HomeMy WebLinkAbout105 Belden Dr.OF CA&. 11
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Permit Number: — 0o t
\� /N9901AA10
City of Carmel - Fence Permit Application
Department of Community Servic
Building and Code Services
One Civic Square, Carmel IN 4603
Phone: 317-571-2444
Property Owner Information:
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Name: � ' `"L, SCLH-! °q av
e
2
RELEASED FOR CONSTRUCTION
Subject to compliance with all re<tuiatl'i'ijs
Of State and Local We y
DEPT OF COMMUN�I,11' 1
CITY OF CARMNDIANA
Address: I o e5
Phone:, -7 - Email: Yi'1 sa,l-f-sQcP,y� � il�cz �rt� o Ci'S)'Y7
Contractor Information:
Name: IJ6UV✓1-eJ S�6t,4&
Address:
Phone:
Email:
h ;� ���� Fence Location and Type:
Property Location: 1y � 1-�-ou Mtn `✓y'— `
Interior Lot Corner Lot ✓ Residential Commercial Construction
Fence Height and Material to be used:
Material: Wood E3 Vinyl 0 other
Height: -Z1I
Application Submittal Requirements
A completed Application form
_ A site plan showing the location of the fence
n�� signed and notarized Waiver of Liability (when placing fence in easement)
$28.00 Waiver of Liability recording fee (if applicable)
��. $53.00 Application F e (fee exempt replacing old fence with new)
Submit to Carmel Building and ices, attn: (brown@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: OY, (k I'l Date:
Applicant
OFFICE USE ONLY:
Tax Parcel Number: t W o f —5y / o Ll —" C) 0 ` c 0 0
Zoning District Overlay Zone
Notes 1 (.��'?V 1,-
SCi--,,-, (o six cn
Fence: Approved V Denied CV v, F
Signature: � Date: 1 (ZU
City of Carmel
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Parcel Boundary (public) o o.00zs 0
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