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HomeMy WebLinkAboutState Farm Insurance (Chapman) 05100034CITY OF CARMEL Item 1 of 1 PERMIT RECEIPT Sec: Twp:18 Rng:03 Sub: B1k:25 Lot:11PT PARCEL ID 1609251202020000 DATE ISSUED.......: 10/10/2005 RECEIPT #......... 20084 REFERENCE ID # 05100034 SITE ADDRESS 14 MAIN ST W SUBDIVISION ....... CITY ......... CARMEL IMPACT AREA ....... OWNER . ADDRESS CITY/STATE/ZIP ...: , RECEIVED FROM TERESA CHAPMAN STATE CONTRACTOR LIC # COMPANY ........... ADDRESS .......... CITY/STATE/ZIP ...: , TELEPHONE ......... OPERATOR: dlittlej COPY # : 1 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT _ THIS REC NEW BAL SIGNINSTAL SQUARE FEET y 9.00 Y 91.50 0.00 91.50 0.00 SIGNPERM FLAT RATE 1.00 77.25 0.00 77.25 ^^ 0.00 TOTAL PERMIT ---------- 168.75 0.00 168.75 0.00 METHOD OF PAYMENT AMOUNT NUMBER -- CHECK 168.75 1020 TOTAL RECEIPT ^168.75 $!AYE FARM SP SIGN ADDRESS INSURANCEam CITY OF CARMEUCLAY TOWNSHIP 14AMILTON COUNTY INDIANA SIGN PERMIT APPLICATION DATE RECEIVED: PERMIT NUMBER: 05J00Q NAME OF BUSINESS c A - V�A-� AA !Sa vr&n of PHONE: J 1 -T (� 414 — 1-2 ``� C--, _ ADDRESS: 1 . LI�1 � CITY: d I STATE: -T� ZIP 4W-92- PROPERTY OWNER f l I � L�L� �A- Oa h' EEC— C— �n PHONE: ADDRESS: I .J C� �C,� f 1G� LC� VI. CITY: 1 1 t 1 I STATEt Is� ZIP: —+ `� t• ZONING DISTRICT: OVERLAY ZONE: 31 421 431 OLD TOWN YES _ NO REQUIRED APPROVALS: Plan Commission Docket # ©:JlJ7 WUL BZA Docket # DOCS Only IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDING/TENANT SPACE? do IF YES, STATE PERMIT NUMBER ISSUED SIGN TYPE -circle one: WALL GROUND ROOF PROJECTING SUSPENDED. PORCH NO. OF SIDES 2— SIGN STATUS -circle appropriate response(s . NW) EXISTING GERM OVERALL SIGN HEIGHT FROM GROUND: FT. OVERALL SIGN DIMENSIONS: TOTAL SIGN AREA: Requested n SQ.FT. Permissible BUILDING OR TENANT SPACE FRONTAGE DIMENSION: FT SQ.FT WINDOW OTHER TEMPORARY FT..}x AFT. COLORS: f CA- cfi d&t- BUILDING TYPE: 1` u1sm, L; SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: i LOGO DIMENSIONS: , LOGO IS ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN SHOPPING CENTER OR COMPLEX NAME: FT, 211�5— PERCENT OF SIGN AREA 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 ........................... $77.25 -SIGN ERECTION ....................................... $30.90 PER SIGN FACE PLUS $1.65 PER SQUARE FOOT -REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET--$30.90 PLUS $1.65 PER SQUARE FOOT (Continued On Page 2) DNS Aw 6'�-off �v`-1Z oZ- oza. v0, STATE FARM Pajgftf 2 'O%Ma3 Sign FeauiNAppl cation 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 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 OF THE DEPARTMEN"F COMMUNITY SERVICES ARE ADVISORY. OWNER'S IGNAT 13 SINESS OWNER'S SI ATURE pjay Ate, ` , r — 11 1 PROPERTY OWNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S NAME (PLEAS PRINT) aLL 'S SIGN COMPANY: "�CONTACT PERSON G�I�1`��u PHON � `7 o-E: ADDRESS: l -J 1 V I.T d CITY: _ '' bft � STATE' J: j ZIP Lk-33- 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 SIGN ERECTION - Improvement Permit INSPECTION FEE (Required if photography not provided) TOTAL FEE r PERMIT ISSUED BY RELEASED STAMP: s:\sign\appl revised 04/13/05 $ �� x5 �c=- -3M"7o s-o $93.50 OR iota will be provided FEE RECEIVED BY: PAID STAMP: 77 0C i 1 +6, PAID �� I =ti , 11 ! Wf dj:4�n:La�itl L�xaA.w.l 411111t .:a,_ a �. ��W�� jV ,4 ram►" f-_ `�, !� r � �. r � r � � � r 1 I � _��~ !r �.� '� ` � � ' •, � 1 i f� �. � ^ � , �" � � 4 5 � ; . � � S � y S�