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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:574/235.9021 <br /> *365 <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 1007A <br /> Application Number: — <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): 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 Contractor(s): Self 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--Government Industrial—Vacant—etc.) <br /> Type of Blilding Construction: Wood Frame <br /> (Wood Frame—Brick—Stone—Steel—Concrete—Other) <br /> Proposed Work: (more than one ❑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 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 and/or Contractor e-mail: <br /> 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,if applicable. <br />