HomeMy WebLinkAboutMJ Insurance (N) 18090150CITY OF CARMEL
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: rpietrza
COPY # : 1
Sec:25 Twp:18 Rng:03 Sub: Blk: Lot:
PARCEL ID ........: 1609250404015001
DATE ISSUED.......: 09/28/2018
RECEIPT #.........: PZ000002839
REFERENCE ID # ...: 18090150
SITE ADDRESS .....: 571 MONON BLVD
SUBDIVISION .......
CITY .............: CARMEL
IMPACT AREA .......
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
274.21
---------------
274.21
REFERENCE NUMBER
------------------
34040
OWNER ............:
MIDTOWN EAST BLOCK 3 OFFICE LL
ADDRESS ..........:
1132 S RANGELINE RD, STE
200
CITY/STATE/ZIP
...: CARMEL, IN 46032
RECEIVED FROM
....: A SIGN BY DESIGN
CONTRACTOR .......:
A SIGN BY DESIGN LIC #
CCO0162
COMPANY ..........:
A SIGN BY DESIGN
ADDRESS ..........:
P.O. BOX 691
CITY/STATE/ZIP
...: ZIONSVILLE, IN 46077
TELEPHONE ........:
(317) 876-7900
FEE ID
UNIT QUANTITY AMOUNT PD -TO -DT
THIS REC
NEW BAL
----------
SIGNINSTAL
--
SQUARE FEET
----- --------
45.75 171.21 0.00
---
171.21
----------
0.00
SIGNPERM
FLAT RATE
1.00 103.00 0.00
103.00
0.00
TOTAL PERMIT
---- ------- ----------
274.21 0.00
274.21
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
274.21
---------------
274.21
REFERENCE NUMBER
------------------
34040
Al.,Y- 6"
Md-, , CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2018 SIGN PERMIT APPLICATION
ADDITIONAL REQUIRED MATERIALS:
• PRIOR APPROVALS (Letter of Grant or Building Permit Placard / Pink Application
• SITE PLAN (Depicting all dimensions, setbacks and proposed sign location)
• SIGN ELEVATIONS (Depicting all dimensions, copy and color)
• BUILDING OR TENANT SPACE ELEVATION
o (Depicting frontage dimensions and proposed sign location)
• LANDSCAPE PLAN: Required for ground signs
o (Depicting the planting area, plant materials, mature heights and caliper)
DATE RECEIVED:
AUG :9-12019
SIGN PERMIT FEES: (Please do NOT submit check until permit has been issued)
• ADLS AMENDMENT: $109 + $27.00 PER SIGN
• PERMIT APPLICATION: $103.00
• SIGN ERECTION OR REPLACEMENT: $41.00 PER SIGN FACE PLUS $1.95 PER SQUARE FOOT
1. SIGN PERMIT NUMBER: 180 g O l so
SIGN COPY: MJ Risk Management and Benefit Consulting SIGN ADDRESS:571 Montan Blvd
SIGN NW :
STATUSSTATUS:• SE' OEXISTING SIGN DURATION §PERMANEN TEMPORARY (*See #7 Disclaimers, pg. 3)
RML SIGN TYPE: AWNING GROUND OSUSPENDED PROJECTING OPORCH
• BLAD OWINDOW OBANNER ODRIVE-THRU OCONSTRUCTION OSALE/LEASE
it -I -75
SIGN AREA DIMENSIONS: 9 x n I TOTAL SIGN AREA SQ. FT.: Requested: Permissible:
101
WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: Height: x Width:
21
SIGN DIMENSION AS A % OF SPANDREL PANEL: Height: 50 % Width: 50
i
HEIGHT OF SIGN FROM GROUND:52NUMBER OF SIDES: O 1 OR ® 2
(wall sign: measure to bottom of sign; ground sign: measure to top of sign)
BUILDING / TENANT SPACE FRONTAGE: 130'
FT. SIGN DISTANCE FROM NEAREST R.O.W.: IJO FT.
(R.O.W. stands for Right of Way. The inside edge of sidewalk is often the end of the R.O.W. (City's property) and a good spot to measure from.)
LAND ACREAGE: A lies only to Temporary signs) SIGN FACE COLOR(S): Black & White
ILLUMINATION t2R
INTERNAL O EXTERNAL O REVERSE-LIT/HALO O NONE ()OTHER:
BUILDING TYPE:CIAL RESIDENTLSL O INSTITUTIONAL O MIXED USE O OTHER:
IDENTIFY ANY EXISTING SIGNS ON SITE:
WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF' APPLICABLE)?
SHOPPING CENTER OR COMPLEX NAME: M i U tOW n 3 (c-AsT)
2. ZONING (click here to open the GIS Map)
ZONING DISTRICT: NO PARCEL ID #:1�c -09 -Z5 — n `l —G q ' 1 <-. 001
OVERLAY ZONE: ❑ 31 ❑ Keystone Pkwy. ❑ Carmel Dr./Range Line Rd. ❑ Old Town ❑ West 116'" St.
❑ 421 ❑ Monon Trail El Home Place Business District ElWest Home Place Commercial Corridor
PRIOR APPROVALS: P.C. Docket # 1600660�B.Z.A. Docket # /0000660(0 —%Building Permit#
AJDL-5 AMI,--IJt D5I/
I-IULfx-oS ✓ka�-S
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2018 SIGN PERMIT APPLICATION
3. APPLICANT PERMIT NUMBER: I Eoq O 1 S O
NAME OF BUSINESS*: MJ PHONE:
({Entity identified on the sign)
CONTACT PERSON: Brian Friend CONTACT EMAIL:
ADDRESS: 571 Monon Blvd. CITY: Carmel STATE: IN ZIP: 46032
PROPERTY OWNER: Ambrose PHONE: 31 7-573-4600
CONTACT PERSON: Genevieve Boyle CONTACT EMAIL:
ADDRESS: 55 Monument Circle CITY: Indianapolis ,TATE:lN ZIP: 46204
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE
INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WILL BE ERECTED AND
MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STATE OF INDIANA, AND THE ZONING ORDINANCE OF
CARMEUCLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHIN SIX (6) MONTHS OF THE
DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID.
FURTHER, THE UNDERSIGNED CERTIFIES BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE DEPARTMENT OF
COMMUNITY SERVICES ARE ADVISORY.
PROPERTY OWNER'S SIGNATURE*
Genevieve Boyle
M
BUSINESS OWNER'S SIGNATURE*
& Brian Friend
PROPERTY OWNER'S NAME (please print) BUSINESS OWNER'S NAME (please print)
*If it is not possible for signatures on this page, a letter on company letterhead or an email with a company signature block approving file
signage will be accepted.
4. SIGN COMPANVOWNER'S REP
COMPANYNAME: A -Sign -By -Design
PERSON: Don Miller
ADDRESS: PO Box 691 CITY: Zionsville STATE: IN ZIP: 46077
EMAILADDRESS: donm@asignbydesign.com -PHONE: 317-7-876-7900
ES TED INSTALL DATE: 8 / 30 / 1 8
K�iI CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY SERVICES
WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN.
-OR-
-0—I WOULD PREFER A $141 INSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER THE COST OF
THE STAFF OF THE DEPARTMENT OF COMMUNITY SERVICES TAKING THIS PICTURE.
5. DEPARTMENT CONDITIONS (COMPLETED BYDOCS STAFF)
THE FOLLOWING ITEMS LISTED BELOW ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE
ADHERED TO AS A CONDITION OF TIM ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY):
1) x
2) x
3) x
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2018 SIGN PERMIT APPLICATION
6. FEES (COMPLETED BYDOCS STAFF) PERMIT NUMBER: / &0C1
ADMINISTRATIVE ADLS AMENDMENT $109 + $27.00/sign
SIGN PERMIT APPLICATION $10
SIGN ERECTION $41.00/sign face+$1.95/sf ill ZI
INSPECTION FEE (Required if photography not provided) $141 O OR Photo will be provided Q
TOTAL FEE $ L I I • G- I
PERMIT ISSUED BY: ovY /" FEE RECEIVED BY:
RELEASED STAMP: PAID STAMP:
SFP s Z6D SEP 2 8 2018 p
7. DISCLAIMERS (COMPLETED BY DOCS STAFF)
APPLICANT, PLEASE NOTE THE FOLLOWING:
PERMANENT SIGNS:
IF THE SIGN IN THIS APPLICATION IS A PERMANENT SIGN, THIS SIGN PERMIT IS APPROVED FOR THIS SIGN AT
THIS LOCATION ONLY.
• IF THE APPLICANT RELOCATES AT A FUTURE DATE/TIME TO A NEW BUILDING, ANEW SIGN PERMIT IS REQUIRED
FOR THE NEW LOCATION. ALL FEES APPLY.
TEMPORARY SIGNS:
• IF THE SIGN IN THIS APPLICATION IS A TEMPORARY SIGN, THIS SIGN PERMIT EXPIRES ON:
THIS SIGN PERMIT MAY BE RENEWED ANNUALLY FOR AN ADDITIONAL YEAR WITH A PERMIT BY RE -APPLYING.
ALL FEES APPLY.
• IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING APERMANENT SIGN, IT IS APPROVED
FROM: THROUGH FORATHREEMONTHTIMEPERIOD.A
SIGN PERMIT IS REQUIRED. IT MAY BE RENEWED FOR AN ADDITIONAL THREE MONTHS WITH A PERMIT BY RE-
APPLYING. ALL FEES APPLY.
8. CITY CONTACT
PLEASE DIRECT ANY SIGN QUESTIONS TO THE DEPARTMENT OF COMMUNITY SERVICES (DOCS), ATTN:
ROSS PIE TRZAK, SIGN PERMIT SPECIALIST
RPIETRZAKna.CARMEL.IN.GOV
CITY OF CARMEL
DOCS, 3RD FLOOR
1 CIVIC SQUARE
CARMEL, IN 46032
P: 317-571-2417
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