Loading...
HomeMy WebLinkAbout10555 Connaught Drive 11111411111 Permit Number: City of Carmel - Fence Permit Application Department of Community Service Building and Code Services RELEASED FOR CONSTRUCTION One Civic S uare Subject to compliance with all regulations q ,Carmel I N 4b032 of State and Local Codes Phone: 317-571-2444 DEPT OF COMMUNITY SERVICES Property Owner Information: CITY OF CARMEL/CLAY TOWNSHIP INDIANA Name: /rQ nelGI Ai(4tkQi. Address: IU 55 (0nnt, C � fit' �} ,(G,Q�Z Phone: 5I7 ' ��Z� S 3go Email: ���"C.YVI► nE'L,Il11� ft-Le I iL,�rr,��� I (.G'M Contractor Information: Name: `3 I ketif. I ence Vt,,,91A 2ne Address: co tio CI`{ ( t 4eS0. Itt i ti (IC0t; Phone: I ?- L(7LI Z Email: 441 an riC 1)utl ,1eCerY_ 0, Fence Location and Type: Property Location: -4 , t Z < Interior Lot Corner Lot Residential Commercial Construction � Fence Nei ht and Material to be used: Material: 0 Wood ta Vinyl 0 other Height: 11 1d F A lication Submittal Re uirements A completed Application form A site plan showing the location of the fence A signed and notarized Waiver of Liability(when placing fence in easement) $28.00 Waiver of Liability recording fee(if applicable) $52.00 Application Fee(fee exempt if replacing old fence with new) building and Code Services,attn: ajohnson@carmel.in.gov to Carmel B City of Carmel - Fence Permit Application pale 2 The undersigned affirms that the information included in this Application is correct and acknowledges a final inspection is required and does hereby authorize City Staff permission to make site inspections as may be necessary. Further,if the Application is approved,the undersigned will comply with all the requirements of the City of Carmel Unified Development Ordinance and certifies that the measures proposed to mitigate adverse impact will be completed in a timely fashion.The contractor/property owner is responsible for properly locating the property lines;locating pins or surveying property, Also,the contractor/property owner is responsible for contacting Indiana811 to locate underground utilities,and for scheduling the required final inspection. Please contact the Building and Code Services office at 317-571-2444 to schedule your final inspection. If an inspection is not called in after completion,a late fee of$696.00 may be applied. Signature: Date: IO/Z I / Ap ' . i OFFICE USE ONLY: Tax Parcel Number: 1 13r-e ' \ /N - o\ Oo 0 Zoning District 2' Overlay Zone Notes CCIAATUkr U , ii C () ii_, 'A V V.\ . l C COA.0 Ck,4(1 Ci\ tr\CO A -1)C,Cti 6/k . Fence: Approved" Denied tSignature: tip . ) , K t p/tAA-L--,_of Carmel Date: IP 'F OI*M► WAIVER OF LIABILITY CONCERNING ENCROACHMENTS BY FENCES Ail left and S 1-ACe. 111,4).e.11 , ("the Landowners')on behalf of themselves,their heirs,assign's,and successors in title to the following described property acknowledge as follows: 1. The Landowners acknowledge that they are the owners of the following described real property: j i)555 ()D n►n hu it M-91 /-Cvw L ,C 3 seok- �sA. ',Totiw\SV t p vcic,3 Ccor►rnt I ( l �n( (hereinafter referred to as`l1teJReaal Estate"). Downs � �� 2. The Landowners have applied to the City of Carmel("the City")for a permit to construct a fence upon the Real Estate. 3. The Landowners further acknowledge that the City will not inspect the location of the fence and, therefore, in approving a permit for the fence,the City does not represent or warrant that the fence is,or will be located within the boundaries of the Real Estate,or that the fence will not encroach into,or across, any easement or right of way(collectively an"Easement") which restricts the use of any part of the Real Estate. 4. The Landowners, therefore, acknowledge that to the extent any part of a fence and/or any other improvements which may be installed by the Landowner encroaches upon an Easement, whether a drainage, utility, or any other easement, the City or any utility or unit of government benefited by such Easement may: a. Require the fence and/or other improvements to be removed upon the earlier of three(3)days of written notice or as provided in any Easement or other governing document, • b. In the event of an emergency,remove the fence and/or other improvements without notice; c. In the event the fence and/or other improvements are not removed, the City, utility or unit benefited by the Easement, may, or through their agents and contractors may, remove the fence and/or other improvements,and cause the materials of the fence and/or other improvements to be stacked upon the Real Estate. 5. The Landowners agree to release the City, or any utility or unit of government, its officers, officials, members, employees, invitees, licensees, agents and contractors from any liability to the Landowners, their heirs,assigns or successors in title, for the removal,damage,or destruction of the fence and/or other improvements. 6. The Landowners agree to indemnify and hold harmless the City,or any utility or unit of government, its officers,officials,members,employees,invitees,licensees and agents from and against any and al] losses, liabilities, damages,claims,judgments,reasonable attorney fees and costs arising from the location of the fence within an Easement. 7. Fences placed near a drainage easement must not impede the flow of storm water. In the event the flow of storm water is impeded,the City shall have the rights set forth in Section 3 above to mitigate or alleviate such condition. ALL OF WHICH IS ACKNOWLEDGED by the undersigned Landowners this 3D day of 0,k oer ,20 / 1 . LANDOWNERS ....------,, glip By: .1'11 Printed: )C(emi1 ( iIko1( By: t.�.1i 1 .i kit Printed: S koOt.&c ,,i A 1,Writ STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) Subscribed and sworn to before me,a Notary Public this 3 D day of i-kvt'c,20 J7,personally appeared the within named 'gym , (j and S}L.{i ,�;*; �__ ,as Landowners,and acknowledged the ex ution of the foregoing document. WITNESS my hand and official seal this 3O lb ay o ( oes ,20 AI. f ,..L1(e. 6 .e til Printed Name / Public My Commission Expires 0J4�29/-Lb Residing in fiArj oni County This instrument was prepared by 4 U w 1"( ✓)3U in . J dpil I affirm,under the penalties for perjury,that I have taken reaso/jb to reda d e Social Security number from this document,unless it is required by law. ((��LL'i ► JACOB JEROME GOURLEY Notary Publk-Indiana .Q�r Resident of Morgan County ' OF ''My Commission Expires Feb.29,2P2 CITY OF CARMEL 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: ajohnson COPY # : 1 Sec: Twp: Rng: Sub: 102 Blk: Lot:45 PARCEL ID • 1713080102018000 DATE ISSUED • 10/31/2019 RECEIPT # • BC000018671 REFERENCE ID # . . . : 19100205 SITE ADDRESS • 10555 CONNAUGHT DR SUBDIVISION • ANNALLY DOWNS CITY • CARMEL IMPACT AREA OWNER • MITCHELL, JEREMY & STACEY ADDRESS • 10555 CONNAUGHT DR CITY/STATE/ZIP . . . : CARMEL, IN 46032 RECEIVED FROM • JEREMY MITCHELL CONTRACTOR • BULLSEYE FENCE DESIGN INC. LIC # FBULLFEN COMPANY • BULLSEYE FENCE DESIGN INC. ADDRESS • PO BOX 941 CITY/STATE/ZIP . . . : NOBLESVILLE, IN 46061-0941 TELEPHONE • (317) 774-0197 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL FENCE FLAT RATE 1 . 00 52 . 00 0. 00 52 .00 0 . 00 FENCEW 1 . 00 28 . 00 0. 00 28 . 00 0 . 00 TOTAL PERMIT : 80 . 00 0. 00 80 .00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CREDIT CARD 80 . 00 VISA TOTAL RECEIPT : 80 . 00 Payment Confirmation Page 1 of 1 Government Payment Service GovPayNet G OVPAYNET 7102 Lakeview Parkway West Drive Indianapolis, IN 46268 The Simple Way To Pay 24hr. Customer Service #: 888-604-7888 Permits Payment Confirmation (Ref #: 27127226) PLC: Carmel City Dept Of Community Service Date: 10/31/2019 10:02 EDT 9199 One Civic Square Carmel, Indiana 46032 For: Permits TRANSACTION INFORMATION Name: Jeremy Mitchell Transaction Reference #: 27127226 Permit/docket Transaction Date/Time: 10/31/2019 10:02 EDT 19100205 #: Payment Type: Permits BILLING INFORMATION Name: Jeremy Mitchell Address: 10555 Connaught Dr City, State Zip: Carmel, In 46032 Phone#: (317)625-5380 Card #: xxxx-xxxx-xxxx-3594 PAYMENT INFORMATION Approval #: 083087 Payment Amount: $80.00 Service Fee: $3.75 Total Amount: $83.75 The service fee is not refundable. ATTENTION CARDHOLDER If you have questions about the processing of your payment, please call GovPayNet at 888-604-7888. Thank you for using GovPayNet ©2007-2019 Government Payment Service. Inc. Form#: EUR about:blank 10/31/2019