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HomeMy WebLinkAboutZ Gallerie (Wall) 04090186Item 3 of 6 CITY OF CARMEL PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID ......... DATE ISSUED.......: 09/23/2004 RECEIPT 4.........: 16005 REFERENCE ID # ...: 04090186 OPERATOR: dpattyn COPY # : 1 SITE ADDRESS .....: 14405 CLAY TERRACE BLVD SUBDIVISION ...... CITY ............. CARMEL IMPACT AREA ...... OWNER ............: SIMON PROPERTIES ADDRESS ..........: 14405 CLAY TERRACE BLVD CITY/STATE/ZIP ...: CARMEL, IN 46032 RECEIVED FROM ....: HUSTON ELECTRIC CONTRACTOR .......: LIC # CC00065 COMPANY ..........: KINDER SIGN/HUSTON ELECTRIC ADDRESS ..........: 615 TOUBY PIKE CITY/STATE/ZIP ...: KOKOMO, IN 46901 TELEPHONE ........: (765) 457-5966 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----------------------- ICIIOTHER FLAT RATE ---------- 1.00 ---------- 93.50 ---------- 0.00 ---------- 0.00 ---------- 93.50 SIGNINSTAL SQUARE FEET 43.00 98.80 0.00 98.80 0.00 SIGNPERM FLAT RATE 1.00 75.00 0.00 74.52 0.48 TOTAL PERMIT ---------- 267.30 ---------- 0.00 ---------- 173.32 ---------- 93.98 ' SIGN co 3 4 SIG c►> ►�� ITY OF C /C. T WN' a' SI DATE RED D:' NAME OF ADDRESS: SIGN ADDRESS 11� _�� PERMIT NUMBER: N4d �.a T PHONE: 7� ' yS7 5�� or CITY: STATE: /,OW-/ ZIP: 4to z-- PROPERTY OWNER c Meq'LPHONE: _51 7 - z(o 3 ^ 71A 7 ADDRESS: //.S� �- �' `r>>J� 7' CITY I -AID pL' STATE: %N ZIP: YA ZW ZONING DISTRICT: V RV OVERLAY ZONE: 31 421 431 OLD TOWN: REQUIRED APPROVALS: Plan Commission Docket # V 4 w ou AkA= c v IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDING/TENANT SPACE? IF YES, STATE PERMIT NUMBER ISSUED 7')SIGN TYPE -circle one: WAL GROUND ROOF PROJECTING SUSPENDED PORCH YES -NO 4-10_ DOCS Only WINDOW OTHER NO. OF SIDES / SIGN STATUS -circle appropriate response ".NE EXISTING ERMANENT TEMPORARY OVERALL SIGN HEIGHT FROM GROUND: FT. OVERALL SIGN DIMENSIONS: _ Z ET. x �+ TOTAL SIGN AREA: Requested _ �IZ -7 SQ.FT. Permissible yoq Q.FT. COLORS: • / S BUILDING OR TENANT SPACE FRONTAGE DIMENSION: !"V�FT. BUILDING TYPE:��G°. SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: ` LOGO DIMENSIONS: , LOGO IS PERCENT OF SIGN AREA ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN AID SHOPPING CENT OR COMPLEX NAME: 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- I WOULD PREFER A $93.50 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. TWO COPIES OF THE FOLLOWING DOCUMENTATION ARE REQUIRED FOR THE REVIEW OF THIS SIGN PERMIT: * COMPLETED APPLICATION * SITE PLAN (depicting all dimensions, setbacks and proposed sign location) * SIGN ELEVATIONS (depicting all dimensions, copy and color) * BUILDING OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location) * LANDSCAPE PLAN: Required for ground signs (depicting the planting, mature heights and caliper) * See Samples Attached SIGN PERMIT FEES: -PERMIT APPLICATION ........................... $75.00 -SIGN ERECTION ....................................... $30.00 PER SIGN FACE PLUS $1.60 PER SQUARE FOOT -REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET--$30.00 PLUS $1.60 PER SQUARE FOOT (Continued On Page 2) Page 2 of 2 Carmel/Clay Sign Permit Application 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 CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY. PROPERTY OWNER'S SIGNATURE PROPERTY OWNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S SIGNATURE BUSINESS OWNER'S NAME (PLEASE PRINT) SIGN COMPANY: /�iDi�IL d//i✓ � �d CONTACT PERSONc., Zr/ nFO�c. PHONE: 7�' j 4s`% �r 7lrG ADDRESS: /�%Z)t/� /��C« CITY: 4/4dr�-f11-o STATE:/� ZIP: / THE FOLLOWING ITEMS 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 4) x 5) x SIGN PERMIT APPLICATION $ 7 OD SIGN ERECTION - Improvement Permit $ "f �a INSPECTION FEE (Required if photography not provided) $93.50 OR hoto will be provided ::? TOTAL FEE $ PERMIT ISSUED BY:A r—). 1 --11 EE RECEIVED BY: RELEASED STAMP: s:lsign\appl revised 01/2004 PAID STAMP: i � 2 2elo: | $ W : 2 22■f� ;e\ ,; ) �% ■ (§�# @\� RNA] |;�}\}` ` �� � � i ll r-qqw,pp- I � �-�7 $§ § ©| F ( ■ ; §] $-. - -� L ■ P| \ ) § |g \I! 'Ik)/ � , ■ - - ��. f`) ) e ! | § 2 ) �[ & xz 'd DNI n B a3-1 3 8OI83ins 2,0 *I e- I -dam