HomeMy WebLinkAbout06050202 Signed Demo
5;26;20061:24 PM FROM: Fax Hamilton County TO: 99, 17656221788, 60902 PAGE: 002 OF 003
OS/25/2886 22:83
85/23/2866 18;43
05/B912ees B4;e5
7656221788
3175712265
7E56221788
REBECCA BYi'U-1
c.w.ta. UTILITIES
fSE(X'A lMUI
PAGE 82
PAGE 02183
PI<< 02
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( .""N 'J Demolition Permit Requirements
\ / City of Carmel I Clay Townst!lp .
-. ". , . ""M1I! A 00de 1Ol11\lrt:Omanl: Cly of 0Ilm1l .
"!L~ OIl1\C~Squn; OamI..IN 460321't1.(a17)571-2M4 .....(311\&714'199
10 I sUBMITl'EO WITH Al'PlICATIljJN-; Two coplll8 of II site Iocatlon map-clearly
Icfont I)tng tho struct\.n'e or stnrc:tl.l_ to be d8mClUs~", the Tax Map parcel numw for
tJlA ..,.1 c;m which thll domoJ1llon Ie to OOCMAr, and this form signed by eM lIppropri8la
departments. ("ApplJotdlnn Is . lb.-patt form 8VfIH~/e II'om the Bui1ditlg & Codoo
E/rforeemenf OffH.-e)
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. . A separat8 perm~ appllcatlon must be completed pel JlIU'lCI.
c.rtaln inspections GI'll required relating 1,Q prtvate W<ln~: llllpltc systems, and 1Uel
tanks, prior to c:IIlmorltion.
Should approval5 be ""1"lrlJd ""m 0\h8r Slate ot Jo<:aI government e.ntille~l or
UllIl1!M (other than th090 acldl'llSSlld herein), Ills 11111 SOI.cl responslbllty of 1he
CllIllrIador of recorrl In obtain sucl1 appl'llVllls.
&istlna'Mll: Wall must lie plugged according to well Ordinance M2. t:. t4ft:-
l!>tittl/".ueotJc: $"epIlC sys18m must till plimped and !lIIed wlth ~d, or 1'l!II1O'I9d. Ihepllo .
lIlyst8m ~ till "" rellSed, It mWlt be plugged Off I.IntlI ready fDr nHl.$e. ~ u...~
FlJe/ non",,: ......1 tanltl must be ~ped 8Ild I'DI!U>ved from bulldlng IUIdIor propertr. 1"7
~ . m,., lla...r.l c.....,. ('.A."M~ / IN ~=-
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AltGIfiOnal struofuM(s) nn Riflll: YtllI .(i;) (If)'SS, please I1St me nlJl11bGr and type(&) of
slrudure (lO the tll1es provldad. tf one of the slr4cWrlls has a 5epanlte ctrMI add~ than the
primary slluclUre on ~1e p."""l-pleM8 also inclUde tha1Infomle1ion.'
.
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The ~ of ClJ1TlIelandlor HlJmiftOn CourIfy HeWlh Olfpt mu.'lt pMnrm en 1nsp8CJbn pflor III
demolltfon. /11 order ltl epprove ltIe demolition permit, the eppllt:Mr iSI required rn sign "".lbmr .
a/td ol>f:Jln the .onalute5 0' fhelndMduals liBI&d beI6w. (T"Is "'IIn be do". by FA)( to /heir
oIrn;es, fII the ItumlWS IfsfrJd l>9low} Include tItIlI comp/elsd ~ willi IJO 8""""""14
skmetuffllll (ON THE. REVERSE OF THIS PAG&) wMIl you ~Il yolK flPPIleatiOll package.
. " Morr/SH~y,Supervl!lor: WaIWTlNlmenfOpemtions,.Clfyol'ONmeI;
Phone (31'1') lJT1-2eT:I. FAX ~17) 671-2285..
2. Ihrry lIcNuItJ~ HamnlDn County HllIlIlh Dept.;
,.".",. (317] frw:soo. I'AX(31f) T16-111J1Ja
~'Il'II"ft1'tf,ndtG1 '.1
5/26/2006 1:24 PM FROM: Fax Hamilton County TO: 99, 17656221788, 60902 PAGE: 003 OF 003
65/25/2666 22:63
05/23/2886 18:43
e5/69/2~6 84:05
7656221788
3175712265
76S622178e
REBECCA BYNLt1
CAi*L lITIUTIES
REl!ECCA B~
PAGE 63
PAGE 83/83
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CE~nFlCATE OF AUTHORITY
U1l$t' 1!1ll1*\Q1ties of porjllry (Indiana Code 350444-1), I hereby af'lIrm. lI1Illrlr 0IIltI, ltIal ilK of the
illlGllNlllOllI haw provided In this 8llpllc8llell for demorltion permit III trua ilIICI accur.de, la th8
best afmy IcntltoMdge and bollef, and that I hsve not tnOWlngly or 1lIl911,lonaUy provided or
ontlttad any lnfonnall"n thort would lend to hidll, ~ or llther\"1fS8 mllllsall tl1G llepartrnen!
of CommlJlllty SllN\CI!C l'egarding the truth of the mal1Iel'lllldtl_Gd th....ln.
Further, I M8Ilrt Ihllt tarn tl1G property owner, or the aUlflarlmd and \llwfIIlIyappolnted ll(Ient at'
tile owner(s).1hlll1 haw upnoou auIh<>rity a.nd pennisalan fr<.Jm !he ~ll) (:lIIdlll\YON! wlIh a
r_<t.cl inlerest or other Inlo......t In tl'IQ p"'peltll), to_ INS ~_IICtioII, amIlt1alllllP'lll
\0 indemnify lIIId hold hatml9U 11I1) Ciljr of Carmel ftam any claim, l;wsuit. cIemand. or darMge8l
wh_..llalll9oulClf, or;jSa "'''''lto!. thlO ""l_orlho adlons ..!'lhc Ci\yofCa.nnet,
IIIgll'dlng llIIm8,
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STATE OF UtDIAIIA )
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I4fore ml!, tn. UlIder$;glled, 2 NotIry Public fDr(Y\P--1..>. I.SP , County, Slale cI~ pon~
4fl1le.-l ~~",--~(l;,i(\v~ ande~gedlheexllClU\lanOflhtforegoing
Insfnamont 1I11s2> .Q <lay 01 TV, f>--1 . zo \) ~
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RITA MORGAN
Resident of Madison County, IN
Commission Expires: April 26, 2008
r~
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: DEMOLITION
Permit #: 06050202
Date: 06/08/2006
PARCEL ID #: 1709350102028000
LOT & SUBDIVISION: 28 SPRING LAKE ESTATES
ADDRESS OF CONSTRUCTION: 300 MALLARD CT CARMEL, IN 46032
Township?: 18 Zoning: S2 Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: CITY OF CARMEL
Ph.#: 3175712400 Fax#:
Street Address: ONE CIVIC SQUARE CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: RHINO TRUCKING & EXCAVTING
Ph.#: (765)643-4936 Fax#: 8778274155
Street Address: 2816 S CENTRAL WAY ANDERSON, IN
Email:
46011
PERMIT TYPE: MDEMO
; DEMOLITION
Water Service by:
Sewer Service by:
County Well Permit #:
County Septic Permit #:
Estimated Cost of Work: $0
Underground Tank(s):
Special Notes/Conditions:
LOT 28 SPRING LAKE ESTATES. DEMOLITION OF 1 HOUSE
FOR ILLINOIS RD EXTENSION PROJECT. FEE EXEMPT,
PER ORDINANCE.
. NO NOTES'
This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release.
All construction must be completed (C/O issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "'Zoning
Ordinance of Carmel Indiana -1993" (Z~ 289) and amendments, adopted under authority of l.C 36~ 7 et seq, General Assembly of the State of
Indiana, and all Acts amendatory thereto, I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I
further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: REBECCA
FEES:
* NO NOTES *
BYNUM