HomeMy WebLinkAbout05110134-Signed demoNovember 9. 2005
C~ty of Canne
Building & Code Entbrcement
One Civic Square
CmTnel. [ndmna 460o2
RE: Demolmon at 13214 Towne Road and 1.23.26 Towne R >ad
To Whom It May Concern:
Please allow this letter to serve as authorization, J~r Dorsey Paving, Inc.. to demolish the
structures located at 13214 Towne Road m~d 1_~_~6 Towne Road.
If'you have any questions, please do not hesitate to call me. Thank you.
Paul Shoopman
President and CEO
Demolition Permit Requirements
City of Carmel / Clay Township
Building & Code Enforcement; City of Carmel
One Civic Square: Carmel, IN 46032 Ph. (317)571-2444 Fax(317) 571-2499
'es of a site location map.-clearly
the Tax Map parcel number for
olition is to occur, and t.h. is form signed by the appropriate
is a three.part form available from the Building & Code
NOTE:
A separate permit application must be completed per parcel.
Certain inspections are required relating to private wells, septic systems, and fuel
~ Well must be plugged according to Well Ordinance A-62.
~ 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 and/or property.
Tax Map Parcel
I Address
Asdditional Structure(s) on site: Yes / No (If yes please I st the number and type(s) of
tructure on the lines I~r~3vided. If one of the structure~ has a separate street address than the
prima?y structure on the parcel--please also include that information.)
perform an inspection prior to
(This can be done by FAX to their
(ON THE REVERSE OF THIS PAGE)
~tment Operations, City of Carmel;
y Health Dept.;
(317) 776-8500. FAX (317) 776-8506.
S:Permits',Demotifion permit handout 1 of 2
11/1~/2005 15:56 3175712265 CARHEL UTILITIES PAGE 04/05
Demolition
One Civic Square: Carr~el,
Requirements
Township
of Carmel
7) ~71-2444 FaX (31T; 571.2499
Building
her
~riate
NOTE:
application must be cc
systems, an~ fuel
primary
Well must be plugged according
Sepfio
system ia to :l
FLe; tanks must be pumped
Add~'~ss
of the
lance A,62.
sand, or removed, If septic
,~/£
property.
list the number and ty{be(s) of
address than the
e that information.)
Wa~er Treatment OpereHons, City of Carmel;
3175712265
Icy
CARMEL UTILITIES PAGE 05/05
......... ~O0~/OOS
,~',~,~ ,,
Date '
D~e
CEP, TIFiCATF- OF AUTHORITY
best
or
artment
ST
STATE OF INDIANA )
=nd ao~owlec
2005 14:4B FAX 317778850B 4, 4EALTH DEPT
City of Carmel ! Cia.y, Township
. I~ulldlng & C~de ~'ff~3r~menq CE7 of Carmel
~quare; Carmel. IN 48032 Ph. (917) 571-2~44 Fax (317) 571-2498
~pproprlate
Code
NOTE:
o A
Well must I
and fuel
~r local government en~ities, or
responsibility of the
approvals,
~ to Well Ordinance A-62,
off until ready for m-use.
~ed and removed from building and/or pmpe~t3/,
-~x3 -oc~ -C)LO,g~O
~ fo. rm
their
!005 1~:4fi FAX 3177788506
~0~33 FAZ 3~7066~507
[ar representative)
HA~ CO HEALTH [EPI
Date
CERTIFICATE OF AUTHORITY
oftlie
agent of
with a
agree
demand, or damages
~ of ~annel,
-o ~- .
Date
Applicants Phene #
STATE OF INDIANA
· and ae~mowledged the execution oftl~e foregoing