HomeMy WebLinkAboutSign Permit 16-01 Ci of Prior Lake I
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APPLICATION FOR SIGN PERMIT S1
Permit No. �
DIRECTIONS: One completed application per sign is required.Applicant is 1. PARCEL I.D.OF PROPERTY:
responsible for obtaining a building permit if necessary. v 1 c J— . 4 l,`\. U�
2. APPLICANT: (NAME) (ADDRESS) (P/IHJONE)
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR fOCATION OF SIGN (PHONE) J�
�6 73I ley py;w/ / � 5 3 Z
5. TYPE OF SIGN: TEMPORARY(30DAYMAXIMUMDISPLAY) PERMANENT(WALLImARQUEE/AWNING/FREESTANDING)
Balloon*Business*Changeable Copy Signs*Construction Signs*Electronic Message*flluuminated Signs*institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
*Note if the sign structure Is above 6 feet the International code warrants a building permit.
6. SIGN DIMENSIONS 10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth) 'elCoo,F,z
7 :� J�' I 11. Completion Date
7. TYPE OF CONSTRUCTION
8. PROPOSED DISPLAY DATES(if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on this application which is,to the best of my knowledge,true and correct. 1 also certify that I am the owner
or authorized agent for the above-mentioned property,and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. t am aware that the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to PPKA needed inspections.
OF PROPERTY OWNER/OWNER REP_. DATE
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
ompleted Application
cale Drawing showing location of sign
i/ Plans and Specs (.a
Permit Fee$ _(Permit fee is set
at time of application according to approved schedule) APp
This Applicati c m s your Sign Per apps oved. �ar/Z
By
pity Planner or designee
Date I I I 1 VI
This is to certify that the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document,when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions
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995 dfara�,St #dE St. r.0,.1_#1W 55106
SIGNS -BANNERS -WINDOW SIGN -CAR GRAPHICS—STREET SIGNS
OUTDOORS COMMERCIAL SIGNS —NEON LIGHT—AWNING SIGNS
DIMENSION REVIEW
Location: 16731 Hwy 13 S Prior Lake MN
Description:
Wall signs:
- (1) Channel letters: TU NAILS channel letter 33"height, Black color aluminum return can, White
acrylic face, Golden Trim. Internal illuminated by Red LED lighting,UL label.
-Dimension: ISW x 33"H
-Raceway install (match sign fascia).
Width of Building: 17 Feet Height of building: 17 Feet
Dimension of signage: 12'W x 33"H Area of wall business building: 289SF
Total area of signage: 33SF Ratio: Front building/sign: 11.5 %
1
2
g 1. Face
1 2. Return Can
' 3. Bolt, Screw
3 4. LED lights
7 5.Wall
6 6. DC voltage wire
' 7. Supply wire (120V)
8 ' 8. Transformer
9. Raceway
1
1+-5 APPROVED
1
Channel letters install method.
Raceway
A
33'
1LJ
12'
Signs drawing
it
i
i
Front Signs location
Landlord approved: Name/Signature/Date: Business owner approved: Name/
Signattire/Date:
APPROVED
R1 ,.. City of Prior Lake
4646 Dakota Street SE RECEIPT
Prior Lake MN 55372
en
952-447-9840
Receipt: 3915
Received Of: Date: 01/12/16
Truong Mai Customer: Truong Mai
16731 Hwy 13 South
Prior Lake MN 55372
Receipt Item Receipt Description CSL Number Total
Sign Permit 16-0001/16731 Hwy 13 S
Sign Permit 45.00
Receipt Total 45.00
TENDERED: Cash 45.00
Total:45.00
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