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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 4D ) PERMIT NUMBER: 1,4� I00 0 SIGN COPY: SIGN ADDRESS: SIGN STATUS: ONEW a • EXISTING SIGN DURATION �PERMANE OTEMPORARY ("See #7 Disclaimers, pg. 3) SIGN TYPEN • WAL DAWNING GROUND OSUSPENDED ©PROJECTING PORCH QBLADE O WINDOW BANNER QDRIVE-THRU ©CONSTRUCTION SALEILEASE SIGN AREA DIMENSIONS: 12/ x 2.5 TOTAL SIGN AREA SQ. FT.: Requested: y2. -7S Permissible: WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: Height: tX / x Width 7.S ' SIGN DIMENSION ASA % OF SPANDREL PANEL: Height: 0/. Width: ^/• HEIGHT OF SIGN FROM GROUND: NUMBER OF SIDES: `�1 OR O 2 (wall sign: measure to bottom of sign; ground sign: measure to top of sign) BUILDING/ TENANT SPACE FRONTAGE: (I' T. SIGN DISTANCE FROM NEAREST R.O.W.: SFT. (R.O.W. stands for Right of Way. The inside edge of sidewalk is often the end ofthe R.O.W. (City's property) land a good spoottto measure from.) LAND ACREAGE: (Applies only to Temporary signs) SIGN FACE COLOR(S): (NN//c 6Z f)CI,--- ILLUMINATIONME� ERNAL OEXTERNAL OREVERSE-LIT41ALO ONONE OOTHER: BUILDING TYP p�/ COMMERCIAL RESIDENTIAL OINSTITUTIONAL O MIXED USE O OTHER: (l REPLACING CABINET FACE WITH NEW IDENTIFY ANY E� IGNS ON SITE: WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME: Z ZONING (click here to open the GIS Map) ZONING DISTRICT: R - R PARCEL ID #: _ I �C - 0 0 : O OVERLAY ZONE: 1131 ❑ Keystone Pkwy. ❑ Cannel Dr./Range Line Rd. ❑ Old Town ❑ West I Ie St. ❑ 421 ❑ Monon Trail ❑ Home Place Business District ❑ West Home Place Commercial Corridor PRIOR APPROVALS: P.C. Docket # I1 S Z ADLA B.Z.A. Docket # Building Permit# CITY OP CAIMEUCLAY TOWNSHIP, HAMILTON COUNTY, LNUTA1VA 2918 SIGN PEMUT APPLICATION NkwMQFBUSINESS*: - (°6ntity i6eaiCeA mlhe s}�) JAIME VALLONE PHONE. 317-640-5729 CONTACT eERSON: jmva(fone@yahooxom CONTACT F.MA(I,: ADDRESS: 1780 CITY: TA TE. 1N WOODLAND SHOP CARMEL 4603E QZIp. PROPERTYOWNER: Oy L. ."L r0✓ PHONE:_�I%8`1Y^"73'3( co1TACT PERSON: -Z� b°'v C� Q�E�ii� CONTACT EMAIL: eo I.rz t.. a (,�{- ADDRESS:I �l b . I I b •1-�. Slr. CITY; G a� �..,.� I srnrsZ� _MIPs c� TTIE UNDERSIGNED CERTIFIES THAT TILE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN COM'AINFA 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 CARMEUCIAYTOWNSHIP, B.INANA AND ALL ACTS ANW.NDATDRY H1EW- I'O, AND SHALL BE ERECTED WITHIN SIX (6)MONTHS OF THE DATE OF ISSUANCE OR TIBS PERMIT IS NULL AND VOID. FURTHER THE UNDERSIGNED CERTIFIES BY SIGNING TTIIS APPLICATION THAT AZRRES2LWTA VESES OF ]j{E DEPARTMENT OF CohSERVICE--ARE ADVISOR !` PR'OpritTy OWNER'S S GNAT URE" BUSINES51JWNER'S SIGNATURE* PROPERTY OWNER'S NAME(pleasc print) BUSINESS OWNER'S NAME(please print) Wit is not passible f—signarares on This page, a letter ors company letterhead or an email wlih a company sig at v black approving the slgneW will be accepted 4. SIGN COMPANY/OFYNE'R'S REP COMPANY NAME: -__CONTACT PERSON: ADDRESS: S7 N IA l • lfO'(i*tEC- CITY:�/(/Ir" 1 E �- STATE: /N ZIP:y!," tL EMAILADDRESS: S7S- IQD5 INSTALL DATE: ' �I27�Ig CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY SERVICES WITI-BN ONE (1) WEEK AFTER ERECTION OF THE SIGN. -OR- ,aI 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.- DEPr1RTm, fENTCONDITIONS((WfPLETED NYD0CSSTAFF) THE FOLLOWING ITEMS LLSTED BELOW ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A CONDITION OF THE ISSUANCE OF TIES PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY): 1) x 2) x 3) x 2 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2018 SIGN PERMIT APPLICATION 6. FEES (COMPLETED BYDOCS STAFF) PERMIT NUMBER: ADMINISTRATIVE ADLS AMENDMENT $109+$27.00/sign SIGN PERMIT APPLICATION 3A0 SIGN ERECTION $41.00/sign face+$1.95/sf fZ7-J� INSPECTION FEE (Required if photography not provided) $14110 OR Photo will be provided TOTAL FEE n /'-1 r I R /7_2,77.5(a PERMIT ISSUED BY: (.7 FEE RECEIVED BYl_ X RELEASED STAMP: pD UV rLA PAID STAMP: D � 0 D D kOCT 0 5 2018 OCT ].2o1`b 7. DISCLAIMERS (COMPLETED BYDOCS 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 ANEW 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 MAYBE RENEWED ANNUALLY FOR AN ADDITIONAL YEAR WITH A PERMIT BYRE -APPLYING. ALL FEES APPLY. • IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING PERMANENTSIGN, IT IS APPROVED FROM: THROUGH FORATHREEMONPHTIMEPERIOD.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 PIETRZAIC, SIGN PERMIT SPECIALIST RPIETRZAICQCA RMEL.IN.GOV CITY OF CARMEL DOCS, 3an FLOOR 1 CIVIC SQUARE CARMEL, IN 46032 P: 317-571-2417 a= �;: r-< .:; le 13'3' .i 2.5' 5' Ai �� �� �� \rloom \� .. � rr--. a �- -- W C7 W W W 7 cc Om LL W m P Ed t� CITY OF CARMEL 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: rpietrza COPY # : 1 Sec:31 Twp:18 Rng:04 Sub: Blk: Lot: PARCEL ID ........: 1610310000031000 DATE ISSUED.......: 10/05/2018 RECEIPT #.........: PZ000002852 REFERENCE ID # ...: 18100016 SITE ADDRESS .....: 1780 E 116TH ST SUBDIVISION ....... CITY .............: CARMEL IMPACT AREA ....... OWNER ............: LAZEROV, DAVID ADDRESS ..........: 9375 WHITLEY DR CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46240 RECEIVED FROM ....: SANJAY PATEL CONTRACTOR .......: SIGN-A-RAMA LIC # CC00029 COMPANY ..........: SIGN-A-RAMA ADDRESS ..........: 514 CARMEL DR W CITY/STATE/ZIP ...: CARMEL, IN 46032 TELEPHONE ........: (317) 575-1805 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ----------------------- --- SIGNINSTAL SQUARE FEET 42.75 -------- --- 124.36 0.00 --- 124.36 ---------- 0.00 SIGNPERM FLAT RATE 1.00 103.00 0.00 103.00 0.00 TOTAL PERMIT ---------- 227.36 0.00 ---------- 227.36 ---------- 0.00