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20.00 10P/19 , <br />HISTORIC PRESERVATION COMMISSION <br />a OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County—City Building,South Bend,IN 46601 <br />http://www,southbendin.gov(government/department/community-investment <br />Phone:574/235.9371 Fax:574/235.9021365 <br />Email:hpcsbsjc@southbendin.gov <br />A Certified Local Government of the National Parte Service Elicia Feasel,Historic Preservation <br />Administrator <br />APPLICATION FOR A—CERTIFICATE OF APPROPRIATENESS <br />OFFI(E USE ONL Y>»»>DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />Date Received: 10/7/19 2019 1007AApplicationNumber: <br />Past Reviews: YES (Date of Last Review)NO <br />Staff Approal authorized by: Title: <br />Historic Prservation Commission Review Date: 10/21/19 <br />Local Landmark I Local Historic District(Name) <br />nNational Landmark n National Register District(Name) <br />Certificate Df Appropriateness: <br />11 Denied Tabled Sent To Committee Approved and issued: <br />Address ofProperty for proposed work: 60649 Hickory Road South Bend IN 46614 <br />Street Number—Street Name City—Zip) <br />Name of Property Owner(s): <br />Ben and Carrie Modlin <br />Phone#: (574) 340-5674 <br />Address olProperty Owner(s): 60649 Hickory Road South Bend IN 46614 <br />Street Number—Street Name—City—Zip) <br />Name of Contractor(s): Self <br />Phone#: <br />Contractor Company Name: <br />Address olContractor Company: <br />Street Number—Street Name—City—Zip) <br />Current Llc of Building: Single Family <br />Single Family—Multi-Family—Commercial--GovernmentIndustrial—Vacant—etc.) <br />Type of Blilding Construction: Wood Frame <br />Wood Frame—Brick—Stone—Steel—Concrete—Other) <br />Proposed Work: (more than one <br />Landscape New Replacement (not in-kind) Demolitionboxmaybchecked) <br />Removal of decayed existing siding,animal feces,bat habitat exclusion,beehives,mold,waterlogged and damaged material,removal of wetDescriptioofProposedWork: <br />celulose insuiabn from within the wall cavity.Instatalion of new fiberglass batt insulation,new exterior grade sheathing,tyvek house wrap,new flashings,new Celecl Cellular Composite PVC Wood <br />simulated sidinand architectural trim material.Construction methods to follow the manufacturer's written specifications.Please see supporting documentation. <br />Owner a-sail: modlincarrie@gmail.com <br />and/or Contractor e-mail:coachmodlin@gmail.com <br />X <br />tlti iI and/or X <br />Signaturcof Owner Signature of Contractor <br />By signing this application I agree to abide by all local regulations related to project and to obtain a Building Department Permit,ifapplicable.