HomeMy WebLinkAboutCT Demo Permit Application - City of Carmel - 12.22.20.pdfDemolition Permit Requirements
City of Carmel / Clay Township
Building & Code Services
One Civic Square, Carmel, lN 46032
Ph: (317) 57 1-2444 Fax: (317) 57 1-2499
Review and lssuance of a permit requires that the followins must be submitted:
1. Completed Application (Application is a three-part form available in the Building & Code office) lVofe: A separdte
permit dpplication must be completed per parcel
2. ProvideaUtilityDisconnectReceiptorLetterfromeachprovideronLocation
3. Two Copies of a Site Location/Site Plan ( on paper no larger than IL" X 77") with the following information and
nothing less:
. Tax Map Parcel Number for the parcel on which the demolition is to occur
. Location of all structures on the lot, with the structures dimensions
. Property boundaries and dimensions including distances to the structure(s) to be demolished
. All neighboring structures within 100 feet of the proposed demolition
. Streets, alleys, other manmade or natural features, north arrow, sidewalks, aprons, etc.
. Location of proposed dumpster, if used
. Location of all Utilities
4. provide Certified Ptumbing Controctor information (Contractor who wíll cap the sewer líne at the property line)
5. Right olllgyPermit'from the City of Carmel Engineering Office (317) 571-244L
.^ No Right of Way Permit Needed
6. This fort-co.plutud and Signed by the appropriate departments
The followine must be complied with once permit is issued:
. A demolition permit will be issued when a structure is to be removed completely, including the
foundation, and the property must be groded and seeded after removol unless new construction will
take place within ninety (90) days on the location.
. Work shall start immediately and must be completed thirty (30) days from issuance
. The progress of the work shall be executed so as not to create a danger to the public
. All rubble and debris from demolition to be removed from parcel before site inspection can be
performed
. Must meet all requirements of the codes and Ordinances (existing well, septic, fuel tanks)
. The applicant or owner is responsible for obtaining a certified plumbing contractor to cap the sewer at
the property line. NO PERMIT REQUIRED FOR SEPTIC TANK CRUSH AND FILL if applicable. Removal
and/or crush and fill of tank to be included on demolition permit, sept¡c tank to be pumped and either
filled or crushed as park of demolition contractors responsibility
Complete the Followins:
14159 Clay Terrace Blvd 1 6-09-24-02-07-005.000
Address of demolition Tax Møp Parcel #
Clay Terrace Partners LLC, 111 Monument Circle, Suite 3500, lndianapolis' lN 46204
Owner(s) Name and Address
Additionol Structure(s) on site@/ uo (lf yes, please list the number and type(s) of structure on the lines
provided. lfoneofthestructureìñsaseparatestreetaddressthantheprimarystructureontheparcel-pleasealso
include that information.)
There is one multi-tenant retail building located aL14179 Clay Tenace Blvd
The City of Carmel and/or Hamilton County Health Dept. must perform an ¡nspection prior to demolition. tn order to approve
the demolit¡on permit, the applicont is required to sign this form and obtain the sianatures
(This can be done by FAX to their offÍces, at the numbers lÍsted below) lnclude this compteted lorm with oll aooropriate
sionatures (oN THE REUERSE oF THls pAGE) when you submit your opplication pockage.
1. John Mascari: Carmel Ut¡lities.
Phone (317) 733-28s5. FAX (317) 733-2053.
2. Barry McNulty: Hamilton County Health Dept.
Phone {317) 776-8s00. FAx (317) 776-sso6.
Signature: John Mascari (or representative)Date
Sígnature: Barry McNulty {or representative)Date
CERTIFICATE OF AUTHORIW
Under the penalties of perjury {lndiana Code 35 -44-2-Ll, I hereby affirm, under oath, that all of the information I have provided in
th¡s appl¡cat¡on for demolition perm¡t is true and accurate, to the best of my knowledge and belief, and that I have not knowingly
or intentionally provided or omítted any information that would tend to hide, obscure, or otherw¡se mislead the Department of
Community Services regarding the truth of the matters addressed therein.
Further, I assert that I am the property owner, or the authorized and lawfully appointed agent of the owner(s), that I have express
authority and perm¡ssion from the owner{s) {and anyone w¡th a recorded interest or other interest ¡n the propertyf, to take this
requested act¡on, and that I agree to indemnify and hold harmless the c¡ty of Carmel from any claim, lawsuit, demand, or
damages whatsoever a of, or as a result of, this request or the actions of the City of Carmel, regarding same.
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Applicant's Signature Date
(Name printed)
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Applicants Phone S
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Applicant's Address
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Before ffiê,
Notarv Publlc
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nd acknowledged the execution of the foregoing instrument this
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County, State of lndiana, personally appeared
VIVIAN A. TOBB
Nôtåry Public, Stale ol lndiana
eontrtriesion # 653681
MV Gontmigsion ExPiros
MoY lE,2022
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