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Shepherd Insurance S-2021-00293
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 1. SIGN PERMIT NUMBER: S-2021-00293 SIGN COPY: Shepherd Insurance SIGN ADDRESS: 111 CONGRESSIONAL BLVD, CARMEL, 46032 SIGN TYPE: Wall SIGN DURATION: Permanent (*See #7 Disclaimers, pg. 3) SIGN AREA DIMENSIONS: 30" x 537"TOTAL SIGN AREA SQ. FT.: 111.88 WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: 6'-9" x 53'-8" SIGN DIMENSION AS A % OF SPANDREL PANEL: 37.04% x 83.34% HEIGHT OF SIGN FROM GROUND: 72'NUMBER OF SIDES: 1.00 (wall sign: measure to bottom of sign; groundsign: measure to top of sign) BUILDING / TENANT SPACE FRONTAGE: 108'SIGN DISTANCE FROM NEAREST R.O.W.: 153' (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: n/a (Applies only to Temporary signs)SIGN FACE COLOR(S): White ILLUMINATION METHOD: Internal BUILDING TYPE: Commercial IDENTIFY ANY EXISTING SIGNS ON SITE: Protective Insurance WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? n/a SHOPPING CENTER OR COMPLEX NAME: 111 Congressional SIGN STATUS: New TOTAL SIGN AREA PERMISSABLE SQ. FT.: 226.17 OTHER ILLUMINATION METHOD: n/a OTHER BUILDING TYPE: n/a 2. ZONING PARCEL ID: 16-09-35-00-01-016.000 ZONING DISTRICT: B-6 LIGHT COMMERCIAL AND OFFICE USES ADJACENT TO LIMITED ACCESS HIGHWAYS PRIOR APPROVALS: P.C. Docket # 12020030ADLS Amend B.Z.A. Docket # 12020026-29V Building Permit# 3. APPLICANT PERMIT NUMBER: S-2021-00293 NAME OF BUSINESS*: Shepherd Insurance - replace existing CITY: Carmel CONTACT EMAIL: mmckeeman@shepherdins.com PHONE: 317-846-5554 ADDRESS: 111 Congressional Blvd CONTACT PERSON: Shepherd Insurance (*Entity identified on the sign) STATE: IN ZIP: 46032 PROPERTY OWNER: Protective Insurance c/o Lauth Management PHONE: CONTACT PERSON: Staley Signs, Inc.CONTACT EMAIL: dstaleyjr@staleysigns.com ADDRESS: PO Box 515 ZIP: 46206STATE: INCITY: Indianapolis I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OFCOMMUNITYSERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN. -OR- I WOULD PREFER AN 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. Y N 4. SIGN COMPANY/OWNER'S REP COMPANY NAME: Staley Signs, Inc.CONTACT PERSON: Staley Signs, Inc. ADDRESS: PO Box 515 ZIP: 46206STATE: INCITY: Indianapolis EMAIL ADDRESS: dstaleyjr@staleysigns.com PHONE: 317-714-0503 PERMIT NUMBER: S-2021-00293 Page 1 of 3 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 5.FEES (COMPLETED BY DOCS STAFF)PERMIT NUMBER: S-2021-00293 ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION $109.00 SIGN ERECTION $277.32 INSPECTION FEE (Required if photography not provided) TOTAL FEE $386.32 PERMIT ISSUED ON: 11/19/2021 3:40:56PM FEE RECEIVED ON: 6. DEPARTMENT CONDITIONS (COMPLETED BY DOCS STAFF) 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 ________ 7.DISCLAIMERS (COMPLETED BY DOCS STAFF) 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 ATTHIS 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 BE RENEWED ANNUALLY FOR AN ADDITIONAL YEAR WITH A PERMIT BY RE-APPLYING. ALL FEES APPLY. •IF THE SIGN IN THIS APPLICATION IS FOR AN INTERIM BANNER PENDING A PERMANENT SIGN, IT IS APPROVED FOR A THREE MONTH TIME PERIOD FROM THE DATE THE PERMIT IS APPROVED . A SIGN PERMIT IS REQUIRED. IT MAY BE RENEWED FOR AN ADDITION THREE MONTHS WITH A PERMIT BY RE-APPLYING. ALL FEES APPLY THE APPLICANT 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 APPLICANT CERTIFIES BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE 8.CITY CONTACT PLEASE DIRECT ANY SIGN QUESTIONS TO THE DEPARTMENT OF COMMUNITY SERVICES (DOCS): CITY OF CARMEL Or call at 317-571-2417 DOCS 1 CIVIC SQUARE CARMEL, IN 46032 Page 2 of 3 LETTER OF AUTHORIZATION Business Owner/Agent Address Site Address Information Company Name: Shepherd Insurance Shepherd Insurance 111 Congressional Blvd. 111 Congressional Blvd. Carmel, IN 46032 Carmel, IN 46032 Contact Telephone & Email: __________________________ __________________________ I, (PLEASE PRINT NAME) _________________________________owner/agent of Shepherd Insurance , gives STALEY SIGNS, INC. authorization to install signage for Shepherd Insurance at the above-mentioned property. This letter shall also serve to authorize STALEY SIGNS, INC. to act as our agent when applying for the necessary municipal approvals and permits. Date: _________________________ Owner/Agent (signature): _________________________ Please complete form and fax or email to Staley Signs, Inc. 317-221-0123 (fax) dstaleyjr@staleysigns.com (317) 846-5554 mmckeeman@shepherdins.com Quinn Shepherd 11/04/2021 LETTER OF AUTHORIZATION Property Owner/Agent Address Site Address Information Company Name: ________________________ Shepherd Insurance ________________________ 111 Congressional Blvd. Carmel, IN 46032 Contact Telephone & Email: __________________________ __________________________ I, (PLEASE PRINT NAME) _________________________________owner/agent of The property know as 111 Congressional Blvd, Carmel, Indiana, gives STALEY SIGNS, INC. authorization to obtain a sign permit for Shepherd Insurance at the above-mentioned property. This letter shall also serve to authorize STALEY SIGNS, INC. to act as our agent when applying for the necessary municipal approvals and permits. Date: _________________________ Owner/Agent (signature): _________________________ Please complete form and fax or email to Staley Signs, Inc. 317-221-0123 (fax) dstaleyjr@staleysigns.com Robert Stefanski 11.10.21 Protective Insurance Company C/O Lauth Management 10 W. Carmel Dr., Suite 100 Carmel, IN 46032 Robert Stefanski 317-201-0608 UBN®aniYA/w M." 1BtlDWw® mwra a —o i liltl smn ai 9dm1a ur ao WN mum fl 0H s1 aArmr Q aK W336 imr mum omw)a I S mar m ® 1 orm ).M mr DG ip u!�%Ar arms sw wwi asstwo Do LMYIYI 31i r IO6 aM MIV 4 YF 13111aaa1Ol wrn r3rm 1rNwfw aNBJaI 108W.1S lea4S 449 L l 13e3 SW.1--sT1Pr I MtSM N w o* SM Sr7 m AO'S5 .YL'BL�M.YS.BY.98S _ � m z P.M ROZZG 3.YSRY.69N .L L'LZL 3.64ZS.CSN— c��alp (an M.3 - Wtl ) PM8 IeuolSSaibguoo &C= 3.YS8Y.B8 N PAIS IeuolSSOAU0C) 7ii 53IYtlOSST fM'AVSw3d 1$IpM - -.� -sfl1 a iatc-slod'u-tig :mx�-9xF w wza! I i I II I I (13N) + `SM:lOV t,�'Z6 DAIS IVNOISS32iONOO 6 =�=j A3Abm 3l111 GNV-1 WSO`d / ViW Notes:• Colors shown are representative only, and are notintended for purposes of exact matching.Project:This rendering is © Staley Signs, Inc., submitted for use in connection with the stated project. Display, Distribution or Duplication without prior written consent is strictly prohibited.Shepherd InsuranceChannel LettersWest ElevationDate:By:Scale:D Staley JrRev. I: 09-22-20211/16”=1’-0”Option:Customer:STALEYSIGNSS I N C E 1 9 0 8P.O. Box 515 Indianapolis, Indiana 46206Tel: 317.637.4567 • Fax: 317.221.0123http://www.staleysigns.com/111.88 SQUARE FEET44’-9”Sign53’-8”Spandrel30"APage1 of 36'-9"Spandrel10-05-202174'-5" Notes:• Colors shown are representative only, and are notintended for purposes of exact matching.Project:This rendering is © Staley Signs, Inc., submitted for use in connection with the stated project. Display, Distribution or Duplication without prior written consent is strictly prohibited.Shepherd InsuranceChannel LettersWest ElevationDate:By:Scale:D Staley Jr3/16”=1’-0”Option:APage2 of 3Customer:STALEYSIGNSS I N C E 1 9 0 8P.O. Box 515 Indianapolis, Indiana 46206Tel: 317.637.4567 • Fax: 317.221.0123http://www.staleysigns.com/30"44'-9"Rev. I: 09-22-202110-05-2021 Notes:• Colors shown are representative only, and are notintended for purposes of exact matching.Project:This rendering is © Staley Signs, Inc., submitted for use in connection with the stated project. Display, Distribution or Duplication without prior written consent is strictly prohibited.Date:Rep:Scale:D. Staley Jr.Rev. 0: 00-00-0000 / NameOption:-Page3 of 3Customer:STALEYSIGNSS I N C E 1 9 0 8P.O. Box 515 Indianapolis, Indiana 46206Tel: 317.637.4567 • Fax: 317.221.0123http://www.staleysigns.com/WallEND VIEW5"Aluminum RacewayPainted to Match WallLED Power SuppliesMountingBracketsAluminum Letter ReturnsPainted Black1”Black TrimCap7100K White LED Modules7328 White Acrylic FacesShepherd InsuranceChannel LettersWest Elevation10-05-2021 Receipt#:5469 Carmel City Hall:317-571-2400 Date:1/20/2022 One Civic Square www.carmel.in.gov Payment Receipt Paid ByDoug Staley,Jr. Invoice #Case Type Case Number Sub Type -SIGN S-2021-00293 COM Tender Type/Description Amount CHECK-Check 386.32 - - Sub Total:386.32 Fees: Fees Code /Description Amount SIGNPERMIT-Sign Permit 109.00 SIGNINIMP-Sign Installation Improvement 277.32 - - - - - - Sub Total:386.32 Total Amount Due:386.32 Total Payment:386.32 Received By:ashalit Code:DEFAULT_Recpt5469_20_1_2022_ashalit Page:1 of 1 ;tl LA SHEPHERD INSURANCE