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Home My WebLink About06050198 Signed Demo III""" i \. \ I I ! Demolition Permit Requirements City of Carmel I Clay Township Building & Code Enforcement; City of Carmel One Civic Square; Carmel, IN 46032 Ph. (317) 571-2444 Fax (317) 571-2499 TO BE SUBMITTED WITH APPLlCATION*: Two copies of a site location map--clearly identifying the structure or structures to be demolished, the Tax Map parcel number for the parcel on which the demolition is to occur, and this form signed by the appropriate departments. (*Application is a three-part form available from the Building & Code Enforcement Office) NOTE: . A separate permit application must be completed per parcel. . Certain inspections are required relating to private wells, septic systems, and fuel tanks, prior to demolition. . · Should approvals be required from other State or local government entities, or utilities (other than those addressed herein), it is the sole responsibility of the contractor of record to obtain such approvals. Existina well: Well must be plugged according to Well Ordinance A-52. Existina septic: Septic system must be pumped and filled with sand, or removed. If septic system is to be reused, it must be plugged off until ready for re-use. Fuel Tanks: Fuel tanks must be pumped and removed from building andlor property. Address of demolition Tax Map Parcel # Owner(s) Name and Address Additional Structure(s) on site: Yes / No (If yes, please list the number and type(s) of structure on the lines provided. If one of the structures has a separate street address than the primary structure on the parcel-please also include that information.) The City of Carmel and/or Hamilton County Health Dept. must perform an inspection prior to demolition. In order to approve the demolition permit, the applicant is required to sign this form and obtain the sianatures of the individuals listed below. (This can be done by FAX to their offices, at the numbers listed below) Include this completed form with all appropriate sianatures (ON THE REVERSE OF THIS PAGE) when you submit your application package. 1. Morris Hensley, Supervisor: Water Treatment Operations, City of Carmel; Phone (317) 571-2673. FAX (317) 571-2265. 2. Barry McNulty: Hamilton County Health Dept.; Phone (317) 776-8500. FAX (317) 776-8506. , S:Pemlits\Demolition permit handout 1012 OS/25/2008 14 25 FAX 317778B508 HAM CO HE^LTH DEPT ~ 003/004 FROM : 2S...L.ER CCNlTRlJ:T [c:tl FAX 1'0. : 31?e439JB1 Ma~. 25 2eas 9U C!:lF'M P2 Demolition Permit Requirements City of Carm.11 Clay Township BulldlnS & Cod" Enfcnxlment; CIty of Cannel One CMc Square; Carmel, IN 46032 Ph. (317) 571-2444 Fax (317) 571-2499 J'P'E ;:tUBMrrre~PLICA1l0N": Two copies of a alte locatIOnmap-clearty Identifying the 8tructure or structures to be demolished, the Tax Map parcel number for ' m.'t~re~! I~ ~h~~~~~..C!~~C?!ltlo"~II.!'_~~rl.~~J.~!~~~m.~.li.~~2r.J~~.. 8fltree...rlate ~rdorown.nt Office) NOTE: . A separate permit application must be completed pel' pareel. . Certain Inspec:tlons are required relating to private walls, septic systems, and fuel tanke. prior to demolition. . Should approvals be required from oItler StBte or local govemmant entities. or UlII1t1es (other than those addressed herein), It Is the sole responsibility of the conlnlctor of recorcI to obtain such approvals. ~na' welli. . Well muat be plugged aaoordlng to Well Ordlnanae A-82. ., @datlna S8Dti(;; Septic system must be pumped and filled wlthaand, or removed. If septic s)'lltam Is to be reueeel. It must be plugged off until ready for re-uee. Fuel rUg: Fuel tanka must be pumped and removed from building and/or property. II If 50 }oJ. l1f1;d/AI1 6+-. C6-r..t 1(1.032. ,1.-t3-0Z.;'OO-OO-003.f;OLI AdrJrea at dtImoIItIan TIIll' Map IWoeJ . :1:r~ M",.,d,,,,,, u.c qoco Jte.ph,.c r-s;;" &..ilk. ,~ J"fpls,lIV'I1.1.1(O OwneI(a) Name. Addreea Additions/ StnIofure(s) on site: Yes fCfii) (If yes, please list the number end type(s) of structure on the lines provided. If one oflhe structures has a saplllrata strMt address than the primary strucIure on the parcel-please also Include that Information.) The City of Carmel and/or Hamilton County Health Dept. must perform en inspection prior to r:JemoHtJon. In ora.,- to epprove thfI demolition permit, the IppUClUIt Is Rlqulnld to $/rln this fonn imd qbtllln the slonatures of the/ndlvldualll J/atsd below. (ThIs eIIn be clone by FAX to their omce.. at fire nunmMl IIIIted below) IMlude till. oompleted form wtth 8M lool'OlJTlatB sltlllltures (ON THe REVl!RSe OF THIS PAGE) when you submit your Ipplfoetlon ptlGkBge. 1. Morrill HIIIIsley. SupervhJor. Watlar Trutment Opertltlona, Olty of Oatmlt/; Phone (317) 671-2673. FAX (31 'f) 571-2265. . 2. Barry McNulty: Hamilton County Health Dept.; I'h~. (317) 7700Noo. FAX (317) "H:IOG. e~,*""hendaut i ol2 OS/25/2006 14.26 FA~ 3177168506 HI.M CO HEI.LTH DEPT It; 00'1004 . FROM : za.I.ER CONSTRuCTlCJ< F~ H:I. , J17843S3el Ma~. 25 2ee6 111' 0<IPM P3 ~,?~11J:.Ikf'" l:i:~:.l 'Jl'al1~~lt= c..:AWMl;L Ull:'jt,U~.~ t'~ tJ.d/lClU Cl!lImPlCATI Oil AUTHORI'I'V Un".' the plIl'IlIItIIe or p8ljUIy (indIana CDdo IWWo1l,' h'- ""nn, \IIld8r aath. that III Df tlIe lo'ltDI nAlOllIIlaws:MlI In thle .....Uodlll fw lIMIoIhni:rmIt III tI'UI .NI....... to . tII8t llIf mr Imowt ancllllfWl'. llUIlhat I '- NIt k..-ln ar IRI8n__lI~ pnnt.... or om...... ."'" th.t .,aullll8llclllO tll.... 0.....,., Dr rwIIe _......,. De, b..1It of Comlllllll"'."MIIR ......bll th8 trwII ",e. ........1llkI.J..... ""'". PlIIthtr, I UNIt thI4 I 11m Iha Pllp I~ CNIiIer. or lie 1Ut_llo.d _ IIWfl11Iy ~ ....01 th. CIIIIIlel'OO, ItIatI "1ft ......___... paIIl....-n.... 1Ie1lllfN1(.).,. ~ WIth a N I uulll....... .......11.. ..t In ... ~ Ie ...111111 Nq"l 1IICIlIlIIIeII, eftllillat 'ISM tD tndlmnffJend hold harm... tM Clltr ilfCiamWf ftwn ~........~. flit _ItIN ::iIt..~...r.wne _of, GUill' fNUIt..... "'....DIllie .-IIM ......_ If certMI, . 4~/O --or.. .. ' "B......u.. ,. 'Z,'I- (EA.!I.,. ~~"'J""# o.v"UC.) LJI7) 1'11.'9191.( (NMl.pIt~l. . ~""flOM' . 6t/Sf:> WWOIAc./(J ~ C&.,.".., IN Appall"'" a..d ~. aT t.,((,o.u zr tTATlOItDt9fANA ) c.unw Of H61fJl / ft!J'h .....1IIt, IllI LI'l JI _1<.4.' NolIr\IlIullUc ftIr "~r M~(Ja. f. Zt.(~'" lMIft!nIIIlI" IQV; _of Mdy -:~~~ "'. ' " "po.... ur- JIIII.............. - .,' , fIr1([Jj/}1yn_o...".. "......... J*'dIl8IIy Ill. UIIal8W'T ..-...,. -.dlon or till fcnioIIIt .IO~ 5-~ ..,~ 1m =-=.J, FRO'1 ; zs..u:R CCNlTRlJCT I CN FAX ttl. --: 31'1'&:139391 Maw. 25 :leas B1: B:lf'M P2 " ., . .' Demolition Permit Requirements . City of Carm.11 Clay Township Building & Coda EnfDrll8men1; CIty d Cermlll One CMc Squlll'8; CaIrn". IN 46032 Ph. (317) 571-2444 F8x (317) 1S71-2499 . W ..: Two COP'" 018 alte locat\Onmap-cle8rty Identifying the n-ucture or structures to be demollahed, the Tax Map parcel number for' the Darcel on which the demolition Is to occur and this form sloned bv the 8nproDrlate UlJll:lltllin.I"'''IIW~ l ""'II..~."""''''. U"ffl1G""""'" .v,I,. ...""....'- ., v........... .......r...,.,.;A; -..~ ~nforown.nt Office) lQIi: . , A separate permit appllcallon must be completed per parcel. '. . Cerlaln Inspections are required relating to private wells, sep1lc sys1emlI, and fuel tanka. prior to demolition. Should approVlllls be requll'8d from other State or' locaIljl0V8mmem enutles. or ualltlee (other than those addressed herein). It Is the.sole.responslblllty of the . . con1r8ctor of record to obtain such approvals. ~ Well must be plugged aooordlng to Wen Ordinance A-82. 'I Exlatlna 8t1DtJt:: Septic system must ba pumped .and tilled with. sand, or ",moved. If leptlc system II to be reused, It mUll be plugged off until ready tot ...-ue.. .EIIiJ.IIDJsJ;, Fuel tanka must be pumped and ntmoved from building and/or property. 1/1/-50 JJ. }1e...idl,o.,., 6+-. C~_I 1(1.032. 11.-1J-'oz.;'oo-OO-0J3.~ AtI*,,-al~' T.lhp1Woel. :J:r~ /If",'i/"", L.LC4Q:lCl Jt-.p/'o"c r-s;;-, ~i~ ,., J,qpk,11V '''LVO Ownel'(.) Nam. and AddrIM Additional Sfruofure(s) on site: V.. 1Cii> (If yel, please list the number end type(B) of, structure on the linea provided. If one oflhe structures has a separate 81reet adctesl than the primary structure on the parcel-please 81110 Include that Information.) . . The Oi(yof Carmel andobr Hamllt1Jn County Health Dept. must perform en InspectJori prior to demolition. In ord., to epprove thtI. defTlQ/ltIon pennlt, the appUowrt iii ~ulred to aIrln thltl fonn find obmln the lIleln,turN of thD Indlvldu,..IIBied below. (Thl. Cfln be done by FAX to their offloM, It the numb.,. Iklted ~ow) IMlude thIB oompleted fomr wtth aN ,DDI'ODTfIJte ./~",tu,.. (ON THl! REVeRSI! OF THIS PAClE) when you IlUbmlt yow Ipplloatlon peck8gs. 1. MorrI. HaMley, Supervlaor: Waller Tlutment OpfH'lltJo".. CIty of Carmel; Phone (3f7) 611-2673. FAX (311) 571-226& ' 2. Barry McNulty: Hlm/lton County HHIth Dept.; I'ho(Ie(31T) 170."00. ,.AXPfn 77WtsOO. 8~ IBIrillsndaul i 012 f' _n_ "..- "'" -"" ..on J.,: ZEUER CO'STRUCTICJ-I -' '. ~~~ HI ~~Idlt n: ~~ n I D11.~~~. F'FO( He. 1-J1~1 ~UI,Ll..jlJ.~ Maw. 25 2006 e1; 04PM PJ, .-.a-. t:l4/11q 'bale :r r 11- 1!)(, Daf!~/o" CI!!RTIJlIlCATI 0' AUTHOIU'I'V Und" 1M plIl\lIItIIe or ~ OndlllM CDcIIIIw.w.'t),1 h"lIIInrI, IIftCIIr ut/l, tlIIIlII Of UIt II1to1llilllllll==:.. "In thla IPlllIodlll'lfor .......i:rtnlt II tnNt end..._ to Che Mat of IIIW ImcMI .nd....." .nd ..., '- .. ~ ar I...ntw.l., prow!..... or omtellld II'f "-' wouIlI teIIcI to hi.... ollMU.... or MIle ........ "'" C1L~ It. ..lit Of COINItIlll",'~ 1'tlIII"lI1n1" WtII"''' 11'. r 151.....11........'" . PUl'llltr, 1....1hIS11m thI pl ~PIrt:JCIWI\er, or" IJI.Catoolllwod IMIlawNIlY."..,........., . Ih. --00, tIIIt IIJIJVe .....1&I~1MMln ..... .. ..,.1'(1. CIItlI '""'" WIth · . _.... -....Mill.....or ...........At 1ft 1111 ..... ....raqll. ~-1-. .ftlI....I.....__ . tD In.mnlf1.... hokf r-m.... 1M _ 01 ".. ............ an.cI, . -11111 vf"~_ ar!IIntI- ar, or . . f'IIUIt ... .... ....._ at till ........ or.."" CIfftlII. ~~ G"'/~ --0'- DIll ""8..".c.a. 1'. 'lcll- (tA/1v c.:w,:,/kI.,JWoI '" o.lf.,U. C.) (NIIll....... . c..._.L/ ~t ~'YI~tlfll It flheM' 11'1 ""031 8T r \ 6~pIl WwdAc.Jd ~ ~.a-. , .rATI OI''iJi:,A ~ : ~.. 'Imll . , . .....l1li, IIlI "" r 1-"'" ~ . ~ III1IJ11a fir ~OOllfltrI .. fII........ f*lIOIIII~ 'H Iid-1JlJJ.U. f Zi.(Il.r' IrUIIIIIcIMlW'T,-1the.-ullou'lM'-ioIlII ~.. IQ~_., MriV .IO~ ~~ ':. .haw ......,.' .;., "'"........r-\ AitI............. U:.H- ... . -1le:J.