HomeMy WebLinkAboutLA191569THE FOLLOWING INFORMATION MUST BE INCLUDED WITH YOUR APPLICATION:
Payment for amount of permit.
For freestanding/monument/pylon sign - a site plan with setback from property line dimensions and art
work with dimensions of sign, and engineered design for footings and foundation.
For wall sign, art work with dimensions of sign and drawings of building façade showing location of sign.
If illuminated or if electrical services are needed, a separate electrical permit is required.
If leased space, need to include a letter of approval from the property owner.
BUSINESS
INFORMATION
Name__________________________________________________________________________________
Address________________________________________________________________________________
City ____________________________________State__________________ Zip _____________________
Contact _____________________________________Day Phone # ________________________________
Email Address __________________________________________________________________________
PROPERTY
OWNER
Name__________________________________________________________________________________
Address________________________________________________________________________________
City ____________________________________State__________________ Zip _____________________
Contact _____________________________________Day Phone # ________________________________
Email Address __________________________________________________________________________
SIGN
CONTRACTOR
Company Name _________________________________________________________________________
Address________________________________________________________________________________
City ___________________________________ State___________________ Zip _____________________
Contact _____________________________________Day Phone # ________________________________
Email Address __________________________________________________________________________
SIGN
DESCRIPTION
Electronic
($100 per sign plus
completion of electronic sign
license, see Page 2)
Permanent
($75 per sign)
Temporary
($50 per event, up to 60 days
per year. Max of one temp
sign displayed at a time.)
Temporary sign displayed dates:
START DATE ________________________
END DATE ________________________
Sign Type and Dimensions
Wall Sign: Width ____________ Height: _______________
Square feet _____________________________
Freestanding: Face Width_________ Height____________
Sq. ft__________ Overall Sign Height _________
Setbacks: Front _________ Side ____________
Temporary Width___________ Height ______________
Sign Square Feet______________________
Display location _______________________
Illuminated Sign:
Internally illuminated
Externally illuminated
Not illuminated
Type of Work:
New Sign
Replacement Sign
Alter Existing Sign
Changeable Copy:
No Changeable Copy
Manual Changeable Copy
Electronic Changeable Copy
(Electronic sign will require annual
license review & renewal, see Page 2)
Applicant Signature: ____________________________________________Date:_________________
Applicant Printed Name: _______________________________________________________________
SIGN PERMIT APPLICATION & ELECTRONIC SIGN LICENSE
City of Lakeville – Planning Department
20195 Holyoke Avenue - Lakeville, MN 55044
952.985.4420 - www.lakevillemn.gov
Lakeville MN 55044
Cassandra Englund 651.968.5677
Summit Orthopedics
17210 Kenyon Ave
MSP Kenyon LLC
1215 Town Center Dr Ste 130
Eagan MN 55123
SignArt Company Inc
2933 Mondovi Rd
Eau Claire WI 54701
Angela McEathron 715.834.5127 (o) 715.379.0879 (c)
amceathron@signartusa.com
109.5 25'
9' 1 1/2"12'
15'15'
05.18.2021
Angela McEathron
LA191569
EMC: 4' x 10' = 40 sq. ft.
X
SIGN PERMIT APPLICATION & ELECTRONIC SIGN LICENSE Page 2
Electronic Display/Changeable Copy Sign License
Single occupancy building with gross floor area over 100,000 sq. ft. within the C-3 District and within
the Freeway Corridor District.
By signing below you are certifying the electronic signage meets the following performance standards:
1. The display sign shall not change more than once every twenty four (24) hours.
2. The display sign shall not include scrolling, flashing, animation, or other effects.
3. The display must be static and the transition from one static display to another must be
instantaneous without special effects.
4. The display image or message must be self-contained, without continuation in content to the next
image or message.
5. The brightness of the sign shall not exceed 5,000 NITS after sunrise and before sunset or 500
NITS after sunset and before sunrise each day.
6. The sign shall be equipped with an automatic dimmer control or other mechanism that
automatically controls the sign's brightness to comply with this condition.
7. The display must be designed and equipped to freeze the device in one position if a malfunction of
the electronic display occurs.
8. The display must also be equipped with a means to immediately discontinue the display if it
malfunctions, and the sign owner must immediately stop the electronic display when notified by the
City that it is not complyi 'h e stipulations of this section.
9. The si II comply wi h Ch r 23 of the Zoning Ordinance. /
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EXPIRATION AND RENEWAL OF LICENSE:
• All licenses expire on December 31' of each year.
• License may be renewed only by making application as provided in Section 3-22-4 of the City Code.
• Application for renewal shall be made at least sixty (60) days before the expiration date.
• Each renewal license shall be issued for a maximum period of one (1) year.
• Annual license renewal fee is $50.00
Sign Permit Type:
Permanent Sign-
Temporary Sign
Electronic Sign
Work Type:
New
Addition
Repair
Demolish
Replace_
Alter/Remodel
Move
Owner:
Public
[Private
Zoning District:
Commercial
Industrial
Residential
Freeway Corridor
Required Inspections:
Footing
Final
Permit Fee:
Permit Fee _
Miscellaneous-
Total _
Comments:
Approved by: _
Date: _
(REV ISED JUN E 2017)
x
x
x
x
x
x
x
$100.00
$100.00 4 June 2021
*Email kjenson@lakevillemn.gov
after installation for final inspection.
*Contact 952.985.4440 to set up a
footing inspection and for any
required electrical permits.
SIGN PACKAGE REVISION E 4/1/2021 Page 6 of 8
LA191569
SIGN PACKAGE REVISION E 4/1/2021 Page 8 of 8