HomeMy WebLinkAboutCommunity Health Network MD Anderson S-2023-00276CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY,
INDIANA SIGN PERMIT APPLICATION
1. SIGN PERMIT NUMBER: S-2023-00276
SIGN COPY: Community Health MD Anderson Cancer SIGN ADDRESS: 11911 N MERIDIAN ST, CAR, 46032
SIGN TYPE: Ground
SIGN DURATION: Permanent (*See #7 Disclaimers, pg. 3)
SIGN AREA DIMENSIONS: 28" x 126"TOTAL SIGN AREA SQ. FT.: 24.50
WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: n/a
SIGN DIMENSION AS A % OF SPANDREL PANEL: n/a
HEIGHT OF SIGN FROM GROUND: 5'NUMBER OF SIDES: 2.00
(wall sign: measure to bottom of sign; groundsign: measure to top of sign)
BUILDING / TENANT SPACE FRONTAGE: 200 SIGN DISTANCE FROM NEAREST R.O.W.: 10'
(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 w/gray copy & red
ILLUMINATION METHOD: Internal
BUILDING TYPE: Commercial
IDENTIFY ANY EXISTING SIGNS ON SITE: wall signs, directory signs
WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? Community Health
SHOPPING CENTER OR COMPLEX NAME: Community Health Pavillion
SIGN STATUS: Existing
TOTAL SIGN AREA PERMISSABLE SQ. FT.: 40.00
OTHER ILLUMINATION METHOD:
OTHER BUILDING TYPE: n/a
2. ZONING
PARCEL ID: 16-09-35-00-00-037.000
ZONING DISTRICT: MC MERIDIAN CORRIDOR
PRIOR APPROVALS: P.C. Docket # 09040016AA B.Z.A. Docket #
09020006V;09020011V Building Permit# n/a
3. APPLICANT PERMIT NUMBER: S-2023-00276
NAME OF BUSINESS*: Community Health Network MD Anderson Can
CITY: Carmel
CONTACT EMAIL: jchristopherson@ecommunity.com
PHONE: 317-621-8067
ADDRESS: 11911 N. Meridian Street
CONTACT PERSON: Community Health Network
(*Entity identified on the sign)
STATE: IN ZIP: 46032
PROPERTY OWNER: Meridian Mile Associates, LP c/o REI Real Es PHONE:
CONTACT PERSON: Doug Staley, Jr.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: Doug Staley, Jr.CONTACT PERSON: Doug Staley, Jr.
ADDRESS: PO Box 515 ZIP: 46206STATE: INCITY: Indianapolis
EMAIL ADDRESS: dstaleyjr@staleysigns.com PHONE: 317-714-0503
PERMIT NUMBER: S-2023-00276
Page 1 of 3
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY,
INDIANA SIGN PERMIT APPLICATION
5.FEES (COMPLETED BY DOCS STAFF)PERMIT NUMBER: S-2023-00276
ADMINISTRATIVE ADLS AMENDMENT
SIGN PERMIT APPLICATION $
SIGN ERECTION $146.64
INSPECTION FEE (Required if photography not provided)
TOTAL FEE $146.64
PERMIT ISSUED ON: 12/12/2023 1:56:42PM 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
DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY .
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
Existing
Ground Sign
LETTER OF A UTHORIZATION
Property Owner/Aunt Address
Company Name_
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Contact Na e, Telephone, & Email:
ng�y r L)n 77 Ob-W[;R
Site Address Information
Community Health Pavilion, Carmel
11911 N. Meridian Street
Carmel, IN 46032
1, (PLEASE PRINT NAME) property owner/representative
of the property located at 11911 N. eridian St., Carmel, Indiana dives STALEY
SIGNS, INC. authorization to submit sign permit applications for Community Health MD
Anderson Cancer Center signage at the above -mentioned property.
Date:
Property Owner/Rep (signature):
Please complete form and fax or email to
317-221-0123 (fax)
dstalcyj r@stateysigns.com
Signs, Inc.
LETTER OF AUTHORIZATION
Business Owner/Agent Address Site Address Information
Company Name:
Community Health Network Community Health Pavilion, Carmel
11911 N. Meridian Street
Carmel, IN 46032
Contact Name, Telephone, & Email:
________________________________
________________________________
I, (PLEASE PRINT NAME) , business owner/representative
of Community Health Network, located at 11911 N. Meridian St., Carmel, Indiana gives
STALEY SIGNS, INC. authorization to submit sign permit applications for Community
Health MD Anderson Cancer Center signage at the above-mentioned property.
Date: _________________________
Business Owner/Rep (signature): _________________________
Please complete form and fax or email to Staley Signs, Inc.
317-221-0123 (fax)
dstaleyjr@staleysigns.com
11911 N Meridian St
Carmel, IN 46032
Julie Christopherson, Facilities PM
317-621-8067
jchristo@ecommunity.com
Julie Christopherson
10/6/2023
Receipt#:14223
Carmel City Hall:317-571-2400 Date:1/16/2024
One Civic Square
www.carmel.in.gov
Payment Receipt Paid ByDoug Staley,Jr.
Invoice #Case Type Case Number Sub Type
-SIGN S-2023-00276 COM
Tender Type/Description Amount
CREDIT-Credit Card 146.64
-
-
Sub Total:146.64
Fees:
Fees Code /Description Amount
SIGNINIMP-Sign Installation Improvement 146.64
-
-
-
-
-
-
-
Sub Total:146.64
Total Amount Due:146.64
Total Payment:146.64
Received By:ashalit Code:DEFAULT_Recpt14223_16_1_2024_ashalit Page:1 of 1