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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 46601 <br /> �� .e htt ://www.southbendin, ov/ overnment/de artment/communi -investment <br /> P g g P tY <br /> 865 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: 10/7/19 Application Number: 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): 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): 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 ❑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: modlincarrie@gmail.com and/or Contractor e-mail: coachmodlin@gmail.com <br /> .�. <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. <br />