Loading...
HomeMy WebLinkAboutRiverview Health 17010051-54, 17010057-61CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: DATE RECEIVED: • COMPLETED APPLICATION (All blanks must be completed) • SITE PLAN (Depicting all dimensions, setbacks and proposed sign location) • SIGN ELEVATIONS (Depicting all dimensions, copy and color) • BUILDING OR TENANT SPACE ELEVATION lrilf� o (Depicting frontage dimensions and proposed sign location) R�C -' • LANDSCAPE PLAN: Required for ground signsj�� o (Depicting the planting area, plant materials, mature heights and caliper) �-U SIGN PERMIT FEES: (Please do NOT submit check until ermit has been issued) • ADLS AMENDMENT: $104 + $26.00 PER SIGN • PERMIT APPLICATION: $99.00 • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: , SIGN COPY: Riverview Health (C.113) SIGNADD S:14535.- H zel Dell Parkway SIGN STATUS: NEW ❑<<E EXISTING Z✓ . SIGN DURATION*: PERMANENT �TElut t�RARY ❑ (*See #7 Disclaimers, pg. 3) SIGN TYPE: WALL GROUND AWNING ROOFBLADE SUSPENDED PORCH❑ WINDOW❑ BANNER❑ DIRECTORY❑ IDI-M IONALF- THER. SIGN AREA DIMENSIONS: �� u x TOTALREA S .: Requested: 2. 3�� Permissible: WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): HEIGHT OF SIGN FROM GROUND. 3 (wall sign: measure to bottom of sign; ground sign: measure to top of sign) .01 -� LOGO DIMENSIONS:2,�L FT. x � FT. SQ. FT (Logo dimensions and percentage only applies to Multi -Tenant Buildings) x Width: (Width Max 85%): NUMBER OF SIDES. I ✓ R 2 LOGO PERCENT OF SIGN AREA: �(Max 25°/0) BUILDINGITENANT SPACE FRONTAGE: - 1910 -_FT. SIGN DISTANCE FROM NEAREST R.O.W.: 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): Blue and white ILLUMINATION METHOD:.INTERNALLJ KrERNAL❑REVERSE-LITIHAL"NOME THER: BUILDING TYPE: �MMERCIALRILRES ENTIAL❑INSTITUTIONAL❑MIXED USE[]OTHER: ARE THERE ANY EXISTING SIGNS ON THIS SITE? WHAT WAS THE NAME OF THE PREVIOUS Tll�NT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME: 4/ K- e 2. ZONING ZONING DISTRICT: PUD PARCEL ID #: 7- 1 0_ 2 2_ 0 0_ 2 2_ 0 0 1 .0 0 0 OVERLAY : 31 I 421 = Keystone Pkvey, Carmel Dr./Range Line Rd Old Town Motion Trail Home Place Business District West Home Place Commercial Corridor West 116`h St. PREVIOUS APPROVALS: P.C. Docket # G i `Gc) 2 Abu B.Z.A oc t # =fit\1� CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: NAME OF BUSINESS: Riverview Health PHONE: 317-776-7111 CONTACT PERSON: Scott Tripp ADDRESS:14535 Hazel Dell Parkway PROPERTY OWNER: CONTACT PERSON: ADDRESS: Riverview Health Scott Tripp 395 Westfield Road CONTACT EMAIL: CITY: Carmel CONTACT EMAIL: STATE: IN ZIP: 46032 PHONE: 317-776-7111 CITY: Noblesville STATE: ZIP: IN 46060 THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA, A ND T HE Z ONING OR DINANCE 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 CERTIFIES BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY. 8c� PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS: 8816 Corporation Drive Indianapolis IN 46256 p CITY: p STATE: ZIP: EMAIL ADDRESS: kkohl@signcraftind.com ESTIMATED INSTALL DATE: 12/1/16 PHONE317-842-8664 JAI 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 $131 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 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 2 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: I I b ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign $99.00 $39.00/sign face + $1.90/sf -2 INSPECTION FEE (Required if photography not provided) $131 OR R] Photo will be provided TOTAL FEE PERMIT ISSUED BY: RELEASED STAMP: 7. DISCLAIMERS ppYE Jf� �r,1 �a _ By APPLICANT, PLEASE NOTE THE FOLLOWING: 0 FEE RECEIVED BY: PAID STAMP: �---�— S Jl�fv 1 2,917 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, A NEW 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 MAY B E R ENEWED ON T HIS DATE F OR A N A DDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER,NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. • IF. THE SIGN IN THIS APPLICATION IS FOR AN INTERIMBANNER PENDINGA PERMANENTSIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER GSCHOENHERR a CARMEL.IN.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 m LETTER OF A UTHORIZATION Property Owner/Agent Address Company Name: Healt 395 Westfield Road Noblesville, IN 46060 Contact/Tele: Scoff ripe 317 776-7111 I, (PLEASE PRINT NAME) Scott Tripp (Location Site) Hazel Dell Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gard Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: Scott Tripp Legal description of the property: _ lease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) r� 0 ,w . | � : � ■_ § - - 'kIHIII e � �■\: 2&��� § ) � e ■ ;« !_{e k�§§ k k§ ■=Sq�§)�§„�+§.�o=��§ � � / § ) �j CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: • COMPLETED APPLICATION (All blanks must be completed) • 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: lease do NOT submit check until permit has been issued • ADLS AMENDMENT: $104 + $26.00 PER SIGN • PERMIT APPLICATION• $99 00 DATE RECEIVED: R7:11-FID NOV 2016 • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1.SIGN PERMIT NUMBER: 11Ol(_-:�Q0C-3 SIGN COPY: Riverview Health (C.112) SIGN ADDRESS:14535 Hazel Dell Parkway SIGN STAT �SNEW ✓ ,EXISTING SIGN DURATION*. -PERMANENT V TE PORARY (*See #7 Disclaimers, pg. 3) SIGN TYPE: WALL GROUND 0 AWNING ROOF TN BLADED SUSPENDED PORCH ❑ WINDOW ❑ BANNER ❑ DIRECTORY ❑ RECTIONAL HER: — SIGN AREA DIMENSIONS: x ( TOTAL SI�GI�CRA �Q: F°f•= Requested y . "] 7 Permissible: S WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): HEIGHT OF SIGN FROM GROUND: (wall sign: measure to bottom of sign; ground sign: measure to top of sign) f I it 2) , 11 LOGO DIMENSIONS: 1� FT. x �- 2 FT. = 04 D SQ. FT (Logo dimensions and percentage only applies to Multi -Tenant Buildings) x Width: (Width Max 85%): NUMBER OF LOGO PERCENT OF SIGN AREA: Z `%G (Max 25%) BUILDING/TENANT SPACE FRONTAGE: 19 Q FT. SIGN DISTANCE FROM NEAREST R.O.W.: -54 U 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): Blue and white ILLUMINATION METHOD: INTERNAL❑EXTERNAL[-IltEVERSE-LITIHA�N.O'�OTHER: BUILDING TYPES COMMERCIAL RESID NTIAL❑INSTITUTIONAL❑MIXED USED OTHER - ARE THERE ANY EXISTING SIGNS ON THIS SITE? WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME: ����% \eu') et� `a, IC_ 2. ZONING ZONING DISTRICT: P U D PARCEL ID #: 1 7- 1 0- 2 2- 0 0- 2 2- 0 0 1 , 0 0 0 OVERLAY : 31 421 Key Pkwy. Carmel Dr./Range Line Rd,r0 Old Town Monon Trail Home Place Business District � West Home Place Commercial Corridor West 116`h St. PREVIOUS APPROVALS: P.C. Docket # 10 W-)C' ll C CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: i -1 v l C� NAME OF OF BUSINESS: CONTACT PERSON: Riverview Health PHONE: 317-776-7111 Scott Tripp CONTACT EMAIL: ADDRESS:14535 Hazel Dell Parkway —CITY: Carmel PROPERTY OWNER: Riverview Health CONTACT PERSON: ADDRESS: Scott Tripp 395 Westfield Road PHONE: CONTACT EMAIL: CITY: Noblesville 46032 TATE: I ZIP: 317-776-7111 46060 ATE) ZIP: THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA, A ND T HE Z ONING OR DINANCE 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. PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS: 8816 Corporation Drive Indianapolis IN 46256 p CITY: p STATE: ZIP: EMAIL ADDRESS: kkohl aOsigncraftind.com 12/1/16 PIIONE:317-842-8664 III TED INSTALL DATE: 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- F] I WOULD PREFER A $131 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 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 2 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER; 1 O 1 OC--410a ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign $99.00 $39.00/sign face + $1.90/sf INSPECTION FEE (Required if photography not provided) $131 OR 4 j Photo will be provided TOTAL FEE PERMIT ISSUED BY: RELEASED STAMP: pp' OWE By 7. DISCLAIMERS APPLICANT, PLEASE NOTE THE FOLLOWING: G FEE RECEIVED BY: PAID STAMP: Ti f\ { �� I l 111 PERMANENT SIGNS: 4 • 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 EEES_AP.PLY. TEMPORARY SIGNS: ■ IF THE SIGN IN THIS APPLICATION IS A TEMPORARY SIGN, THIS SIGN PERMIT EXPIRES ON: THIS SIGN PERMIT MAY B E R ENEWED ON T HIS DATE F OR AN A DDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. • IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL I5 NOT AVAILABLE. • IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIMBANNER PENDINGA PERMANENTSIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER CSCHOENHERR u CARMELAN.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 LETTER OF A UTHORIZATION Property OwneriA ent Address Company Name: Healt 395 Westfield Road Noblesville, IN 46060 Contact/Tele: c 317 776-7111 _ I, (PLEASE PRINT NAME) Scott Tripp (Location Site) Hazel Dell Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gary Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: Scott Tripp Legal description of the property: lease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) Am LO MENEM-fie F, Mai JILL- - --1 fn kD ai `,7.; 7 .' 2 f ® \ 5ae�22=� § \§■ � � ._ 2�2.¥$'§ B■ ^�§k- k d \ 3 .• ■��2 Mill ' k§§■��E§ § §§ @=§q�§kk§)��,4�2�G==f§ ■ T � � § ■ � B■ \cc 2 C§ O N■� �� §§ ® HEM k77 \■Q&@o � §■a CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: • COMPLETED APPLICATION (All blanks must be completed) • 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: $104 + $26.00 PER SIGN PERMIT APPLICATION: $99.00 DATE RECEIVED: A KG NIO NOV SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: J—j 0160 S rj SIGN CO,,,.PRiverview Health (C.111) SIGN A�RE 5.1-A5.3 Hazel Dell Parkway SIGN STAT : NEW �✓-ExIST[NG SIGN DURATION*': PERMANENT ✓LPORARY (*See #7 Disclaimers, pg. 3) SIGN TYPE: WALL GROUND AWNING ROOFS �1'RO � Fr BLADE SUSPENDED PORCH❑ WINDOW❑ BANNER[—] DIRECTORYF{DIRECTIONAL V. SIGN AREA DIMENSIONS: �G '� x _ LE � •, TOTAUSIGN.-AREA S .: Requested: Permissible: WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): HEIGHT OF SIGN FROM GROUND: a (wall sign: measure to bottom of sign; ground sign: measure to top of sign) LOGO DIMENSIONS: I/2�1 x��i I Z, _ •Uy� SQ. FT (Logo dimensions and percentage o; iy applies to Multi -Tenant Buildings) x Width: (Width Max 85%): NUMBER OF SIDES: ] �O 2 LOGO PERCENT OF SIGN AREA: ZVO (Max 25%) BUILDING/TENANT SPACE FRONTAGE: .�C) FT. SIGN DISTANCE FROM NEAREST R.O.W.: C f-a 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 C S); Blue and white ILLUMINATION METHOD: AL�EXTERNAL❑REVERSE-LIT/HALO NONE OTHER: BUILDING TYPE: OMMERCIAL�SIDENTIAL❑ INSTITUTIONAL MIXED USE OTHER: ARE THERE ANY EXISTING SIGNS ON THIS SITE?, WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? l SHOPPING CENTER OR COMPLEX NAME: 621W 2. ZONING ZONING ZONING DISTRICT: P U D PARCEL ID #:1 7_ 1 0_ 2 2 _ 0 0_ 2 2_ 0 0 1 . 0 0 0 OVERLAY : 31 421 _!___I Key' Pkwy. Carmel Dr./Range Line Rd. Old Town Monon Trail � Home Place Business District West Home Place Commercial Corridor West 116'h St.E_ PREVIOUS APPROVALS: P.C. Docket # _a(f tL60 0?.OLS �l�sJ D B.Z.t!!5ket # _..---= e,Lo�*v ,t,kX n M OF CARMLL/C. LA Y 1 v W n ,-Jn1<r, 111->iV11L 1 %J"% %., 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: Riverview Health xoNE 317-776-7111 NAME OF BUSINESS: CONTACT PERSON: Scott Tripp ADDRESS:14535 Hazel Dell Parkway PROPERTY OWNER: Riverview Health CONTACT PERSON: ADDRESS: Scott Tripp 395 Westfield Road P CONTACT EMAIL: CITY: Carmel PHONE: CONTACT EMAIL: 46032 TATE: I ZIP: 317-776-7111 Noblesville IN 46060 CITY: STATE: ZIP: THE UNDERSIGNED CERTIFIES THATTHE FOREGOING SIGNATURES. STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA, A NA T HE Z ONING OR DINANCE OF CARMEUCLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHIN SIC (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. PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* PROPERTY OWNER'S NAME (please print) f 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS: 8816 Corporation Drive CITY: EMAIL ADDRESS:_kkohl@signcraftind.com ESTIM,,k I'ED INSTALL DATE: 12/1/16 Indiana oliS IN 46256 p STATE: ZIP: PHONE:317-842-8664 T ✓] . _.l 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 $131 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 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 2 f OF UARMEL/ULA 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: _1l 00 'S� ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign $99.00 a $39.00/sign face + $1.90/sf 6 INSPECTION FEE (Required if photography not provided) $131 OR 0 Photo will be provided TOTAL FEE $ ' _ I PERMIT ISSUED BY: FEE RECEIVED BY: RELEASED STAMP: 7. DISCLAIMERS APPLICANT, PLEASE NOTE THE FOLLOWING: PAID STAMP: ti ip,r� i:l 2 lei' 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, A NEW 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 MAY B E RENEWED ON T HIS DATE F OR AN ADDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. ■ IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. ■ IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING PERMANENT SIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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: CAT SCHOENHERR, PLANNER CSCHOENH RRrkCARMEL.IN.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 LETTER OF A UTHORIZATION Pro erty Owner/Agent Address Company Name: Rivervipw Health 395 Westfield Road Noblesville, IN 46060 Contact/Tele: 5 c 0 L��- (317) 776-7111_ I, (PLEASE PRINT NAME) Scott Tripp (Location Site) Hazel Dell Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gary Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: Scott Tripp Legal description of the property: lease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: • COMPLETED APPLICATION (All blanks must be completed) • 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: lease do NOT submit check until ermit has been issued) ADLS AMENDMENT: $104 + $26.00 PER SIGN PERMIT APPLICATION• $99 00 DATE RECEIVED: • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: SIGN COPY: Riverview Hea C.108) SIGN lADD :14535 Hazel Dell Parkway le -SIGN STATUS: NEW EXISTING_✓_ IGN DURATION*:` PERMANENT�MPORARY❑ (*See #7 Disclaimers, pg. 3) SIGN TYPE: WALL GROUND 0 AWNING ROOF ROJECTIN BLADE SUSPENDED PORCH❑ WINDOW❑ BANNER[] DIRECTORY�'DIRECTIONAL O ER: SIGN AREA DIMENSIONS: �_ x l `' TOTAL SIGNORE . FT.. Requested: �Permissible: • — WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): HEIGHT OF SIGN FROM GROUND: 5 (wall sign: measure to bottom of sign; ground sign: measure to top of sign) x Width: (Width Max 85%): NUMBER OF SIDE DRO 2 LOGO DIMENSIONS: � x 2 /4 +• _ , 0'A 3 Q. FT, LOGO PERCENT OF SIGN AREA: Z�o (Max 25%) (Logo dimensions and percentage only applies to Multi -Tenant Buildings) BUILDINGITENANT SPACE FRONTAGE: i Cl 0 FT. SIGN DISTANCE FROM NEAREST R.O.W.: � �� 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): Blue and ILLUMINATION METHOD:-INTERNAL❑EXTERNAL❑REVERSE-LIT/HALOg-NONE[JOTHER: BUILDING TYM'E�COMMERCIALRI ESIDENTIALEINSTITUTIONALE MIXED USEE] OTHER:_ ARE THERE ANY EXISTING SIGNS ON THIS SITE? WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME:. 2. ZONING white ZONING DISTRICT: P U D PARCEL ID #: 1 7_ 1 0_ 2 2_ 0 0_ 2 2_ 0 0 1 . 0 0 0 OVERLAY Z : 31 421 Key' Pkwy. Carmel Dr./Range Line Rd Old Town Monon Trail Home Place Business District West Home Place Commercial Corridor West 116`h St. PREVIOUS APPROVALS: P.C. Docket # I LCk (Cf-X)& AMNB.Z cket # -�n Co- OF CARMEL/ULAY I uwIN,5rur, rl'AIV11L 1 "i'm v 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: 0 k UC ) NAME OF BUSINESS: CONTACT PERSON: Riverview Health Scott Tripp CONTACT EMAIL: ADDRESS:14535 Hazel Dell Parkway CITY: PROPERTY OWNER: CONTACT PERSON: ADDRESS: Riverview Health Scott Tripp 395 Westfield Road PHONE: 317-776-7111 Carmel STATE:I ZIP: 46032 PHONE: CONTACT EMAIL: 317-776-7111 CITY: STATE: ZIP: Noblesville IN 46060 THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL SE ERECTED AND MATNTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA. A ND T HE Z ONTNG OR DTNANCE OF CARMEUCLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO. AND SHALL BE ERECTED WCTHTN 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. & - ��C- PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON. Kristen Kohl ADDRESS: 8816 Corporation Drive Indianapolis IN 46256 p CITY: p STATE: ZIP: EMAIL ADDRESS: kkohl@signcraftind.com 317-842-8664 E -94M ATED INSTALL DATE: 1 2/ 1/ 1 6 ✓ 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 $131 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. S. DEPARTMENT CONDITIONS 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 3) x 2 OF C:AR MEL/ULA Y 1 V W n anir, i vl. 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: l -107 00 ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign $99.00 $39.00/sign face + $1.90/sf m INSPECTION FEE (Required if photography not provided) $131 ROR ® Photo will be provided TOTAL FEE PERMIT ISSUED B'�: RELEASED STAMP: ll 11~W00wIF JANrl 1 , 20 117 By 7. DISCLAIMERS APPLICANT, PLEASE NOTE THE FOLLOWING: 0 FEE RECEIVED BY: PAID STAMP: A 2�17 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 A NEW BUILDING, A NEW 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 MAY B E R ENEWED ON T HIS DATE F OR AN A DDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIMBANNER PENDING PERMANENT SIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER CSCH O EN H ERRCA R M EL.IN . G OV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 LETTER OF A UTHORIZATlON Property Owner/AgentAddress Company Name: Rive A� Eiealth 395 Westfield Road Site Address information 14535 Hazel Dell Parkway Carmel Noblesville ICI 46060 IN 46033 Contact/Tele: Contact/Tele: cot r,n� Gar Raines 317 776-7111 _ (317) 385 - 0599 I, (PLEASE PRINT NAME) Scott Tripp owner/agent of (Location Site) Hazel Dell Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: Scott Tripp Legal description of the property: lease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) L- i - - u u w r LL r: IW7 . �\ 0 co _o C-) § CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: DATE RECEIVED: ■ COMPLETED APPLICATION (All blanks must be completed) • 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) 'Z ■ LANDSCAPE PLAN: Required for ground signs o (Depicting the planting area, plant materials, mature heights and caliper)U`' SIGN PERMIT FEES: (Please do NOT submit check until permit has been issued • ADLS AMENDMENT: $104 + $26.00 PER SIGN • PERMIT APPLICATION: $99.00 • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: 1-1 n 'I •, r,, SIGN COPY: Riverview Health (C.104) SIGN ADDRESS:14535 Hazel Dell Parkway SIGN STATUS: NEW EXISTING ❑✓ Sl N DURATCO *: PERMANIPOR-ARY ❑ (*See #7 Disclaimers, pg. 3) SIGN TYPE: WALL GROUND AWNING ROOFRa BLADE SUSPENDEDPORCH ❑ WINDOW{ BANNER❑ DIRECTORY ❑ DIRECTIOHER: SIGN AREA DIMENSIONS; ., x TOTAL SIGN AREA S�`T.: Requested: Z 315Permissible: WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): x Width: (Width Max 85%): HEIGHT OF SIGN FROM GROUND: �)NUMBER OF SIDES: ✓ R❑ 2 (wall sign: measure to bottom of sign; ground sign: measure to top of sign) l j1 t kt LOGO DIMENSIONS: /Z • x Z_ � = Cq 3 SQ. FT, LOGO PERCENT OF SIGN AREA: Z /� (Max 25%) (Logo dimensions and percentage o6ly applies to Mufti -Tenant Buildings) BUILDING/TENANT SPACE FRONTAGE: V:A 0FT. SIGN DISTANCE FROM NEAREST R.O.W.: Z(5(2:3 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 CO g :Blue and white ILLUMINATION METHOD: INTERNAL❑EXTERNAL❑REVERSE-LIT/HALO ✓ NONE OTHER: BUILDING TYPE: COMMERCIAL ✓ SIDENTIAL❑INSTITUTIONAL❑MIXED USE❑ OTHER: ARE THERE ANY EXISTING SIGNS ON THIS SITE? WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? 1 SHOPPING CENTER OR COMPLEX NAME:LAS . 12\i� LPL A2i< 2. ZONING ZONING DISTRICT: PU D PARCEL ID #: 1?- 1 0_ 2 2_ 0 0— 2 2 0 0 1 , 0 0 0 OVERLAY Z : 31 _ 421 J� Key Pkwy. Carmel Dr./Range Line Rd Old Town Monon Trail � Home Place Business District West Home Place Commercial Corridor West 116`" St. PREVIOUS APPROVALS: P.C. Docket # LLG �� �''�=Z <�C��� Il t� B.Z.}Cet'# 1 L� dlt-[,A I 1"VV 11011ll 7 i1-XITAXL 1 vi. 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: 1'I O \ CC- 1-2 NAME OF BUSINESS: Riverview Health PHONE: 317-776-7111 CONTACT PERSON: Scott Tripp ADDRESS.14535 Hazel Dell Parkway PROPERTY OWNER: Riverview Health CONTACT PERSON: Scott Tripp ADDRESS: 395 Westfield Road CONTACT EMAIL: CITY: Carmel 46032 STATE: I ZIP: PHONE: 31 7-776-711 CONTACT EMAIL: CITY: Noblesville 1 46060 ATE:I ZIP: THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA. A ND T HE Z ONING OR ❑INANCE OF CARMEL/CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHTN SIN 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.. ` 6 C k A k\C && PROPERTY OWNER'S SIGNATURE* PROPERTY OWNER'S NAME (please print) BUSINESS OWNER'S SIGNATURE* 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 COMPANY/OWNER'S REP Sign Craft Industries CONTACT PERSON: Kristen Kohl COMPANY NAME: g 8816 Corporation Drive Indianapolis IN 46256 ADDRESSCITY: p STATE: : ZIP: EMAIL ADDRESS: kkohl@signcraftind.com PHONE:317-842-8664 FTED INSTALL DATE: 12/1/16 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- WOULD PREFER A $131 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 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 _ 2 OF CARMEL/CLAY 1 V 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: V101 O p5 ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign $99.00 $39.00/sign face + $1.90/sf INSPECTION FEE (Required if photography not provided) $131 ROR © Photo will be provided TOTAL FEE a PERMIT ISSUED BY: RELEASED STAMP By 7. DISCLAIMERS C�pG°3D�IC� APPLICANT, PLEASE NOTE THE FOLLOWING: C) FEE RECEIVED BY: --rO . _k _k k - PAID STAMP: JAN 3 1 20i7 i 1 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 MAY B E RENEWED ON T HIS DATE F OR AN ADDITIONAL YEAR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. • IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. ■ IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING A PERMANENT SIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER CSCHOENHERB a CARMEL.IN.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 - 1 CIVIC SQUARE CARMEL, IN 46032 LETTER OFAUTHOREATION Pro er Owner/Agent Address Company Name: ]3iver3,i w Healtb 395 Westfield Road Noblesville, IN 46060 Contact/Tele: Scot Lpn (317) 776-7111 I, (PLEASE PRINT NAME) Scott Tripp (Location Site) Hazel Dell Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gary Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: Scott Tripp Legal description of the property: please attach) Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) , 2d Lnu; VIN 3 C-D N '� 2 ITEMS OF 8 CITY OF CARMEL PERMIT RECEIPT Sec:22 Twp:18 Rng:04 Sub:RMP Blk: Lot:l PARCEL ID ........: 1710220022001000 DATE ISSUED.......: 01/31/2017 RECEIPT #......... PZ000002239 REFERENCE ID # 17010054 SITE ADDRESS 14535 HAZEL DELL PKWY SUBDIVISION RIVERVIEW MEDICAL PARK CITY CARMEL IMPACT AREA ....... OPERATOR: mcredifo COPY # : 1 OWNER ............: PLUM CREEK PARTNERS, LLC ADDRESS 320 N MERIDIAN, SUITE 700 CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46204 RECEIVED FROM ....: SIGN CRAFT INDUSTRI CONTRACTOR .......: SIGN CRAFT INDUSTRIES LIC # CC00070 COMPANY ..........: SIGN CRAFT INDUSTRIES ADDRESS ..........: 8816 CORPORATION DRIVE CITY/STATE/ZIP INDIANPOLIS, IN 46256 TELEPHONE ......... FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - SIGNINSTAL SQUARE FEET Y . 41.48 _ 156.81 _f 0.00 156.81 0.00 SIGNPERM FLAT RATE 1.00 99.00 0.00 _ 99.00 0.00 TOTAL PERMIT f 255.81 _ 0.00 255.81 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER f _ f f CHECK 922.62 24611 --------------- TOTAL RECEIPT 922.62 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: • COMPLETED APPLICATION (All blanks must be completed) • 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: $104 + $26.00 PER SIGN PERMIT APPLICATION $99 00 DATE RECEIVED: • • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT A 1. SIGN PERMIT NUMBER: 1-101 C) Q S SIGN COPY: Riverview Health (C.110) SIGN ADDRESS:14535 Hazel Dell Parkway SIGN STATUS: NEW EXISTING ✓ SI DURATION*i. PERMANENT ❑✓ SIGN TYPE: WALL GROUND F] ✓ G ROOFPROJECTING[ PORCH❑ WINDOW❑ BA DIRECTORY❑ DIRECTIONAL❑ Y❑ (*See #7 Disclaimers, pg. 3) IBLADED SUSPENDED OTHER: N SIGN AREA DIMENSIONS: -i —LO1 i $ }' x f 2( �� TOTAL SIGN AREA SQ. FT.: Requested: .�' � Permissible: WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): HEIGHT OF SIGN FROM GROUND: ( i (wall sign: measure to bottom of sign; ground sign: measure to top of sign) x Width: (Width Max 85%): NUMBER OF SIDES: 1 ' R� 2 LOGO DIMENSIONS: l \,c P11 x l L�' C. _ SQ. FT. LOGO PERCENT OF SIGN AREA: �lrs (Max 25%) (Logo dimensions and percentage only applies to Multi -Tenant Buildings) BUILDING/TENANT SPACE FRONTAGE: Gt Q FT. SIGN DISTANCE FROM NEAREST R.O.W 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): Blue and white LIT/HALO NONE❑OTHER: ILLUMINATION BUILDING ARE THERE ANY EXISTING SIGNS ON THIS SITE? INSTITUTIONALD MIXED USE❑OTHER: WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME:' = r t W' CA,_ 2. ZONING ZONING DISTRICT: PARCEL ID #: L 1— L V — — C V— L�— D O O �o G OVERLAY Z : 31 - 421 Key Pkwy. Carmel Dr./Range Line Rd Old Town 4;_ Monon Trail Home Place Business District ,f. West Home Place Commercial Corridor West 116`h St. PREVIOUS APPROVALS: P.C. Docket # t~"�� L`� L�2C� AbLS A cOM.Z.A. Docket # b-le t5 iCa I 1 o 0 02 4yL_s Amt�� CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: I I d 1 v25 �5`} Riverview Health ""ONE 317-776-7111 NAME OF BUSINESS. CONTACT PERSON: ADDRESS; Scott Tripp CONTACT EMAIL: 14535 Hazel Dell Parkway CITY: Carmel PROPERTY OWNER: Riverview Health CONTACT PERSON: ADDRESS: Scott Tripp 395 Westfield Road PHONE: CONTACT EMAIL: 46032 LATE: I ZIP: 317-776-7111 Noblesville IN 46060 CITY: STATE: ZIP: THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF INDIANA, A ND T HE Z ONiNG OR DiNANCE 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. 417�Can-- & PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* PROPERTY OWNER'S NAME (please print) r 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS: 8816 Corporation Drive EMAIL ADDRESS: kkohl @slgncraftlnd.com 12/1/16 Indianapolis IN 46256 CITY: p STATE: ZIP: PHONE.317-842-8664 ESTIMATED INSTALL DATE: 1 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 $131 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 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 6 2 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 6 FEES PERMIT NUMBER: ­7C= l COOS'k ADMINISTRATIVE ADLS AMENDMENT $104 + $26.00/sign SIGN PERMIT APPLICATION , F00 SIGN ERECTION $39.00/sign face + $1.90/sf CU INSPECTION FEE (Required if photography not provided) $131 ❑ OR ® Photo will be provided TOTAL FEE $ 2 5 I ! PERMIT ISSUED BY: FEE RECEIVED BY. RELEASED STAMP: 7. DISCLAIMERS APPLICANT, PLEASE NOTE THE FOLLOWING: PAID STAMP: JAN 31 217117 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. ZPORARY SIGNS: • IF THE SIGN IN THIS APPLICATION IS A TEMPORARY SIGN, THIS SIGN PERMIT EXPIRES ON: THIS SIGN PERMIT MAY B E R ENEWED ON T HIS DATE F OR AN A DDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. s IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. • IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIMBANNER PENDING A PERMANENT SIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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: CAT SCHOENHERR, PLANNER CSCHOENrHERRg,CA[IMEL.fN.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3aDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 6 3 LETTER OF A UTHORIZATION Property Owner/Agent Address Company Name: 395 Westfield Road Noblesville, IN 46060 Contact/Tele: Scott ri 11� 317 776-7111 I, (PLEASE PRINT NAME) Scott Trip (Location Site) Hazel Dell Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 ,Contact/Tele: Gar Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: Scott Tripp Legal description of the property:__Iplease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) O T T V 2 ITEMS OF 8 CITY OF CARMEL PERMIT RECEIPT Sec:22 Twp:18 Rng:04 Sub:RMP Blk: Lot:l PARCEL ID ........: 1710220022001000 DATE ISSUED.......: 01/31/2017 RECEIPT #......... PZ000002239 REFERENCE ID # ...: 17010053 SITE ADDRESS 14535 HAZEL DELL PKWY SUBDIVISION RIVERVIEW MEDICAL PARK CITY CARMEL IMPACT AREA ...... OPERATOR: mcredifo COPY # : 1 OWNER PLUM CREEK PARTNERS, LLC ADDRESS 320 N MERIDIAN, SUITE 700 CITY/STATE/ZIP INDIANAPOLIS, IN 46204 RECEIVED FROM SIGN CRAFT INDUSTRI CONTRACTOR SIGN CRAFT INDUSTRIES LIC # CC00070 COMPANY SIGN CRAFT INDUSTRIES ADDRESS 8816 CORPORATION DRIVE CITY/STATE/ZIP INDIANPOLIS, IN 46256 TELEPHONE FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC - NEW BAL ------------- SIGNINSTAL SQUARE FEET -------------------- 15.00 106.50 ---------- 0.00 106.50 0.00 SIGNPERM FLAT RATE 1.00 99.00 0.00 99.00 0.00 TOTAL PERMIT f- 205.50 0.00 205.50 0.00 OF CARMEL/CLAY '1 O W N NuIr, nAlvllu 1 Vlr t. 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: • COMPLETED APPLICATION (All blanks must be completed) • 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 erntit has been issued ADLS AMENDMENT: $104 + $26.00 PER SIGN PERMIT APPLICATION:$99 00 DAlhKLLl,E'1vC1J: k� AEcElVcD Nov 2 2016 • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: ' � C) SIGN COPY: Riverview Health Physicians (C.105) cuss A„nD�.QQ.14535 Hazel Dell Parkway SIGN STATUS: NEW XI SIGN TYPE: WALL GROUND PORCH❑ WINDOWF—]--B-A-NN SIGN AREA DIMENSIONS: 3 ✓ I SIGN DURATION'!f PERMANENT Y❑ (*See #7 Disclaimers, pg. 3) �-INGFI ROOF PROJECTING BLADE SUSPENDED ;) ❑ DIRECTORY ❑ DIRECTIONAL ❑ OTHER: x 5 TOTAL SIGN AREA SQ. FT.: Requested: 15 Permissible: WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): HEIGHT OF SIGN FROM GROUND: J5 (wall sign: measure to bottom of sign; ground sign: measure to top of sign) I.Z x Width: (Width Max 85%): NUMBER OF SIDES: 1 []OR0 2 LOGO DIMENSIONS: i x SQ. FT. LOGO PERCENT OF SIGN AREA: �/� (Max 25%) (Logo dimensions and percentage My applies to Multi -Tenant Buildings) BUILDING/TENANT SPACE FRONTAGE:[ _FT. SIGN DISTANCE FROM NEAREST R.O.W.: r 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.) Blue and white LAND ACREAGE: (Applies only to Temporary signs) SIGN FACE CO . l VERSE-LIT/HA O ❑✓ NONE 1 OTHER: OTHER: TTUT1ONAL❑MIXED USE ILLUMINATION BUILDING ARE THERE ANY COMMERCIAL SIGNS ON THIS SITE? WHAT WAS THE NAME OF THE PREVIOUS SHOPPING CENTER OR COMPLEX NAME: ANT (IF APPLICABLE)? 2. ZONING ? �(� ) } ZONING DISTRICT: PARCEL ID #: - -Z t! - V O _ (� 2 _ D OVERLAY ZqN�: 31 421 Keypnf Pkwy. Carmel Dr./Range Line Rd Old Town Monon Trail Home Place Business District West Home Place Commercial Corridor West 116`h St. PREVIOUS APPROVALS: P.C. Docket # 0-10`l f Lv B.Z.A. Docket # I Lc k t 0 00 2- r1 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NU.+IVIBER. t -IU I OC)S Riverview Health PHONE 317-776-7111 NAME OF BUSINESS: CONTACT PERSON: Scott Tripp CONTACT EMAIL: ADDRESS-14535 Hazel Dell Parkway CITY: PROPERTY OWNER: Riverview Health CONTACT PERSON: ADDRESS: Scott Tripp 395 Westfield Road Carmel PHONF CONTACT EMAIL: 46032 STATE: I ZIP: . 317-776-7111 CITY: STATE: ZIP: Noblesville IN 46060 THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED.A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA, A ND T HE Z ONING OR DINANCE OF CARMELICLAY 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. Cr4zrl� & PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS: 8816 Corporation Drive CITY: p STATE Indianapolis IN 46256 : ZIP: EMAIL ADDRESS: kkohI a@sIgncraftind.com PHONE:317-842-8664 ESTIMATED INSTALL DATE: 12/1/16 r'I 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- F] I WOULD PREFER A $131 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 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 4 ON (CARIV EL/ULA Y 1 V W IN �5ntr, n-Alvul. -L vl4 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: V1 C`, i ADMINISTRATIVE ADLS AMENDMENT $104 + $26.00/sign SIGN PERMIT APPLICATION 99.00 SIGN ERECTION $39.00/sign face + $1.90/sf L 5 CS INSPECTION FEE (Required if photography not provided) $131 OR [�j Photo will be provided TOTAL FEE $ 2 S� PERMIT ISSUED BY: -- - FEE RECEIVED BY: RELEASED STAMP: L� U 0 PAID STAMP: All " By 7. DISCLAIMERS 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 MAY BE RENEWED ON T HIS DATE FOR AN ADDITIONAL YEAR WITH A PERMIT BY RE- APPLYING. ALL FEES APPLY. • IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. • IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING PERMANENT SIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER CSCHOENHERR PmCARMEL.1N.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 3 LETTER OF A UTHORIZA TION Property Owner/Agent Address Company Name: Healt 395 Westfield Road Noblesville. IN 46060 Contact/Tele: (317 776-7111 _ Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gary Raines (317) 385 - 0599 I, (PLEASE PRINT NAME) Scott Tripp owner/agent of (Location Site) Hazel Dell Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19, 2015 Owner/Agent: �~ Scott Tripp Legal description of the property: lease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) ed2- � - e ■}¥__ � �•-S���k§ � 7|a■s)�■ § 2 ,77 C-1) . ! 2 #■ � \§ k §bB■f§§7§»§\:A«■y2a9aw§ 0 2 ITEMS OF 8 CITY OF CARMEL PERMIT RECEIPT Sec:22 Twp:18 Rng:04 Sub:RMP Blk: Lot:l PARCEL ID ........: 1710220022001000 DATE ISSUED.......: 01/31/2017 RECEIPT #......... PZ000002239 REFERENCE ID # ..-: 17010052 SITE ADDRESS SUBDIVISION ...... CITY ............. IMPACT AREA 14535 HAZEL DELL PKWY RIVERVIEW MEDICAL PARK CARMEL OPERATOR: mcredifo COPY # : 1 OWNER PLUM CREEK PARTNERS, LLC ADDRESS 320 N MERIDIAN, SUITE 700 CITY/STATE/ZIP INDIANAPOLIS, IN 46204 RECEIVED FROM ..... CONTRACTOR ....... COMPANY .......... ADDRESS .......... CITY/STATE/ZIP ... TELEPHONE ........ SIGN CRAFT INDUSTRI SIGN CRAFT INDUSTRIES SIGN CRAFT INDUSTRIES 8816 CORPORATION DRIVE INDIANPOLIS, IN 46256 LIC # CC00070 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL SIGNINSTAL SQUARE FEET v- 15.00 106.50 f ^ 0.00 106.50 0.00 SIGNPERM FLAT RATE 1.00 99.00 0.00 99.00 - 0.00 TOTAL PERMIT - 205.50 0.00 205.50 0.00 CITY OF CAK1VI[EL/ULA Y 1 V W IN !Onlr, 111-UV111Lj 1 Ill\ 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: COMPLETED APPLICATION (All blanks must be completed) ■ 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) DATE RECEIVED: pr NOV 2 2016 DOGS SIGN PERMIT FEES: (Please do NOT submit check until permit has been issued) • ADLS AMENDMENT: $104 + $26.00 PER SIGN • PERMIT APPLICATION: $99.00 • SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: 0 \ O C-) ; --L SIGN COPY; Riverview Health Rehab & Fitness (C.101) SIGN ADD_ 14535 Hazel Dell Parkway ✓ EM PORAItY *See #7 Disclaimers, pg. 3) SIGN STATUS: NEW EXISTING ✓ St N DURATION . rERMANENT Z J SIGN TYPE: WALL GROUND PROJECTING A ING� ROOF D BLADE SUSPENDED PORCHn WINDOWnE-R -B-ANN` DI SIGN DIRECTIONAL OTHER: SIGN AREA DIMENSIONS: 3 x 5 TOTAL SIGN AREA SQ. FT.: Requested: 15 Permissible: t S WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: x Width: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%)-. (Width Max 85%): HEIGHT OF SIGN FROM GROUND: NUMBER OF SIDES: 1 ❑Ole 2 (wall sign: measure to bottom of sign; ground sign: measure to top of sign) LOGO DIMENSIONS:x _ SQ 25 . FT. LOGO PERCENT OF SIGN AREA: le (Max 25%) ��. = (Logo dimensions and percentage only applies to Mu ti-Tenant Buildings) BUILDING/TENANT SPACE FRONTAGE: L G 0 FT. SIGN DISTANCE FROM NEAREST R.O.W.: 1 `c' s 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.) lies only to Temporary signs) SIGN FACE COS Blue and white LAND ACREAGE: (Applies y P ry �) ILLUMINATION METH_ OD: JNTER - L❑EXTERNAL❑REVERSE-LIT/HALO �✓ NONE THER: BUILDING TYPE: COMMERCIAL R II]ENTIAL❑INSTITUTIONAL❑ MIXED USE❑ OTHER: ARE THERE ANY EXISTING SIGNS ON THIS SITE? C-7 O toy-' ck S WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME: -� t=�'� I' � �-- 2. ZONING ZONING DISTRICT: P U D PARCEL ID #: 1 7_ 1 0_ 2 2_ 0 0_ 2 2_ 0 0 1 .0 0 0 OVERLAY Z : 31 421 Key Pkwy. �L— Carmel Dr./Range Line Rd Old Town Monon Trail � Home Place Business District � West Home Place Commercial Corridor West 116`h St. PREVIOUS APPROVALS: P.C. Docket # gr C 0 A❑i-s B.Z.A. Docket # 1l4 �toc)oZ NbL 1 04Arr,�V- OF CARMEL/ULA Y 1 V W 1v �n1r, n1vivIlu 1 Vlr %- 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMITNUMBER: 1 V % U v 5Z NAME OF BUSINESS: Riverview Health PHONE: 317-776-7111 CONTACT PERSON: Scott Tripp ADDRESS:14535 Hazel Dell Parkway PROPERTY OWNER: Riverview Health CONTACT PERSON: Scott Tripp ADDRESS: 395 Westfield Road CONTACT EMAIL: CITY: Carmel PHONE• CONTACT EMAIL: 46032 FATE: I ZIP: 317-776-7111 CITY: STATE: ZIP: Noblesville IN 46060 _ THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF I NDIANA, A ND T HE Z ONING OR DINANCE OF CARMEUCLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALT- 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. �u A, n' (HeD & PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* 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 COMPANY/0 WNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS 8816 Corporation Drive EMAIL ADDRESS: kkohl ar signcraftind.com 12/1/16 Indiana oliS IN 46256 CITY: p STATE: ZIP: PHONE:317-842-8664 EST •MATED INSTALL DATE: ✓ 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 $131 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. S. DEPARTMENT CONDITIONS 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 2 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: I'-1 Q k ©0 52- ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign 01t7 $39.00/sign face + $1.90/sf C) INSPECTION FEE (Required if photography not provided) $131 OR Ej Photo will be provided TOTAL FEE PERMIT ISSUED BY: U 41 RELEASED STAMP: n n f7 O eY Lii s 3y 7. DISCLAIMERS APPLICANT, PLEASE NOTE ' O_35 , 1j C) FEE RECEIVED BY: PAID STAMP: BAN � � Kati? NENT 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 A NEW 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 MAY B E RENEWED ON T HIS DATE F OR AN ADDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. • IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. • IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING PERMANENTSIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER CSCHOENHERR a CARMEL.IN.GOV CITY OF CARMEL P: 317-571-2417 DOCS, 3RDFLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 3 LETTER OF A U7HORIZAT10-N Property Owner/Agent Address Company Name: RiyeryiQw Health- - 395 Westfield Road Noblesville, IN 46060 Contact/Tele: Scott rinn 317 776-7111 I, (PLEASE PRINT NAME) Scott Tr i (Location Site) Hazel Dell Site Address Information 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gary Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: o Owner/Agent: Scott Tripp Legal description of the property: (p4ease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) @ - >- � a - � � ■ - �,| � . m ] � - / • /-/\� � `�/ . . _ • � ���,' '.�\ im.e ACE �\�.�/ , . , 0- 0 s7(§k§5 -� k LAU§7§§�\■'§#- § 7§�§§A/§�■ § _,§ ��=§2�§k[k■k�.. _ ■ o_ LD §E §Cl. §{ E Lu § 2k ) C. Lu ) �/ B §§ k °( LU \j Go itCD (§ � ■ § = VV\k-1 2 ITEMS OF 8 CITY OF CARMEL PERMIT RECEIPT Sec:22 Twp:18 Rng:04 Sub:RMP Blk: Lot:l PARCEL ID ........: 1710220022001000 DATE ISSUED.......: 01/31/2017 RECEIPT #.........: PZ000002239 REFERENCE ID # ...: 17010051 SITE ADDRESS .....: 14535 HAZEL DELL PKWY SUBDIVISION ......: RIVERVIEW MEDICAL PARK CITY CARMEL IMPACT AREA ....... OPERATOR: mcredifo COPY # : 1 OWNER ............: PLUM CREEK PARTNERS, LLC ADDRESS ............ 320 N MERIDIAN, SUITE 700 CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46204 RECEIVED FROM ....: SIGN CRAFT INDUSTRI CONTRACTOR .......: SIGN CRAFT INDUSTRIES LIC # CC00070 COMPANY ..........: SIGN CRAFT INDUSTRIES ADDRESS ............ 8816 CORPORATION DRIVE CITY/STATE/ZIP ...: INDIANPOLIS, IN 46256 TELEPHONE ......... FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------------------------------------ SIGNINSTAL SQUARE FEET 41.48 ------------ ---- 156.81 0.00 156.81 0.00 SIGNPERM FLAT RATE 1.00 99.00 0.00 99.00 0.00 TOTAL PERMIT y 255.81 0.00 255.81 0.00 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION REQUIRED MATERIALS: • COMPLETED APPLICATION (All blanks must be completed) • 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: $104 + $26.00 PER SIGN PERMIT APPLICATION• $99 00 DATE RECEIVED: NOV 2 t'16 SIGN ERECTION OR REPLACEMENT: $39.00 PER SIGN FACE PLUS $1.90 PER SQUARE FOOT 1. SIGN PERMIT NUMBER: SIGN COPY. Riverview Health (C.100) SIGN ADDRESS-14535 Hazel Dell Parkway SIGN STATUS: NEW XISTING�_�SIGN DURATION*: PERMANENT ✓ MPOiZ4RY ❑ (*See #7 Disclaimers, pg. 3) SIGN TYPE: WALL GROU�WDWNINGF ROOF PROJECTING BLADE SUSPENDED❑ PORCH ❑ WINDOW ❑—BWIVNER ❑ DIRECTORY ❑ DIRECTIONAL ❑ OTHER: SIGN AREA DIMENSIONS: CIO � x f 23 " TOTAL SIGN AREA SQ. FT.: Requested: y `�� Permissible: �L WALL SIGN ONLY: SPANDREL PANEL DIMENSIONS: Height: SIGN DIMENSION % OF SPANDREL PANEL: (Height Max 70%): Width: (Width Max 85%): HEIGHT OF SIGN FROM GROUND: (O NUMBER OF SIDES (wall sign: measure to bottom of sign; ground sign: measure to top of sign) 1[]og K,) LOGO DIMENSIONS: -FZ _ SQ. FT. LOGO PERCENT OF SIGN AREA: A f ' (Max 25%) (Logo dimensions and percentage only applies to Multi --Tenant Buildings) BUILDING/TENANT SPACE FRONTAGE: a7 FT. SIGN DISTANCE FROM NEAREST R.O.W.: 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: (Ap lies only to Temporary signs) SIGN FACE COLOR(S): Blue and ILLUMINATION METH, : ERNALRI ERNAL❑REVERSE-LIT/HALO[] NONE❑OTHER: BUILDING TYPE' COMMERCIAL ✓ R SIDENTIAL❑INSTITUTIONAL❑ MIXED USED OTHER:_ ARE THERE ANY EXISTING SIGNS ON THIS SITE? ~S d t o WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? SHOPPING CENTER OR COMPLEX NAME: �1 dC�[�(x% F i CD i 2. ZONING white ZONING DISTRICT: PARCEL ID #: t — V — !� — L — I� 0 C) U OVERLAY L:31 421 Key Pkwy, l — Carmel Dr./Range Line Rd Old Town Monon Trail Home Place Business District West Home Place Commercial Corridor West 116'h St. PREVIOt!5jPROVALSt P.C. Docket # C)-7 O t4OO�o A A f4Z.A. Docket # "IU SC_.0 X3 -- l1:;1 0 °t 000 q J CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA 2016 SIGN PERMIT APPLICATION 3. APPLICANT PERMIT NUMBER: (1 01 Oc->:5 1 NAME OF BUSINESS: Riverview Health PHONE: 317-776-7111 CONTACT PERSON: Scott Tripp ADDRESS:14535 Hazel Dell Parkway PROPERTY OWNER: CONTACT PERSON: Riverview Health Scott Tripp ADDRESS: 395 Westfield Road CONTACT EMAIL: CITY: Carmel PHONE: CONTACT EMAIL: 46032 TATE: I ZIP: 317-776-7111 Noblesville IN 46060 CITY: STATE: ZIP: THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION H EREWITH S UBMITTED A RE IN A LL RE SPECTS T RUE A ND CO RRECT, A ND THIS SIGN WILL BE ERECTED AND MAINTAINED I N A CCORDANCE W ITH A LL A PPLICABLE L AWS OF T HE S TATE OF i NDIANA. A ND T HE Z ONING OR DINANCE OF CARMEL/CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL 13E 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. 1 &'i - PROPERTY OWNER'S SIGNATURE* BUSINESS OWNER'S SIGNATURE* & 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 COMPANY/OWNER'S REP COMPANY NAME: Sign Craft Industries CONTACT PERSON: Kristen Kohl ADDRESS: 8816 Corporation Drive CITY: p STATE: ZIP: Indianapolis IN 46256 EMAIL ADDRESS: kkohl@signcraftind.com PHONE:317-842-8664 E ATED INSTALL DATE: 1 L' 1 116 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 $131 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 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 2 OF CARIVMEL/ULA 2016 SIGN PERMIT APPLICATION 6. FEES PERMIT NUMBER: d 100- l ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION SIGN ERECTION $104 + $26.00/sign rs99-00 $39.00/sign face + $1.90/sf INSPECTION FEE (Required if photography not provided) $13111 OR R] Photo will be provided TOTAL FEE PERMIT ISSUED BY:' RELEASED STAMP: p p R O M E J r 1 11 v � h' 7. DISCLAIMERS APPLICANT, PLEASE NOTE THE FOLLOWING: $ 9 !; - Y;:� \ FEE RECEIVED BY: PI—&.��— PAID STAMP: 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 MAY B E R ENEWED ON T HIS DATE F OR A N A DDITIONAL YE AR WITH A P ERMIT B Y RE- APPLYING. ALL FEES APPLY. • IF THE SIGN IN THIS APPLICATION IS FOR A GRAND OPENING/STORE CLOSING BANNER, IT IS APPROVED FROM: THROUGH FOR A MAXIMUM TIME OF THREE WEEKS. A SIGN PERMIT IS REQUIRED; HOWEVER, NO FEES ARE REQUIRED. PERMIT RENEWAL IS NOT AVAILABLE. • IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIMBANNER PENDINGA PERMANENT SIGN, IT IS APPROVED FROM: THROUGH FORA THREE MONTH TIME PERIOD. A SIGN PERMIT IS REQUIRED. ALL FEES APPLY. 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 (ROCS), ATTN: CAT SCHOENHERR, PLANNER CSCHOENHERRO&.CARM E L.IN.GO V CITY OF CARMEL P: 317-571-2417 DOCS, 3 Ro FLOOR F: 317-571-2426 1 CIVIC SQUARE CARMEL, IN 46032 3 LETTER OFAUTHORIZATION Pro erty Owner/Agent-Address Company Name: Riverview Health 395 Westfield Road Noblesville, IN 46060 Contact/Tele: Scott ri.! (317) 776-7111 I, (PLEASE PRINT NAME) Scott Tri (Location Site) Hazel Dell Site Address Xnformation 14535 Hazel Dell Parkway Carmel IN 46033 Contact/Tele: Gard Raines (317) 385 - 0599 owner/agent of Property, give SIGN CRAFT INDUSTRIES authorization to install signage at the above mentioned property. This letter shall also serve to authorize SIGN CRAFT INDUSTRIES to act as our agent when applying for the necessary municipal approvals and permits. Date: November 19 2015 Owner/Agent: Scott Tripp Legal description of the property: lease attach Please complete form and fax to Sign Craft Industries c/o Kristen Kohl 317-842-8664 317-842-3015 (fax) p }\ ƒ� �E� ' e»•. ! , |�--- .�- - �- C�vz§-§ � °e�/�a���� $ |k.?§{z� <IJIM!E§ K 2 � k ee�§ 'a4 ■ § 7E£g7v d� § k § d a§, e;£ d/% JK§ 2;g �■m k a k � §k � § a ■ ��§ \ / \/ ■ ■ 22$ E k § -j § §V¢ # § 10 �■ �2§ B §§ i■■ 2 co R\ _ §§ k ] . \ � § _ t §2 ( o ® © uj @ § » i ) � B ■� { 3 $ 2 0 - � g - 2 « ¥ f d \ « > 7 § 6 \ izb, � . . .... ..