HomeMy WebLinkAbout05070115 Application
J u II 5, 2005:1 3: 27 P Ml AM
I
FAX NO, No,7011 Pip, 01
S,IPamimlTEMPORAP-Y 1U's\P1r<wol'la_Sp<ciol E...,. Appllocion.doc
em Of CARMSL.INOIANA - DIPARTM!iNT OF COMMUNITY SERVICES
TEMPORARY USE APPLICATION
FmEWORKS SALES OR SPECIAL EVENT
DMSON OF BUILDING AND COOE ENFORCEMENT
INCOMPLETE APPUCA TIONS WILL DEIAY PERMIT IUMEW,
APPUCANT/OWNERINPORMATION (PlEASE PRINT 'OR TYPE) I
COMPANY NAME: ~kl;. l-f-V~t:iNG. . PHONE 1>, 01 >) 'lIS- ~//1. L I ("e,\\ 04'::
AnUCANTNAME: ~_ (lE:.v _ fAXil!: ( ) I ~q()/Dr
ADD>>:SSOFAPPUCANT: Jl:i;;,f ~/"l.-f) 6~/ll) 'E#.nt-C ~ 4~1.~ .
I
PROPEllTYOWNEJl.NAME: )t:.,~ PHONE;!!; (')I")) :r"" - 5'""~J
ADDRESS OF OWNER: J~D~' Mu;d'ibn ~P0>~. 1If~"1
TEMPORARYUS1HNFORMATION D FIREWORKSSALES Ilil" SPECIAL EVENT
NAMRonUSlNESs/oRGANlZATION: ~ 6"~. t-r#1:..:Ji'o.IG
ADDRESSOI'TEMPOIlAll.YllSE: /I ,,"'t; ~fil"~c.e t.-l.> ' 6i- Vv . tl.AJL~I.., l("o3~
DATE(S)OFPROPOSEDUSE: ?-IS~> -?-'2.J.~45" HOllIl.SOI'OP~IlATION: "tA- 7~""
DESCRIPTION OF TEMPORARY USE: ~ Io~ e~
WlL1TIIE IEMPORARYUSE BE OUUJOOltSl ~ NO ,
Wlll TIlE TEMPORARY USE REQUIRE A STR.UC11JRJ;:'~ or IlIObiIe UDit)G or NO
IF SO, WHAITYPEOF STRUCIURE AND lNDICATE SIZE: TI<.A.I-r- 1t")<.::1/1'
("NOIl! MOBILE UNIT REQUIREMENTS ON BACK") MOBILE UNIT ~TlFICA TION;!!;
WllllHETEMPOMQ,YUSE 1JTILIZEA TEMPORARY SIGN? YES ot&
C' NO'rE TEMPORARY SIGN REQUIREMENTS ON BACK')
TF AUHCATION IS FOll. FllU!WORK SA! ES:
(pI.EASl! R.EFER. TO ADDmONAL APPLlcA TION REQuIREMENTS FOR. FlR.EW0ll.KS SALES ON BACK)
WIll THE STRUCIURE BE USED FOIl. THE SAlE OF MORE THAN~OO n.1!S 01' F1&EW~S7 YES oG
DOllS IRE STRUC'I'URE ALllEADY HAVE A SPRINKlER SYSTEM INSTAllEDl YES 0
HAS THIS STRUCTURE PREVIOUSLY BEEN IJSED FOR THE SAlE OF FIUW01U<Sl D~
CE1l.TIFICATION AND NOTICE OF INTEl'oIT TO COMPLY
1 bm,by eemIy that I ha.e the authority to make W:~ IW""",;..... th:it the ~= and p1= rili:d With me IfPllcatiDn ire
wnect, and tl= the apaation md conduct of the remporary u" will coni"'.... to the ~~ Carmel/Clay Zaoibg Ordin>n<:<.
>>8D',"l<..a~uu::-:T~'" ~- /1i;vftJ4) )t~~OM\"(I<bQUl~}
OFf!cP: USE ONLY (DO NOT WRIT); IN)
PERMIT 1fi: lONING:
APPlICATION REVIEWED BY: A, ~ DATE::lJ J5.J ..Q5
IlEQlJIR.ED INSPECTIONS:
o El~CAL(BIltCE) C SlT1! (pLANNING) 0 flR.EDEPARTMENI
Coil (:!l7) 571-2444 to u:h.ttale 'El<:ctrtcal &: Sleelmpe<tlollS
Coil (317) 571-2600 ~ o<:bl:dule FI.e tlop...",ent lnapcctlon
PARCEl III:
t1a,af.7~ ~r; FEES:
0$25750 (Usn>eiiitit ~e~
0$95,25 (SIft: Illspectlon!'ee)
. 0 77.25 (SIgn P~t Fee
AL FEES DUE, $ d..CXa ,on
oNE CIVIC SQUAIU!
DEP.\ll.ThIIlNT OF COMMUNIT'l SEI1.V!CES
CI'IY OI'CAl\MIIL, INDIANA
, . (317) ~1.2"'~
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S:\Permits\TEMPORARY ILPs\Fireworks_Special Events Application.doc
CITY OF CARMEL, INDIANA - DEPARTMENT OF COMMUNITY SERVICES
I
/
TEMPORARY USE APPLICATION
FIREWORKS SALES OR SPECIAL EVENT
DIVIS ON OF BUILDING AND CODE ENFORCEMENT
INCOMPLETE APPLICATIONS WILL DELAY PERMIT REVIEW.
APPLICANT/ OWNER INFORMATION (PLEASE PRINT OR TYPE)
COMPANY NAME T1f.t: t31kC- l-f;U/:="{ ~C- PHONE#: ( :)1)) g-/..) -I/-Z L...I
APPLICANT NAME S~M't (L.E:../tVlb FAX#: ( )
ADDRESSOFAPPLICANT }/'.:>4~ NbsrFti:t-j) 61.-111) c.>>.~C
ADDRESS CITY
~
(kfl l
4C,d 3'J...... 1-/'10/
ZIP CODE
PROPERTY OWNER NAME J;/ /'Ii-.
ADDRESS OF OWNER 3D d - M:aielian
AnDRES
PHONE #:
.J?vO(h5-
CITY
( )/ ")) S 71 - S~lRl
~E ~Wc~
TEMPORARY USE INFORMATION 0 FIREWORKS SALES ii:ir'SPECIALEVENT
NAME OF BUSINESS/ORGANIZATION ~ .!"kE... t..f/JC., p...;G
ADDRESS OF TEMPORARY USE 1Il)"'~ 1/IJG.-?iFcef-.V bL vi> I (J..Jw...~L./ l{~03~
,
DATE(S) OF PROPOSED USE: )-/5 -05 - 7-2..:,45 HOURS OF OPERATION: <:fA - II'/"\.
DESCRIPTION OF TEMPORARY USE: :5 Ace. Ev-~
WILL THE TEMPORARY USE BE OUTDOORS' QiSJor NO
WILL THE TEMPORARY USE REQUIRE A STRUCTURE?~tand, or mobile unit)~ or NO
IF SO, WHAT TYPE OF STRUCTURE AND INDICATE SIZE T~r 10')<. 30'
("NOTE MOBILE UNIT REQUIREMENTS ON BACK") MOBILE UNIT CERTIFICATION #:
WlLL THE TEMPORARY USE UTILIZE A TEMPORARY SIGN' YES or@
(" NOTE TEMPORARY SIGN REQUIREMENTS ON BACK")
IF APPLICATION IS FOR FIREWORK SALES:
(PLEASE REFER TO ADDITIONAL APPLICATION REQUIREMENTS FOR FIREWORKS SALES ON BACK)
WILL THE STRUCTURE BE USED FOR THE SALE OF MORE THAN 500 ILBS OF FIREW~KS) Y. ES oG
DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM INSTALLED? YES 0 0
HAS THIS STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS? Y S OtW;
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I hereby certify that 1 have the authority to make the foregoing application, that the application and plans filed with the application are
correct, and that the operation and conduct of the temporary use will conform to the regulations of the Carmel/Clay Zoning Ordina~ce.
Sign,ture al A"~IRE~ JAMb- 5 > - /l[;.IJ I'tft-.()
OFFICE USE ONLY (DO NOT WRITE IN)
PERMIT #: ()S n 7 () / Ie");'
APPLICATION REVIEWED BY A. ~
REQUIRED INSPECTIONS:
o ELECTRICAL (B&:CE) 0 SITE (PLANNING)
~ign'ture at Pmperty Owne, (REQUIRED)
o FIRE DEPARTMENT
PARCEL#: ~
1"1'" 7"" PERMIT FEES:
8f~ f(,lh OJ srec:rJlL. ~1I~
0$257.50 (Use Permit Fee)
0$96.25 (Site Inspection Fee)
0$77.25 (Sign Permit Fee)
- e~ e~5;D""
.
TAL FEES DUE: $
ZONING:
DATE...::L/ J5...-I ~
Call (317) 571~2444 to schedule Electrical Cst Site Inspections
Call (317) 571~2600 to schedule Fire Department Inspection
ONE CIVIC SQUARE
DEPARTMENT OF COMMUNITY SERVICES
CITY OF CARMEL, INDIANA
(317) 571,2444
****************************************************************************************************
* '
* TRANSACTION REPORT P. 01 *
* *
* JUL-15-2005 FRI 11:35 AM *
* FOR: *
* *
~ DATE START RECEIVER TX TIME PAGES TYPE NOTE M~ DP ~
I
~ JUL -15 11: 34 AM 95775605 41/1 I SEND OK 824 ~
* ; *
~ TOTAL: 418 PAGES: 1 I ~
*******************************************************************************************)*******~
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S:\Permits\TEMPORARY lLPs\fircworkll:_Special Ev~[s APPlic:acioJdoc
CITY OF CARMEL. INDIANA - DEPARTMENT OF COMMUNITY SERVICES
TEMPORARY USE APPLICATION
FIREWORKS SALES OR SPECIAL EVENT
DIVISON OF BUILDING AND CODE ENFORCEMENT
INCOMPLETE APPLICATIONS WILL DELAY PERMIT REVIEW,
APPUCANT I OWNER INFORMATION (PLEASE PRINT OR TYPE)
COMPANY NAME TJ1-t: 61/t:,6 l-f/--lc, ~" PHONE#: 01)) i',S- ~II-Z t..
APPLlCANTNAME: S~M't ~J~ FAX#-: ( )
ADDRESS OF APPUCANT: 'k~i Nkrrtet.-j) 61,111) ~rItC ~ L{:.~ol.~ .
PROPERTY OWNER NAME: ~I ~ PHONE ft.: ( )/1) S"")., - .s-,,~
ADDRESS OF OWNER: '3'~ORE~' Maid win k.RP0 ~E ~~~
TEMPORARY USE INFORMATION 0 FIREWORKS SALES Iir" SPECIAL EVENT I
NAME OF BUSINESS/ORGANlZATlON: ~ ,6'/" t-~. pvC-
. . ' I
ADDRESSOFTEMPORARYUSE: 11 "~t# 1III~~Yr.e f-.1:> 6l- vJ> ,t1.#L~'-1 l("'o3~
. ,
DATE(S) OF PROPOSED USE: ? -I:S -eJ> - '7 - 'l.>~.4> HOURS OF OPERATION: 't A- - "J,4"f\.
DESCRlPTION OF TEMPORARY USE: 5 Ace. ev-~
WILL THE TEMPORARY USE llE OUTDOORS? ~or NO
WILL THE TEMPORARY USE REQUIRE A STRUCTURE?~t3nd, or mobile unit)~ or NO
IF SO, Wl:!A T TYPE OF STRUCTURE AND INDICATE SIZE: T ~r 11')',.. 3t1'
""1"''r~ MmlTl F milT RFOUIREMENTS ON BACK") MOBILE UNIT C~nFICATlON #:
J u 115. 200 5 2:53PM
No.7 0 06 p. I
KITE REALTY GROUP
FAX Transmission Cover Page
To ! !!2ZCf n.re. 1-/ScQ
FAX#; 57! - ~~1q ~
r\iJ . Pages including cover: . )
From: \~ j-0J,f.1)
Re:~ O!l1 I \)!l l (2 .J
Cc:
Il Urgent D For Review D PI R
ease eply Il Please Comment
I............................
tP lett0J2, .x2iF..~.:.. :;~~'J..~~"ie.~..
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or, rugm-M'rlod 41ff~(j} ifl01UYYLJj
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Grou
eridian St.
Suite 1100
Indianapolis, IN 46204
(317) 577-5600
(317) 524- 3060 fax
J u I .15. 2005 2: 53PM
No 7006
p. 2
Control #:
71505
The Corner
SPECIALTY LICENSE AGRF.ICMENT
This Specialty License Agreell\<lnt (" Ag_t") is intended III embody lbe term> and provision, pursuanllo which Co",or Auodam. LP ("Licensor").
shall granlto Tbe Bike Li...,... Corporate Nante - "Ucensee"), bavilla a notice addn!ss and telephone number IIS% Westfield BIYd_ Cat-!. IN
_31317.815.1111 . and doing bullin... as TIle Bike LIDe ("Trado Name"), the ._asfe""''' righl and levocable permission for the Ie~ use
and righno OCCUPY conain premises ("Licensod Area")localod at ~e Corper ("CenleI"), the addreo. and telephone numhcrofwbichare 116 ud
RaaKeUDe Rd_ C....ellN 317.577 S600 . LictruiCC .hall operate om the licensed Area, located In pnrking 101. UnillOOlllon I. .ubject to the absolute
and uncondlliDlloJ review and approval of licensor, whioh gwli'BI1to<> no particularlocalion at any time during the T...m (as defined hllfcUDder). I
I
I. O~tJJI.~fI'el'lllIPUIIlitted Use 'Thetermnfth,j$ A.grecmcnt ("Term") sball commence on ~uJY 15.1005 . and shall expire on July 2S~ ZOOS . ID
no case sballlho Term. as stipulated, cxC<od o.e (I) caleftdoryear. Licensee .han operate the Unit within thellcensod Area for the sole purpose of~
__("Licensee Use"), all subject to L1CCllSOl' approval and for no Olher purpose wb8lSoOvcr.
It Soecialtv L~Dlle Pavm@nt T~rms
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un.d tiRtll~ JlefPE., .ani' deaeh and IlJ1. !f}l91JIigetien. OG1\lOant 99.~ .1)_eM 8flisllflsee uaderthi3 ~".1J u.. .Iftt. L'adera8 sir .nJ as .,"1:tnlfE f',.
Mall die [elm." PlpBJit he .!tufAeil 18 eeetittdi '13_lJIlt-M'd:t. final ;-~All-'At (fry.. &ea.. 89ft :bi8I1RBN may 8e( .dA9ip. thtithll Ro8uFii)
Rapslli! It" uli_EI hI nose." a1hH ehftrg.a due ta l;iuflsar at rmy time iluriBgthlTu~ 11fthisAtt-! LUll. 'AI. Swum,' Dep8sit~ Be applied
~'l.ie_5ar 18 "...... -3 i - ,A_, -,'9rad RsEm8l"'eer ed tellft 19""0' I ISSBsad ~\rea _ it! t'eit, ef, at tM.uh 4isi..li9B BCtie!M8f, RIli;, h
.pUoe flgsil'ft ~ f~B.. ~r ath~ ~kargu that If. d.eIiB~IIl!8t bi!!tHtder '1\. Sewn') gepssit shall he m8Huelned IJ) the LieMs&t fer fi ftUlxiAltiHl. af
tRi~ (]O) dars aAer \he elqIiratisa d1k'i! To"" af a9111e!' 'A_~_ '~'&Ii 8i1lolts .a.gie~m.tlill; M . hil!R ti"" an)' tlBtlled Ji!lFti~A afth9 Sel1nll:iL)' B~B8it
Saall h. NfYRded la1.ieensee.
In wilnes:l whereot th. pan;.. hereto have exc:culCd thia Agreement through Iheirduly authorized olThlers orrepresentati... .. ofthc: day...d,..,. w~n
he<eunder. ,
LICENSOR
LICENSEE
Allenllllllr Owner:
By: The llike Li.... lae.
d/b/a The 8lP Lln.
KRG Managem..l, LLC
Signature
t-
SignatUre
TlllelDate
Title/Dat<
J u 115. 2 005 2:54PM
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lIDOUDtofaplDONE IIUNDRED DOLl.ARS (111)0,001 perday. as may bc:dcaDcd IIppRlfJrisr by the 1Jccamr, ~ otmch rUle! ~ Uc:ensorwill nvtprc:dudctt'rln:iurioaof1bd~b_~
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tbo! f'="", maintain,Al. ib-'l(lle _lIIIdc~..-o,e.lhe l.lmlstd.ArtsJllliIM(I"itmgoodlRdt~tableCiltl.ditiODall"rnakelllflCCCl.Uly~U~~todlf l.iccmcdAn::amd~lhDrCXClCJlfli:lUlnQnJ
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N0.7006
P 3
J u I ,15 2005 2: 55PM
No, 7006 P 4
To: Contmctors
Fronl; Frank I<ramerlKite Realty Group
30 S Meridian
Suite 1100
Indianapolis, IN 46204
(317) 524-3060 fax
Re: Insurance Infol'lIllltion
Please give this sheet to your insurance C81Tier. The certificate of insurance must be
worded as shown below with the amounts as listed:
The Certificate ofInsurance needs to be completed as fullows:
Cel1lfleate Holder
Additional Insured
Comer Associates, LP
KRG Management, LLC
Comer Associates, LP
A commercial general liability policy, including cootmctual liability coverage with
respect to this agreement with combined single limits of not less than $2,000,000.00 per
occurrence, with a $2,000,000.00 policy aggregate limit. Such policy shall not contain
explosioll, collapse and/or undergrowxl exclusions. Such policy shall name the Owner
Parties as "additional insureds" which shall provide that Owner Parties are additional
insureds with respect to liability arising out of Contractor's ongoing and completed
operations;
An automobile comprehensive liability policy with combined single limits of nor less
than $1,000,000.00 per Occurrence;
Workmen's Compensation and Occupational Disease insurance as required by the laws
of the stale where the Shopping Center is located. Contractor shall provide Manager a certificate issued by the Workers Compcll8lltion Board or other appropriate agency in the
state where the Shopping Center is located, evidencing Workmen's Compensation and
Occupational Disease insurance is in full force and effect;
Employer's liability insurance with a $1,000,000.00 limit
J u I .15 2005 2: 55PM
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