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HomeMy WebLinkAbout10319 Valley RoadPermit Number: D D 00 City of Carmel -Fence Permit Application FAR DpNSTR11CTI0N Department of Community Service R&. toC liancewith all tegulations Building and Code Services Subjectto tat of state and EpT i.oc',codes ES One Civic Square, Carmel IN 46032 DOF COMMD CLAY jo\WNsw Phone: 317-571-2444 U-N OF OARME� INDIANA Name: l C ((t Ae Owner Information: i� 0— © '_� Address: -- �J 1 Y !" e y I 1 s, 1 Lj (c2 SQ p �1 Phone: l'-(- \ b (� 6 l�-e Email: Y "` 5 Lo C� l� (q O� <1 9. 6 e A �� I Contractor Information: Name: T u e- 1- C �b e S (% T� ( I�►C Address: , �� raj , �A l_� r Phone: 1 �� -7 - Email: �FJ2,C)C0 Fence Location and Tvoe: Property Location: /� O J I ` `� 1� l e 1 Interior Lot Corner Lot Residential Material: ❑ Wood I Height: l i I'ej �s Commercial Construction Fence Height and Material to be used: I k PUN ❑ Vinyl Ld other Application Submittal Requirements i i/A completed Application form A site plan showing the location of the fence IA signed � si and notarized Waiver of Liability t g y (when placing fence in easement) L Ll $28.00 Waiver of Liability recording fee (if applicable) $52.00 Application Fee (fee exempt if replacing old fence with new) Submit to Carmel Building and Code Services, attn: a;ohnson@carmel.in.gov City of Carmel - Fence Permit Application page 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: 4-27-1070 Applicant OFFICE USE ONLY: Tax Parcel Number: i - ! 1 ) - 1 2 6Z10Z 0 Z 1 r L' LI (-' Zoning District S - Z Overlay Zone Notes CJif-4St` (A- � (v! [ l'4 C;. �l'li C-� (� L� i C C ju SC lam^ GC a tE' Ct i I (✓) S� C C7? ��1 Fence: pproved}� Denied Signature: Date: City of Carmel ; .1 71 � - 1 7 r.•'WA /l 66 "OG,-P/ �`,D,Si% r0•p8 �pol —cT0�7 — o-T 1-4 c k2+� ,�•pSJ�d 6� .. /O'DO/ ,O.00/ ,O o0/ O'UO/ �► f. i► �. .O• \ w A•ACC � Spy./ ,0•06 .,0'�6. tp c kD i 2�'a12 �p•�iZ ip�06 e, �� o s , 6 ro JC 1 � Receipt#: 74 Building & Code Services: 317-571-2444 Date: 3/4/2020 ity of Carmellanning & Zoning: 317-571-2412 One Civic Square www.carmel.in.gov Invoice # Case Type Case Number j Sub Type FENCE F-202u-i10u07 NEW Tender Type / Description Amount CHECK- Check 52.00 Sub Total: 52.00 Fees: Fee Codes / Description Amount IMPFENCE- Fence Permit 52.00 Sub Total: 52.00 Total Amount Due: 52.00 Total Payment: 52.00 Received By: lbrown Code: DEFAULT—Recpt74-4-3-2020—(brown Page: 1 of 1