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JUL 10 2018 MA <br />R eco <br />HISTORIC PRESERVATION COMMISSION • <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County—City Building, South Bend, IN 46601 <br />http://www.southbendin.gov/government/department/connuunity-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: hpcsbsjc@southbendin.gov <br />Timothy S. Klusczinski, President A Certified Local Government of the National Pads Service Elicia Feasel, Historic Preservation <br />Administrator <br />APPLICATION FOR A — CERTIFICATE OF APPROPRIATENESS <br />OFFICE USE <br />Date Received: 7 6 ( 2618 Application Number: 9019 <br />Past Reviews: b YES (Date of Last Review) <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date: <br />❑ Local Landmark <br />❑ National Landmark <br />❑ Local Historic District (Marne) _ <br />❑ National Register District (Nance) <br />- 0 7 oto <br />❑ NO <br />Title: <br />I Certificate Of Appro nateness: <br />LiDenied ❑ Tabled ❑ Sent To Committee ❑ Approved and issued: <br />USE ONLY <br />Address of Property for proposed work: 304 S Twyckenham Drive, South Bend, 46615 <br />(Street )Vumber—Street Name—Cit)—Zip) • <br />Name of PropertyOwner(s): Kevin &Aimee Buccellato Phone#: 5742887723 <br />Address of Property Owner(s): Same <br />(Street Number—Street Name—City—Zip) <br />Name of Contractor(s): Mark KOlodziejezyk Phone #: 574-520-2974 <br />Contractor Company Name: Simply Kole Remodeling Co. <br />Address of Contractor Company: 55475 Beech Road, Osceola, IN 46561 <br />(Street Number= -Street Name—City—Zip) <br />Current Use of Building: Single Family <br />(Single Famil),--Multi-Family—Co►nmercial—Gover7unent—htdustrial—Vacant—etc.) <br />Type of Building Construction: wood frame <br />(Wood Frame—Brick—Sion"teel—Concrete—Other) <br />Proposed Work: 01n -Kind ❑ Landscape ❑ New ❑ Replacement (not in-kind) ❑ Demolition <br />(more than one box may be checked) <br />Description of Proposed Work: Convert existing den on north side of the house (was originally an outdoor or screened porch) <br />into a glass porch (see drawings and specifications). (.: <br />Owner e- a : kevin@t�uccellatodesign.com and/or Contractor e-mail: <br />n/a <br />X �. and/or X <br />Silgnatu a of Owner Signature of Contractor <br />By signing this application T agree to abide by all local regulations related to project and to obtain a Building Department Permit, it'applicable. <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE- <br />• <br />