HomeMy WebLinkAbout14050130 Application ;_ ; - .
p���:9T�sqNi4F
'. .t�.. l4qq!. �q
�a�"� ` � } CITY OF CARtiIEL / CLAY TOWNSH/P Permit # �4�5�L7�
- �/ PfiONE:317-i7�-2�4J
���� a � � 1 FAX: 317-i71-2999
ixo a� � �fEMPORARY USE A!?PLICATION
SALE O� FIREWORKS
APPLICANT INFORMATION
USA FIREWORKS 31�7-352-5990
COMPANY NAME: RHONE:
ItACHC:I.PI'I,EDDCRGR 488-308-6576
APPLICANT NA��IE: F.AX:
7RfH)RIiCORDS ST.,SUITIi A ...LLS,JN+b226_
APPLIC,�NT ADDRESS: r-. , � —�
� W ��.
PROPERTY OWNER [NFORMATION �U� �
[ � �414� � i
RAMCO GERSI�iCNS N I�'C � 61i-i31-03i3
PROPERTY OWNER N:�ME: ! PHONE:
�' !
---- ---- ;
PROPERTY OWNER ADDRESS �b�s wESr�.nNr:�ve.,urrea,�ici,wcroN,or�asz?i
oFi i i izoia-o�i i i izoi� ionna-inE��ti
DATES OF PROPOSED IISE: HOURS OF OPERATION:
TEMPORARY USE INFORMATION
US.� I�IREWORKS
\A!�[F OF BUSINFSS /ORGr\NIZATION:
1235 KGYSTONIi WAY
ADDRESS OF TC-�bIPOR,IRY IISE:
\VILL'I'HE STRUC'fURE BG USED FOR THE S.4Lf5 OP MORG'fHAY 500 LBS OI�fIREWORKS' YES NO
DOES'1'HG STRUCTURE ALRL:�DY HAVE A SYRI�KLER SyST6til INS'I'ALLGU? NO
HAS THtS STRUCTUR[PREVIOUSLY BEEY USGD FOR THG SALE OP PIR[N'ORKS? YO
CERTIFICATION AND NOTICE OF IN"I'ENT TO COMPLY
I HERH61'CEIi'I'IIiY'THAI'I HAVE T}IG AUTHORID'fy TO DIAKG FOREGOING API'I.ICATIO\,THAT'I'HF APPLICAI'ION AM1'D PLAKS
fILCD W'I'1'H�TIiG:1PPLIGI'I�10�AR8 CORRECT,�\VD TFIA'1"i'li[OPGR:\"�ION:\tiD CONDUC'I�OF'I�IiL"fE�iP012:1R}�USt3�VILL
CO�IPOR\I TO THI>REGIIL;\'�IONS OF l'HE C:\RbIELlO\ING ORDIN:IVCL FAILURE TO COMPLY WITH THF.TF.RMS AND
CONDITfONS OF 7'HIS PER,NIT MAY RFSUL'1'IN A Cll'AllO�AYD ADDITIONAL FEES.
� ��-�-�=1- ��-_
�� �si�+�zoi� LEASE SUSMITTGD sii+izoi+
sic�,crionor-arri.ic,�n-r u,rre siana-rwitsoi= rkoaria'rrow�ta o,�iE.
TEMPORARY USE
REGULATIONS AND CHECKLIST
SALE OF FIREWORKS
REGUCATIONS:
42515SALEOF FIRFIVORKS.TEMPORARY USE
?5.2�.OL The temporury sale oI legal Eireworks shall unly be pennit[ed in ehe aoning distnets permieting General Rernil Sales as per
Appendi.�A:Scfiedufe of Usti s;such uses�hall only be permit�ed as a Tempo�qry Use,mquiring a Temporary Use Permi�
272�.02 Legal fircwod<s�shull only be.sold From permaneoc s�memres meeeing the condirions nf tlie?OOi f�diana[3uilding Code(sec
3075)a�d?003 Indinnn Eire Code(sec?0?)
252iO3 O[ily one (1) Sile ot Firewuiks,Temporary Use Permi[shall be issued pe�p�operty per year. Sale ot Fireworks,Tempo�aty
Use Pecmits shall be issued[oc a ee�m not�o zxceed ehi�ty(30)consecutive days.
35.25.0�F� Signs toc Sale oF Firem�orks s11all be prohibi[ed zYCept as provided by Section 13.07-Oi-06:Signugc for Trniporzvy Utes uC this
Ordi�ance.
25.2�_OS Sale�oC Fireworks,Tempo�ary Use Pecmits applicacions shall include�.
A. Three(3)mpies af pecmit Iiom Indiana S[a[e Fire Nfars6all;
I3. Threc(3)co�ies olProof ofd�suruoce;
G Three(3)si[e plaus illustracing[he tollowing:
i. �Cucaeionofallstruccuces;
ii. Public righ�-nf-wayc and eascmcnts;
ui. Parkingspaces,�parkingloccirculatioq
iv. Location of proposed[emporary si�nuge.
D. Three(3)strucnve pluns illustra[ina�he�ollo�oina�.
i. Loc�tion of[hc firca-orks;
ii. Locationofsprinklersandexits.
REG U LATIONS:
• TEMPORARY SiGNAGE:A cemporary sign permit is reqoired which.allo�cs Eor ONE sign,a maximum of[liitry-two(i2)
square Eee[ i� size and six (6) feet in heigh[. �lus� no� obs[mct Visio� Clear�nce. Two (2) copies of siun informntiun
depic�i�g si_e and copy oE signage must be submitted wi[h[his application.Sign Permi[s must be applied for mncurrentLy
�vith this eempo�ary use perrcut.Tempo�ary Use Perinic�equires approval prior eo�ecei��ing tempnraiy si�n permit appro��al
(Carmel Zoni�g Ordin�nunce 4?5.07.03-Ob) �
CHECKLIST FOR APPLICATION:
I. ❑ TEMPORARY USE APPl1CATION: Two(2)copics of mmplered application are required.
2. ❑ SITH PLAN: Twu(2)copies are required which shows the folluwing information:
a. A-djaccnt public road riaht-oG�vay
5
b. Locatio�of tcmPorar�-busincss; shok-set back from the Pubfic rioht-of-way, minimum of?5'.
a Show number of an-site parking�spaces,site circulation, and�entranee drive.
d. Show distance from all existin�buildin�s and property 6ouniiaries�.
�. Location of�anv easzments wi[hin 50' of anv structure.
f. Show any cxtcrior IightinQ rclativc to tcm��orary business.
Location ma�>
.h. Suhmit Covenant that addresses the professionalism of thc operatio� (which includes but it not Gmited to
a��earance, up-keep, mainteiiance, ect And if a�iy ol'the covenanted issues are ciolated, the Permit may be
revoked at the discretio�of che Director.)
C Slio�r signa�c IocaHons on sitc plan.
j. Two(2)copies of si�n informatiou showinQ size of copv of si��a�e to be submitted with applicatio�.
3. ❑ FIREWORKS: If tcmporar�°nsc applicatiun is for thc salc of display ol lirc���orks thc follo�vina is addiLionally
' rc9uircd per 1y25.25:
a. Co���of�sion cle�-ation (eithe��icture or dia�rani) deNictin�si�n tlimensions.
b. Si�e Plan inust indicate the sign location.
REVILW &APPROVALS:
Thc Follo�vino DePartmcnts �vill rcvic�v and a���rooc all tcmPorary usc �crmit �ackages and mav rcquirc ins�cctions:
Buildin�.4z Codc Gnforccment, Nlannin�and Gonina and thc Carmcl Firc DcPartmcnt.
AVPLIUTIONItEVIFWEDL3Y: 'CE.MPOIi�ItYUSEPE�_ 'hlO���
51'IEINSPECfIONfEE �iO`L
416V PLMM�I I�LL 1�.Jll
�/c 2u , ,,,$.a�—
Vd�.�pI�NTIL "fOTdLFF.F.>1)lIC_ �(/1(Q�
Inspcctions:
Buildino and Codc G�forcement _ Plannin�and Zo�in�. Carmel I�irc Dc��artmcnt
Nores:
TO: CIIYOFGARMEL,DIVISIONOF$UILpING&cCODESETtVICES
TY OE CARMEL;y,FIR; E BEPAtRTMENZ
FAOM: ���P � 'I'i-4 C�� {2 r�{_{�-- _rrttc�(OWNgR(GIl2GLE ONE)
�� �i F�2 y�1�'Y'I�S iVAME OF BUSINESS
P�J���,+�5!'GfIZ 1r'�Cl� �ALIDRESSOEACIIVITY
DA2� � � �`�I I��I �
�SCIEJECI':. SALE�AND/ORSTORAG,E�OF�L4�G�(GLASSC)*F(RLLVORKS
Any stnaciure thaz is used[or the storage anc3/or sale uf 500 pounds ox.more(inctuding wrapping and paclzaging)of 1.4 G
(Class C).fireworks is an H 3 occupancy undec the 2�03 tndiada��Bullding Gode(see�3075)and 2�03lndiana F'se Code
(sec 20�).A spniilrler system shal!be m�,imd-fox anI3-3 occupancy and t}ie design shall not 6e tess chah tliac cequired
for an occupancy6azard classification of F�caa FIazaLd 2.
(1BC sec 9C73.2'.4.1,IFC sec 9D3:2.4.1}.
'1.4 G{Class G)Firegvrks mctude everyehing fsom sparklecs and gmund spinners to botrle rocicers,mman
candles and Eiiecrackees:
An application and plans foc the spdnkler systecn must be submitted to the indiana State Depazemeut of Fire and.
IBuilcLng Services,Plan Review Divisibn and a Consuucrion Design Rrlease must be�ceceieccl bSuie an"q.sPrinlcla system
I
ean be installecl
i' The Ci[y oEGacmel;D"zvision oEBtiilding aad Code Enfqrcemen[wi]I nnt issue a Certificate oE Occupancy
�l�T�t until all'Indiana State Deparmien[of Eire and BuIlding Services releases have i�eenobtained and a final
;
inspecriomhas beeamade by the Garmd Fire Deparuuent fot occupancy.
As indicated 6y my noxarizcd signature be3ow,I have been informed of(or am aware of)rhe applica6le Incliana
Building Gode and tndiana Fire Gode requiiements Fox�fie seorage an8lor'sate of L4;G(Class C)fireworl<s
i wi' �Clas .s
;; v���' /�---- �i�r' . �/ ��lecfcl�r�r
I, Sigoatucc of AathortzedAgent PrinC i�lame
r
(,J�S �r�wcrKs �I�- ��52 �99�
Gompany Name Phone Numbez
I -��11� �eEOr�S ��y� r"� 1nG�iC(Ylci�?o%S, I1� ��ZZE,
Aa�� Cicy,S te ` Zip
, ���.�/��.'�-» JCr�`� -S � a.�.
'�, Signature of Notuy Public � - Notary iVame Prin[ed
� llate ^;S1?Y�/3%
IGounty: :: �r:�i:;�-✓ SCOSj��p85
. � . � . — ��Ef�aYPaa�`,G�'�sO�q9,2�t'6
My Commission Ercpites: /° l�.r�/.F K�i 0�}�t�
�+°0m
�
�, .�.
��IIIII�HI�!�f��� .n, "" ' � a,�,
� � .�naausias.a� aavnossNVH�aaw �o �dii a3_'G
U�IVby IDSda
{:.
'' : 1i
� ___'"—___—_ °� F i
I ,
i °� j ±��� � ,
, : . „
� � , .�
;
- �� ,
,�;
_— �_ ;-�a, `^ i� ;;
„ - - ,., . a
_'� - p: ii9:i'"a = Mf`:: —
� .*��4 � � � � E��•IX , ia . � i.�,��� ','i — '—;�.�
--� a � I� � �'� � *�-: ��{�3- — ��
I �a ���
� �y— T ;' ,� � � !
I i� � � ',_ r�Q: ':� Ir tiq' �5�� i �, - �
� � x I 8'-�£° �e I z „- � — �:• I
� i � `°° I
I % . •tirt �� �s.'
i w j; ...
�- ��hl� i
_ � �: � . ,If , � � � I � 'i =
= y'�:, � � � u � i =
..4.��,A4�. ;oj �
I�J IIII I p-
�N � _ � � d � I m�I I I I I ���� � I e
� � ... i y I •�(�, � �
. � _ a ': s°?: �i i .� ��'J i �
� — � �: �:: _ � F�;! 3 � �� � i
i 1 i ,�� ... .J � i � i �� � ' I i i i ��
�:,1 � ` . r ' I�HH�{HH{f�� � � �
� ; ..
t.
, : ... . ,°,°,q i s:
' ,. ,
�
��' �;3 '- u � ��r -- �
��i � ;��o,.M... i �
�..�---- '� ` � �
j ^� !l :
W -
Lyl � g + ;:
: � r _
i �,�
i -
i � '
i ;
�i� �; ' � a
i ;+�- � r
� - '.i S��
r %< �
j ,� ���i
—--- -- j .,, , /. �
waa,.a7-., e.�� ��'-`
. iaw '�
'_'—"'_"'__—'"_"—"_"'—"'—'—"'_ '� '�i' ii
�'•��.,'v' %%
\�
'�� � � i
` \ \ i
•� '1 j
1
� „����-l,�{ '' d i �;�, 4 ��` �"�` �t�E
" ,�, , � �� .�g
��� alt',�, p `� y �� a t`:. �•y "� �a''� -y'Y��
Y
� ' � aj� ' � '� '� t� +it{_ '�`
� " �i: �t�'�u* i �t i t. . �p
�
_;�r.. � . §� i�� '� � ^:��, � �Tt
f [� y/� 'c.3
R � 9 � � .�1� �4 '14t � r•p kty� ��. �
�+ L #
�m �� # t'HL n��'d � � � ) � rA
� k�� 1 t a ��
, � ,
� K
Ixs� �� F ,� t� l� i �'� z � � t� i 4�'
y� [�- ' �� � i , k ..
�� �� - �� �' � .r � � .i
�� � � 9 x j ?« �� ..
�° � �� ' � t i , .cu
« � � ,.rt"� � € ., '��+s �+-�
y YJ.�
. � x' t
� ,�'' ��� � � q ��=r� ,� .
` � � �,�.
. ._ } � x 1 � �¢��: � � �.
v • � - r � z � � � �.
_ T^�' t ; � �'x.�tz� j; � � �,.�
. . �� s - ,,�' ' '� �- ` ,
� � f u �
� £ *d;. y��.�g �A —�y$� � � � � '�
�y� j M yI�qEy.�
� '�� �.�': � .� �� � ���� �;n r��Y.- Y�I�
—'k `� f[
"L#
P
� � Y
. . �i ,d�"r ��!< �,
�¢ � � f11 r �; 3 l f . � � �
� �, � i� �._ +(i ; �
; � � � '� : �k �� 3 . �t� �r
. 1 � �.
. '� � ,a:;
�' � '��� ; , ^�"�� � � �t
, -_� { '_ :�� � ��
5�1; .�"" �t ,'e y, ,II t� (��� ,,.�' � t�,sap
� 9 ' � i e � � � �'�. � � j�q�q
� �! y�' ' # �
� � � e
f Y .1,��'� tiP C . k�� Ll �y ��
� 1, �
i`�y� � �: ��.�. ? ������� �I�'�"' a��a�
d
f ,+
ar 3� i i_' ', � �_+it. � �� ,� '�e
�r . � �� r a�� �� ���..'
�'" d .' �-` � �r.
t � � 2 }�� 1'�' � k � �}y>�",� r �
��,�, � y
�'j f � �
���� � s�u�'; 1 � �a �,�,. '�'��,�, , m.m`;
� �F` ,� ::�� ig�' �,�J�_ 4 3��'t'� � �� � �
-c,
�� 4 1 6 � t.�� �� � t'�' � t
( i Ti' ? f h U�r�.�';'� 1��
i" �
°^- ' �.' . �, �'a ` .a �' �'Yy �i �}�+, `,y
�.;y 4��a. � �;�� �y"_"1��.. '`�<4.k�`���'1�� $�4'i".'�.t
.:C I
. �' - =���'a
SXOLLtl/�3l3ONtlSM/ld '�`M�
�O "��iiR. .�e.o�iiw�.� � I O �V II .' .�
+�:,:' II �uio�ia6�n8 s,�ppal i
�, __Id
o.,.,R.b, �--�
..��
@!�s�� � ��g j t , � ° � �, y
�,e ;tra �( ' �?� � 3 a -�6 � w
o ;�}e;tj� a � +�1��3 3 �y6° �y�� � � �S s� Y : �n 3 �' z I
z
� �s� �i� j � 3��1��� ��Y� s 4�4k i � a j f$ � � s � �� sy�' � 3 ��
f� f 5wr�3 i�ib 3�� �53 5 E��`�� �p F '� � �� � � �3 i�g� � y:
�z� g��w��{§. �a s�S i %x �°@�° ���i� � 1�� � ' � � � $3��€9 � � � � ��
7 °� 5 ] ga � S a i g,sq � 'f +� " � ��' r � � E
3 �€6, R � e . I � � - s
� x@HC pr�7 3� 4- y ei ��`4R 3 t��� a 3� o si 3 . � f 3� �
¢ k �# ! � �� p a k2 ° � j � � 3 a t a 7 3 r'�; �' �
5 �������= �ee�� 1` � "��� r �'js�$��a�,�i � ��.���as $ a191? � 9 �a �3 ��� � ,.� .
�Yfg—$'�1 F'� � � ���$ �. . , .� �_ � � P '3v ¢ 3-$-Y.a . . o:� � �� ��
�+ y ���8 iy o � a 3a� °�d ��f�i S o
� ��i -SdSxe� @�s P�.('`Fi$ ��a,3 an.od 9f�e6! �.����� � .ae. :+ �ia
o r,
h �G� p ��i
I�3 �� �f
r G "
C
■ ----- s �r �r --- - � I�
n � � ` }��`� ii�' �i ?�, 3._."� .� '�, I_�
� ��.�. s. � � � �a .
r � ��.
■ I:� - � L� � a; a �� ,s :� � ' � �I �
r`� � _ G ! �� � �o � ',� , =t � , S �
� j�- � �r��� ��rnr � �1�� � ��� _ ��� ��,
, ;,i ;� � ;
' i�r ! �°—i r—rr� �cc1
I� �; Sz 1��;�� �s 6�
� , ��� � � , � � � i� �. .i e iJ �� i
� � �2 � `_ � ,
� Y� ��
�■ '�� ���� i� �I � ��� — --�
�
;� � �v � n �� ��� ;� � ' i
' �� � � � � : � � �.
�■ - ,,, -
�
. . . . . . . . �� �
� i� _
i -� i' i ,�,
,.� - _ - ��
, �'_- `�r,� ; � = i _ �� ���
, ��V ' �! �� � � ,
� �
' ;J' � ���` ��`�=� `�' °�a,3 < �i
� �
' F_� ' � �.z2 `� £ ,*�2 "�3c� �� �. � �
n ' �:
, �
� � � : _ �-- <;, =, '
� � I
'.c i�
� �. F��� I i ��� 6y
` � 4 �, �g�� l = f �G" \ I V�.
a4' �� � - �'g . � � y�� � I
� "i �-i � �` ��� -- � ?&' � d�� .
"i ax � ��t ,� fl: ` .
r---�I
� .v `it.� « '� ,�i � � �I.
F L__ �- 4 "' , 9
� 0� : ;�'�� I,Sr:-:'— � � , ':Fe �"- �, i
\ i
C[TY OF CARMELlCLAY TOWNSHIP, HAM[LTON COUNTY, INDIANA
2013 SIGN PERM[T APPLICATION
REQUIRED 14ATERIALS: (Please submit OYE copyof the required materials) DA'fE RECEIVED:
• COMPLETED APPLICAT[ON(All blanks must be�completed)
• SITE PLAN(Dzpicting all dimensions,setbacks and proposed sign bcation)
• SIGN ELEVATIONS(Depicting all dimensions.copy and cobr)
• 6UILDING OR TENANT SPACE ELLV.4TION
o (Depicting Fron[age dimensions and proposed si�n location)
• LANDSCAPE PLAN: Required for ground signs
o (Depicting the planting area;plan[ marerials,mature heights and caliper)
SICN PER�IIT FEES:(Please do NOT submit check until pennit hns been issued)
• ADLS A�f�tEND�IE�lT:5100+$25 PER SIGN
• PERN(ITAPPLfCATION:.S93.50
• S[GN ERECTION OR REPLACEMENT: $37.50 PER S[GN FACE PLUS$1.90 PER SQUARL FOOT
1. SLGN PERMIT NUMBER:
s�c�coPV: sic� .aunaess:1235 KEYSTONE WAY
SICN STATUS: � NEW Q EXISTING SIG\DURATIOY*: Q PER�tANENTQi'EMPORAKY(*See H7 Di,claimers,pe.;)
SIGN TYPE: Q WALL � GROUND � AWNING � ROOF � PROJECTING � BLADE ❑ SUSPENDED
❑ PORCH � WINDOW � BAiVN DIRCCTORY � DI ION L � OTHER:
TOTAL S[GN AREA SQ. FT.: Reques'red 1 Pennissible: 1a VUbIBER OF [DES: 1 ❑ �O` „R 2 ❑
OVER.4LL SICN IIEIGHT FROM GROU�D:ZO SIGN AR I�IENS[ONS: � s � �
WALL SIGN %OF S ANDREL PA.��Lr: Heiohr. (Vfax ��) idtk (Max 8�%) (See Sign Ord. Visual Guide)
�Q 1� 25
LOGO DI�IE�SIONS. Fi.x/ ' FC.— SQ. FT. OCO PERCENT OF SICN AREA: (Max 25%)
(Logo dimensions and percentage only applies to Multi-Tenant Buil ings)
BUILDING/TEYA�7'SPACE FROY'PAGE: FT. Y DISTANCE FRObI \'EAREST R.O.W.: FT.
(R.O.W.stands for Right of Way."Che inside edge of sidewalk is otien the end of the R.O.I�V.(City's property)and a good spot to mea,ure from.)
BLUE, RED, WHITE
LAND ACREACE: (Applies only te Temporary,igns) SIGY FACE COLOR(S):
�
ILLU�IIYA'I'IO� il�IETHOD�NTERNAL�XTE[LYAL�REVERSE-Lil'/HALO NONE 0"IHER:
o ❑ ❑ ❑ ❑
BUfLDIVG'PYPE: COMMERCIAL RESIDENTIAL I,JSTITUTIONAL MIXEDUSE OTHER:
ARE THERE ANY EXISTING SIGNS ON TFIIS SITE?
WHAT WAS THE NAME OF'PI�IE PREVIOUS TENAN'f QF APPLICABLE)'?
SHOPPING CEY'PER OR CObIPLEr YADIE:
2. ZON/NG
ZONIVG DISTRICT: PARCEL[D#:
OVERLAY 7.ONE: 31 � 421� Keysrone�Pkwy.n Carmel Dr./Range Line Rd.� Old Town� Ylonon Trail�
Home Place Business Di.trict�_ West Home Place Commercial Corridor�
PRE�70U5 APPROVALS: RC.Docket It B7A Docket q
I
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, [NDIANA
2013 SIGN PERi�1IT APPLICATION
3. APPLICANT PERMIT NUMBER:
USA FIREWORKS 317-352-5990
�,��t�oH Busi�ess: r�io�e:
RACHEL PFLEDDERER rachel@usafireworksinc.com
COYTACT PERSOY: CONTACT EbtAtL:
7800 RECORDS ST., SUITE A INDIANAPOLIS IN 46226
ADDRESS: CITY: STATE: Z[P:
RAMCO GERSHENSON INC. 614-481-0353
PROPERTY OWVER: PIIONE:
COVT:�CT PERSOY: CO\TACT E�IA(L:
1675 WEST LANE AVE. UPPER OH 43221
ADDRESS: CITY: noi inir�Tnni STATE: 'LIP:
THE U�'DERSIGNED CERTIFIES THAT THC FOREGOIVG SIGNATURES, STATEMENTS AND ANSWERS HEREW CO�'I'AW[D AND THE
INFOR�IATION HEREWITH SUBYIITTED ARE I\ALL RESPECT$TRUE AND CORRECT,ANDTHIS SIGN WILL BE ERECTED rVVD MAINTAINED
fN ACCORDANCE WI'PN ALL APPLICABLE LAWS OFTHE STATE OF INDIANA.AND THE ZONING ORDINAVCE OFCAR�IGUCLAYTOWPISHIP,
INDIANA AND ALL ACTS Ab1ENDATORY THERETO,AND SFIALL BE ERECTED WITHIN SIX(6)MONTHS OFTHE DATF-0FISSUANCG ORTHIS
PERNIIT IS YULL AND VOID.
FURTHER. THE UNDERSIG�\'ED CERTIFIBS BY' SIGNING THIS APPLICATION TI1AT ALL REPRESEAITATIVES OF THE DEPART�tENT OF
COMMUNITY SERVICES ARE ADVISORY.�
L6ASE SUB�II'ITGD � `'� �����i�. .Q
� �_
PROPERTY OWtiER'S SIGYATURE* BUSINF,SS OWNCR'S SIGNATURE*
RAMCO RACHELPFLEDDERER
&
PROPERTY O�Wi ER'S YA�(E(pleas'e print) BUSINESS OW�ER'S NANIE(please prim)
*!f f�is��ot parsrblefor signanu�es on�his page.a letter ou cornpan v letterhead or an cmail with a companv sig�rart�re blockapprocin�the signage
wr(l be accepred
4. SlGN COtY/PANY/OWNER'S REP
USA FIREWORKS RACHEL PFLEDDERER
CO��IPANY NAb1E: CONTACT PERSON:
7800 RECORDS ST., SUITE A INDIANAPOLIS IN 46226
ADDRESS: CITY: STA'PE: 'I,IP:
rachel@usafireworksinc.com 317-352-5990
E��IAIL ADDRESS: PHO�'E:
06/04
ES'1'lb1ATEU INSTALL DATE:
X
I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBYIITTED TO TI-IE DEPART�IEN"I'OF CO�I�NNITY SERVICES
WITHIN ONE(1) WEEK AFTER ERECTION OF THE S[GN.
-O R-
I WOULD PREFER A-$123 fNSPEC'CION FEE BE AUDED TO'PHE COS'I'OF THIS PER,�IIT TO COVER THE COST OF
THE STAFF OF ThIE DEPARTMENT OF COM,VIUNITY SERVICES'iAKING THIS PICI'URF...
5. DEPARTMENT COND/T/ONS
THE FOLLOWING ITEitiIS L[STED BELO�V ARE COYCEIL�S BY STAFF OR PRIOR CO�Ib11Tb1ENTS THA'1' �IUST 6E
ADIIERF.D'PO AS A CONDITION OF'PHE ISSUANCE OF THIS PERb1IT(PLEASE IYITIAL EACH PPEM INDR'IDGALLY):
I) x
2) x
3) x
2
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2013 SICN PERMIT APPLICATION
6. FEES PERMIT NUMBER:
AD:�IINIS'PRATNE ADLS AMENDNIF,NT $100*$25/si�
SIGN PER;�[I"1'APPLICATION $9350
SIGM ERECTIOA' 537.50/sien face+�190/sf
INSPECTIO\ FEE(Required ifphotographynot provided) $1?3 OR Photo will be provided
TOTAL FEE $
PERb11T ISSUED BY: FEE RECEIVED BY:
RELEASED S'PANIP: PAID STA�1P:
7. DISCLAIMERS
APPLICAY'P,PLEASE NOTF.THE FOLLOWING:
PERMA�'ENT S[GNS:
• IF THE S[GN IN THIS APPLICATION IS A PERMANENT SIGN,THIS SIGN PER,�IIT IS APP20VED FOR THIS SIGN AT TH[S
LOCATION ONLY.
• IF THE APPLICANT RELOCATES AT A FUTURE DA'CE/TIME l'O A VEW BUILDING,A NFW SIGN PERMIT IS REQUIRFD
FORTHE NEW LOCATION. ALL FEES APPLY.
TF.itiIPORARY SIGNS:
• IF THE S[GN IN TH[S APPLICATION IS A TEVIPORARY SIGN,'PHIS SIGN PF.RM1tIT EXPIRES ON: .TH6
SIGN PERMIT MAY BE RENEbVFD ON THIS DATE FOR AN ADDITIONAL YEAR WITH A PERMIT BY RE-APPLY[NG.ALL
FEES APPLY.
• IF TFfE SIGV IN THIS APPLICATION IS FOR A GRAND OPEiVLVG/STOHE CLOS/NG BAASVER, IT IS APPROVED FROM:
THROUGH FOR A �U�XIMliM TI�IE OF THREE WEEKS. A SIGN
PERMIT IS REQUIKC-D; I-IOWEVER,NO FEES ARE REQUIRED. PERMI"I'RENEWAL IS NOT AVAILABLE.
• IF THE SIGN IN THIS APPLICATION IS FOR AN /NTER/b/B�INNER PEND/NC A PER�Y/ANENT SlCN, [T IS APPROVED
FROM: T HROUGH FOR A TFIREE MONTFI TME PERIOD.A
SIGN PFR;vIIT IS REQUIRED.ALL FEES APPLY. IT MAY BE REYEWED FOR AN ADDITIONAL THREE MONTHS WITH A
PER�IIT BY RE-APPLY[,vG�.ALL FEES APPLY.
8. CITY CONTACT
PLEASE DIRECT ANY SIGK QUESTIONS TO THE DEPARTMENT OF COMMUNITY SERVICES(DOCS),ATTN:
DRE�V ROSE\B�RGER,SIG\' REVIEWER RACHEL BOONE,PLANNINGADMTNISTRATOR
DROSEIYBARGERr7.CA&�IEL.IN.GOV RBOONEn.CARMEL.IV.GOV
CITY OF CARMEL P:317-57I-2417
D005.3HOFLOOR F:317S71-2426
1 CIVIC SQUAKE
CAR,�IEL, IN 46032
3
CITY OF CARMEL/CLAY TO�YNSHIP, HAIVIILTON COUNTY, INDIANA
2012 SIGN PERMIT APPLICATION
9. S/GN S/ZE CHART A: NON-FREEWA Y
Setback of Sign from Building Maximum Maximum
Street Right-of-Way Frontage Sign Height
(minimum of 5 feet) (Tenant Uuit) Area of Ground Sign
� - 50 Feet under 50 feet 30 s . ft. 6 Peet
51 - 100 feet 45 s . fr. 6 feet
I O L - I�0 feet 60 s . ft. 6 feet
I S L - 300 feet 75 s . ft. 6 feet
51 - 100 feet under 50 Eeet 35 s . fr. 6 feet
�I - I 00 teet 60 s . ft. 6 Y'eet
I OL - 150 feet 80 s . ft. 6 feet
I S l - 300 feet 95 s . ft. 6 feet
101 - 300 feet under 50 feet 40 s . ft. 6 feet
51 - I00 feet 75 s . ft. 6 feet
101 - I50 feet 90 s . ft. 6 feet
I51 - 300 Feet 105 s . ft. 6 Feet
Over 300 feet under 50 feet 50 s . ft. 7 Feet
S L - l 00 feet 90 s . ft. 7 feet
101 - I 50 feet 100 s . ft. 7 feet
151 - 300 feet 1 I S s . ft. 7 Feet
300 + feet I50 s . ft. 7 feet
l0. S/G1V S/ZE CHART B: FREEWAY
Setback of Sign from Building Maximum Nlaximum
Street Right-of-Way Frontagc Sign Height
(minimum of 5 feet) (Tenant Unit) Area of Ground Sign
200 feet& under under 100 feet 40 s . ft. 6 Peet
101 -250 feet 75 s . ft. 7 feet
over 2�0 feet 100 s . ft. 8 feet
over 200 feet* under 100 feet 50 s . fr. 6 feet
L01 -250 feet 90 s . fr. 7 feet
over 250 feet 120 s . fr. 8 feet
* For distances over 200 ft., the maximum sign area may be increased at the rate of an additional tive (5) sq.
ft. per additional 100 ti. of distance &om sign to the street right-of-way.
4
� 'LICENSE AGREEMENT
7HIS LICENSE.AGREEMENT dated:the�day oi �d'•� , 20�4 is made
behveen Ramco-GeishenSon PropeNes, LP.,.a Oelaware limited�partnership whose�address is
31500 Northwestem Highway; Suite 300, Farmington Hilis, Michigan�A8334�('Licensor"), and
USA Halloween Planet Inc.,dlb/a USA.Pireworks,whose.adtlress is 7800�Records StreeC Suite
A,�.Indianapolis, Indiana 46226('Licensee").
WITNESSETH:
WHEREAS, Cicensor is lhe owner of tBe�shopping cenier development known as
MerchanCS Square inthe ciry of:Carmel,Hamilton County.Indiana("Shopping Center"};and
WHEREAS�, Licensbr and Licensee have agreedihat Licensee.shall have the ngM to
use-that portion of the�Shoppiig Center kncwn as space Outlot F,containing approximately six
'thousand,six hundred, ninety-two(6,692)square feet as oNlined in�etl on Exhibit'A"attached
hereto("Premises'j,on the terr»s and condi�ions hereinafter set forth.
NOW,THEREFORE;for good and valuabla consideralion,lhe receipt and adequacy
of which a�e�acknowledged hereby,Ihe paNes hereto agree as follows:
1. GraM. Licensor hereby,grants Licensee Ihe license to use the Premises solely
for the�business of selling legal firewoYks,sparklers, antl novelUes��provided lha6Licensee's use
is,lawfuL Licensee may.set up.displays, stands,tables and other temporary Poctures within the
Premises, provided Ihat. if Licensee shall use a tent, Licensee shall not be permitted to
penetrate tfie��parRing�Jot.
2. Tertn. The term of.this �icense shall commence iAe-9at�en-�hict�6ice��e��s�apF�
.:..6..F..� '..�. ��e^°�]
FIEN�1�126-N6� 2F56@i(7-VKQIFlQ,- ' ° .• '
Bat�).on Juoe 76,2014 and sfiall end on July 9, 2014, unless eariier terminated as hereinafter
provided.
3: License Fees. Licensee shall pay�ro Llcensor at the address of Ramco-
GersRenson Properties, LP..Merchanfs Square, P.O: Box 350078, Bbston, MA
02241-0518:
(a) In�advance, . at
. ezecution:
7. 8ase Fee: the sum of $10,000.00 tor the��term 6eF-menth:
antl
.2. kl2iliHes-$—i..:T.m':.°.
-tec-utlli�j
ts-tpe�RreaNSes.
(b) `-_ o-.-�-w-��,�,�,... ,,.;-P�ersen.��ge��et-oa.es: ^� ., o.,,...�,. �
' �irs49a .. , . . r . , � � spall
� _ :,. _ _. .- ' , :� . . . �. . .. _ . . . .
� � �
i
4. Defverv' Conditio�of Premises AlterationrSiqnsand Advertisinq. Delivery of
I the Premises shall occur on the De6very Date, at which time Licensee shall accept -the
; Piemises:in their "as is" condition, it being,acknowledged'.antl agreed iM1at Licensor shali noi
I have any otiligation to make any improvements�or alterationsto the Premises. Licensee may
not alter.the��Premises in any Fashion,.ezcept'as�pertnitted by Cicensor+n writlng. Licensee may
.not.display signs or advertising in or�.on the Premises�or`elsawhere in�Che^Shopping Genter
unless the same shall have been pre`viou'sly approved in.wriling tiy Licensw: 6rceRSee's
In the
� event the Premises are used solely:for fhe purpose of�stmage; Licensee�shall piace black film
� (or such other�black coveraga material as.sliail�be:approved'by'Licensor prior-to application)on
� the�interior surface of all storefront windows:
II
I
I
5. Indemnitv Insurance and Prooertv Loss or��amaoe.
(a) Licensee�shall indemnify, defend and'hold harmless hicensor, its agents,
successors and�:assigns,from�and against alliia6ility,gost and expense forioss of ordamage to
property and�tor injuries or deaths of persons arising or iesulUng from the�ads of Licensee on or
with respect to Licensee's use of�the Premises. Cicensee shall�keep.in force and eftec[: (i) a
commerciai general liatiility iasurance policy,protecling against Gaims for bodity injury, personal
injury and property damage, with respect to. the P�ertiises and the business ope�ated by
Licensee and any other persons and entities conducting business in Ne R�emises, includirg
steam boiler insurance if applicable, and includinq producl liabiliry coverage, in which the limils
for bodily injury (including personal��injury and contradual liability)- shall be not less than
$3,000;000.00 per each occurrence ior bodily injury and property damage'combined and annual
aggregate naming the:Licensor�antl anyotFer parties in interesfdesignated by.Licensor as an
adtlitional insured. Such limds may�be acfiieved lhrough either a single primary po�icy orany
combination of primary.and�excess; and�(ii) Workers' Compensation coverage as required by
law and employers�� liability in§urance. All insurance required to be carried by Licensee
pursuant to�this Paragraph 5 shall be wrkten by responsi6le insuiance companieswith a Best
iating of aY.least A-:VIII: A certificate.of insurance cedi(ying to�the issuance of each paid-up
policy eJidencing such insurance shall be delivered to Licensor on of before�the date of this
Agreement and upon renewals not les§ than thirty (30) days prior.to lhe expira�ion o( such
coverage,and shall'provide�thaFSUCh�insurance�shall no[tie�cancelled'or materially altered by
either-party�to ihe.policies until atleast thirty(30)days after tho�receipt.by Licensor of notice,by
certifed mail,ret�m receipt.reques;ed,of tFe proposed cancellatiomor matenal aiteration.
(bj AII property of any kird, natura and description�, beionging to Licensee�or
any person claiming by, through or uoder Licensee, which may be in or a6out the Premises
dudng [he-continuancs-of this'Agreement,�is to�be kept in lhe Premises at the sole �isk and
tiazard of�Licensee,�and��if such property or any part thereof shall be destroyed or damaged hy
fire, the8, or in any other way or;manne�, no part of such loss or damage��is to 6e charged to or
to bebome by licensor,its��agents or employees for any reason whatsoever.
6. Waivecof Subroaation. Licensor and licensee shall each be released from any
liabiliry resulting�from damage tiy fire or casualty, irrespective of the cause of such fire or
casualty.
7. Rules and Re�ulations' Comoliance with Law. Licensee shall confortn to all
rules and�regulationsnow.orhereafteresta6lished byticensor forthe�general safety, care and
cleanliness of the Premises antl/or the Shopping Center, for the preservation of good order
therein; and tor the convenience of the other licensees antl tenants of the Shopping Center.
Licensorsfiall notbe responsible to Licensee for the actions�of any other party,inclutling other
ficensees; tenants, .guests or employees of the Shopping Centei and service personnei.
� Licensee shal(�comply with and observe all statues, ordinances, regulations, orders and/or
decrees of'the federal„state and city govemment, or any�departments, bureaus or agencies
thereof,whether now in(oice or wfiich may in the fuWre be�pmmu�gated.
8. Reoairs�and Maintenance. Licensee shaii have the duty�to maintain and repair
(inGuding replacement of paRs,equipment antl cracked orbroken glass)tRe Premises and all
I �appuitenances thereto, incWCing 6ut not limited to: (a)the.ezterior and-intenor of�all doors,door
frames, door checks; wintlows, window frames, plate glass, storefront, floor.slab, all plumbing
and sewage faalrties within the Premises. including free flov+up�to the main sewer line, grease
traps, hai(traPs; fimres, heating and air conditioning systems (whet6er or not located in the
Premises), spnnkler system, waiis, Floors, ceilings and all other'work performed by Cicensee;
�and(b)any,tlamage raused o[committetl by Licensee.itsagents, employees and independent
conGactors. Liceosee shall�iurthechave the�o6ligaGorcto repaii its damagetl�signs within five(5)
Idays after receipt ofnolice�[hat its`signs are in need of repaic Upon ezpiraGon of this License,
I Licensee'shail remove Its signs anii shalfre5tore Ihe Premisesand any areas damaged hy its
I signs to the same condition'that+e�cisted,at the commencement o`this License. Licensee shall
keep Ihe Premises and alibthe�parts pf the Shopping Center free from any and all liens�arising
out of any wodc pedormed, mzterials�.furnished and(or obligaUOns incurred by or For Licensee.
i Licensee, its agents, employees or�,contractorvshall not enter,upon the Shopping Center roof
without Licensor's prior written consent.
9. Trash Removal. Cicensee�shall store alhtrash and�garbage within the Premises
' and a�iange for`the regular pick up:.of such�:frash antl garbage aT Licensee's expense. If
I�� Licensor shall provide any.services orfacilifies for such pidc up (inGuding trash compactors),
j then Cicensee shall be obligated to:use the sama�antl.shall pay a proportionate share of the�
acEuai�cost therwf vrithin�len(10)'daysaNec6eing�billed Iherefor.
10. DetaultsoF Licensee and�Remedies�o(Cicensor. If Licensee shall fail to perform
any obligations��imposed upoqCicensee�.hereunder,R sFiall 6e lawful for�Licensor thereupon or at
' any time thereafter, at A5 opUOn; to enter upon the Premises or any parl�thereof by force or
otherwise, and repossess ihe same, and ro terminate [his License ard expei licensee and
those.claiming by, lhrough and under il, and remove its effeds (forcitily if necessary) withouf
being guilty of any manner of trespass. The parties hereto fiereby: (a)waive trial byjury in any
action, proceeding or counterclaim brought by either of�them againsh.the other on any matters
connecfed with-this��Agreement; and (b) and agree.. that ii suit be.�brought fqr recovery of
possession of the.Premises,for recovery of License F.eeaor any otBer amounf due under ihis
AgreemenC,.or.Cerause�of any�nther:breach by LiCensee.under this Agreement,and�a breach is
established, Licensee.sFiall pay to Licensoi all expensesincuved Iherefor, inGuding attemeys'
fees.
11.. Refocation�.Parkino. Licensor reserves the nght,from time to lime, to relocate
the area reserved fierein for Licensee's use. Licensee shall park such vehiGes as are
necessary to�its operations pursuant to this License Agreement only at places designated by the
Licensoc Licenso�reserves.the rigfit at any time and from�Iime to time.lo change�any or all ot
such designations, upon�hventy-four (24) hours advance written notice ro Licensee at the
Premises.
72. �icensors RioFit�to Terminate. Licensor shall have ihe right to terminate this
Agreement for anyreasodwhalsoeverupon lwenry four (24) hours �ays pnor written notice
thereof�tb�Licensee, afler which period of time Licensor shall have the same nghls as provided
fo Licensor under Paragraph t0atiove.
13. Hoidina Over, Any holding over after the expiration of thelerm of this License
with the consent of Cicerisbr,.sfiall be construed lo be'a license From month to month at a
license fee of 150%of4he4hen�currentiicense�fees pmvided for,in Parag2ph 3 hereof together
with alFOther charges�herein provid'ed and shall otherwise be on the terms and condilions herein
specified, so(ar as applicable.. In the event Licensee remains in possession of the Premises
aker the er.piration-of the�tertn of this�License without Licensor's consent, then, in addition to
any and all tights.Licensoumay have as a resull thereof, Licensee shali also pay to Licensor ali
damages sustained tiy Cicensor as a result of retention of possession by Licensee,inGuding but
not limited [o the loss of any proposed su6sequent licensee or lenaN for any portion of the
Premises.
14. SecuriN Deoosit Cicensee agrees to provide Licensor$1,200.00. as a security
depagif,;due upon�.signinglthisAgreement. Licensor may tetain all or any�partrof!he security
depasitlo compensa[e for any-damages; unapproved changes, alterations or additions to the
Premises�. If the Premises.are�surren8ered undamaged the security tlepositshall be�retumetl to
Licensee within thirty (30) tlays after surrender o( the Premises, less�any sums then �due
Licensor. �
i15. Subordination. This License Agreemen[shall be subordinate to any exisling and
I .future mortgages cove�ingthe�.Shopping Cenler.
�
16. AssiqnmenL This license Agreement shall not be assignedbyticensee without
th@prior wnttenpermission�of�Licensa.
17. Entire Aareement. This Agreement wnstAutes lhe entire�agreement oi the
� parties hereto;�all prior�agreements beiween�the parties, whether written or orai; are merged
� herein and shall 6e of no force or effect This Agreement cannot becFianged, modifed or
discharged orally�but only by��an �agreement in writing, signed by the party against whom
enforcement of the change;modfication�w discharge is sought.
18. No Recordino. It is expressly untlerstood,between the partias hareto that
�. neithecthis Agreement nocany Memorandum ofthis Agreement may be recorded.
i� 79. No�Prooertv Interest TAis Agreement is and is intended by ihe paRies to be a
1 mere license, not a lease.,and,it tloes not grant or'create any real"property interest to�or in
iLicensee.
i 20. Liabilitv of Licensor. I( Licensor shall tail"to pedorm any wv:nant, term or
condition of this�AgreemeoC upon Licensors partto.be peAormetl, and it as a,consequence of
i such tlefault Licensee shall racover a�money�judgment againsCLicensor,sucti judgmerrt shall be
'� satisfied only outof the proceeds oF sale received"uport:execution.ofsuch judgment and levied
�� thereon against the right,title and�interest o(,Licensor in.tfie�Shopping Cen[er and out of rents or
I oiher income from suchpropertyreceiJatile by�Licensor,or out 6f the�consideration received by
� Licensor from�the safe�or other dispasi{ion of all or.anypart of Licensor's right,:title and interest
, in the�Shopping Center, and neitfier�Licensor nor.the general partner or any�o(the other
partners comprising the partnarship which.i5�.the,Liceasor herein, nor anyshareholder, Uustee;
afficer,empioyee or agent thereot,shall,he liable for any deficiency.
3
21. Buildina Permtt� Certificate of Occuoancv. The Licensee is responsible for _
oblaining any.building permBs required by the local municipality(including the payment of any
fees associated therewith) and obtaining�an uBconditional Certifcate of Occupancy prior to
opening for business. A copy�of�the uncondilional Certificale�of Occupancy shail be tlelivered to
Licensor uport2ceipt by Licensee.
22.. Riaht of Entrv. Licensor or Licensots agent s�an have the nght to enter the
Premises�at albreasonable�times lo examine same,.and to show them to prospective purchasers
or mortgagees oFthe�6uilding,and�to make suchrepairs,alteratians, improvemenis or additions
as Licensor may deem necessary�or desireble.
IN WITNESS WHEREOF,the paAies liereto have hereunder set their hands as of the
day and year first above written.
WITNESSES:� Ramco-Gershenson Pmperties,l.P.,
a Delaware limited partnershlp
___�5,'7',�'�f%' s� By RAMCO-GERSHENSON. INC.
7 Its: Aulhorized Agent
vi�.v_ !%�.°�s.�.� BY: -!�'�
Michael D. McBride
I[s: VP of Asset Management
I "LicensoY'
WITNESSES:- USA HalloweenPlanet Inc.
', d/bla USA Fireworks;
I an Indiana corporation
I �� � BY ��
�v�s-1 l�aw"x.` BY. �r m tt'"t
"licensee'
�
I
I
I
I
I
�
I
i
i
II,
j
�
�
�
� OAKLnND.15899S9.J
i�{�Mil�&RtnififH ,� �^� ':: � o<»n
� � �wausi3seai aavnas�s�HVe�aaw �u �au a�o�
irsnq��v )1 W t'y 1056e
1:
i.' � -.ii � �,�
r 1 �� �
I � �
_ d
� 'f_ � ?.� � 5 ���
-- I ' �` !a'i
'__ � y�`"� ��
�,\ f'31 s� �^ �S'(
, f9 a ) y 1
n R i 5 t.. ' . : E
� � �' -- i` ; --
z m �� r � � ' ' — z
' �°� s � �.� � � 3- ,�.. � �,.i-��> �,.
_J � ,� �'� � `�;�:,_ ,�`� '� ' '" !�
� 3��
� , .� � �T- s', J ` � � � � — I �.
� �,n,—,
!� rt � t s�4, �i ��� � . { � � � , • ;
i z � � _ .1�; s,� ; � � ?' �i �
a � - . —
� .- � �; � �� �H}i{ - ,� �
� �3� i.' � �u �� � �I — i _
;�� ..�..�'. _ :"�,: ���� �� u �� � �'I °�; �
� � � a , � � � � � � � 'a� ;
_ � � ; , �
; = � i; " o., � "'�u`� ���� �
�
I� � � � i#� a � �� ��� i
� °" � '
� � � � n � ������ �
. ii ,i�.,� .J i i unw w �
r
� n i � �»� il '
�s.l , I �� � � � � � ' j
��
;;j ;3� � � �� � � � � --- � '
� Sr ����„M�. i �
��-�---- - �--
i9 � � �
L!1, ' � + '
� � ��yr �
� � �I 7
ry � I '
I y�Y
� •�' �' ' u
C / �.
rJ � � /
� � C ./,//'�i/�.
.. 'I ....�...� h /� /'
1nIapTJIPaWt3waaJ �4� ll
. _�. \ �\ ' :� %�
�'\�..V! /�%
�\ i %
\•� � %
\'1 %,
1 ,\ ;.
,
usn riK�woatis
1235 KHYSTO�IL WAY
CAR�IF,I.. fN 16032
.,,,<: '° «�., ...
,.� � ., i u ���a �.�� �
� '.3 � .:,.`�,. � ' ,x:'"` r e .:'�� x_�9 �r. . ��Lt �� . . . n s�- �'
., �
e , �� � '
r� _ �
�,-x. s a a. • �.5m..�,+� u -i, �"P§ _ ' ...� •.,us,'�'_� `�� ���
, . r 4.: -. # � nY. F..r .n .v...,x ' 'A .�'+�SiX� . .
$+-'
, �.. �
.- _� . _ � q �� 3+w'� €.�"
a{�,�;� 'd.�,����2§+_,� ���"�� a?' `�`A�.�=����Qc�hz e�^:±,�i i�,�5'(i1�i�� � �Fp�x.`�'� +�r li ,.� � r .*�k i���,�. �` � 4 i�
R 4: '.� .�a' .
� � �. �j$ ����� K �� �
� �����'�� ,��,�� '�������,�A � � �� ` i ;�� �:�.
�� '�! � � t �,�0�� �
� �e� �, ����t,�i i � ���. ,,�� � �:�< � � � � °��'" ,.-
� �T
� �:.:�� 4`�' €�R�� �( '� �'�� �' � � � '��. �.
- i a f. ;� � . . � �,_,n
. �F
_: . . - • r a . :.;:. ' � ,,�� .<
�t '�'� .�'` � � ��'.. �� 7 "� , J. � . - ,
' �Ma�. ..-3,...� _i' r.t. n. .. . . . . ',., •. .�. � � � :�_ rr�. ..
�... � ��,. '. - �: .. . . .._.�;»
:i?
�
� �� r
i �
�r e�'. a. � � . �',����
� �,G G:.'�.w �'' �*l� f '?'i�,t+ v '.
.
:: ,..
- . ,. o_ _� , � . '" �'�- . iF?'
�
� . � . mvv . , ._ . ' ' . ass .� . ... , ..
r . _ 'ef','. a,r ,,. �
.. . . Fr :a� n' .. v •
. _ , e -c_ ,♦ .:y,� ' ,- . n
.. � ' .: � _ . . ,-
.. a , . Po: . . . ' �_.
V. S'�(
M
� a
't ..u�* Y- 'K
. , 1 _ . . �. _ . rt
.. r p� u t
� ,.. ,. .. . _ . :. .
4
, "
. v
� �. �.
.. ; . . � :+ .. .:,k
ACOR� CERTIFICATE OF LIABILITY INSURANCE DATE�MMI�DIYVYV)
5/7/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPOR7AN7: If the certificate holder is an ADDI710NAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the lerms and conditions of the polity,certain policies may require an endorsement. A statement on this certificate does no[conter rights to the
certificate holder in lieu of such endorsement s.
PRODUCER ON AC
NAME:
BrittonGallagher PHONE FA% 7101
One Cleveland Cen[er, Floor 30 - nrc No: -
EAIAIL
1375 East 9th Street nooaess:
Cleveland OH 44114 INSURER 5 AFiORDING COVEMGE NAIC p
INSURERA: �g$Uf
INSURED INSURER 8:
USAHalloweenPlanetinc. wsuaeac: v mnirylnsuranc. �_ I
dba USA Fireworks iNSUrseao: I
7800 Records St., Ste.A
Indianapolis IN 46226 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:213246976 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF WSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I
INDICATED. NOTVJITHSTANDING ANY RE�UIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
E%CLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CUlIMS.
INSR A � UB POLICYEFF POLICVEXV
LTR T'!PE OF INSURANCE INSR NND POLICV NUMBER MMIODIYVYV MMIDDIYVYY LIMITS
C GENERALLIABILITV GLbind2r /1/2014 �It/2015 EACHOCCLIRRENCE $1,000.000 I
x COMMERCIALGENERALLV.BILITV AMA E R ED IS500,000
PREMISES Eaocwrrenca I
CLAIMS-MAOE �OCCUR MED E%P My one persan) 3 I
PERSONAL 8 AOV INJURV 31,000,000
GENERALAGGREGATE 42,000,000 I
GEN'LAGGREGATELIMITAP�PL�IESPER: PRODlICTS-COMP/OPAGG .52,000,000
PoLICY� PR� �^ I LOG g
RUTOMOBILE LIABILRV
Ea actident
ANYAUTO BODILVINJURV�P2r0arsan) $ I
ALLOWNEO SCHEDULED BOpILVINJURY(Peracciden�) $
AUTOS AUTOS
HIRE�AUTOS A�TOSWNED PR�O�PUR��DAMAGE 3
$
A UMBRELLALIAB X OCCUR EAU753088 �/1/2014 �!1/2015 EACHOCCURRENCE 34.000.000 I
X E%CESSLIAB CIAIMS-MADE AGGREGATE �54,000,000
DEO RETENTION$ I I i I
g WORKERSCOMPENSATION �TARIN33388QN) /102014 /10/2015 X WCSTATU- X OTH� I
ANO EMPLOYERS'LIFBILITY
ANYPROPRIETORIPAftTNERIE%ECUTNE❑ H�q ELEACHACCIDENT $500,000 I
OFFICEWMEMBER E%CW�E�4
(Mandatory in NH) E.L DISEASE-EA EMPLOYE $500,000 I
IfyBS,tl85tnb2vn02r
�ESCRIPTION OF OPEftAtIONS below E.L.DISEASE-POLICV LIMIT 5500.000
DESCRIVTION OF OPERAilON51 LOCRTIONS I VEMILLES (ALLach ACORD 101,Atltlitional Remarks ScM1etlule,If more space ia�equiraE�
"Add itional I n su red'`
Stand Location: Merchants Square
Stand Operator's Name: USA Halloween Planet, Inc.
Landowners Name: Merchants�450, LLC
Additional Insured: Merchants 450, LLC 8 Ramco-Gershenson, Inc.
CERTIFICATE HOLDER CANCELLATION
SMOULD ANV OP TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Merchants 450, LLC ACCORDANCE WITH TME POLICV PROVISIONS.
31500 Northwestern Highway
SlJ1IE 3OO nUTHORIZED REPRESENTATIVE
Farmington hilis MI 48334 ���
OO 1988•2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
' 'YEHI OF ry�bF
`�a Indiana Department of Homeland Security (IDHS)
- ` Division of Fire and Building Safety
Certificate of Compliance for Retail Sale of Consumer Fireworks (as defined �n iC 22-i i-ia-i)
Certificate Number: n u �m x Year� i i �� li -;t�. c
� � `t . � &� y,�� x ��� � � i'° �.
r� ,. ,rvd iro'Qt v r�{ *� � �� � �.
F4VT25927 � ,� ,� � � �.� _. � a , s2014-^�� � �� �, "�'� ���:
���i,„.,• �r � , a.- ,�"�p" * .�v`,�T' i `"� �e �E. `�'
a � ,i.%.,�c- �4z;f Jxt n�?iJ'a, °�n' ��`{.:T 4 �' u .•
Retail Type: �' � "9 � P r � � �;
-c ,3�`,�. m. t .�- 1 ��l ,�y� ii-T
�rfi i+ � `� f��yt"'' 'r'a�a �' �''�"'wi`� , �.�!h # �it� �
,f �
N2W � ,,t� �.�P y �t!T "`�� :`�S.'�".v a�z.�.'u..m �'".��'-�,�« � .� ��'�.
�+ �� �'t .. 4'. � �;�a�'=:�'� ..m /'�,k b r�r'�4� �` �,�>.
� ,�{` �,. .� �ey g ty�.a� �p� �, � „�,�o,. � . .,.�
�n i il''nfe' ! H 8• F L4 CS't� Oi � ..�Vi x ssq��. �^}� L.�
Pursuant to IC 22-11-14-5 this Certficate of,Co'mpliance;for Retail Sale of Consumer Fireworks is issued to
the applicant listed below: .;;,�'°--'s-`'f '�`'"�"-�-� ` i�°= �° ��„ '° Q `4'�
� ,� '� , :�_n° �' ` ti.
:a .d �` t�7 1�.��sS �� n w�`�'g h:.��x � �s 7
USA HALLOWEEN PL�ANET.;INC r x -
, r r w t . +�+n� � � -s,8 � ,�t�a �'�'�G. �` ..
1235 KEYSTONE WAY - -� ��; '� � ,: ` � `���� -. � �'�a�' "� �� �.�.,
CARMEL�, IN 46032 = ` i �, � �,s.�'' �� ` � ��'� � § �k�,�u,, r
yy ��� y L� NEY �f.i i�rv 4� � �' �'"!{��y� p ��
F}�./
�Y a.}�T - � r � �3 k E�,t . �fl5 � 4
This Certificate of Compliance foraRetail Sale of Consumer Firewo�ks expires,omDecember 31, 2014
='�°.Sd ) ,p,x a uj'a° � t� "'" 'Y& _" .09�^..� .
. Yti '� +�af�4 i F � .�y�i .. � : '�t }�i�i�^.^`
r << >-n „i[y e�(t`3°' �q'. v .,,�.`"71 .,r.r'� 4� .r^ �:": :.k
This Certificate of Compliance for Ret`ail Sale of Consumer Freworks is not transferable except to a
subsequent owne�or operator of a fireworksbusiness at the above location in accordance with;the policies and
# r
guidelines of the State Fire�.Marshal. '�` ;� _.-'� .
� � b � '`
3 S�
�A
This Certificate of Compliance for Retail Sale of Consumer Fireworks is valid.'only,for�a?tent or a structure at
� .
the address listed above.'A separate Certificate of�Compliance�for Retail Sale�of Consuiner Fireworks shall
�
` -» .� - ' � � �
be obtained for e_ach tent''or structuyr�e in which,consumer fireworks#aie"sold � }2`�' ';:� �' ;
� F k.t 3 F Y P � �!P I P R �
4 � � � y f .1'
�
� � .G"b 1' �c... ���}b+ t U .- .A"s �q.y� ±)�'t\ d�.-.tb.�At.�tM �} L'_ _ ..
X
��J t� 1 `� sF f ' F �� {
James L Greeson,;lndlana Sfate Fire Marshal n �� a Date P� �fi . iE -, a.. ; ;` d
. . � M . m� � ��, a , .'•� +� � � : ,� _s== . .r
p � h.4s^� uAi ���;�S� ��y d ' h? a,;E Sc - �
�.a°/�,.«..,/ ,.� "' �� .� ,�. b � v '", �, '. y05/13/201��4ya, �,
�r x
.i-, . ,�a..,.�...}i '�.:u`fivi� p '.-..; ¢i��sb -.��wyrc.S�=l a
9�' �xxi ��t�!v� a y x��i uaro� a�'� �- �4 46'+'� '�y �
b
�,�t � _i .b`�S � ��°sv,�- �¢.,Ta si�xu �+.�.� ��.�
� 1 ryJ.
«e 1s :.G� ..o�, ,i ;; T k,-�'� t a �r'. s + :���.
°`'� a� ey�.uti '�x *.t�'� �"p ,$ a ;�°t. a �. .: •-
k, _ }c. a�,�e fi"�;=Sx.fi r�iu�� o,R`,� +t"s::.j.
` ' aw�
. � atk a�M�, 3 �,`$.�,4 s a� A.�`y. 1��;+u`�'sR e .v-,a'
:n�'wt �y?�, �„..,�y ¢ ,�� .. '�2 .'yS�. � .y .` =t'_/
� �.. . �.' .��,."'�' . .� t�:
�
USA HALLOWEEN PLANET INC
7800 RECORDS ST
SUITE A
INDIANAPOLIS, IN 46226 (page 1 of 1)