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MK Dermatology S-2024-00079
CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 1. SIGN PERMIT NUMBER: S-2024-00079 SIGN COPY: MK Dermatology SIGN ADDRESS: 12174 N MERIDIAN ST, CAR, IN, 46032 SIGN TYPE: Wall SIGN DURATION: Permanent (*See #7 Disclaimers, pg. 3) SIGN AREA DIMENSIONS: 53" x 167"TOTAL SIGN AREA SQ. FT.: 61.47 WALL MOUNTED SIGNS: SPANDREL PANEL DIMENSIONS: 107" x 213" SIGN DIMENSION AS A % OF SPANDREL PANEL: 49.53% x 78.4% HEIGHT OF SIGN FROM GROUND: 47'-2"NUMBER OF SIDES: 1.00 (wall sign: measure to bottom of sign; groundsign: measure to top of sign) BUILDING / TENANT SPACE FRONTAGE: 90'SIGN DISTANCE FROM NEAREST R.O.W.: 145.5' (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: (Applies only to Temporary signs)SIGN FACE COLOR(S): white ILLUMINATION METHOD: Reverse-Lit/Halo BUILDING TYPE: Commercial IDENTIFY ANY EXISTING SIGNS ON SITE: Priority Physicians WHAT WAS THE NAME OF THE PREVIOUS TENANT (IF APPLICABLE)? n/a SHOPPING CENTER OR COMPLEX NAME: Carmel Medical Arts Pavilion SIGN STATUS: New TOTAL SIGN AREA PERMISSABLE SQ. FT.: 85.00 OTHER ILLUMINATION METHOD: OTHER BUILDING TYPE: n/a 2. ZONING PARCEL ID: 17-09-35-00-00-005.002 ZONING DISTRICT: MC MERIDIAN CORRIDOR PRIOR APPROVALS: P.C. Docket # PZ-2020-00007ADLS; 2021 Admin AA B.Z.A. Docket # PZ-2020-00053-54 V (ground sign related)Building Permit# n/a 3. APPLICANT PERMIT NUMBER: S-2024-00079 NAME OF BUSINESS*: MK Dermatology CITY: Carmel CONTACT EMAIL: drkingsley@mkderm.com PHONE: 317-620-0024 ADDRESS: 12174 N. Meridian Street CONTACT PERSON: MK Dermatology, Melanie Kingsl (*Entity identified on the sign) STATE: IN ZIP: 46032 PROPERTY OWNER: CCI ADT MOB, LLC c/o Cornerstone Compa 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-2024-00079 Page 1 of 3 CITY OF CARMEL/CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 5.FEES (COMPLETED BY DOCS STAFF)PERMIT NUMBER: S-2024-00079 ADMINISTRATIVE ADLS AMENDMENT SIGN PERMIT APPLICATION $116.00 SIGN ERECTION $183.08 INSPECTION FEE (Required if photography not provided) TOTAL FEE $299.08 PERMIT ISSUED ON: 3/8/2024 1:00:34PM 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 13'-11" 4’-5” Notes: • Colors shown are representative only, and are not intended 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. MK Dermatology Exterior Wall Sign Date:Rep:Scale:D. Staley Jr.Rev. 0: 00-00-0000 / Name 3/32”=1’-0” Option:- Page 1 of 3 Customer:STALEY SIGNS S I N C E 1 9 0 8 P.O. Box 515 Indianapolis, Indiana 46206 Tel: 317.637.4567 • Fax: 317.221.0123 http://www.staleysigns.com/02-15-2024 17’-9” Spandrel 8’-11” Spandrel 47’-2” Grade to Sign Notes: • Colors shown are representative only, and are not intended 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. MK Dermatology Exterior Wall Sign Date:Rep:Scale:D. Staley Jr.Rev. 0: 00-00-0000 / Name 3/8”=1’-0” Option:- Page 2 of 3 Customer:STALEY SIGNS S I N C E 1 9 0 8 P.O. Box 515 Indianapolis, Indiana 46206 Tel: 317.637.4567 • Fax: 317.221.0123 http://www.staleysigns.com/02-15-2024 4’-5” 13'-11" 30” 16” D Roof Wall White LEDs Clear Lexan Back Aluminum Face 3” Aluminum Returns 2” Space for Proper Halo Effect LED Wires (1) Per Letter 7” x 4” Aluminum Raceways LED Power Supplies Notes: • Colors shown are representative only, and are not intended 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. MK Dermatology Exterior Wall Sign Date:Rep:Scale:D. Staley Jr.Rev. 0: 00-00-0000 / Name 1”=1’-0” Option:- Page 3 of 3 Customer:STALEY SIGNS S I N C E 1 9 0 8 P.O. Box 515 Indianapolis, Indiana 46206 Tel: 317.637.4567 • Fax: 317.221.0123 http://www.staleysigns.com/02-15-2024 Notes: • Colors shown are representative only, and are not intended 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. MK Dermatology Ext. Wall Sign Site Plan Date:Rep:Scale:D. Staley Jr.NTS Option:- Page 1 of 1 Customer:STALEY SIGNS S I N C E 1 9 0 8 P.O. Box 515 Indianapolis, Indiana 46206 Tel: 317.637.4567 • Fax: 317.221.0123 http://www.staleysigns.com/ Rev I: 02-07-2022 DS Sign Here 02-15-2024 LETTER OF AUTHORIZATION Business Owner Address Site Address Information Company Name: MK Dermatology MK Dermatology 12174 N. Meridian Street 12174 N. Meridian Street Carmel, IN 46032 Carmel, IN 46032 Contact Telephone & Email: Melanie Kingsley, M.D. 317-620-0024 drkingsley@mkderm.com I, Melanie Kingley, M.D., business owner of the MK Dermatology gives STALEY SIGNS, INC. authorization to install an exterior wall sign for MK Dermatology 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: _________________________ Business & Property Owner (signature): _________________________ Please complete form and fax or email to Staley Signs, Inc. 317-221-0123 (fax) dstaleyjr@staleysigns.com LETTER OF AUTHORIZATION Property Owner Address Site Address Information Company Name: CCI ADT MOB, LLC c/o MK Dermatology Cornerstone Companies, Inc. 12174 N. Meridian Street 8902 N. Meridian St., Ste 205 Indianapolis, IN 46260 Carmel, IN 46032 Contact Telephone & Email: Chanelle Mitchell, 317-288-9013 cmitchell@cornerstonecompaniesinc.com I, Chanelle Mitchell, agent for property owner of the Medical Office Building located at 12174 N. Meridian St. gives STALEY SIGNS, INC. authorization to install an exterior wall sign for MK Dermatology 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: _________________________ Business & Property Owner (signature): _________________________ Please complete form and fax or email to Staley Signs, Inc. 317-221-0123 (fax) dstaleyjr@staleysigns.com 2.23.24 Receipt#:15088 Carmel City Hall:317-571-2400 Date:3/28/2024 One Civic Square www.carmel.in.gov Payment Receipt Paid ByDoug Staley,Jr. Invoice #Case Type Case Number Sub Type -SIGN S-2024-00079 COM Tender Type/Description Amount CREDIT-Credit Card 299.08 - - Sub Total:299.08 Fees: Fees Code /Description Amount SIGNINIMP-Sign Installation Improvement 183.08 SIGNPERMIT-Sign Permit 116.00 - - - - - - Sub Total:299.08 Total Amount Due:299.08 Total Payment:299.08 Received By:ashalit Code:DEFAULT_Recpt15088_28_3_2024_ashalit Page:1 of 1