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HomeMy WebLinkAbout105 John StreetOF PINrRrgn( ( Permit Number: UZO-1 \11/OIAII\ 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: RELEASED FOR CONSTRUCTION Subject to compliance with all regulations of State and Local Codes DEPT OF COMMUNITY SERVICES CITY OF CARMEL/ CLAY TOWNSHIP INDIANA Name: C �l jc �C�t'1�'l �'j'CGi°Vl i'Vld✓1�'� Address: , bS- J b hyl (IL/L iiv tt 03 '2 Phone: Email: �s. l �c.�i-t,'-�lil. Q,c�-lrytaD go-Lcu • (,py,, f Contractor Information: Name: Address: Phone: . Property Location: Email: Fence Location and Type: Interior Lot ' Corner Lot Residential Commercial Construction Fence Height and Material to be used: Material: W11V, food 0 Vinyl ❑ other Height: 9 Application Submittal Requirements A completed Application form A�site plan showing the location of the fence A signed and notarized Waiver of Liability.(when placing fence in easement) $28.00 Waiver of Liability recording fee (if applicable) V $53.00 Application Fee (fee exempt if replacing old fence with new) Submit to Carmel Building and Code Services, 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: Q KI U of Applicant Date: �. OFFICE USE ONLY: j r - - Tax Parcel Number: �i`b7 -_— Zoning District �' Overlay'Zone r .., 4 :I t ✓ Fence Approved '' Dented1� Signature r Date Z 1 ` City of Carmel WAIVER OF LIABILITY CONCERNING ENCROACHMENTS BY FENCES and ("the Landowners") on behalf of themselves, their eirs, assigns, and successors in title to the following described property acknowledge as follows: The Landowners acknowledge that they are the owners of the following described real property: (hereinafter referred to as "the Real Estate'). /�.�� , 00 kc-ftg�n Z4 TownS Ili �y pp l,o�� s z 2. The Landowners have applied to the City of Carm"�Cthety)for a pernyk to coon a fence upon Real Estate. L;�J}' 3LJ 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 "Easement') 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, 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, utilityor 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. S. 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 attorney 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 day of �!? , 20�. LANDOWNERS By: Printed: STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) • Subscribed and sworn to before me, a Notary Pub`lii this day of , 2�, personally appeared the within named J;j Za ��,�'j k) O VO and , as Landowners, and acknowledged the execution of the foregoing document. WITNESS my hand and official seal this t*1Uy1flf h Printed Name My Commission Expires N This instrument was prepared by Residing in J. I / �•�`"�r'�"�•, KATELYNN MICHELLE WIGGINS Notary Public, State of Indiana SEAL; '= Commission Number 688547 'AN*e� My Commission Expires July 26, 2024 I affirm, under the penalties for perjury, that I have taken reaso, na]�1redact each and every Social Security number from this document, unless it is required by law. `� El a Receipt#: 972 4xxrt.: Carmel City Hall: 317-571-2400 City, Of ty Date: 7/22/2020 l• One Civic Square Carmel www.carmel.in.gov n� Invoice # Case Type Case Number Sub Type FENCE F-2020-00207 NEW Tender Type / Description Amount CREDIT- Credit Card 81.00 Sub Total: 81.00 Fees: Fee Codes / Description Amount IMPFENCE- Fence Permit 53.00 IMPFNCWVR- Fence Waiver 28.00 Sub Total: 81.00 Total Amount Due: 81.00 Total Payment: 81.00 Received By: lbrown Code: DEFAULT_Recpt972_22_7_2020_lbrown Page: 1 of 1