HomeMy WebLinkAboutSign Permit 98-074
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. ?g - 07 c.f
2, APPLICANT: (NAME)
Nord'lf:::is 1- 5ijN ~,- 3Jz W. La.-ke 5f-.
3, OWNER: (NAME) (ADDRESS)
HeeL-fin s'1G.J-el'1~
4, SITE ADDRESS OR LOCATION OF SIGN
/~ 705 Fran /c...I,'N
5, TYPE OF SIGN: Y(21 DAYMAXIMUMDISP PERMANENT (WALLlMARQUEE/AWNING/FREESTANDING)
Balloon * Banne1'*Business*Changeable Copy igns ons ,gns*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple ResU/entilll Nameplate Signs*On.Premise Directional Signs*Pe1'manent Window Sign*Porlable Sign*Subdivision Identification Signs
(ADDRESS)
1, PARCEL I,D, OF PROPERTY:
2 5- 90~ _o'f~ - 0
(PHONE)
9~3-/2.q I
(PHONE)
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
!
Nico lief
(PHONE)
6, SIGN DIMENSIONS
(square feet) (Height)
10, Estimated Value of Sign
(Width)
(Depth)
11. Completion Date
7, TYPE OF CONSTRUCTION
PD S-r ~ Ptl.11 e I ~JAJ
8, PROPOSED DISPLAYD~TES (ifap~cable) / 0 B
G,- 5-'1tJ .. 1.P-2~- (
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. I 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. I 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 p~ ;::::spe~ l4 / glCf B
SIGNATURE OF PROPERTY OWNER! AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
, /"ompleted Application -.s.u. q 8 -0 z..JCj
~ale Drawing showing location of sign
;Zs and Specs~)
ermit Fee $ I S (permit fee is set
at time of application according to approved schedule)
By
City Planner or designee
DatetJJ/ ,/9 g
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 d1le. 1'7- (3/, Sl-tn fh1/Sr be.. ~ v;, IP/;;.u/qy.
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
I:\handouts\signform.doc
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 32451
&;/7/7[(
,
DATE:
----
dollars
$
I <)00
BUILDING PERMIT #
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
Swr/Wtr Pmt sw #
Other
1,200.00
700.00
1,500.00
Total
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
Swr/Wtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
Swr/Wtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
" Nordquist Sign Company, Inc.
312 West Lake Street
Minneapolis, MN 55408
LETTER OF
TRANSMITTAL
(612) 823-7291
Fax (612) 824-6211
To CITY OF PRIOR LAKE
4629 Dakota Street SE
Prior Lake, MN 55372
447-4230
Date June 3, 1998
Attention JENNY
e
Job No.
ns
the following items:
Specifications
Shop Drawings
Copy of Letter
x Attached
Prints
Under Separate cover via
WE ARE SENDING
Plans
Samples
Change order
X CHECK ($15.00)
COPIES
DATE
NO.
DESCRIPTION
copies for approval
copies for distribution
corrected prints
For approval
For your use
X As requested
For review and comment
Approved as submitted
Approved as noted
Returned for corrections
Resubmit
Submit
Return
FOR BIDS DUE
REMARKS
1997
PRINTS RETURNED TO US AFTER LOAN TO US
Jenny:
Please find the enclosed permit check.
Thank you.
COPY TO
SIGNED: Laura Alexander
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PRIOR LAKE GF Customer Approval COM P.A N Y I N C ,
State Date Date
9/25/97 3 I 2 WE S T l A K E STREET
MINNEAPOLIS. MN 5 5 !'t 0 8
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HEAL TH5Y5TEM5 Revisions
N~ NOTED
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mt 55
x City Salesperson
(J)
PRIOR LAKE GF Customer Approval
State Date Date
9/25/97
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NORDQUIST
COMPANY
S I G N
I N C ,
312 WEST LAKE STREEl
MINNEAPOLIS. MN 55/,08
6128237291