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HomeMy WebLinkAboutCommunity Health Network MD Anderson S-2023-00310CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 1. SIGN PERMIT NUMBER: S-2023-00310 SIGN COPY: Community Health Network SIGN ADDRESS: 12188A N MERIDIAN ST, CARMEL, 46032 SIGN TYPE: Wall SIGN DURATION: Permanent (*See #7 Disclaimers, pg. 3) SIGN AREA DIMENSIONS: 57.5" x 235"TOTAL SIGN AREA SQ. FT.: 93.84 WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: 116" x 427" SIGN DIMENSION AS A % OF SPANDREL PANEL: 49.57% X 55.04% HEIGHT OF SIGN FROM GROUND: 41'-10"NUMBER OF SIDES: 1.00 (wall sign: measure to bottom of sign; groundsign: measure to top of sign) BUILDING / TENANT SPACE FRONTAGE: 40'SIGN DISTANCE FROM NEAREST R.O.W.: 25' (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 letters/red, orange ILLUMINATION METHOD: Internal BUILDING TYPE: Commercial IDENTIFY ANY EXISTING SIGNS ON SITE: Midwest Fertility & Urology of Ind WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? Urology of Ind. (sign to be removed) SHOPPING CENTER OR COMPLEX NAME: North Meridian Medical Pavilion SIGN STATUS: New TOTAL SIGN AREA PERMISSABLE SQ. FT.: 95.00 OTHER ILLUMINATION METHOD: OTHER BUILDING TYPE: n/a 2. ZONING PARCEL ID: 17-09-35-00-06-003.000 ZONING DISTRICT: MC MERIDIAN CORRIDOR PRIOR APPROVALS: P.C. Docket # 04100030DP AA; 08030037AA B.Z.A. Docket # 04110022V;08020019&27V Building Permit# n/a 3. APPLICANT PERMIT NUMBER: S-2023-00310 NAME OF BUSINESS*: Community Health Network CITY: Carmel CONTACT EMAIL: jchristopherson@ecommunity.com PHONE: 317-621-8067 ADDRESS: 12188A N. Meridian Street CONTACT PERSON: Community Health Network c/o J (*Entity identified on the sign) STATE: IN ZIP: 46032 PROPERTY OWNER: Welltower, Inc. c/o Kimberly Bell 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-2023-00310 Page 1 of 3 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 5.FEES (COMPLETED BY DOCS STAFF)PERMIT NUMBER: S-2023-00310 ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION $116.00 SIGN ERECTION $255.26 INSPECTION FEE (Required if photography not provided) TOTAL FEE $371.26 PERMIT ISSUED ON: 12/5/2023 12:47:19PM 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 Sign Here Scale: 1” = 100’-0‘ LETTER OF AUTHORIZATION Property Owner/Agent Address Site Address Information Company Name: Community Health Network 12188A North Meridian Street Carmel, IN 46032 Contact Name, Telephone, & Email: ________________________________ ________________________________ I, (PLEASE PRINT NAME) , property owner/representative of the property located at 12188A North Meridian St., Carmel, Indiana gives STALEY SIGNS, INC. authorization to submit sign permit applications for Community Health signage at the above-mentioned property. Date: _________________________ Property Owner/Rep (signature): _________________________ Please complete form and fax or email to Staley Signs, Inc. 317-221-0123 (fax) dstaleyjr@staleysigns.com 11/14/23 Welltower KBell@welltower.com Kimberly Bell, Seniot Property Manager 317-697-4932 Kimberly Bell ----------------------Julie Christopherson, 11/14/2023 Receipt#:14224 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-2023-00310 COM Tender Type/Description Amount CREDIT-Credit Card 371.26 - - Sub Total:371.26 Fees: Fees Code /Description Amount SIGNINIMP-Sign Installation Improvement 255.26 SIGNPERMIT-Sign Permit 116.00 - - - - - - Sub Total:371.26 Total Amount Due:371.26 Total Payment:371.26 Received By:ashalit Code:DEFAULT_Recpt14224_16_1_2024_ashalit Page:1 of 1