HomeMy WebLinkAboutApplicationCITY OF CARMEL BOARD OF ZONING APPEALS
SPECIAL EXCEPTION APPLICATION - Short Term Residential Rental Units
Fee: $100 for first year, $50 for annual renewal
Office Use Only
DOCKET NO. DATE RECEIVED:
Renewal? ❑ Previous Docket No(s).
APPLICANT / OWNER INFORMATION:
1) Applicant/ Permanent Resident*: F
M
Address: I I q L{ I SCivue-CSI LI , CC, -,f WU' , I IV Lf b a 3 Z
Applicants must be a Permanent Resident (may be an owner or lessee) of the proposed Short Term Residential Rental Unit.
Initial applicants shall have occupied the Dwelling for at least sixty (60) consecutive days with intent to establish the Dwelling
as their primary residence. Renewal applicants shall have occupied the unit for at least two hundred seventy five (275) days
of the proceeding calendar year.
2) Project Name: /I t;rbIL 6
Attorney or Contact Person: ;1et7tt,� feu' WAIT
Email: r2 O S �1 S - U �Wl A-4, I �/
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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:
5) Is the property: Owner occupied ❑ Renter occupied ❑
6) Record of Ownership
PROPERTY INFORMATION:
Deed book No./Instrument No.
Page:
Purchase Date:
Phone: 3 �� �-�' f' 6 _ Z 3�'
Fax:
Phone:
Other ❑
7) Common address of the property involved: (� Lf SLi�t �. I LVl Ccv rvLe I Z N L+ b o3z
Legal description: K _ p/�I/0 � S l,I? tGi/l'I/ ��/ /kon uz y
Tax ID Parcel No.: - 13 "O I - 00- 01-- c?54, OOU �St�t2 Pane llV� �z9-13-0-00�-O�f oOD -OIO
8) Zoning District: — I Overlay Zone (if applicable):
9) Present use of the property: I i Vl �/ �% D. t1�1 I �J i�P� 10u1 C.P-
10) Approximate size of lot/parcel in question: C9, acres
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11) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this
property that would relate or affect its use as a short term residential rental unit? If yes, give date and docket
n tuber, decision rendered and pertinent explanation.
�0
SPECIAL EXCEPTION PROPOSAL:
Note that Special Exception approval is not necessary for specific dates (up to 30 days per calendar year) on which the
Mayor has suspended the requirements of UDO Section 5.72. See annual Council Resolution for more details.
12) State explanation of requested Special Exception (e.g. proposed time period(s), intent to rent an individual
room(s) or the entire Dwelling).
Uvt%L.t;�L Z bcdroon�ls foY A �6�6 e i,1>tiiCe we, (,eve f�cere.
13) State reasons supporting the Special Exception: (Additionally, complete the attached question sheet entitled
"Findings of Fact -Special Exception").
SPECIAL EXCEPTION ELIGIBILITY:
14) Permanent Residence Verification: Please provide a copy of at least two (2) of the following showing that the
proposed Short Term Residential Rental Unit is listed as the applicant's residence.
Motor Vehicle Registration F-1 Tax Record showing standard homestead credit
Driver's License Utility Bill
Voter Registration
15) Registered Retail Merchant Certificate:
16) FL (Initial) If the proposed special exception is granted, the applicant agrees to post a clearly printed sign
on the inside of the front door of the Dwelling that provides information regarding the location of any fire
extinguishers and any utility shut-off valves, fire exits or pull fire alarms.
17) Emergency Contact Information: List primary and secondary emergency contact information for use while the
dwelling is used as a short term residential rental unit. Information to be shared with the Carmel Police
Department if the special exception is granted.
PRIMARY EMERGENCY CONTACT SECONDARY EMERGENCY CONTACT
Name:. -PA" -tom/ WA Name: FPA/1 (✓i.
Address: I I' I �t 1 �L � L v �(i�r%hof, 1_,V
Phone:
I I fit-} I 5CAOd C.-41 , 6c rrykp_) ZN q4 o3 L
Phone: ( 3 I T I-} (7 _ 2-3 + Phone:
Email: p 05h S tat d OA-Mck c Email:
The applicant understands that docket numbers will not be assigned until all supporting information has been submitted to
the Department of Community Services.
Applicant Signature:
Date:
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 Filename: special exception application & instructions 2018, draft rev. 04/18/2018
NOTE: LEGAL NOTICE shall be published in the newspaper according to the Chaff on page b a MANDATORY 10 days prior to e
public hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for inspection the night of the
hearing. Published Notice is not required for renewal applications.
LEGAL NOTICE to all adjoining and abutting property owners isI 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 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 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.
AFFIDAVIT
I, hereby swear that I am the owner/contract purchaser of property involved in this application and that the foregoing
signatures, statements and answers herein contained and the information herewith submitted are in all respects true and
correct to the best of my knowledge and belief. I, the undersigned, authorize the applicant to act on my behalf with regard
to this application and subsequent hearings and testimony.
[364 2Name:
(Prop° Owner, Attorney,or Power of Attorney)
Printed Name: F_e --/
_ i
STATE OF INDIANA, COUNTY OF -1°‘44 t• 1, &V' , SS:
The undersigned, having been duly sworn, upon oath says that the above information is true and correct as he
is informed and believes.
(Si nature f Petitioner)
Subscribed and sworn to before me this 22 day of c , 20 t g .
sio
N t..ry Public - Signature
(1-1c-'5
'r .g,ItiC,r.
N t.ry Public—Printed Name
My Commission Expires: tt (25 (`2- '
JESSE WILLIAM RICE
Notary Public-Seat
Marton County-State of Indian,I
Com nIssfon Number HP0717134
My Commtssto»Expires Nov 25. 2•
v
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