HomeMy WebLinkAboutApplicationAPPLICATION for ADMINISTRATIVE SUBDIVISION
FEE: (Due after docket no. is assigned) $361 plus $144 per lot
DATE: Office Use Only DOCKET #
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of 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 Unified Development Ordinance of Carmel, Indiana, adopted under the authority of Acts of 1979, Public Law 178,
Sec. 1, et. seq. General Assembly of the State of Indiana, and all Acts amendatory thereto.
Applicant: �ky l_ Sf1V(r lmm
Email: 1-�'U l.. S^ ,{,�-0� wiltN n FCS. Ctg' Phone: 1 % %1�
Address: 11731 COLA C)it�% CT., Z(ONSVILLiz �� 51�a77
Owner: 1. S ►1 i� Q P h I' �Yi E V ✓l S (0'1� ! / 0 ' "�j '� L
6 L nmi U 3 Phone: ► !
Contact Person: 1 ik
Email:�P&.VVj d�, Ni;inf);"N 1e.I1kd Ne-fPhone: 71 71H"`Z &�y
Eplan Review Contact Person: h) V is N Phone: W 6- G 6
Email:
Name of Subdivision:
Approximate Address/Location of Subdivision: 1 L 1► ,.� C j D f� l r, 6/1
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Tax Parcel IDNo(s): I 1 r V V 31 - ��-��� 0/ 3 • DO0�17 -09 -31-00 - 08 -C�(2• 000
Legal Description: (To be typewritten on separate sheet and attached).
LOTd)7 - 0N(v kC •
Area (in acres): Lot500,((, &_Number of Lots: 2 Zoning: 1 1�
Surveyor certifying plat: .ToS r✓z,Pk�
Surveyor's address and
Signature of A
TITLE: 6 4)
Overlay:
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State of Indiana, County of t SS:
4(J L' ' ich notarization takes place)
Before me the undersigned, a Notary Public for `C-_DG. V\. 4. County, State of Indiana,
II (officer's county of residence)
Cpersonally appeared � k , � � k G
acknowledged the execution
Cname of person(s))
of the foregoing instrument this I r day of
,(gate) (month) (year)
Less Powell
Noteq(RWIft0ficial Seal
State of Indiana, Sow Cou* (Notary PUblic - Signature)
My Commission Expires Oct 7, 2o2i y p ,10 C� " J
M commission ex fires: G �- !J � f' t
(Notary Public - Please Print)
File: Administrative Subdivision Application 2019 Page 1 of 4 Revised 02-28-2019
'--- :-IU \ rmI LTA
UDO Section 9.13: Application for Administrative Subdivision._ One electronic copy of the site plan (replat) drawn to
scale together with supporting documents, shall be submitted to the Dept. of Community Services Planning/Zoning
Division after this application is submitted as indicated in Section 9.13 of the Unified Development Ordinance.
NEW: As of January 1, 2019, electronic -only submittals are accepted. Initially, only this filled out application
needs to be emailed to DOCS. Shortly thereafter, plans are to be submitted electronically through ProjectDox,
Carmel's ePlan review software. Please see the Electronic Plan Review handout for more information on the process
and what needs to be submitted. Plans are to be distributed to all Technical Advisory Committee (TAO authorities
by the applicant, by the tlinp deadline as well.
* All documents must be legible.
A. ELECTRONIC COPY OF REPLAT / SITE PLAN* TO ILLUSTRATE:
1. Name of subdivision
�C 2. Words "Replat" in the title
bd 3. Date of submission or latest revision
Del_ 4. Plat drawn 50' = 1" scale, and with north arrow
_P�"j 5. Names, addresses, phone numbers: Owner, subdivider, surveyor
6. Registered surveyor's signature, seal and date
NJ 7. Accurate tract boundary lines: Show dimensions, angles, bearings
8. Source of title of ownership and legal description
F71_ 9. Streets and rights -of -way (existing)
a. Locations
b. Names
c. Widths
10. Complete curve notes
A A F-1_ 11. Dimensions of land to be dedicated or reserved, if applicable
12. Monuments and markers (location, type, material, size)
N 1 13. Easements (location, widths, use)
14. Building setback lines
15. Legends and notes
TO 16. Registered land surveyor's certificate
17. Certificate of approval by Commission
IN 1 18. Certificate of acceptance by Board of Works
19. Restrictions or covenants
a. Fences in detention/retention areas
b. Lighting - dusk to dawn lights
c. Maintenance of common areas
20. Location Map
21. Space for the Docket Number(s)
22. Present zoning classification
23. (On a Replat: affected lot numbers will have the letter A after them, such as Lot 4A.)
B. ELECTRONIC COPIES OF SECONDARY SUPPORTING DATA TO BE PROVIDED.
F— 1. Letters of approval submitted by the following:
a. Hamilton County Surveyor
b. Hamilton County Highway Department
c. Hamilton County Soil & Water Conservation District
d. Carmel City Engineer
e. Fire Chief - Carmel Fire Department
f. Carmel City Utilities Department
File: Administrative Subdivision Application 2019 Page 2 of 4 Revised 02-28-2019
F_ 2. Certification of Notification
a. Police and Sheriff
b. Water and sanitary sewer utilities
c. Electric, gas, phone utilities
d. Carmel/Clay Schools
e. Hamilton Health Department (if septic)
f. Carmel Board of Public Works
N A—= 3. Report describing water system, sanitary sewer system and storm drainage system.
NA ❑ 4. Statement from State Highway Department, County Highway Department or City Street
Department (rights -of -way, road improvements, roadside drainage, entrances, culvert pipes,
condition of existing roadway and its suitability to handle proposed traffic must be specified).
_F 5. Soils map, and report from Hamilton County Soil & Water Conservation District showing soil
limitations based upon intended usage.
6. Letter from the Carmel Board of Public Works or other appropriate authorities stating that said authority has
capacity for sewer/water hookups.
C. ELECTRONIC COPY OF FINANCIAL PERFORMANCE AND MAINTENANCE GUARANTEES
A L-1 1. Written statement of commitment
Page 3 of 4