The URL can be used to link to this page

Home My WebLink About06100077 Signed Demo ;:,;;.. \ Demolition Permit Requirem.ents City of Carmel I Clay Township Building & Code Eniorcement; City oi Carmel One Civic Square; Carmel. IN 46032 Ph. (317) 571-2444 Fax (317) 571-2499 .. " , <~D~ ~_~ ~ ' TO BE SUBMITTED WITH APPlICAT10N*: Two copies of a site location map--c1early 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. Existinq well: Well must be plugged according to Well Ordinance A-62. Existinq seotic: 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. 2..1 \ SMOI(~,-\ ROw f?-.D Address of demolition ('B'+~ $,) '- \ ",oq2-So000013.000 Tax Map Parcel # DlZ. Q;S HOVl'l E..5 Owner(s) Name and Address Additional Structure(s) on site: Yes (i!;;2. (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 inform~tion.) i l.ctoso ~"'^ \)'~.\\l~ l Sv\~70<:> .Il-lOPU :L"-\ 4t..Z.lg The City of Carmel and/or Hamilton County Health Oept. 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 siqnatures 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 siqnatures (ON THE REVERSE OF THIS PAGE) when you submit your application package. 1. Morris Hensley, Supervisor: Water Treatment Operations, Cifl/ 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:P<;rmits\Demolition permit hanccut 1of2 .".'" . ' Signature: Morris Hensley (or representative) Date Signature: Barry McNulty (or representative) Date CERTIFiCATE OF AUTHORITY Under the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm, under oath, that all of the information I have provided in this application for demolition permit is true and accurate, to the best of my knowledge and belief, and that I have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure, or otherNise 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 permission from the owner(s) (and anyone with a recorded interest or other interest in the property), to take this requested action, and that I agree to indemnify and hold harmless the City of Carmel from any claim, lawsuit, demand, or damages whatsoever arising ut of, or as a result of, this request or the actions of the City of Carmel, regardin same. ~9-2<O- 0 ture & Date q -'2 <a .-ol.q Date W -106'3-4'~?t... C- - le"-' -?. 8, '{ Applicants Phone # C- 2:.12\ r:h\ ~ i>ee\'Z.. (Name printed)-}VO !<.SE'--\ vA\! \ u6:::I:U L ~ 2\0'2 s' \-\ A'0:Ollll.. $\ rUoPU Applicant's Address City, ..:.t::::1-\ ~l.:,'-L\ ST Zip STATE OF INDIANA ) 55 County of yvtJ\<Z.o L\ ) Before me, the undersigned, a Notar] Public for t""- ~\':t, 0 -.l appeared C- 612-\ v\-'-I S.f..ce~ instrument this 2 <0 +>--day of Se (?"\ County, State of Indian<ldiersona!ly and acknowledged the execution eHheforago\ng .' ,,:-- ,200'-<-. ,",:-..\- ~Dr~ ~ Notarj Public '"" r lSf:T\-\ l''rl?_ q:..r (Print) .~~:....:. ... / d-d,d.~o7 ':; \" My Commission Expires: S:Permils\Cemciiticn ~ermjt handout 20f2 ~~/L~/L~~b 1~:~( 31/~/ILLb~ 09/28/06 09:05 FAX Jli686150i ~ CAI'~II:.L U rILl r H:.~ DORSlIT PAVING PAGE el/e2 @002 "I' .. " ~ D.e,molition Permit Requirements City of Carmel' Clay Township Building & Code Enforcsmen~ City of Carmel One Civic Square; Carmel, IN 4G032 Ph. (317)571-2444 Fax (317) 571.2499 TO BE SUBMITTED WITH AP?LlCAT10N"': Two copies of a site location map-clearly , identifying the stf1Jcture or structures to be demolished, the Tax Map parcel number for i the parcal on which the demolition is to occur, and t~is form signed, by t~e appropriate departments. ,Application is a three-part form avaIlable from the SUlldlng & Code Enforcement Offic~) I \ NOTE: A separatE~ permit appHcation must be completed per parcel. Certain inspections are required relating to private weils, ,septic systems, and fueli tanks, prj(~r 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-62. / c.Je/( Exfstina sectic: SilptiC system must 1:e pumped and filled with sand, or removed. If septic sy!;iem is to be reused, it must be plugged off until ready for re-use. FUI~I tanks must l:le pumped and removed f~m building andlor propert-j. (tV ./5" 2..1 \ SMDI(~,\ fZl:l\.J t2-!::l ~...:: ST) () I' \ <..:>oq'2-Soe;,ooo \3.1::>00 Address of demolition '- Tv: Map Parcel # I D~QCS ~e;:. lAl.:1S0 ~"'" t)'~.\U~ I ~1",~"2.Co -I.\-loOU :t.~ 4loZr1'O Owner(s) Name and Mdr.os I Additional stiucture(s) on site: YesW _ (If yes, please list the number and type(s) of structure on the lines proviced. If cne of the structures has a separate street address than the I primary structure on the parcel-piease also include that information.} . . . Fuel Tanks: I The City of Carmel and/or Hamilton County Health Dept. must perform an Inspection prior to I demolition. In order to approve the demolition permit, the applIcant is required to sign this forin and obtaIn the sicmatures of the individuals listed below. (ThIs can be done by FAX to tl1~ir offices, at the numbl1rs listed below) Include this completed form with al/ 8pproDriate i sianatures (ON THE REVERSE OF THIS PAGE) when you submit your application package. I 1. Morris Hensley., Supervisor: Water Treatment Operations, City of Carmel; Phone (317) 571-2673. FAX (317) 571-2265. Barry McNult)r: Hamilton Countl Health Dept.; Phone (317) 776-8500. FAX (317) 776-8506. 10/2 2. S:Pcrrni~\0em07ijon permIt f'\:IndDul .,6 09,05 FAI 31788~.i507w ..........Klvll:.L U I .1.Ll I it.:::. DORSEY P"V]N~._ PAGE . e2/02 @003 ' . ~A.~ Signature: Morris ensle,y (or rapresen . cr~ ~q-V~ Date Signature: 8any McNulty (or representatIve) Date CERTIFiCATE OF AUTHORITY Under the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm, under oath, that all of the information I have provided in this application for demolition permit is true and accurate, to the best of my knowledge and belief, and that I have not knowingly or Intentionally provlded or ; omitted any information that would tend to hide, obscure, or ottlerwise mislead the Department I of Community Services ref;arding the truth of the matters addressed therein. Further, I assert that \ am the property owner, or the authorized and lawfully appointed agent of the owner(s}, that I havl~ eXpress authority and permission from the owner(s} (and anyone with a recorded interest or other interest in the property). to take this requested action, and that I agree to indemnify and hold harmless the City of Carmel from any claim, lawsuit, demand, or damages whatsoever arising ut of, or as a result of, this request or the actions of the City of Carmel, regardio'7same. "1 ~9-2.<Q-O~ ture ,~ Date q -"2. '3 ~~ Date IN - r.,sg-<1~~t., c..- - ~,-'" - 2'8, '\. Applicants Phone # r _ B.e.\ 4 U ..s ~ 12'e:~ (Name printed} 'Do f2...sE-\ -PA\J \ ulo::DJ L ,..:. 2. \C; '2. S,' \'.\. t\ ~f)\ u.1.. S '\ Applicanfs Addrass J:LlOPU City, i , , ..:r:-u '-I.l., 'L ~\ ST Zip . STATE OF INDIANA ) S5 County of M1\a..o,-\ --> 8efore me, the undersi!;ned. a NotalY Public for J"\.~ \0 u.. appeared C-. ~\ {l,1.\ 'S.f~~f.!- ~~ Instrument this 2 ~ -day of s"e: P"\ ~ ~fY\..~ - Notary Pobllc ~ ~~ lh~~Y (Print) S:Perrnlts\OemoUtIOll perT1"llt h3r1dout , . ~ :"-- and acknowledged the e:<ecution~~foic.goingi . ....-_... - I. .20DI.c: I .<:~...>... ..1.. . ".::- . -; I ...... ,.. .1 d -~'d...-CJ7..... , I My Cammission ExOlres. I , County, State of Indian'!,..pe.;s.onaIlY , 1 2of2 u~:u~ ~.AA 317U~UlS07 I2J VV~I vv..-s DORSEY PAVING IilJ002 " Demolition Permit Requirements City of Carmel' Clay Township Building 8. Code Enforcemerrt; City ", Carmel One Civic Square: Carmel, IN 48032 Ph. (317) 571-2444 Fax (317) 571-2499 TO BE SUBMITTED WITH APPLlCAT10W: Two copies ota site location map-<:Iearly 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 fonn signed by the appropriate departments. ("Application is a three-part fonn available from the Suildlng & 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 entItles, or utilities (other than those addressed herein), it is the sole responsibility of the contractor of record to obtain such approvals, 'ExlstJna well: Well must be plugged accordIng to Well Ordinance A-62. Existina sectic: Septic system must be pumJ:led and filled with sand, or removed. If septIc system Is to be reused, it must be J:llugged off until ready for re.use, Fu'el Tanks: Fuel tanks must be pumped and removed from building andlor property. 2JJ S.MOI(~ ~Q\.J ~b (~4,.>;: Ii,) , '<"O'\'2-$ObOOO 13.000 Addl'S$S of demolition Tax Map Parr;el # DRlCES ~~ ~laSO TEl ~"'-. t)'~.\\l\E I ~"\'\Io'E"2.00 'tuoPU ~~ 4l.i2:1'O Owner{s) Name and Address Additional Stiucturs(s) on site: Yes r-;;:J. (If yes, please list the number and fYpe(s)of structure on the lines provided. If one of~ctures has a separate street address than the primary structure on the parcel--;:Jlease also Inc!ude that information.) The C~ty of Carma I and/or Hamilton County Hea/th Dept. must perform an inspect/an prior to I demolition. In order to approve the demolition permit, the applicant Is required to sign this form and obtaIn the slanatures of the Individuals listed be/ow. (This can be done by FAX to their offices, at the numbers listed below) Include this completed fonn with all a""roDrfate ' sianatures (ON THE REVERSE OF THIS PAGE) when you submit your appllcadon package. 1. Morris Hensley, SupervIsor: Water Treatment Opera dons. City of Cairne/; Phone (317) 571-2673. FAX (317) 571.2265. 2. Barry McNUlty: Hamilton County Health Dept.; Phone (317) 776-8500. FAX (317) 776-8506. S:POImilOlllolTXllHlon pormII_t 1012 UO Uti!:.LV rAA. ';'1.(tI~tllij07 'i:!:.I vv...., vv..., DORSEY PAVING !gJ003 li,.c.. ... Signature: Morris Hensley (crrapresentatlve) Date er 7HcA/tJ, cNulty (or rapre.sentatlve) /qk~ Date . CERTIFICATE OF AUTHORI7Y Under the penalties of perjury (Indiana Code 35-44-2.1), I hereby affirm, under oath, that all ofthe Information I have provided in this applicati<'" for demolitIon permit Is true and accurate, to the oost of my knowledge and belief, and that I have not knowinglY or Intentionally provided or omitted any Information that would tend to hide, obscure, or otherwise mIslead the Department of Community Services regarding the truth ot the matter., addressed therein. ' I I Further, I assert that I am the property owner, or the authorlzed and lawfully appointed agent of the owner(s), that I have express authority and permission from the owner(s) (and anyone with a recorded interest or other Interest in the property). to take thIs requested action, and that' agree to Indemnify and hold harmless the City of Carmel from any claim, lawsuit, demand, or damages whatsoever arising ut of, or as a result of, this request or the actIons of the City of Carme', rega In same. q-2...CO- q -'2. eel -O~ Date W - r.,."6.~..-:r~<!"-' ~ - ~-z.1 - '2.'<<3, "l Applicants Phone # ure & Date r - BJ2.\ a u ~ ~ 12\i::~ (Name printed) -'Do~..s E-\ -PA\J' U'.::, :r:u L. ~- ,. - 2.. \6'2.. s" \-+ ~~\U.... $\ I.LlOPU Applicant's Address City, .:t:"U ~ I... 'L""L\ ST ZIp STATE OF INOIANA ) SS Ccunty of MAa-.o'4 ) ~ Q~ l;)r'o.J\ ~~~ _ Notwy Pld:Illc ""y "'};f:mJ. ~~f (Prtnl) . S:PermI1sl0omolitlon penn~ 7\iind<lul f"\.~,\)~ County, State Oflndla~~~~-aiIY . ,.:--- I and acknowledsed the executio~.G!~ f9i-ag~lng - \-=-:\. - 1 .20~~ ":<~::.:/:'~< ~ -d.ct-07 -, < Illy eomnu..lSIOn Explree: I, Before me, the under.;/gned, a Notary Public for appeared C- ~ yI.,-\ 'b. fC\C- A_ Instrument this Z. oIQ ~-day of 'S.e: "" \" 2ot2 ~ . ~ 09/27/2006 13:41 3173477318 ,--~_. Drees ~ HOMES~ September 27, 2006 To Whom It May Concern: Subject: Village Green Utilities Drees Premier Homes, Inc as owner of the property at 211 Smokey Row Road, Cannel, IN 46032 authorizes Dorsey Paving, Inc to disconnect all utilities to the existing single family dwelling and demolish/remove same dwelling. Jo bot Land Acquisition and Development Manager CC: Richard Fidler, Bay Development I 6650 Telecom Drive, Suite 200 Ilndianapoti,!;, IndianCl 46278.6278 Life has its rewards P (3171347-7300 I F(317) 347-7318 I www.dreeshomes.com