HomeMy WebLinkAbout05060015-Signed DemoCit Of Carmel
DEMOLITION PERMIT REQUIREMENTS
To be submitted with application*: Two copies of a site location map, clearly identifying the structure or
structures to be demolished, the Tax Map parcel number for each structure to be demolished, and this
form signed bythe appropriate departments. (*Application is a three part form available from Permit
Services.)
Certain inspections are required relating to private wells, septic systems, and fuel tanks, prior to
demolition.
Fuel Tanks:
Well must be plugged according to Well Ordinance A-62.
Septic system must be pumped and fi led with sa.n.d, or removed. If septic
system i~s to be reuSed, it m~lst be plugged off until ready for re-use.
Fuel tanks must be pumped and removed from building and/or property.
Address of demolition
Additional Structures: Yes / No ~ J
h
**if yes, please list the address and Tax Map parcel number for each additional structure on the
reverse of this form.
-'~x Map Parcel #
The City of Carmel and/or Hamilton County Health Dept. must perform an inspection pdorto demolition.
In order to approve the demolition permit, applicant is required to sign this form and FAX to the
individuals listed below. Include this completed form with all appropriate signatu~ou
submit your application package.
Morris Hensley, Supervisor: Water Treatment Operations, City of Carmel; (317) 571-2462.
Barry McNulty: Hamilton County Health Dept.; (3~7) 776-8506.
Applicant's Signature
.~/'7~ ?1o¢- 7/ z¢~¢
Applicant's Telephone Number
Date
Signature & Date: Morris H~o¥ {or repreaentatiYe)
Signature & Da~e.' Barr~ M6Nulty (or re~}esentative)
NOTE: 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.
Under the penalties of pedu~ (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 beat 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 of the matters addressed therein.
Building & Code Enforcement: One Civic Square; Carmel, IN 46032 Ph. (317; 571-2444 Fax (317) 571-2499
S:Permits\DemelilJon permit handout