HomeMy WebLinkAboutSign Permit 97-102
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. 'f1-/D ~
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
~? -'1b::l -Ot..f~-o
2. APPLICANT: (NAME)
3.ol~(d~~t
Pox k N 1(0 1\ e 1- C I, tV j C
4. SITE ADDRESS OR LOCATION OF SIGN
Fra V1 ~I,(\
5'~~
(ADDRESS) 31 L W, La ~ f' dP~ONE)
S \ qrJ Com pO/n ~ - Hpl~ HN B;)'3-123 J
(lmDRESS) , ' (PHONE)
PRtur' La It: e
1(-~ J
5E
(PHONE)
/(07
5. TYPE OF SIGN: TlfMPORARY (21 DAY MAXIMUM D{SP~Y( PEllM(iNENT (WALUMARQUEElAWNING/FREESTANDING)
Balloon* Banner*Business"Changeable CoJh, Signs*Construdio1l Signs*Illuminated Signs*Institutional $igns*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
J 90 20'D"
7. TYPE OF CONSTRUCTION
. (Width)
GJ'lo II
(Depth)
10. Estimated Value of Sign
'till 200 -
I
n. Completion Date , 01 I
31 1:),
OYle d/f- I
8. ,PROPOSED DISPLAY DATES (if applicable)
~~+all
I 'urn I Vll'. + pJ
10/31 J91
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
PL-f JON
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I hereby certify that I have furnished infonnation on this application which is, to the best of my knowledge, true and correct 1 also certify that 1 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. Furthennore, 1 hereby agree that City Officials or a designee
thereof may enter upon the property to p~=ectio~ Ie 131 q 7
SIGNATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~omPleted Application
t~~cale ~wing showing location o(,sign
~Plans and Specs rT\
-L Pennit Fee $ 35. I ~_ (Pennit fee is set 0;0, S ~
at time of application according to approved schedule)
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This Application
,
Date
City Planner or designee
\D/ {t{\s7
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 a temporary Certificate of Zoning compliance and allows construction to
commence.
Special Conditions
~nur J!f' rplK3e d#~{~iI'/J..ffw( g
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
CITY OF PRIOR LAKE
-i i BUILDING PERMIT,
3~~ TEMPORARY CERTIFICATE OF
) ZONING COMPLIANCE
NO UTILITY CONNECTION PERMIT
I. White
2. Pink.
1 Yellow
File
City
Applicant
Permit No. BP
q7 .. 53l{
DIRECTIONS - .- ----- ---~--) 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN lohsh,
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) BUILDING INFORMATION
2. SITE ADDRESS I . Fran k L r\ ZONING t6 11, SIZE OF STRUCTURE
Ir"-I I SE (Height) (Widt'(l, I b " (Depth)
/&705' S1 s.a -7-0'
3. LEGAL DESCRIPTION ~iV /\.~-Q 12. NO, OF STORIES
,A-A-L/J- ., oj..-- ~5. 70~ 'oifJ-O .
LOT PID
- 13. TYPE OF CONSTRUCTION ~ I h
ADDITION SI(j'f\(tqe.. 1;,<:, \ h e,!J
4. OWNER r:b.me) (Address! f (Tel. No,) 993 -3D Z<'/ 14. FLOOR AREA APPORTIONMENT USE
CLrk- NJ( /) /1 e I- / lh"cLIH15vs' eA"Y) <, MN
5. ARCHITECT (Name) (Address) (Tel. No.)
.
6. BUILDER (Njme) (Address) :55 '-10,6 (Tel. No.) 1:123 -12'1/ 15. NUMBER OF OCCUPANTS OR SEATS
I'J c ((f\<-~ S+- S,t/(V 0.: - 312- w. LCLt e.. S ~ - Mv I c, MrJ OCCUPANTS
7. TYPE OF WORK Fireplace 0 J Septic 0 Deck 0 Re-roofing 0 Porch 0 SEATS
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re.siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc, Si q t) q q e ~ de:>. It I\. h ,) (-I fflj 200 -
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 110, CULVERT SIZE 17. COMPLETlt DATE
Sq. Ft. Width Depth Yes No /0 ?/1<"/7
I hereby certify that I have fumished 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 a~v~tioned 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
building ffi a can revoke this PITit 'Ji Jus~rthermore, I hereby agree that the city official or a designee may enter upon the property to perform 73i~inspectiOns.
X cu...~-'''rL. V- (e .3 17
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOIL TESTS 0 ENERGY DATA 0
Front Back Side Side
BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO, PLANS & SPECS 0 SETS
USE OF BUILDING SURVEY COPIES
SPACES ON PLAN 0
PERMIT VALUATION PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV V Amount Brought Forward .................. $
City:
Occupancy Group A B E F H I M R S U Park Support Fee ........................... $
Division 1 2 3 4 SAC ......................................... $
Permit Fee ................................... $ Collector Street Fee ....................... $
Plan Checking Fee ......................... $ Sewer Tap ................................... $
License Check Fee ,........................ $
State Surcharge ............................. $ Pressure Reducer ......................:... $
Penalty ....................................... $ Meter Hom ................................... $
Septic System ............................... $ Water Meter ................................. $
Other ......................................... $ Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Subtotal............................... $ Water Tap ................................... $
This Application Becomes Your Building Permit When Approved. Builders Deposit ............................ $
By Date Other ......................................... $
Certificate of Occupancy Total Due .............................. $
Paid Receipt No.
Issued
Date By
This is to certify that the request in the above application and accompanying documen's is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
Signed by the City Planner constitu'es a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
City Planner Date Special Conditions ff any
24 hour notice for all inspections 447.4230
97 :5'3y
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Th. C.nl.. or lh. Lak. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I&; 70S h- !i,; LJ I /~, T r.; -,I S; P, /
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Accepted
~
Accepted With Corrections
Denied
P 9,rd~
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Date:
) () / /0/ q7
.
Reviewed By:
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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Nordquist Sign Company, Inc.
312 West Lake Street
Minneapolis, MN 55408
LETTER OF
TRANSMITTAL
(612) 823-7291
Fax (612) 824-6211
Date October 13, 1997 I Job No.
Attention JENNY
Re PARK NICOLLET CLINIC
16705 Franklin Trail
To CITY OF PRIOR LAKE
4629 Dakota Street SE
Prior Lake, MN 55372
447-4230
x Shop Drawings
Copy of Letter
x Attached
Prints
Under Separate cover via
the following items:
Specifications
WE ARE SENDING
Plans
Samples
Change order
COPIES DATE NO. DESCRIPTION
1 REVISED SHOP DRAWING #97-270-XS (270.1 AND 2).
copies for approval
copies for distribution
corrected prints
X For approval
For your use
X As requested
Approved as submitted
Approved as noted
Returned for corrections
Resubmit
Submit
Return
For review and comment
FOR BIDS DUE
REMARKS
1997
PRINTS RETURNED TO US AFTER LOAN TO US
ID I@:~~~I~
COpy TO
SIGNED: Laura Alexander
OCT-15-97 WED 12:01
NORDQUIST SIGN CO
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m HEALTH5Y5TEM MINNE50TA NOTED &.. 10/15/97 55
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(j) Customer Approval Date
State Date
9/19/97
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NORDQUIST
COMPANY
S I G N
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312 WEST LAKE STREET
MINNEAPOLIS, MN 55408
6128237291
@ Copyright 1995 Nordquist Sign Co,
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State Date
9/19/97
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NORDQUIST
COMPANY
SIC N
I N C .
312 WEST lAKE STREET
MINNEAPOLIS. MN 55408
6128237291
@ Copyright 1995 Nordquist Sign Co.
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