HomeMy WebLinkAbout14060053 Application 4
\�Y a faRr,i`
F�xTttq� �
� CLTY OF CAR�NEL / CLAY TOWNSHIP Permit # ���1lcU�'`?�
,�. PHONE: 317-571-2444
.`...�.r�"����..:: . FAX: 317-571-29Y9
rxuuxP TEMPORARY USE APPLICATION
SALE OF FIREWORKS
APPLICANT INFORMATION
USA FIREWORKS 317-352-5990
COYIPANY NAME: PHONE:
;\PPLICANT NAME: RACHEL PFLEDDERER FAX:
7800 REC T� , INDIANAPOLIS,IN 46226
APYLICANT ADDREJ�:
PROPERTY OWNER INFORMAT �U� j
Phillip Lande B 2 '1���`� � 317-290-7653
O WNER NAME: y ONE:
9699 N. Michigan Rd., ln i IN �
OWNER ,\DDRESS; ''=�;' ,-..,
,�:
D:�TES OF PROPOSED LISE:
06/11/2014-07/11/2014
HOLIRS OF OPERATION: 10 AM-IO PM
TEMPORARY USE INFORMATION
VAME OF BUSIVESS /ORGAVIZATIOL�': USA Fireworks
W ILL THE STRUCTURIi I3G USID FOR THE SALES OF MORE TH9N S00 LBS OP FIftGWORKS? 'YFS ��O
UOGS-IHESIRUCTURE.4LREADYHAV8A5PRWKLGRSYS'fEMINS'I�ALLED? yE,.S� �O
HAS THIS'STRCiCTURE PREV'IOUSLY BCGN USED FOR THE 5.4LE Ok AREWORKS? YES NO
CERT[FICAI'ION 1�AD 1�"OTICE OF II�TENT TO COMPLY
I HHRF_6}'��R I IFS l'HA'I'I HAV6THF AUTHORIDTY TO MdF:H FOREGOIVG.�PPIICATIOS,TH:Al THIi APPLIG9TIOV �V'D PI:ASS
Pil_F_D WII'H'1'HE.APPLICATIOV dRF CORRECT, .�VD l"HdT'INE OPERATION 9VD CO�DUCI OP THETHMPORARY LISE bvILL
COMFOR.'N TO THE RF,GUL:ITIONS OF l'HE CARS1ELZONIVG ORDIV.AVCG. FAILUREi'O COMPLY WI'CH'CHE TERMS AND
CONDITIONS OF THIS PERMIT MAY RCSULT IV A CITATION rtiD ADDITIONAL FCES.
f�� � . � 04/OY/20I4 ,��J�7 . r .u/� �
v�tii7iu�oFaa¢t.icarvr�—_ �,L �4°. P' � �°� Od/30/?014
�+rF �icn�'ruknorruoreiri�o���ti< i�are
TEMPORARY USE
REGULATIONS AND CHECKLIST
SAL[OF F[RL��02KS
REGULATiONS:
42525 SALE OP FIREWORKS,TEMP024RY USL
_'S.2�.01 The tempo�ary saLe of Legal fireworka sh;xll only be prrmiuc�l(n the -nnln��liv�ric�s pennS«in,�,General Re�ail �ale, .ia ��cr
.1��a�ICcA�Sei�e��ulco(Llsers;such uses shall only be permitced as�Temporury Cse,cequieing u Temporary Gse Permit
23.?5.02 Legal fireworks shall only be sold E�om pe�manent strucm�es meeeing the conditinns nf[he?003 Incliuna f3uilding Code(,ee
3073)nnd?UO3[ndiuna Fire Code(sec 10?)
'_�2�Oi Only one(1) Sale of Fireworks,Tempora�y Use Pe�mit shall 6e issued pei prope[ty per year-Sale of Fireworks,Tempor.�ry
Cse Pe�mits shall be issucd for a cerm not to esceed chirty(30)consecutive daye.
'_5?�.04 Signs Lor Sak oL Fre�vnd<s sh.dl be prohibf[ed excepc as provided b��S c[ini 2�i17A`3 Jc Jignnye�or Tonpoi�tn�l.lscs �,f[hi�
Ordinance
2�?5.05 Sale of Fireworks,l'empocazy Use Permits applications shall indude:
A. Three(3)mpies of peanit from Indiana S[ate Fi�e�Iar>hall;
l3. Three(>)mpies nf Proof o[Insurance;
C Th�ee(3)si[e pLnns illuserating the follo�vi n�;:
i. Lncation of all s[ruc[ures;
ii- PuMicrighc�nPwaysandeasemen�s;
iii. Parkingspaces,pe�kinklo[cf[cula[[on,
iv. Location olpropused temporary s[Kna�e.
D. Three(3)s�rucmre pLans uluscratina the follo�cin,��
C [nca�on of chc fire�vorks:
u. Coca�iunofsprinklcrsandesi[s-
REG l'I_�TIONS�.
• TEMPORARY SiGNAGE: A temporary sign permit in requimd�vhich allo�vs for O�'E s[�n,a masimum ot thu-q� [��'o(3])
�qu.am Eee[ in size nnd six (6) feet in height. �fusc no� ob�crue� Vuion Clcirance. Two (2) copiea o[s[�n fnfocmauon
dep[cting aize and copy of sionage mus[ be eubmit[ed wi[h[his�pplica[ion. Sign Petmlts must be applSed tnr concurrendp
����h this Cempocary ase pennit Temporary L'se Per�nit requires appmv�d pnor[o reccivin,�,te�nporxry sian penni[appro���I
(GarmelZnnin�Ordinanance�s29.U703 i�b) �
CHLCKLIST FOR APPLICATIOV:
L ❑ TEMPORARY USE APPLICATION: T�vo(2)copies of crnnpleted applica[ion are requfred.
2. ❑ S7TE P[AN: Two(2)cupies;�re required which shows the foLlowing infurmation:
a. Adjaccnt Public road rioht-of-�vav
h. Location of temporarv busincss; show-set back from thc pub(ic righhot-wav, minimum of Z S'.
�. Show number of on-site parlang spaces, site circalation, and encrance driae_
d. Show distance from all existing buildinos and �ruperty boundaries.
��. Location of anv easements within SO' of anv st�vcture.
f. Show any extcrior lightin�rclativc to tcmporarv bus9ncss.
Location ma�
h. Submit Covenant that addres�ses thc professionalism of the operation (�chfch indudcs but i[ not limitcd to
aPpearance, up-keep, maintenance, ect. And if any ul the c�ucenantrd Issues are �iolatcd, the permit mav 6e
rcvoked at the discretion of the Dfrector.)
i- Show si�nagc Locations on sitc plan.
j. �Rco (2) co�ics of si�n infonnation sho�vi�o sirc of co��� uf siona�c to bc�ubmittcd �+-ith applfwUon.
3. ❑ FIREWORKS: 11 tcmPuran� usc apPlication i, R�r thc salc ol'dis�lav ol firc�corks dic fi�ilo�rfuv is additionalh
rcquircd per�25.25: -
a. Cof�y uF sign elevation (either�iciure or clia�*ram) depictia�si�n dimensiuns.
b_ Site Plan must i�dicate the si�n location.
REVIEW & APPROVALS:
Thc tollo���in�v Dcpartmcnts �cill rcvic�ti� and approvc all tcm�orarv usc permit �acka�r. and mac rcyuirc. im��cctionv:
Buildina S Codc Enforccmcnt, Plaminp�and Zo�ina and thc Carmcl Firc Dcpartrncnt.
IYPLlG11 (>V U1'lI�1tiCUH1'. ��ENVpIi:IItY�SEPEE _I�D��"'
SI'f61V5PECIlON 1'Eli�. I I-1�o0
ti1G]PEµM��h146- -1���
� � zR�oo
,�������,����� �� � G^(a�,.00
��„�„�t����,,
Buildin�r and C.odc G_nforccmcnt _ Planniuo and Zu�in� Carmcl I�9rc Dc�artmcnt
V(l I F9�.
TO: CRY OF CARAREL,DNISIO�I UF BUICDING�CODE SERVICES
CLTY OF CARMEL,FIRE DEPARTMEM
FROhi: �CHEL PFLEDDERER Appu�q�-�Ow[v�R(cr�tCl.F on�F}
USAFIREWORKS �N,�EapgUSm�ss
4004 W 96th ST. ,qDDa�ss oFncnvrn�
DATE: 4/Q9l2014
SUI3JECC: SALE qND10R SI'ORAGE OF 1.4 G(CLASS G)*FIgEWORKS
Any scruccure rhac is used for che scorage a¢d/or sale of 500 pomids or mom(inciuding wrappin�and packaga�oE 1.4 G
(Class C)firewarks is an H-3 occupancg�iu3er[he 2(Ra3 Indiana Buildiztg Code(sec 307.5)and 2C1U3 Indi�uz Fue Code
(sec 2�2).A sprinlz�er system shall6e required foc an H-3 occupancy and the drsign shall not be Iess dian diat tequired
Euc an occupaiuy hazard dassiEicatlon oE E�ctra Hazaid 2
(IBC sec 9031.4.1,[FC�ec 9031.4.1).
*1.4 G(Class C)Firewnrks include everything Cspm sparklers and ground spinners to boetle rodzecs,roman
canclles and Iimcrackers.
,4n application anc3 plans foc e6e sprinkIer sy.4cem musc be;ubtuitted m the Indiana State DeparttnenC of Fire and
Ruilding Setyices,Plan Rcview Division and a Consnvcnon Design Retease mus[be teceived 6cf'ore any sprinkler sy�stem
can 6e installed_
The City of Carmel,Division of Buildmg aua Code Enfnrcement will nnt issue a Cercificate oF pccupancy
peimit until all Indiana State Department oE Fire and Building Sexvices releases have been o6eained and a final
inspectinn has been made by the Carme]Fite Depanmesit Car occupancy.
As uiclicated hy my notarized signature 6elow,[have been infortned oE(or am aware oFJ che applicable Indiana
Building Code and Indiacea Fim Co3e requi rements for che storage and/or sale of 1.4 G(Class C)fireworks
�S�in Class 1 stzvctvres.
� - ' `— � RACHEL PFLEDDERER
�.,-'
Si�nature of Auchorized Agent Princ Name
OSA FIREWORKS 317-352-5990
_—_----
Company IVame Phone Number
%800 RECORDS ST. SUITE A iNDIANAPOC,IS, IN 46226
Address
�,-----� CiN,St3�e ��, '�,
"" _-�.. �ls��l.�:Y..
Signamre of Noc� ihlic Notxry 1�7ame printed
Dai:e: _S/ Ll�/J'Y
Coun�Y: __ /�'7n'.1' ,-� I
My Cammission EYpites:_/�,���1�.. J£FfRfV SCOiT JONES I
NotxY P�-Beai
Stata Ot Indiaoa
My Commis6lon Expirea Oc129.20t8 �,
I
. �
�_
��
��
_�
1 � �p �
I �i ii
I �,-'�!, Y �� �u�a .ao:K,l
� ,��� 'i`� -=' 1���e ��rr�iF
�� " r' .>'is ii if� �� ��
� -' .-' ; r
��� � � � �;�;- �� �� 7 � € R
�
� i „ r,s� ;�,r;.��a'1.� 8i ^. r.�o � .
►� �-" � :� � .'�;.-� ;tr�r��t4�tea
� ,� -- r � , '" , '> �— �e � i t� ' r
� a �,%�' �f; �•� �jz' � , � � � k
� � � � � � � �
�� °�� � "` 'i — %'' "r',r �
� t y'r �/ ,��:-i �' %% � � e i
! � #t r ' �;,.�„'' �'' � '°'¢ ,:t Y�1 � � �
i- r �:
��� J G" �� � � F,'� �� \� � �
/ r , � ;
� ''� /�-.".- ��l' ,.. � 1 t� [� �: ��� \� � .
� y... ' ���r0� ��9 f \ � �� p5p �a ��P y
� /Y/ t � ,'�1' [ ,P k Q%.''' i �� t� .
'/,.-" �' � . I ,r l;. `��. j t �•'' 3 ' � \ \ +.
e
t�
r ' � � ,° ' �'a � � ��
�. "� .-a �� , ° +` .
I 'i�M�/ � ; ` � �� � p� � 'f
� ° � : �� � � 5 � t . �
� ,fi/ � a � {11 � ���, '� ,"��� r; . � �� ' z;
� _ •ur. tf�! 'J�e � } l l 19 l, �' �' ! � l �i .
� [ 14V � � t - �f -' �
I �� � � � ` ��� '' 1'� \� � ��
, '+l'�%' � 1 \ •` "' - � � �j f
r ��
�� f' ' y� "r 1 V � �� V � r.
� � � _�`• � 7,.�' it 1 a� �1�'� � l� � �d'����� m
i� �" i .�ap`3 1 � i� ��� 1 �,A '�. � t ��� !' . � �9 �
� i 4�� 1 ��� d � ia Y'� � ' .trdl 3�y V �� V 1 � 1� � �.ti 4 �` � ����� �
Y� � � '`--�`—� i.� � �� � � �� �� ��l �\t ! � �t , .,*. �� �`� �l��
� n�� � _ � ��� � 11 Ai iV � ' �° � ��� � �
�
I ~� � - _� ' X p ' �
�+ \ � I �� �r
� 1�� � f � —�- Ti� � �\1 ��' � �'�„�"� � � � �� � ��
� 1��-� l ��"'_—� �! � �t i \; �� � � � �/�,��'� j� � i � , �
IY ' Aw�l�� . I /l4i-��— � '�� c� ��q= '.,,. ���t �, �' �1 �\�� �
� ��f ! -,�� �P''
g t t �� �.a r-�'.w` � - '1 «�t � o
� � � ��- ° � - ,„�
� r,—?=—A==�_s--�---;3?ac`rt` '-!�� ` I ! �' Y `�� ,;✓ Qi—
S ,•� s� � ,,,�,� � '9 { }� � # �S! .-=��\
� � � � � fi
� �!i ; t� < r' � �� � I
, � �
� �� `�� �� �/� � � ' i ��
� � �3� � T� � � !
� f ..�
� � �� � � � Z t
_.._____-�____---��� �� �
r
� � � �� � � � ��
4
i� ��� � �Y q�/� --
� y \ 1 �i
� �-------i �
I � F9 Ff
111 �
1 L ;� �
� '� flA
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2013 S[GN PERMIT APPLICATION
RF.QUIRED MATERIALS: (Please subinit ONE copy ofdie required matenais) DAI'E RECEIVED:
• COMPLETED APPLICATIOV(All blanks must be completed)
• SITE PLAN(Depicting all dimensions,setbacks and proposed sign location)
• SIGN ELEVATIONS(Depicting all dimensions,copy and color)
• BUILDING OR TEtiA�T SPACE ELEVATION
o (Depicting frontage dimensions and proposed sign location)
• LANDSCAPE PLAN: Required for�round sio s
o (Depicting the planting area,plant materials,mature heights and caliper)
SIGN PERMIT FEES:(Please do NOT submit check until nermit has been issued)
• ADLS AMMENDMENT:$100+$25 PER SIGN
• PERMIT APPLICATION: $93.SU
• SIGN FRECTION OR REPLACEMEVT: $37.50 PER S[GV FACE PLCS$L90 PER SQUARL- FOOT
1. SIGN PERMIT NUMBER:
s�cv coeY: sicN��nnxess:4004 W 96th ST.
S[GY STATUS: � NEW �EXIST[NG SIGN DUIUITION*: � PERMANENTQTEMPORARY(*See ti7 Disclaimers.pg.3)
SIGV TYPE: � WALL � GRO[1ND � .4W'NMG � ROOF � PROJECTING � BLADE ❑ SI;SPE\DED
� PORCH � WINDOW � BANNER ❑ DIRECTORY � DIRECTIONAL � OTHFR:
TOTAL SIGN AREA SQ.FT.: Requesied Permissible: NU:ti1BER OF SIDES: I ❑ OR 2 ❑
OVERALL SIGN FIEIGHT FRObt GROLND: SIGN AREA DIMENSIONS: x
/
WALL SIGN %OF SPANDREL PANEL: Height (Max 70%) idth: (Max 85"/0) (See Sign Ord. Visual Guide)
LOGO DIMENSIONS:� FT x 1� = 32 . FT. LOGO PERCENT OP SICN AREA: �� (Max 25°�h)
(Logo dimensions and peroentage only appliec[o Mul[i- enan[ Buildi os)
B�ILDING/TENAYT SPACE FRONTACE: FT. SIGN DISTANCE FROYI NEARES"P R.O.W.: PT.
(R.O.W.stands for Right of Way.The ins'ide ed�e ofsidewalk is oHen the end ofthe R.O.W.(City's property)and a good,pot to measure fi�om.)
LANDACREAGF.: (AppliesonlytoTemporarysigns) SIGNFACECOLOR(S): R��, W����, B���
n �
ILLUMINATIONMET[iOD�INTERNAL`"EXTERNAL�REVLRSE-LIT/HALO NONE OTHER:
BtiILDIVG TYPE:��OYIVIERCL4L❑RESIDENTIAL�INSTITUT[ONAL�MIXEU USE❑Oi'HER:
ARE THERE ANY EXISTING S[GNS ON THIS SITE?
W'HAT WAS THE NAME OF THE PREVIOUS TEVANT(IF APPLICABLE)'!
Pyramid Corner North
SHOPPING CENTER OR COMPLEX NAVIE:
2. ZONING
ZONING DISTRICT: PARCF,L ID#:
OVERLAY ZONE: 31 � 421� Keystone Pkwy.� Carmel Dc/Range Line Rd.� Old Town� Monon Trail�
Home Place Business Districi� West Home Place Commercial Corridor�
PREV[OUS APPROVALS: P.C. Docket� BZ.A Docket#
I
•• � , ; •• • ? _. .. ' e� . .,_...3 1 H c.£hF NUj u�� 513u�i:ua�t'�.�2. `�°, ti�r :� k S � T ���4.E 9�'� 'm '�
. , , :.:.: .,.,�
. . . � . .� .. ...o� . ,. .: ,.. ,. . .q. � ....a... .
T. .^..J: .. ., ., ` -I
��� � ��A � � ���a � `
r �
� VVA � ,�� �
�,
; r �
f �s - ,,..� �� —___.��
� ' ` � * �� '� . 4� ��� ?H r ��" 4��' �,r� .E. �f�
�� s¢ n��,�, i�;��e s�y,-�• w� }'fv.�`�'',a.' i. `� 'v . f`" �� �y p3
�'
/J
' � : s'� � �, r a t _ . � '�.;� °zy :
,. ,
{ t � f F � t� � . .� i. v � .
� }. �. `$ � � � 'y� � � �Y �� E�' 1 '� +
°} � � 7�,: ^� - � �t� 4 ;� i �,-��'
� ��� t p �� �''��`�5 f � = x .� �� .: �� �����r �'S� ,:. .
' L . �r '. -�.1e'` `` }I.' s ! . . .
� ' �-' ��. �- �€gv w �� � -
,a: } �n �" 'a."pv'ik� ' �I' � ) � .g� i .9� '8
� � � y �� . ,� � '�; � � "s�'�"�p�� aAID...s
c��...rs-..a . N w^..........,,,.n.». � T � awa-s;�:t��...w,:. a.�FS,v.�.-,....
x
i . is� ��..} 4 d ..m.
� � ��d +E �
�
', �q � [ ,k k t ==�
� �, t�� :€ t s C'1 t
z� � � s . .� . . �:.{ ji i � 'ai � . .
.
. ,.. . 8i �.t..
� I _
i
�� � � � �
� >. k_�4, , ._:�, . .w:.�` . , _ _
� .;:x�t s_�xN��,
. . z . . ., �'9* ,�`am.�". .
�
�i:; �a � : rµ '� zr �
' , .. ,.,...,
�. a
�
� d'k�'�'��<u..-�... . ,
'
� -�.y . � .: `
. '.
� " ��
. e !. :: ' . ' :
� �. -
�.§ r„"-`'s"'� ,i ' ' . _:�
: � -_. . . . ';
, tl ;
L' =
_ �, ,. . _. . . , : �i
'
+.. . �. ... - .�
^ .. -.. �` .�:
i � a :t� r a �', . , _ . .
I
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA I
2013 SIGN PERM[T APPLICATION �
3. APPLlCAtL'T PERMIT NUMBER: I
rv.artF oF sus►n�ESS: USA FIREWORKS PEIONE: 317-352-5990
co�TacTrEasoN: RACHEL PFLEDDERER coNTwcrE��wic: rachel@usafireworksinc.com
anuaess: 7800 RECORDS ST. SUITE A c�TY INDIANAPOLIS sTaTE: �N ZIP: 46226
Phillip Lande 317-290-7653
PROPERTY OWNER: PHONE:
COSTACT PERSON: CONTACT EMAIL:
9699 N. Michigan Rd. Carmel IN 46032
ADDRESS: CITY: STATE: ZIP: �
TH6 UNDERSIGNED CBRTIFIES THAT THE FOREGOING SIGNATURHS, STATF,MENI'S AND ANSWERS HEREW CONTAINED AND ThIE i
fNFORA4AT]ONHER6WITHSUBMITTEDAREINALLRESPECTSTRUEANDCORRECT,ANDTHISSIGNW[LLBEHRECTEDANDMAINTAINED �
IN ACCORDANCE WITH ALL APPLICABLE LAWS OFTHE STATEOF WDIANA,A,'VDTHE ZONINGORDINANCE OFCAR.YIEUCLAYTOWNSHIP,
IKDIANA.4NDALLACTSAMENDATORYTHERETO,AVDSHALLBEERECI'ED WITHIN SIX(6)MONTHSOF'THEDATEOFISSUANCEORTHIS
PEBMIT fS NULL AND VOID.
FURTHER, THE UNDERSIGNED CERTIFIES BY SfGNWG THIS APPLICATION THAT ALl REPRESENTATNES OF TI-IE DEPARTI�IG�1� OF
COMMUNCIY"SERV{CES�RE AD,rVISORY. .- �-.
� -� �'� /� & � .
, . � . .,"�� ..1
� y. � .� —c_� `�--_
_.,-.. .F,_�-: . ,
P . i RE* BUSINESS OWNER'S SIGtiATURE*
Phillip Lande RACHEL PFLEDDERER
&
NROPERI'Y OW>IER'S NAME(please print) BCSISESS OWNER'S NAYIE(please print)
*l/�it is not possifi/e for signatures on this pnge.a letter an conipariy lenerhead or an emai/with a company signature b/ockapprovrny the si�mcige
will be accep�ed.
4. SIG:N COiYIPANY/OWiVER'S REP
co�eAxY N,aNtE: USA FIREWORKS co�T�cTN�esov: �CHEL PFLEDDERER
nn�aess: 7800 RECORDS ST., SUITE A ��TY INDIANAPOLIS sT�TE: IN z,P; aszzs
E:��n►L��onaESS: rachel@usafireworksinc.com pF���� 317-352-5990
ESTIMATED INSTALL UATE: O6IO4
X I CERTIFY THAT A PICTURE OFTHIS SIGN WILL BE SUBMITl'ED TO TE[E DEPARTMF.A�T OF CON(MUNITY SGRVICE'.S
WITHM ONE(1)WEEK AFTER ERECTION OF THE SI('iN.
_pR_ I
I WOULD PREFER A$123 INSPECTION FEE BE ADDED TO THF COST OF THIS PERNIIT"CO COVER'IHE COST OF I
1 HE S"CAFF OF i'HF DEPARTMENT OF CO�I�ICN[TY SERViCES TAK[NG THIS PICTURE.
5. DEPARTMENT CONDlTIONS
THE FOLLOWIVG ITE�IS LISTED BELOW' ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT YIUST BE
ADHERED TO AS A COKD[T[ON OF THE ISSU.4�CF.OF THIS PERMIT(PLEASE INITIAL EACH ITENI [SDIVID�ALLY):
l) x
2) x
3) x
Z
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2013 SIGN PERMIT APPLICATION
6. FEES PERMIT NUMBER:
ADMIN[STR4TIVEADLSAMENDMENT $100+4?�/sign
SIGN PERMIT APPLICATION $9>.50
SIG1V ERECTION $37.50/sign face +$L90/sf
IYSPECTION FEE(Required if photography not provided) $123 OR Photo will be provided
TOTAL FEE $
PERM[T ISSUED BY: FEE RECE[VED BY:
RELEASED STAJ�IP: PAID STAtitP:
7. DISCLAlMERS
APPL[C.4NT,PLEASE NOTE'PHE FOLLOW[\G:
PERMANEYT SIGVS:
• [F THE SIGA M THIS APPLICATION IS A PERNtA\ENT SIGN,THIS SIGS PERMI"f fS APPROVF,D FORTHIS SIGV Al��I�HIS
LOCAT[ON ONLY.
• IF THE APPLIC,4:�T RELOCATES AT A FUTURE DATE%TI�IE'TO A NEW BUILDIVG,A VEW SIGN PERYIIT [S RF.QL[RFD
POR THE�EW LOCA'TION. ALL FGGS APPLY.
TF,�IPORARY SIGVS:
• IP THE SIGN IN THIS APPLICATIOti IS A TEVIPORARY SIGN,THIS SIGY PERMIT E%PIRES O�: .il-0S
SIGN PERMIT MAY BE RENEWED O�THIS DATF,FOR AN ADDITIONAL YEAR WITH A PFRMIT BY RE-APPLYIYG.ALL
FEES APPLY.
• (1'i'HL- SIGN [N THIS APPLICAI'IO\ IS FOR A GRA:N�OPE;Y/:VG/.STORECLOSLY"G BA,V:NER, IT IS APPROVED FRO�(:_
THROUGH FOR A MAX[MUM TIME OF THREE WEEKS. A SIGN
PERMIT IS REQUIRED;HOWEVER,NO FEES ARE REQUIRED.PERMIT RENEWAL[S NOT AVAILABLL.
• IF THE SIGV IN THIS APPL[CATION [S FOR AN /NTERIM BANNER PENDING A PERMA;VENT S/CN, [T IS APPROV6D
FROM: THROUGH FOR ATHREE MONTE{TIME'PERIOD.A
SIGN PERMIT[S REQUIRED.ALL FEES APPLI'. lT MAY BE RENEWED FORAN ADDIT[ONALTHRE� MONTFIS WITH.A
PERMIT BY RE-APPLYItiG.ALL FEES APPLY.
8. CITY CONTACT
PLEASE DIRECT ANY SIGN QUEST[ONS TO THE DEPARTMENT OF COMMUNITY SERVICES(DOCS),ATT\:
DREW ROSENBARCER,S[GN REVIEWER RACHEL BOONE,PLAN�ING AD�INISTRAI OR
DROSENBARGER(dCAR�IEL.IN.GOV RBOOVEr�CAR�IEL.IN.GOV
CITY OF CAR'vIEC P: 3ll-57L?�17
D005,3R�FLOOR P:317-57L2A?6
I CNIC SQUARE
CARi�IEL,IN 46033
3
�EH! Me(
;:P � °• Indiana Department of Homeland Security (IDHS)
,�Division of Fire and Building Safety
Certificate of Compliance for Retail Sale of Consumer Fireworks (as defined in iC z2-��-ia-�)
Certificate Number: Year
FWT25953 2014
Retail Type�.
New
I
Pursuant to IC 22-11-14-5,this Certificate of Compliance for Retail Sale of Consumer Fireworks is issued to �,
the applicant listed below: j
USA HALLOWEEN PLANET INC I
�.
4004 W 96TH ST ��7� � � � , �� .
CARMEL, IN 46268 I
This Certificate of Compliance for Retail Sale of Consumer Fireworks expires on December 3L 2014 I
This Certificate of Compliance for Retail Sale of Consumer Fireworks is not transferable except to a
subsequent owner or operator of a f reworks business at the above location in accordance with the policies and
guidelines of the State Fire Marshal.
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 Consumer Fireworks shall
be obtained for each tent or structure in which consumer fireworks are sold.
I
James L Greeson,lndiana State Fire Marshal Date�. I�
����<�^-; 05/14/2014 '
4�t�l��,Nkt't. �'�. ��� '.
I
I
USA HALLOWEEN PLANET INC
7800 RECORDS ST
SUITE A
INDIANAPOLIS, IN 46226 (page 1 of 1)