HomeMy WebLinkAboutApplication ADLS AmendADLS I ADLS Amendment Application
(A R C H IT E C T U RE , D E SIG N , LI G H T IN G /LA N D SCA PIN G , and SIGN A G E)
AD LS Fee: $1,070 (plus $14 1 /acre w hen not accom panied by a Developm ent Plan A pp.)
A D L S Am end Fees: Sign only: $10 9, plus $27/sign
Building/Site: $71 I, plus $68/acre
(F ees are due aft er the docket num ber is assigned.)
D ate: 06/19/2019
[Z]A D L S
! .f I D P A ttached
D ocket N o. PZ 19030003
D A D L S A m end
Previous DP? Y esD N J ./ I
N am e of Riverview Health US 421
P roject:--------------------------------
T ype of commercial healthcare facility
P roject: _
Project 10830 N. Michigan Rd
A d dress: --------------------------------
P roject T ax Parcel ID#: 17-13-06-00-00-030.103
L egal D escription: (P lease use separate sheet and attach)
N am ~ of EQ 106 Michigan, LLC by Faegre Baker Daniels LLP A p pli cant: _
600 East 96th Street, Suite 600, Indianapolis, IN 46240 A p p licant A ddress: _
C ontact Person: Mark Leach Phone: 317 .569.4851
E m ail: mark.leach@faegrebd.com
N am e of Nottingham LLC
L andow ner: Phone: ------------------- ----------
10650 N. Michigan Road, Zionsville, IN 46077
L andow ner A ddress & Em ail: ------------------------
P l S. 1.99 acres+/- z . C l ifi . B-3 0 1 2 US 421 Corridor ot 1ze: onm g ass1 ication: ver ay one: _
undeveloped Present U se of Pro perty : _
P d U f P ty commercial healthcare facility ro pose se o ro per : _
N ew C on stru ction? Y es!./ !N oD
R em odeled Constru ction?: Y es O N o ! .f !
N ew /R evised Sign? Y es!./ !N oD
N ew Parking? Y es! .f !N oD
N ew L andscaping? Y es! ./ ! N oD (If Yes, an engineered and to-scale Landscape Plan must be
subm itt ed ; see below .)
R evised: 1/24/2018 Filenam e: A D LS & A D LS Am end 2018
1
PARKING
No. of Spaces Provided: 63
----- No. Spaces Required:_4_4 _
DESIGN INFORMATION
IBC Type 11-8 1 Type ofBuilding: No. of Buildings: _
S F 10,811 H . h 26'3 f . 1.5 quare ootage:_________ erg t: No. o Stones _
. . EIFS, brick, limestone, cast stone, glass, aluminum
Exterior Matenals: -------------------------
E . c I red brick, stone . f 1 xtenor o ors: Maximum No. o Tenants: ------------ ----
T fL d U commercial healthcare facility ype o an ses: _
Water by: City of Carmel Sewer by: City of Carmel
LIGHTING
Type ofFixture:LED pole mtd Height of Fixture: 20' -----------
No. of Fixtures: 10 Additional Lighting: downlighting in canopy soffits
* Plans to be submitted showing Foot-candle spreads at property lines, per the
LANDSCAPING
ordinance.
* To-scale engineered Landscape Plans to be attached/submitted showing plant types, sizes, and
locations.
No. of Signs:_8 _
two per facade Location(s): _
SIGNAGE
T f S. wall signs ype o tgns: _
Main Logo: 25' x 2'-6"; "Emergency Room ... " : 31' x 1 '-8"
Dimensions of each sign: --------------------
Main Logo: 62.5 sf; "Emergency Room ... " : 51.6 sf
Square Footage of each sign: ------------------
(see dimensions above)
Total Height of each sign: -------------------
b I u e logo, red & white letters
Colors of each sign: _
Revised l /24/2018 Filename: ADLS & ADLS Amend 2018
2
AFFIDAVIT
I the undersigned, to the best ofmy knowledge and belief, submit the above information as true and correct.
Signature of
Applicant: --------------
Steven D. Hardin
T. 1 Partner
It e: ---------------
Date: June 19, 2019
(Printed Name)
*************************************************************************************
STATE OF INDIANA
SS:
The undersigned, having been duly sworn upon oath says that the above information is true and correct and he
is informed and believes.
(Signature of Petitioner)
County of ,_/J~'fo_ff/1_1_(-/4_,___Y)_-+- Before me the undersigned, a Notary Public
(County in which notarization takes place)
for ------'/fl;-m'--'--L.-'-'/_,_/_/c; __ Y]__. County, State of Indiana, personally appeared
(Notary Public's county of residence)
_;i ·~J~Q_l)_Q_n~_D_._·ttx _ ___,,_. rJ~l_Q and acknowledge the execution of the foregoing
(Property Owner, Attorney, or Power of Attorney)
Notary Public=Please Print
My commission expires:
*************************************************************************************
Revised: I /24/2018 Filename ADLS & ADLS Amend 2018
3
DEVELOPM ENT PLAN I DP AMENDMENT APPLICATION
Fee*: $1,070 plus $141 per acre
DATE: -------
(Check all that apply)
[Z]DP DDPAmend
DOCKET NO. --------
[Z] ADLS/ADLS AMEND Attached
Name of Project: Riverview Health (Michigan Road)
P . Add O N. Michigan Road
roject ress: ---------------------------------
Project Tax Parcel ID#: 17-13-06-00-00-030.003
Legal Description: (Please use separate sheet and attach)
N f 1. EQ 106 Michigan, LLC by Faegre Baker Daniels LLP
ame o App icant: --------------------------------
A 1. Add 600 East 96th Street, Suite 600, Indianapolis, IN 46240
pp icant ress: --------------------------------
Contact Person: _M_a_r_k_L_e_a_c_h Telephone: 317·569.4851
E .1 mark.leach@faegrebd.com man: --------:--------------------------
Nottingham LLC Name of Landowner: Telephone: _
d d
10650 Michigan Road N, Zionsville, IN 46077 Lan owner Ad ress: -------------------------------
Pl S. 1.9 +/- acres Z . Cl if . B-3 ot 1ze: onmg ass1 ication: _
1 US 421 Corridor Overlay
Over ay Zone:----------------------------------
undeveloped Present Use of Property: _
P d U f P commercial healthcare facility
ropose se o roperty: ------------------------------,-
*Note that required fees are due after the application has received a docket number, and not at the time of
application submittal.
Pagel Filename: DP- DP Amend Application 2018 Rev. l/24/2018
03/25/2019
OWNERS AFFIDAVIT
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structures,
or any change in the use of land or structures requested by this application will comply with and conform to
all applicable laws of the State of Indiana and the Unified Development Ordinance of Carmel, Indiana,
adopted under the authority of Acts of 1979, Public Law 178, Sec. 1, et seq., General Assembly of the
State of Indiana, and all Acts amendatory thereto.
Signed:
Owner
1HtdtU
Agent
Mark R. Leach, Land Use Planner, Faegre Baker Daniels LLP
(Typed/Printed) (Typed/Printed)
*************************************************************************************
STATE OF INDIANA
SS:
The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed
and believes. __ _LJa_~~~l~__J,~~~'.l,.,.__ _
(Signature of Petitioner)
County of Ham ; I too Before me the undersigned, a Notary Public
(County in which notarization takes place)
for n» __ r_g_,_M County, State oflndiana, personally appeared
(Notary l"ublic's county of residence)
__ N_a_r-_lL __ /2. __ . ----=L'----c_(A._(;_h and acknowledge the execution of the foregoing
(Property Owner, Attorney, or Power of Attorney)
instrument this 2 'o
(day)
day of t'-lClvCb , 20_\q~_
(m onth) (y ear)
6--IL ~
,,,1111111111,,,,
, ~,,,, ~ R . fvt 111111 (Sl,i "-''"'-~ .. -:·5",·o"·,,,01 1/,, "«F··~,s n ~··<.( /,, $ «- .··(" ,.28-<'o +.o··. -y ~
2 Q) :'c.,O () ~6' ~ ... C. ~
§ i NOT.ARY PU sue\ 'Z ~ = : NOTARY SEAL : :::
::. \ 0 .: ~ - • o?.I re> ' - ~tflj·.~0rlri.u7o'?J'°..,_..,.,/ ~
~,.. '1f··.f!an Co>J:",···~"'<",$:-
,..,..111 f: o· F .. "1 ·N· .("'\ \ ~ ,,,~ 11, \.J ,,,, ~--~t-1-1-rmnrnt1W-~--~
*************************************************************************************
Notary Public--Signature
Notary Public--Please Print
My commission expires: __ \_---'-2.__;i''-----__,2.=-0-"--":'l.J=-:lo=----------
Page 2 Filename: DP - DP Amend Application 2018 Rev. 1/24/2018
OWNERS AFFIDAVIT
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structures,
or any change in the use of land or structures requested by this application will comply with and conform to
all applicable laws of the State of Indiana and the Unified Development Ordinance of Carmel, Indiana,
adopted under the authority of Acts of 1979, Public Law 178, Sec. 1, et seq., General Assembly of the
State of Indiana, and all Acts amendatory there
Signed:d+;K 4-, L lJ Yfullm V
Owner Agent
Nottingham LLC, by Joh . Pearson III
(Typed/Printed) (Typed/Printed)
STATE OF INDIANA
SS:
The undersigned, having been duly sworn upon oath says that the above information is tru and�drrect and he is informed
and believes.
CLC-�-�-�� A
n 1 (Signa a of Petitioner)
County of ���� �v Before me th dersigned, a Notary Public
(County in which notarization takes place)
for 1444 VMQ (-� County, State of Indiana, personally appeared
(Notary Public's county of residence)
and acknowledge the execution of the foregoing
(Property Owner, Attorney, or Power of Attorney)
instrument this t'4 day of 4— f 1`"IL Z- , 20�.
(day) (m onth) (y ear)
Notary/ �Public—Signature
c
Notary Public—Please Print
My commission expires: SCDTL'�4(� L-�
Page 2 Filename: DP - DP Amend Application 2018 Rev. 1/24/2018