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Home My WebLink AboutApplication_SignedPage 9 of 11 Filename: special exception handout 2022_strr Rev. 12/25/2021 *This is a PDF version of the application. The official application should be created and submitted online via the Public Portal: https://cw.carmel.in.gov/PublicAccess/template/Login.aspx * SPECIAL EXCEPTION APPLICATION - Short Term Residential Rental Units Fee: $107 for first year, $54 for annual renewal Office Use Only DOCKET NO. ___________________________ _____ DATE RECEIVED: ____________________________________ Renewal? Previous Docket No(s). __________________________________________________________ APPLICANT / OWNER INFORMATION: 1) Applicant/ Permanent Resident*: _______________________________________________________________ Address: ___________________________________________________________________________________ * Applicants must be a Permanent Resident (may be an owner or lessee) of the proposed S hort Term Residential Rental Unit. Initial applicants shall have occupied the Dwelling for at least sixty (60) consecutive days with intent to establish the Dwe lling 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: ___________________________________________________ Fax: ____________________________ ProjectDox Uploader: __________________________________ Phone: __________________________ Email: ___________________________________________________ 3) Applicant's 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: ________________________________________________________________ Owner's address: ___________________________________________ Phone: __________________________ 5) Is the property: Owner occupied __________ Renter occupied ___________ Other _______________________ 6) Record of Ownership: Deed book No./Instrument No.________________________________________ Page: _____________ Purchase Date: ________________________________ PROPERTY INFORMATION: 7) Common address of the property involved: ________________________________________________________ Legal Description:____________________________________________________________________________ Tax Parcel ID No.:___________________________________________________________________________ 8) Zoning District: ____________ Overlay Zone (if applicable): _________________________________________ 9) Present use of the property:____________________________________________________________________ Corey Humphress 4423 E 116th St, Carmel, IN 46033 4423 E 116th St Corey Humphress corey.humphress@gmail.com Corey Humphress corey.humphress@gmail.com 270-875-2426 270-875-2426 X X 4423 E 116th St, Carmel, IN 46033 Acreage .00 Section 5, Township 17, Range 4 WOODLAND GREEN Lot 2 16-14-05-02-03-002.000 R-2 Primary Residence Page 10 of 11 Filename: special exception handout 2022_strr Rev. 12/25/2021 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 ye s, 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 □ Driver’s License □ Voter Registration □ Tax Record showing standard homestead credit □ Utility Bill 15) Registered Retail Merchant Certificate: ___________________________________________________________ 16) _______ (Initial) If the proposed special exception is granted, the applicant agrees to post a clearly pri nted 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 Name: ___________________________________ Address: _________________________________ Phone: __________________________________ Email: ___________________________________ SECONDARY EMERGENCY CONTACT Name: ____________________________________ Address: __________________________________ Phone: ___________________________________ 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: ____________________________________________________ Date: ______________________ The applicant certifies by signing this application that he/she has been advised that all representations of the Department o f 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. 0.4 No Intend to utilize the entire home on occasion for short term rental. I intend to occasionally rent my home, 4423 E 116th St, on a short term basis to highly-rated, experienced short-term renters with respect for my neighbors and wider community. Proﬁts will go toward improving the dwelling and property. x x CH Corey Humphress 4423 E 116th St, Carmel, IN 46033 270-875-2426 corey.humphress@gmail.com Cara Chapman 9620 E 206th St, Noblesville, IN 317-430-4473 caraleechapman@gmail.com 9/8/22