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HomeMy WebLinkAbout10143 Marwood Trail West Dr.OF U42,j�! . Nt Rtry�G Permit Number.• �" (� — Uo 14U rr�mat�a City of Carmel - Fence Permit Application Department of Community Service Building and Code Services One Civic Square, Carmel IN 46032 Phone: 317-571-2444 Property Owner Information: Name: 9 4R Oil, -J `- P-e RELEASED FOR CONSTRUCTION Subject to compliance with all regulations of State and Local Codes DEPT OF COMMUNITY SERVICES CITY OF CARMEL / CLAY TOWNSHIP INDIANA Address: (O ! `{ 3 !" cGfrNJ00 is --7;lf qG zyo Phone: 3 l ? " cl3 s. G 3 g3 Email: A,70 /E5) 5'? @ 6-M,A 4-i. C oAK Contractor Information: Name: P 1.0 Address: P.O. Roy- J 111,0& es-yi IIle -;:/V YG 0 b Phone: 3!?— ?7�I - 0 ! �l rf Email: A,!4+Oil P G3ylnLSE Fence Location and Type: Property Location: 10! y3 /1/lcrr�eoolT�,,�l Ge%S� pr �it1 Yb 7- eD Interior Lot Corner Lot Residential Commercial Construction Fence Height and Material to be used: Material; Wood E3 Vinyl 17 other Height: G' Application Submittal Requirements A mpleted Application form A sit an showing the location of the fence signed and notarized Waiver of Liability (when placing fence in easement) $28.00 Waiver of Liability recording fee (if applicable) �1 $S3.00 Application Fee fee exem t if replacing old fence with new) Submit to Carmel Building and Code Services, attn: Ibrown@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 Ind1ana811 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: ADate: ly, Z. p ' nt OFFICE USE ONLY• Tax Parcel Number: _` l �� "J f I �3 �����2 . UV 0 Zoning District . �^ I Overlay Zone Notes rence: Approved Denied Signature: Date: I �.7ej City of Carmel �bDlAga WAVER OF LIABILITY CONCERNING ENCROACHMENTS BY FENCES and 50t G :Th"P-s , ("the Landowners") on behalf of themselves, their heirs, assi , and successors in title to the following described property acknowledge as follows: I. The Landowners acknowledge that they ale the owners of the following described real property: was r� , 3 (hereinafter referred to as "the Real Estate"). _ MG 1UV-OO�t ! WJ 5 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 "Easemenf') 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. 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 all losses, liabilities, damages, claims, judgments, reasonable attomey fees and costs arising from the location of the fence within an Easement. 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 f 3 day of ,.'tic , 20 Z- . LANDOWNERS Z4:�/ Lw1wa-d"Inie STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) Subscribed and sworn to before me, a Notary Public this rZ�, da of J VAC , 20 � personally appeared the within named _ f 1 AjJ J-� .10A a 5 and ,; G� '�-�- - u�� S , as Landowners, and acknowledged the 6xecution of the foregoing document. WITNESS my hand and official seal this/ - day of dot t 20-Z,, . Gale Harpring Notary Public - Seal Printed Name NotaryPublic State of Indiana Marion County My Commission Expires Residing in A A 2Vc� MyC RItfm Commission Expires 63 7/2023 4��imission No. 666387 This instrument was prepared by I affirm, under the penalties for perjury, that I have taken reasonabl care r act each and every Social Security number from this document, unless it is required by law. T �m-da isw �CD '09 s, Mkol 10d k City of Carmel Invoice # Receipt#: 724 Carmel City Hall: 317-571-2400 Date: 6/19/2020 One Civic Square www.cannel.in.gov NEW Tender Type / Description Amount CHECK- Check 28.00 Sub Total: 28.00 Fees: Feb Codes / Description Amount IMPFNCWVR- Fence Waiver 28.00 Sub Total: 28.00 Total Amount Due: 28.60 Total Payment: 28.00 Received By: ]brown Code: DEFAULT_ Recpt724_19_6_2020_lbrown Page: 1 of 1