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I. <br />ra..v vv vc. <br />20.00 10/7/19 ' <br />r______.\HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County—City Building,South Bend,IN 46601ehtt ://www.southbendin, ov/ overnment/de artment/communi -investmentPggPtY <br />865 <br />Phone:574/235.9371 Fax:574/235.9021 <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 />OFFIa USE ONLY>»»>DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />Date Recei'ed: <br />10/7/19 <br />Application Number: <br />2019 — 1007A <br />Past Review YES (Date of Last Review)NO <br />Staff Apprdal authorized by:Title: <br />Historic Prservation Commission Review Date: 10/21/19 <br />Local Landmark n Local Historic District(Name) <br />National Landmark National Register District(Name) <br />Certificate DfAppro riateness: <br />Denied Tabled Sent To Committee Approved and issued: <br />Address oiProperty 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 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 Ontractor(s): <br />Self _ Phone#: <br />Contractor Company Name: <br />Address °CContractor Company: <br />Street Number—Street Name—City—Zip) <br />Current Cre of Building: Single Family <br />Single Family—Multi-Family—Commercial—Government—Industrial—Vacant—etc.) <br />Type of Wilding Construction: Wood Frame <br />Wood Frame—Brick—Stone---Steel—Concrete—Other) <br />Proposed Work: (more than one <br />Landscape New Replacement (not in-kind) Demolition <br />box may b checked) <br />Removal of decayed existing siding,animal feces,bat habitat exclusion,beehives,mold,waterlogged and damaged material,removal of wet <br />Descriptio of Proposed Work: <br />celulose insulabn from within the war cavity.Installation of new fiberglass batt insulation.new exterior grade sheathing,tyvek house wrap,new lashings,new Celect Cellular Composite PVC Wood <br />simulated sidirsand architectural trim material.Construction methods to follow the manufacturers wnuen specifications.Please see supporting documentation. <br />Owner a•-pail: <br />modlincarrie@gmail.com <br />and/or Contractor e-mail: coachmodlin@gmail.com <br />X 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,if applicable.