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V L!) C cw <br />Ap n� <br />r lication t <br />-FOR- <br />Certificate of Appropriateness <br />V iri ./ .. <br />EACE /j + <br />HISTORIC PRESERVATION COMMISSION <br />1865 of SOUTH BEND & ST. JOSEPH COUNTY <br />125 S. Lafayette Blvd., South Bend, IN 46601 <br />http: / /www.stjosepheountyindiana.com /departments /SJCB P /index.htm <br />p: 574- 235 -9798 f. 574- 235 -9578 e: SBSJCHPC@co.st-joseph.in.us <br />OFFICE USE ONLY » » »DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX««< OFFICE USE ONLY <br />LY <br />Date Received: � � �1" J Application Number: ZZ <br />vl <br />Past Reviews: ®YES ( Date ojtasrReview) ❑ NO <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date <br />❑ Local Landmark <br />❑ National Landmark <br />❑ Local Historic District (Name) <br />Title: <br />iEaJ _ UJk� ni S <br />❑ National Register District (Name) <br />Certificate of Appropriateness: <br />❑ Denied <br />❑ Tabled <br />❑ Sent To Committee <br />❑ Approved and issued: <br />(Please Print) <br />Address of Property for proposed work: 1130 E. Jefferson Blvd. South Bend, IN 46617 <br />(Street Number— Street Name — City —Zip Code) <br />Name of Property Owner(s): Louis and Jennifer Miller Phone #: 574 - 257 -3924 <br />Address of Property Owner(s): 54744 Winding Brook Drive, Mishawaka, IN 46545 (moving to Jefferson upon completion of work) <br />(Street Number— Street Name —City —Zip Code) <br />Name of Contractor(s): Len Mysliwiec (Project designer) Phone #: 260- 672 -2530 <br />Contract Company Name: Lifespace Design, Inc. <br />Address of Contract Company: 6607 Sweet Wood Ct., Fort Wayne, IN 46814 <br />(Street Number— Street Name —City —Zip Code) <br />Current Use of Building: Single Family <br />(Single Family Mailti- Family — Commercial — Government— Indaistrial— Vacant —etc) <br />Brick <br />Type of Building Construction: <br />(Wood Frame—Brick—Stone—Steel—Concrete—Other) <br />Proposed Work: ❑ In -Kind ❑ Landscape ❑x New ❑ Replacement (not in -kind) ❑ Demolition <br />(more than one box may be checked) <br />Description of Proposed Work: 1. Add dormer addition to rear of house above current sunroom to enlarge 2nd floor master suite. <br />2. Construct new 2 stall garage at the rear of the vacant lot located on the east side of the property in place of current shed. <br />3. Improve previously added screen porch at rear of house with more appropriate wood double hung windows and matching door. <br />_4. Restore arched windows as originally constructed in sunroom. <br />Owner /Contractor Fax #: <br />(Staff will correspond with only one designee) <br />X <br />Signature of Owner <br />e -mail: loumiller93(g)gmail.com <br />and /or X <br />Signature of Contractor <br />