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DEMOLITION PERMIT REQUIREMENTS
To be submHed ~' application'. Two ~op es of a site ocation maP, cl~ady ldent?yingbe ~emoiisned,~e ~?an~ mis
~ ur~ ~ be de~ sh~ ~e Tsx Map pa~[ number ~ ea~ s~m ~ .......
si n~ b ~e a ~pnate depa~en~. ~Appfi~tio ~s a throe pa~
~ g Y PP
Ce~in ins~ions am mqulre¢ mlatlng ~ pr~ wells, septic sy~ms, and fu~ ~n~, pfior~
demel~on
Well must be pi[ }rdinan~ A~2.
~ ~lled with
system is to be mused, it must be for re.use.
Fuel tanks must be pumped and removed from building and/or pmper4.y.
Addifional $~u~ures: iyes /, No . *
· *lfyes,.~taase liar ~e add~a and T~ Map panel numar ~r ~ch add. oriel s~ctum on ~e
~ve~ of ~ls ~rm.
I. Morris Hensley~ ~upervlsor: Water Treatm~nf,O~ere~lons; Cfty of Carmel; (3'i7) $71-~462,
2, Barry McNul~: Ha'milton Coun~ Heal~fl Dept., ~3~7)
Signature & Data: Ban7 Mc.Nulty (er representative)
r ufll~ea (ofher
it Is the soie responsibility of fhe confrac~or of mcord to obtain sud~
~ullding & C~le Enfomemen~' One Civic Squ~re; C~rm~l, IN 46~32
S:Permlt~Demo¢o~ ~erm~ h~
Ph. (3f71 0'7'1-2444 Fax (3'i7)
OCity Of Carmel
DEMOLITION PERMIT REQUIREMEN TS
To be submitted witl~ application*: Two cop es of a site ocation map, clearly identifying the structure or
structures to be demolished, the Tax Map parce number for each structure to be demolished, and this
form signed bythe appropriate departments. (*Application is a three part form available from Permit
Services.)
Certai.n. ?spections are required relating to private wells, septic systems, and fuel tanks, prior to
demohtlon.
~ Well must be plugged according to Well Ordinance A-62.
If septic
use.
Fuel Tanks:
Fuel tanks must be pumped and removed from building and/or property.
Tax Map Parcel #
Additional StruCtures: Yes / No
* If es, please list the address and Tax Map parcel number for each additional structure on the
Y
reVerse of this form.
The City of Carmel and/or Hamilton County Health Dept. must perform an inspection pdor to demolition.
In o.rd. er to approve the demolition permit, applicant is required to sign this form and F_AX to the
Include this co~npleted form with all appropriate signatures when you
submit your application package.
1. Morris Hensley, Supervisor: Water Treatment Operations, City of Carmel; (317) 571-2462.
2. Barry McNulty: Hamilton County Health Dept., (317~ 776-8506.
sig .ture/' Date
~lumber
VOTE: Should approvals be required from other State or local govemment entities, or utilities (other
than those addre'ssed herein), it is the sole responsibility of the contractor of record to obtain s~ch
approvals.
Under the penalt es of perjury (indiana Code 35-44-2-1 ), hereby affirm under oath that all of the Information I have pr°vlded in this
application for demolition permit Is true and accurate to the be~t of my knowledge and belief, and that I have not knowingly or
ntentionally provided or omitted any nformaflon that would tend to hide, obscure or otherwise mislead the Department of
Commun ty ~ervlces regarding the t~uth of the matters addressed there n.
Building & Code Enforcement: One Civic Square; Carmel, IN 46032 Ph. (317) 571-2444 Fax (317) 57~-2499
S:Permits\Demolit~on permit handout