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Home My WebLink About18120054 Signed DemoOF CA Demolition Permit Requirements 4pyyzsRsy:�� `�! M City of Carmel / Clay Township Building & Code Services One Civic Square, Carmel, IN 46032 "0 ' Ph: (317) 571-2444 Fax: (317) 571-2499 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: A separate permit application must be completed per parcel 2. Provide a Utility Disconnect Receipt or Letter from each provider on Location 3. Two Copies of a Site Location/Site Plan ( on paper no larger than 11" X 17") with the following information and nothing less: • Tax Map Parcel Number for the parcel on which the demolition is to occur • Location of all structures on the lot, with the structures dimensions • Property boundaries and dimensions including distances to the structure(s) to be demolished • All neighboring structures within 100 feet of the proposed demolition • Streets, alleys, other manmade or natural features, north arrow, sidewalks, aprons, etc. • Location of proposed dumpster, if used • Location of all Utilities 4. Provide Certified Plumbing Contractor information (Contractor who will cap the sewer line at the property line) S. Right of Way Permit required from the City of Carmel Engineering Office (317) 571-2441 6. If the project will disturb X acre or more, then a Storm Water Permit must be obtained from the City of Carmel Engineering Department. Please call the Storm Water Administrator at 317-571-2441 for more information. (1/4 acre=1,890 square feet or approximately 100'X110') 7. Historic Preservation Committee approval required. Building & Code Services will notify committee members. 8. This form completed and signed by the appropriate departments. The following must be complied with once permit 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 and seeded after removal unless new construction will take place within ninety (90) days on the location. • Work shall start immediately and must be completed 180 days 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 inspection can be 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. NO PERMIT REQUIRED FOR SEPTIC TANK CRUSH AND FILL if applicable. Removal and/or crush and fill of tank to be included on demolition permit, septic tank to be pumped and either filled or crushed as park of demolition contractors responsibility Complete the Following: 651 1st Ave NE, Carmel, IN 46032 16-10-30-05-02-034.000 Address of demolition Tax Map Parcel # Anthony L Murray — 651 1 st Ave NE, Carmel, IN 46032 Owner(s) Name and Address Additional Structure(s) on Site: Yes / No (If yes, please list the number and type(s) of structure on the lines provided. If one of the structures has a separate street address than the primary structure on the parcel —please also include that information.) Pe-kched 9cm2aA,Q The City of Carmel and/or 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 ❑ 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. Signatur nett Ransford (or representative) Date 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. 7 12/13/18 A licant's Signature Date James A. Arthur 317-460-9444 (Name printed) Applicants Phone # 5780 E 25th Street, Indianapolis, IN 46218 Applicant's Address City, SS County of ) Before me, the undersigned, a Notary Public for day of ST Zip County, State of Indiana, personally appeared and acknowledged the execution of the foregoing instrument this 20 CITY OF CARMEL PERMIT # DEMOLITION PERMIT APPLICATION For Commercial and Residential Demolitions BUILDER PHONE FAX IOF Casey -Bertram Construction 317-546-3366 317-546-6680 RECORD Kim 1 0 0 PROPERTY NAME PHONE FAX OWNER lAnthony L Murray STREET ASIXESS Im STATE MP 651 1 st Ave N E, Carmel, IN 46032 'PROJECT PROJECT OR TENANT COMPLEX AND/OR BUILDING NUMBER OF FLOORS LOCATION House Demolition STREET ADDRESS, INCLUDING SUITE NUMBER CITY STATE ZIP 651 1 st Ave NE, Carmel46032 HAMILTON COUNTY PARCEL NUMBER FLOOD ZONE/S 16-10-30-05-02-034.000 LOT SPUT SEWER UTILITY WATER UTILM SEWER/WATER 0 YES 0 NO Carmel Utilities UTILITIES EXCAVATOR Gravelie Excavating TYPE OF TYPE OF CONSTRUCTION Number of Units iPERMIT 0 COMMERCIAL 0 INgrrnmoNAL - DMunicipal / Public Building OSchool OChurch El EARLY RELEASE TYPE OF IMPROVEMENT -MULTI-FAMILY 0 NEW STRUCTURE 1:1 NEW TENANT FINISH El ATTACHED GARAGE 0 ACCESSORY BU ILDNG 1:1 CELL TOWER OYES ONO 0 ADDITION - E]Room/s OPorch ODeck 0 REMODEL 0 DETACHED GARAGE (M DEMOLITION 0 CO -LOCATE PROJECT PLAN COMMLWION / BZA / BPW DOCKET NUMBER/S iANDJOR ES77MATED COST TAC DATE/S OF CONSTRUCTION, LEXCLWING LAND I PDIF PLANS TYPE OF FOUNDATION MANUFACTURED SUMPPUMP PORCH D 0 C0 E-MAJL E:1 SLAB 0 BASEMENT -0 WAUK-OU`T '0 TRUSSES -1 CRAWLSPACE [:] POST &BEAM [:] POST& PIER 0 YES El NO El YES E NO 0 YES El 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. 1, the undersigned, agree that any 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 orl.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 cld b3d a Certificate of Occupancy or of Completion has been issued by the Department of Community Services, Carmel, Indiana. James A. Arthur 12/13/18 naWnit of bwdrera—arAutho ert, Printed Name Data REQUIRED BASE INSPECTIONS Additional inspections may be required. El Site/ Final : Reviewed/ Released —Department of Community Services Date ------------------------------------------------------------------- ------------ PERMIT FEES Filing / Review Base Inspections Cert. of Occupancy P.R.I.F. TOTAL Fee Received —Department of Community Serwe, Re -Review Other Date S %PcmitsXFoms%Applications\Residm6W111P Appheation12018 Last Updoed 12/2017