HomeMy WebLinkAbout05110132-Signed demo· 11/14/, is: 56 31757122G5 CARMEL UTILITIES PAGE 02/05
o ~.~.l ,~L~I~UV DOR~Ey FA¥~G i~004/005
Demoli'
City
Bu~diflg
One 6.Mc ~qu~re; Carmel,
P
S71-2444 Fax (3'i7} ~?'i-2499
parcel number for
llcation must be completed per parcel.
required relating to private wells, septic systems, and ~Jel
rovals.
~ of the
removed, if septic
(If yes, piease I~st the number mhd typ (s) of
hms a separate street address than the
~ation.)
~c~2
that allofthe
the
regarding same,
therein,
~t of
and that I agree
demand, or damages
City of Carmel,
STARE OF INDIANA )
and acknewledged the axecutl=n of the foregoing
,,11/14/2005 14:47 FAX 3177768506 H&~ CO HEALTH DEPT ~]~
:1.1/14105' ;I, 0;~{) P.6~ -~171~851~07 [~004
Demol
City of Carmel I Clay Township
i~ulld'mg & Code ,~"~rCernafl~ CIt~ of Carmel ...........
IN 46032 Ph. (317) E1~-2444 Fax [;~3/j
3isa
[o be demoii
rrt3
Building & Code
NOTE_:
Fuel,'l'anks;
and fuel
~ent entities, or
f record to obtsin such
must be plugged aocordlng to Well Orfllna[nce A-62.
or removed. If septic
jntil ready for m-use,
Fuel tanks must be pumped and removed from building and/orprop~tT.
of
$;P~mii:~rno)ll~ pe~mlt handeu£
t 716-8506.
' of Carmel:
14:47 FAX 3177788508
10;33 FAZ $175861507
elatesentatlve)
H EALTH DEPT
CEI:~I'IFICATF-. OF AUTHORITY
oath, that all of the
to the
Ci~ cE Carmel,
Date
City, ST
STATE OF INDIANA )
. $$
Public for ~'t'~.x'~" 0~,~. County, State of Ir~dlar~ personally
Demolition
City of Carmel / Clay Township
Buildin§ & Code Enforcement; City of Carmel
One CivicSauare; Carmel, IN 46032 Ph. (317)571-2444 Fax(317) 57'~-2499
TO BE SUBMITTED ocation map--clearly
for
which the demolition is to occu r, and this form signed by the appropriate
Enforcement Office) Building & Code
Fuel Tanks:
NOTE:
A separate permit application must be comp eted per parcel
· Certain inspections are required relating to private wells, septic systems, and fuel
tanks prior to demolition.
· ShoU d 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 suchapprovals.
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 must be pumped and removed from building and/or property.
Tax Mai
Health
(ON THE REVERSE OF THIS PAGE) when you submit
1. Supervisor: Water Treatment Operations, City of Carmel;
FAX (317) 571.2265.
2. ~
Phone (317) 776-8500. FAX(317) 776-8506.
S:Permits\DemolitJon permit handout
1 of 2
November 9. 2005
City of Carmel
Bui,~ding ,&, Co,,d,e Entbrcement
One Civic Square ~
Carmel. Indiana 46032
RE: Demolition al: 13214 Towne Road and 13336 Towne Road
To Whom It May Concern:
Please allow this letter to serve as authorizatio~n~f~or Dorsey Paving, Inc._ to demolish the
structures located at l 3214 Tow2e Road and 13 o o 6 Towne Road.
If you have any questions, please do not hesitate to cai1 me. Thank you.
Stncerel:.
Indiana Land Development Corporation
a
Paul Shoopm n
President and CEO