HomeMy WebLinkAboutApplication w/AffidavitDOCKET NO.
Renewal?
1)
2)
3)
4)
Applicant/ Permanr
Address: 210 11
' Applicants must be
Initial applicants shall,
as their primary maid
or the proceeding call
Project Name: 21
Attorney or Contact
Email: tylerjust.
ProjectDox Contact
Email:
Applicant's Status:
(a) The app
(b) The app
(c) Other: _
If Item 3) (c) is chec
Owner of the proper
Owner's address:
Is the property: Own
Record of Ownershi
7) Common address o
Legal Description:A
CITY OF CARMEL BOARD OF ZONING APPEALS
Fee: $104 for first year, $52 for annual renewal
Office use only
DATE RECEIVED:
Docket No(s).
nt Resident*: Tyler J. Malone
it Ave SE, Carmel, IN 46032
I Permanent Resident (may be an owner orlessee) of the proposed Short Term Residential Rental Unit.
have occupied the Dwelling for at least sixty (60) consecutive days with intent to establish the Dwelling
'nos. Renewal applicants shall have occupied the unit for at least two hundred seventy five (275) days
ndaryear.
) 1st Ave SE
I yier Malone Phone: 317-501-8315
Dne@gmail.com
Fax:
Phone:
k the appropriate response)
s name is on the deed to the property
is the contract purchaser of the property
d, please complete the following:
involved:
Phone:
occupied II_ Renter occupied El Other
Deed took No./Instrument No,
Page: Purchase Date: 40/ 0�20/7
the property involved: 210 1 st Ave Se
CREAGE .00, SECTION 30, TOWNSHIP 18, RANGE 4
Tax Parcel ID No.110300301014000if 29-10-30-301-014.000-018
8) Zoning District: 01
9) Present use of the In
10) Approximate size of
_ Overlay Zone (if applicable):OT_OLCharacter Sub Area
Personal Home
in question: - 13
Page 1 of 12 1 Filename: special exception application 8 instructions 2020 Rev. 1/2/2020
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
number, decision rendered and pertinent explanation.
No
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).
Intend to rent a single bedroom on short term rental
13) State reasons supporting the Special Exception: (Additionally, complete the attached question sheet entitled
"Findings of Fact-Special Exception").
I will be living in this property that is close to or adjacent to other commercial and rental properties. This will provide short
term rentals with ease of access to all the restaurants and shops located in downtown Carmel.
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 Tax Record showing standard homestead credit
✓� Driver's License Utility Bill
❑ Voter Registration —
15) Registered Retail Merchant Certificate:
16) (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: Tyler Malone Name: Ron Malone
Address: 210 1st Ave SE Address: 461 Autumn Dr. Carmel, IN 46032
Phone: 317-501-8315 Phone: 317-509-0501
Email: tylerjustinmalone@gmail.com Email: maydaymalo@aol.com
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: -A-
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 of 12 Filename:special exception application&instructions 2020 Rev. 1/2/2020
NOTE: Three modes of public notice are required.
LEGAL NOTICE shall be published in the newspaper according to the Chart on page 5 a MANDATORY 10 days prior to the 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 is 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.), OR
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)
LEGAL NOTICE via a Notice of Public Hearing SIGN posted on the property is also required;see page 8.
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.
Signed Name:
roperty Owner, Attorney, or Power of Attorney)
FEB 182 `°J
Printed Name: /y��� /g/1 -`)
STATE OF INDIANA, COUNTY OF Mai'°/1 , SS:
The undersigned, having been duly sworn, upon oath says that the above information is true and correct as he
is informed and believes. - f --
(Signature of Petitioner)
C
Subscribed and sworn to before me this day of I e r v w\) 20
dt
Notary Public- Signature
I ck4 o Rt; b U C0.v Q2—
Notary Public— Printed Name
My Commission Expires: `T//1�' 6, 2021
NATHAN FELIBERTO CHAVEZ
^vi�`a� Notary Public,State of Indiana
:•NC?A MARION COUNTY ...
% ;) My Commission Expires,
F June 6, 2027
Wnmission Numbin NP0720649
Page 3 of 12 Filename:special exception application&instructions 2020 Rev. 1/2/2020