HomeMy WebLinkAboutOld World Crystal S18.96SIGN. COPY
DATE RECEIVED:
NAME OF
ADDEE S S.fi
PROPERTY OWNER -
SIGN ADDRESS
AILTON COUNTY INDIANA
SIGN PERMIT APPLICATION
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PERMIT NUMBER:
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PHONE:
CITY: STATE:. W ZIP: q (Q 3 Z
PHONE:
ADDRESS: �C++.r' f • a` CITY: r�/ Y S U ,' STATE:_tJZIP: 1 6 0
ZONING DISTRICT: OVERLAY ZONE: 31 }`$irk- 431 OLD TOWN:YES / NO
REQUIRED APPROVALS: Plan commission Docket # N BZA Docket # f t _ DOCD Only
IS AN IMPROVEMENT LOCATION PERMIT
IF YES, STATE PERMIT NUMBER ISSUED
FOR THIS BUILDING/TENANT SPACE? aP
SIGN TYPE -circle o
ne: WALL GROUND ROOF PROJECTING S SPENDEI
O. OF SIDES 7 SIGN STATUS -circle appropriate response(s): EXISTING
PORCH WINDOW OTHER
PERMANENT TEMPORARY
OVERALL SIGN HEIGHT FROM GROUND 1 q FT- OVERALL SIGN DIMENSIONS: ___3___FT. x__t[__FT.
TOTAL SIGNAREA: Requested
IrL_
SQ. FT. Permissible
BUILDING OR TENANT SPACE FRONTAGE DIMENSION: 2 FT
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: C)
r+ it
LOGO DIMENSIONSdi,
x & W , LOGO IS -20
ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN
SHOPPING CENTER OR COMPLEX NAME:
SQ. FT. COLORS. # n1r CAr,1s i (flo "1
BUILDING TYPE: MN
FT.
PERCENT OF ALLOWANCE SIGN AREA
- Wk C"y, rt Y)lc
0
V I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY
DEVELOPMENT WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN.
-OR-
_ I WOULD PREFER AN ADDED $35.00 INSPECTION FEE TO BE ADDED TO THE COST OF THIS PERMIT TO
COVER THE COST OF THE STAFF OF THE DEPARTMENT OF COMMUNITY DEVELOPMENT TO TAKE THIS
PICTURE.
CWO
OPIE F THE FOLLOWING DOCUMENTATION IS REQUIRED FOR THE REVIEW OF THIS SIGN PERMIT:
* -COMPLETED APPLICATION
* -THE 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)
# -I;�-E-P&4_141required for ground signs (depicting the planting, and mature heights and caliper)
* See Samples Attached
SIGN PERMIT FEES:
-PERMIT APPLICATI50'ERS'IGN
-SIGN ERECTION... ..$2FACE PLUS $1.00 PER SQUARE FOOT OVER 32 SQUARE FEET.
-REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET .... $25.00 PLUS $1.00 PER SQUARE FOOT OVER 32 SQUARE FEET
(Continued On Page 2) 'J, ` -
Page 2 of 2
Carmel/Clay Sign
Permit Application
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HERIN 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 CARMEL/CLAY 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 BY THE
DEPARTMENT OF COMMUNITY DEVELOPMENT ARE ADVISORY.
PROPERTY OWNER'S SIGNATURE
BUSINESS OWNER'S SIGNATURE
LaxfU�,At 1� 1 1� /�qLAur ML //)A(.
(Y r
PROPERTY OWNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S NAME (PLEASE PRINT)
SIGN COMPANY: { ` CONTACT PERSON SeAh 6W-00kS PHONE: 0 L1J+7 / /
ADDRESS: / 2-09 C RA_ ." CITY:`u ids` o )IS STATB� ZIP: V
THE FOLLOWING ITEMS ARE CONC MS BY STAFF OR COMMIT ENTS T — T BE ADHEREi] T(� AS A
CONDITION OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH INDIVIDUAL ITEM):
SIGN PERMIT APPLICATION
SIGN ERECTION - Improvement Permit
$ 40 —
$ W—
INSPECTION FEE (Required if photography not provided) " - f fl OR Photo will be provide
TOTAL FEE
PERMIT ISSUED BY:
RELEASED STAMP:
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is _ s
CE y j- CARI ,E-.L
FEE RECEIVED BY:
PAID STAMP:
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SIGN
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INDIANA FARMERS MUTUAL INSURANCE GROUP ]__________[ 1.01 ]_
BROWN'S INSURANCE SERVICE
3510 E. 96TH ST., STE. 28
INDIANAPOLIS, IN 46240
(317) 846-2558
Business Master Quote
INSURED'S NAME & ADDRESS
OLD WORLD CRYSTAL Agent: MIKE BROWN
145 RANGELINE ROAD Agency Code:
CARMEL IN 46032 Company .:
1446
Indiana Farmers
,
Phone: (317) 843-9551 Rates Eff .:
5/ 1/91
-----
--------------------------------------------------------
Term: 12 Months Effective: 12/13/95 Time:
1:59 pm
Date: 12/13/95
--------------------------------------------------------------
GENERAL INFORMATION:
Policy #: Policy Type: Special
Prop Rate Groups
Occ/Loc/Bld# Cls Occupancy Description Bld Cont SP Liab
County
1/ 2/ 1 30034 Glassware, China, Pottery 4
12 3 9
HAMILTON
SP Prot Area(sq.ft) Yr # Sprin-
Burglar Repl.
Occ# Terr Terr Cls Cnstr or # Units Built Flrs kler?
Alarm Cost? Ded
Y $250
1 1 1 6 JM A- 500 N
None
BASE PROPERTY COVERAGES/PREMIUMS:
Bld Bld Bld Cont Cont SP
Cont
Ded
Occ# (Cov. A) Rate Premium (Cov. B) Rate Chrg
5.70 $47
Premium
$133
Adj Premium
$0 $133
1 0.00 $0 $15000
(NOTE: Base Cov. A & B premiums include a Cov. C - Loss
of Income
limit of
20% of the Cov. A limit plus 100% of the Cov. B
limit.)
BASE LIABILITY COVERAGES/PREMIUMS: (Includes increased
limits, if
any.)
General Med.Pay Products FireLegal
(Cov. L) (Cov.M) (Cov. N) (Cov. O)
Base
Rating
Occ# /Occur Agg /Pers /Occur Agg /Person
Rate
Units Premium
$71
1 $1000000 $2000000 $5000 $1000000 $2000000 $50000
$14.21
5.00
OPTIONAL PROPERTY COVERAGES/PREMIUMS:
OPTIONAL LIABILITY COVERAGES/PREMIUMS:
Rule 13.8 : Landlord As Additional Insured
$10
Occ# 1:
GL-122 : Non -owned & Hired Auto Liability Coverage
Occ# 1.
------------------------------- PREMIUM SUMMARY -------------------------
Bld & Cont $100 Ded Liability Opt. Prop Opt.
Liab
_------$50
SUB -TOTAL
$133 $0 $71 $0
$264
P.M. (
I.R.P.M.
0%)
ANNUAL
POLICY PREMIUM $264
RECEIPT CITY OF CARM EL 0 0 014 9_ 96
DEPARTMENT OF COMMUNITY DEVELOPMENT
Carmel, IN 01/30196 General Fund
Received from Old World Crystal Total $ 45.00
The SUM of Forty-five ---------------------------- 00 /100 Dollars
On Account r �nge
al
ress 14 S. Line Road
Pa ent Type: CHECK permit S 45.00
P rmit No. S 18. 96 $ 0.00
Authorize -
Signature
dep
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989
TOTAL $ 45.00