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