HomeMy WebLinkAboutApplication SECITY OF CARMEL BOARD OF ZONING APPEALS
SPECIAL EXCEPTION APPLICATION -Short Term Residential Rental Units
Fee. $104 for first year, $52 for annual renewal
Office Use Only
DOCKET NO. DATE RECEIVED:
Renewal? Previous Docket No(s).
APPLICANT / OWNER INFORMATION:
1) Applicant/ Permanent Resident:*:
Address: 3 l
" Applicants must be a Permanent Resident (may be an owner or lessee) of the proposed Short Term Residential Rental Unit.
Initial applicants shall have occupied the Dwelling for at least sixty (6o) consecutive days with intent to establish the Dwelling
as their primary residence. Renewal applicants shall have occupied the unit for at least two hundred seventy five (275) days
of the proceeding calendar year.
2) Project Name:
Attorney or Contact Person: phone:
Email:— ! [' c r� Fax:
ProjectDox Contact Person:Phone:
Email:
3) Applican ' Status: (Check the appropriate response)
(a) The applicant's name is on the deed to the property
(b) The applicant is the contract purchaser of the property
(c) Other:
4) if Item 3) (c) is checked, please complete the following:
Owner of the property involved:
5)
Owner's address: c3 l 7 Phone: ,
Is the property: Owner occupied Renter occupied _�� Other
6) Record of Ownership: Deed book No./Instrument No.
PROPERTY INFORMATION:
7)
m
9)
10)
Page: Purchase Date:
Common address of the property involved; 6aiy--t
Legal Description:
Tax Parcel ID No.:
Zoning District: Overla Zone (if applicable):
T
Present use of the property:
Approximate size of lot/parcel in question:
Page 1 of 12 Filename: special exception application & instructions 2020 Rev. 112l2020
acres
10) Approximate size of lot/parcel in question: acres
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.
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).
13) State reasons supporting the Special Exception: (Additionally, complete the attached question sheet entitled
"Findings of Fact-Special Exception").
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
011 ..1 Registered Retail Merchant Certificate:
16) di (Initial) If the proposed special exception is granted, the applicant agrees to post a clearly printed sign on
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: Cbl1f 71kCf.. /Q) ON Name: ]_
Address: 377 fc I' C 00)Anul Address: 377 WIc ic/ - ef /2a4fl'W(
Phone: 3a! qV 9 Id 0 4 y 7 I Phone: 3 (07/ (!3 MAIL
Email: 5 5 e IOtai,TO- Email: K(J�r"� B L �� (; .1 I/ (,�u(N
The applicant understands that docket numbers will not be assigned until all supporting information has been submitted to
the Department of Community Servic .
k q(26
Applicant Signature: Date:
The applicant certifies by signing this plication 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 10 of 11 Filename:special exception handout 2022_strr.docx Rev. 12/25/2021
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.
�! c
Signed Name:
(Property Owner, "Forney, or Power of Attorney)
Printed Name: ' v -�►7'LlO/t/
STATE OF INDIANA, COUNTY OF 4-14,a4, . I1Lo -_ , SS:
The undersigned, having been duly sworn, upon oath says that the ove infor ation is true and correct as he
is informed and believes.
(Signature Petitioner)
Subscribed and sworn to before me this day of 5�,. ./ , 20Q� .
otary P blic - Signature
Wt.% PI ?o .
,/ / Notary Public— Printed Name
cv►My Commission Expires: Zb
(SEAL)
MICHAEL P. HOOVER
NOTARY PUBLIC SEAL
STATE OF INDIANA
HAMILTON COUNTY
COMMISSION NUMBER NP0728886
MY COMMISSION EXPIRES SEPT.'20.2028
Page 11 of 11
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.
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 ResolutioL0 for more details.
12)
13)
State explanation of requested Special Exception (e.g. proposed time period(s), intent to rent an individual
State reasons supporting the Special Exception: (Additionally, complete the attached question sheet entitled
"Fin�,ings oyact,Special Exception")., v r o
J e f //Z _ '/ U
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 applicant's residence.
u 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: Name:
Address: Address:
Phone: Phone. -
Email: Email:
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:GK
Date:
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.
Rage 2 of 12 Filename: special exception application & instructions 2020 Rev. 1/2/2020
V5
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
1, 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 ac on my behalf with regard
to this application and subsequent hearings and testimony.
f 11F
Signed Name.
(Property Owner, Attorney, or Power of Attorney)
Printed Name: �A//S-//x�- , lar e/4,/
Patrick F Weeber, Notary Puboc
Hamilton County, State of Indiana
Commission No: 0715750
STATE OF INDIANA, COUNTY OF �,,�����..�,�� *` ;:t
��L�1i.LY� , SS- �lANP My CiOmmISSIOn Expires 09/1012026
The undersigned, having been duly sworn, upon oath says that the above information is true and correct as he
is informed and believes.
(Signature of Petitioner)
Subscribed and sworn to before me this flay of Tc-,k e— 20 d.o
No lic - Signature
�__
Notary Public —Printed Name
My Commission Expires: az,
Page 3 of 12 Filename: special exception appiication & instructions 2020 Rev. 1/2/2020