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Home My WebLink About18120054 ApplicationCITY OF CARMEL s DEMOLITION PERMIT APPLICATION For Commercial and Residential Demolitions BUILDER BUILDER NAME PHONE FAX OF Casey-Bertram Construction 317-546-3366 317-546-6680 RECORD STREET ADDRESS CITY STATE ZIP 5780 E 25th Street, Indianapolis, IN 46218 E-MAIL ADDRESS BEST METHOD OF jarthur@caseybertram.com CONTACT E-Mail PROPERTY NAME PHONE FAX OWNER Anthony L Murray STREET ADDRESS CITY STATE ZIP 651 1st Ave NE, Carmel, IN 46032 PROJECT PROJECT OR TENANT COMPLEX AND/OR BUILDING NUMBER OF FLOORS ELEVATOR LOCATION House Demolition ❑ YES ❑ NO STREET ADDRESS, INCLUDING SUITE NUMBER CITY STATE ZIP 651 1st Ave NE, Carmel, IN 46032 HAMILTON COUNTY PARCEL NUMBER ZONING FLOOD ZONE/S 16-10-30-05-02-034.000 LOT SPLIT SEWER UTILITY WATER UTILITY SEWER/WATER ❑ YES ❑ NO Carmel Utilities UTILITIES EXCAVATOR Gravelie Excavating TYPE OF TYPE OF CONSTRUCTION Number of Units PERMIT ❑ COMMERCIAL ❑ INSTITUTIONAL —❑Municipal/ Public Building O School ❑Church ❑ MULTI -FAMILY EARLY RELEASE TYPE OF IMPROVEMENT ❑ YES ❑ NO ❑ NEW STRUCTURE ❑ NEW TENANT FINISH ❑ ATTACHED GARAGE ❑ ACCESSORY BUILDNG 0 CELL TOWER ❑ ADDITION — E3Room/s MPorch ❑Deck ❑ REMODEL ❑ DETACHED GARAGE DEMOLITION ❑ CO -LOCATE PROJECT PLAN COMMISSION / BZA / BPW DOCKET NUMBER/S AND/OR ESTIMATED COST SQUARE FOOTAGE TAC DATE/S OF CONSTRUCTION, EXCLUDING LAND PDF PLANS TYPE OF FOUNDATION MANUFACTURED SUMP PUMP PORCH ❑ CD ❑EMAIL171 SLAB ❑ BASEMENT—E3 WALK -OUT TRUSSES ❑ CRAWLSPACE ❑ POST" & BEAM ❑ POST & PIER ❑ YES ❑ NO ❑ YES ❑ NO O YES ❑ NO Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 67S IAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that anv construction, reconstruction, enlargement, relocation, or alteration of a 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 and the Carmel Unified Development Ordinance (Z-625-17) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used A occu 'ed ti1 a Certificate of Occupancy or of Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana. James A. Arthur 12/13/18 tathre of bwher1r Autho ' ent Printed Name Date ----------------------------------------------------------------------------- REQUIRED BASE INSPECTIONS * Additional inspections may be required. ❑ Site / Final PERMIT FEES Filing / Review Base Inspections Cert. of Occupancy P.R.I.F. TOTAL Reviewed / Released —Department of Community Services Date Fee Received — Department of Community Services ------------------------------------------------------------------------------------ S \Permits\Forms\Applications\Residmtial\ILP Apptic ion\2018 Re -Review Other Date Last Updated 12/2017 Demolition Permit Requirements City ofCarmel / Clay Township / Building & Code Services / ' One Civic Square, Carmel, |N46O]J Review and Issuance of a permit requires that the following must be submitted: 1. Completed Application (Application is a three-part form available in the Building & Code office) Note: Aseparate permit application must be completed per parcel l Provide aUtility Disconnect Receipt orLetter from each provider onLocation l Two Copies nfaSite Location/Site Plan (onpaper nolarger than 11''X 17')with the following information and nothing less: • lax Map Parcel Number for the parcel on which the demolition is to occur p Location ofall structures onthe lot, with the structures dimensions v Property boundaries and dimensions including distances to the structure(s) to be demolished w All neighboring structures within 10Ofeet ofthe proposed demolition • Streets, alleys, other manmade ornatural features, north arrow, sidewalks, aprons, etc. • Location of proposed dumpster, if used ° Location ofall Utilities 4.provide Certified Plumbing Contractor information (Contractor who will cap the sewer line at the property line) 5. Right of Way Permit required from the City of Carmel Engineering Office (317) S71-2441 6. |fthe project will disturb Xacre ormore, then aStorm Water Permit must beobtained from the City of Carmel Engineering Department. Please call the Storm Water Administrator at 317-571-2441 for more information. (1/4acre=1,89Osquare feet orapproximately 1OO'X110') 7. Historic Preservation Committee approval required. Building & Code Services will notify committee members. O. This form completed and signed bythe appropriate departments. The following must be c mplied with once Dermit is issued: • A demolition permit will be issued when a structure is to be removed completely, including the foundation, and the property must be graded andseeded after removal unless new construction will take place within ninety (9O)days onthe location. * Work shall start immediately and must becompleted 18Odays from issuance • The progress of the work shall be executed so as not to create a danger to the public • All rubble and debris from demolition to be removed from parcel before site inspectioncanbe performed • Must meet all requirements of the codes and Ordinances (existing well, septic, fuel tanks) • The applicant or owner is responsible for obtaining a certified plumbing contractor to cap the sewer at the property line. NQPERMIT REQUIRED FOR SEPTIC TANK CRUSH AND FILL ifapplicable. Removal and/or crush and fill of tank to be included on demolition permit, septic tank to be pumped and either filled orcrushed aspark ofdemolition contractors responsibility 051 1st Ave NE, Carmel, |N40O32 Address ofdemolition Tax Map Parcel # Anthony LMurray —G51 1sdAve NE, Carmel, |N4GO32 Wwner(s)Name and Address The City of Carmel andlor Hamilton County Health Dept. must perform an inspection prior to demolition. In order to approve the demolition permit, the applicant is required to sign this form and obtain the signatures of the individuals listed below. (This can be done by FAX to their offices, at the numbers listed below) 1. Brett Ransford: Carmel Utilities. Phone (317) 733-2855. FAX (317) 733-2053. Is property on both water and sewer through the City of Carmel Utilities? Yes No F-] If "yes", Hamilton County Health Department signature below is not required. 2. Jason LeMaster: Hamilton County Health Dept. Phone (317) 776-8500. FAX (317) 776-8506. Signature: Brett Ransford (or representative) Signature: Jason LeMaster (or representative) Date CERTIFICATE OF AUTHORITY Under the penalties of perjury (Indiana Code 35-44-2-1), 1 hereby affirm, under oath, that all of the information I have provided in this application for demolition permit is true and accurate, to the best of my knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure, or otherwise mislead the Department of Community Services regarding the truth of the matters addressed therein. Further, I assert that I am the property owner, or the authorized and lawfully appointed agent of the owner(s), that I have express authority and permission from the owner(s) (and anyone with a recorded interest or other interest in the property), to take this requested action, and that I agree to indemnify and hold harmless the City of Carmel from any claim, lawsuit, demand, or dama whatsoever arising out of, or as a result of, this request or the actions of the City of Carmel, regarding same. 12/13/18 A t's Signature Date 7n,icar James A. Arthur 317-460-9444 (Name printed) Applicants Phone # 5780 E 25th Street, Indianapolis, IN 46218 Applicant's Address N• � . WIT, SS County of Before me, the undersigned, a Notary Public for City, ST Zip County, State of Indiana, personally appeared and acknowledged the execution of the foregoing instrument this day of 20 Notary Public My Commission Expires: (Print)