HomeMy WebLinkAboutDestination Health 18100108CITY OF CARMEL
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: rpietrza
COPY # : 1
Sec: Twp: Rng: Sub: Elk: Lot:
PARCEL ID ........: 1713020000011005
DATE ISSUED.......: 10/16/2018
RECEIPT #.........: PZ000002862
REFERENCE ID # ...: 18100108
SITE ADDRESS .....: 11495 N PENNSYLVANIA ST
SUBDIVISION .......
CITY .............: CARMEL
IMPACT AREA ......:
OWNER ............: ZELLER MANAGEMENT
ADDRESS ..........: 11611 MERIDIAN ST N #120
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED
FROM ....: DESTINATION HEALTH
CONTRACTOR .......: UNKNOWN LIC # CC00464
COMPANY ..........:
SIGN ART AND VINYL
ADDRESS ..........:
5132 W STATE ROAD 32
CITY/STATE/ZIP ...: ANDERSON, IN 46011
TELEPHONE
........: (765) 377-0085
FEE ID
UNIT
QUANTITY AMOUNT PD -TO -DT
THIS REC
NEW BAL
----------
SIGNINSTAL
---------
SQUARE FEET
-------- ------
54.72 147.70 0.00
----
147.70
-- --
0.00
SIGNPERM
FLAT RATE
1.00 103.00 0.00
103.00
0.00
TOTAL PERMIT
-------
250.70 0.00
----------
250.70
----------
0.00
METHOD OF
PAYMENT
AMOUNT REFERENCE NUMBER
-----------------
CHECK
---------------
--------------------
250.70 73-18/421
TOTAL RECEIPT
---------------
250.70
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)
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
DATE RECEIVED:
I. SIGN PERMIT NUMBER: 1 g 16 O t O A
SIGN COPY: Destination Health SIGN ADDRESS: 11495 Pennsylvania St Suite 100 Carmel IN 46032
SIGN STATUS: • NEW O EXISTING SIGN DURATION : QPERMANENT TEMPORARY (*See #7 Disclaimers, pg. 3)
SIGNTYPE:�OWALL OAWNING OGROUND OSUSPENDED OPORCH
OWIINDOW OBANNER ODRIVE-THRU CONSTRUC ON OSALE/LEASE
SIGN AREA DIMENSIONS: 35.511 x 18.5' TOTAL SIGN AREA SQ. FT.: Requested: 54'72 Permissible: 22 r'61
WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: Height: 5� n x Width:
SIGN DIMENSION AS A % OF SPANDREL PANEL: Height: G 3. % Width: 21 - (p %
r
HEIGHT OF SIGN FROM GROUND: 9.6NUMBER OF SIDES: S 1 OR 02
(wall sign: measure to bottom of sign; ground sign: measure to top of sign)
BUILDING/ TENANT SPACE FRONTAGE: 2615 FT. SIGN DISTANCE FROM NEAREST R.O.W.: 180 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: (Applies only to Temporary signs) SIGN FACE COLOR(S):
Green & Blue
ILLUMINATION METHOD: O INTERNAL O EXTERNAL O REVERSE-LITMALO Q NO O OTHER:
BUILDING TYPE: Q COMMERCIAL O RESIDENTIAL 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: O FF1 C.E
2. ZONING (click here to open the GIS Map)
ZONING DISTRICT: B-5 PARCEL ID #: 17-13-02-00-00-011.005
OVERLAY ZONE: ❑ 31 ❑ Keystone Pkwy. eLDr.Ban e Line Rd. ❑ Old Town ❑ West 116`s St.
❑ 421 ❑ Monon Trail ✓Home lace Business. ❑West Home Place Commercial Corridor
PRIOR APPROVALS: P.C. Docket # n p5n9 000 CJ B.Z.A. Docket # Building Permit#
ADLS Aftiet-tD
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA
2018 SIGN PERMIT APPLICATION
3. APPLICANT PERMITNUMBER: 18100I08
NAME OF BUSINESS*: Destination Health PHONE: 317-522-1980
(*Entity identified on the sign)
CONTACT PERSON: S' 7�/
ndon Preston CONTACT EMAIL: bkeithpreston@yahoo.com
ADDRESS: 11495 N Pennsylvania St #100 CITY: Carmel STATE: IN ZIP: 46032
PROPERTY OWNER: Kimmel Square LLC PHONE:
CONTACT PERSON: CONTACT EMAIL:
ADDRESS:11807 Allisonville Rd #214 CITY: Fishers STATE: IN ZIP. 46038
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 DOCV91DeeC by:
�y f�
Docuslgnetl by:
[bry v,dowPrdbw
nBCFenF9AEDBC2C_.
& 89]]EMCAEA2QR-
PROPERTY OWNER'S SIGNATURE*
BUSINESS OWNER'S SIGNATURE*
Michael R. Jordan & Bryndon Preston
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 the
signage will be accepted.
4. SIGN COMPANVOWNER'S REP
COMPANY NAME: Sign Art and Vinyl CONTACT PERSON: Noah Frantz
ADDRESS: 5132 W State Road 32 CITY: Anderson STATE: IN ZIP: 46011
EMAILADDRESS: noah@signartandvinyl.com PHONE:765-377-0085
ES14MATED INSTALL DATE: 10/12/18 - 10/26/18
I 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 THE 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: l8 10 0 10 A
ADMINISTRATIVE ADLS AMENDMENT
SIGN PERMIT APPLICATION
SIGN ERECTION
$109 + $27.00/sign
$103.00
$41.00/sign face + $1.95/sf IL—1 —t I !. 10
INSPECTION FEE (Required if photography not provided) $141 O OR Photo will be provided(}
TOTAL FEE $ Z 50 10
QJ�
PERMIT ISSUED BY: zlw FEE RECEIVED BY:
RELEASED STAMP: PAID STAMP:
ppG°�Ood�
OCT 15 AGI$
By-C1�-
7. DISCLAIMERS (COMPLETED BYDOCS STAFF)
APPLICANT, PLEASE NOTE THE FOLLOWING:
D � 0
OCT 1 6 2013
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/LIME TO ANEW BUILDING, ANEW SIGNPERMIT 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 PERMANENT 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 PIETRZAK SIGN PERMIT SPECIALIST
RPIETRZAK(&CARM EL.IN.GO V
CITY OF CARMEL
DOCS, 3RD FLOOR
1 CIVIC SQUARE
CARMEL, IN 46032
P: 317-571-2417
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