu de a location map, as well.) Page 9 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 PETITIONER'S AFFIDAVIT OF NOTICE OF PUBLIC HEARING CARMEL BOARD OF ZONING APPEALS I (WE) ___________________________________________________ DO HEREBY CERTIFY THAT NOTICE OF (Petitioner's Name) PUBLIC HEARING BEFORE THE CARMEL BOARD OF ZONING APPEALS CONSIDERING DOCKET NO. ______________________, WAS REGISTERED AND MAILED AT LEAST 10* DAYS PRIOR TO THE DATE OF THE PUBLIC HEARING TO THE BELOW LISTED ADJACENT PROPERTY OWNERS: OWNER ADDRESS _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ STATE OF INDIANA SS: The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed and believes. ______________________________________ (Signature of Petitioner) County of ______________________________________________Before me the undersigned, a Notary Public (County in which notarization takes place) for __________________________________________ County, State of Indiana, personally appeared (Notary Public's county of residence) ____________________________________________ and acknowledge the execution of the foregoing instrument (Property Owner, Attorney, or Power of Attorney) this ____________ day of ___________________________________, 20_________. (day) (month) (year) _______________________________________ Notary Public--Signature (SEAL) ________________________________________ Notary Public--Please Print My commission expires: ______________________________________ *Only 10 days prior public notice required for a BZA Hearing Officer Meeting Page 10 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 CARMEL ADVISORY BOARD OF ZONING APPEALS BALLOT SHEET: FINDINGS OF FACT, DEVELOPMENT STANDARDS VARIANCE Carmel, Indiana Docket No.: ______________________________________________ Petitioner: ______________________________________________ 1. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 3. _________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ DATED THIS ________________ DAY OF ______________________________________, 20 ___________. ______________________________________________ Board Member Page 11 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 CARMEL ADVISORY BOARD OF ZONING APPEALS FINDINGS OF FACT SHEET - DEVELOPMENT STANDARDS VARIANCE Docket No.: _______________________________________________ Petitioner: _______________________________________________ 1. The approval of this variance will not be injurious to the public health, safety, morals and general welfare of the community because: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 2. The use and value of the area adjacent to the property included in the variance will not be affected in a substantially adverse manner because: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 3. The strict application of the terms of the Unified Development to the property will result in practical difficulties in the use of the property because: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ DECISION IT IS THEREFORE the decision of the Carmel Board of Zoning Appeals that Development Standards Variance Docket No. ___________________________ is granted, subject to any conditions stated in the minutes of this Board, which are incorporated herein by reference and made a part hereof. Adopted this _______________ day of __________________________________, 20 _______. _____________________________________________ _____________________________________________ HEARING OFFICER, Carmel Board of Zoning Appeals _____________________________________________ _____________________________________________ SECRETARY, Carmel Board of Zoning Appeals Conditions of the Board are listed on back. Petitioner or representative to sign. Page 10 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 CARMEL ADVISORY BOARD OF ZONING APPEALS BALLOT SHEET: FINDINGS OF FACT, DEVELOPMENT STANDARDS VARIANCE Carmel, Indiana Docket No.: ______________________________________________ Petitioner: ______________________________________________ 1. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 3. _________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ DATED THIS ________________ DAY OF ______________________________________, 20 ___________. ______________________________________________ Board Member Page 11 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2018 Revised 01/02/2018 CARMEL ADVISORY BOARD OF ZONING APPEALS FINDINGS OF FACT SHEET - DEVELOPMENT STANDARDS VARIANCE Docket No.: _______________________________________________ Petitioner: _______________________________________________ 1. The approval of this variance will not be injurious to the public health, safety, morals and general welfare of the community because: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 2. The use and value of the area adjacent to the property included in the variance will not be affected in a substantially adverse manner because: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 3. The strict application of the terms of the Unified Development to the property will result in practical difficulties in the use of the property because: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ DECISION IT IS THEREFORE the decision of the Carmel Board of Zoning Appeals that Development Standards Variance Docket No. ___________________________ is granted, subject to any conditions stated in the minutes of this Board, which are incorporated herein by reference and made a part hereof. Adopted this _______________ day of __________________________________, 20 _______. _____________________________________________ _____________________________________________ HEARING OFFICER, Carmel Board of Zoning Appeals _____________________________________________ _____________________________________________ SECRETARY, Carmel Board of Zoning Appeals Conditions of the Board are listed on back. Petitioner or representative to sign.