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THE FOLLOWING INFORMATION MUST BE INCLUDED WITH YOUR APPLICATION:
Please complete a separate application form for each sign.
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.
SIGN
LOCATION
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)
(1000.4114)
Permanent
($75 per sign) (1000.4114)
Temporary
($50 per event, up to 60 days
per year. Max of one temp
sign displayed at a time.) (1000.4114)
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 & ELECTRONIC SIGN LICENSE APPLICATION
City of Lakeville – Planning Department
20195 Holyoke Avenue - Lakeville, MN 55044
952.985.4420 - www.lakevillemn.gov
ABC Supply CO
21881 Grenada Ave
Lakeville MN 55044
651.406.8050Brittany Hayden
bhayden@interstatedevelopment.com
Interstate Development
6390 Carlson Drive
Eden Prairie MN 55346
Brittany Hayden 651.406.8050
bhayden@interstatedevelopment.com
Indigo Signs
7660 Quattro Drive
Chanhassen MN 55317
Michelle Trondson 952.908.9128
Michelle.Trondson@indigosigns.com
153.7"65"69.4
Michelle Trondson
1.18.23
SIGN PERMIT & ELECTRONIC SIGN LICENSE APPLICATION Page 2
Electronic Display/Changeable Copy Sign License
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 seven (7) seconds.
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 complying with the stipulations of this section.
9.The sign shall comply with Chapter 23 of the Zoning Ordinance.
Signature_______________________________________ Date______________________________
Print Name______________________________________ Email ________________________________
EXPIRATION AND RENEWAL OF LICENSE:
•All licenses expire on December 31st 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
Office Use Only
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:___________________________________
(REVISED APRIL 2022)
X
X
X
I-2
X
$75.00
$75.00
*Email kjenson@lakevillemn.gov after
installation for final inspection.
3 February 2023
Site Plan
VICINITY MAP:
A
Site & Sign Location Plan
Scale: NTSSP
5
6
7
8
2
3
4
1
B
21881 Grenada Ave
Client:
Description:
Color Key:
Layout Date:
Location Address:
Revision Date:
Sign Management Made Simple File Name:
29780_Lakeville.pdf
Project Number: 29780
ABC Supply Co. Inc.
1 ABC Parkway
Beloit, WI. 53511
ABC Supply Co
21881 Grenada Ave
Lakeville, MN 55044
08/29/2022 - RS/VP
09/06/2022 - AR
11/02/2022 - RS/AR
12/01/2022 - RS/AR
12/13/2022 - SK/AR
Scale: 3/32” = 1’-0”A Non-Illum. Reverse Channel Letter & Sign PanelA48" LETTER HEIGHT
Aluminum Reverse Channel Letter &
Alum. Sign Panel: (69.4 sq ft)
QTY: 1
PMS 281 C “Blue”
PMS 187 C “Red”
White
Avery SC 900-680-O
“Sapphire Blue”
Avery SC 900-101-O “White”±242.3” A.F.G.153.7”48"12"Proposed
Existing
Code: No more than 1 wall, canopy,
or marquee sign per elevation
Area of individual signs shall not
exceed 100sf
Allowed: 100 sf
Used: 69.4 sf
Square Footage Calculation:
Client:
Description:
Color Key:
Layout Date:
Location Address:
Revision Date:
Sign Management Made Simple File Name:
29780_Lakeville.pdf
Project Number: 29780
ABC Supply Co. Inc.
1 ABC Parkway
Beloit, WI. 53511
ABC Supply Co
21881 Grenada Ave
Lakeville, MN 55044
08/29/2022 - RS/VP
09/06/2022 - AR
11/02/2022 - RS/AR
12/01/2022 - RS/AR
12/13/2022 - SK/AR
A Non-Illum. Reverse Channel Letter & Sign Panel
Scale: 3/8" = 1'-0"A 48" LETTER HEIGHT
SECTION DETAIL
SCALE: NTS
3"
Aluminum Reverse Channel Letter &
Alum. Sign Panel: (69.4 sq ft)
QTY: 1
Provide 3" deep reverse channel
letters painted per layout & color
key stud mounted flush to wall w/
non-corosive fasteners; white alum.
sign panel w/ vinyl overlay flush
mounted w/ countersink faster (min
6 per sign), tops painted white
NOTE: Mounting template to be
provided for each location.
153.7"48"5"
12"
95"
Ø 5.73"65"Flush mounted to wall w/
appropriate non-corrosive
hardware per (e) wall
construction & material
& clear silicone
TYPICAL BACK SIDE OF LETTER
SCALE: NTS
Red, white & blue stripe
pattern from face
continued onto returns
Nutsert welded to the back of
the face w/ all thread stud
SS Countersink fasteners
painted White to match panel
(Min. 6 per sign)
White painted alum. panel w/ applied Avery SC 900-680-O
“Sapphire Blue” vinyl on face surface.
Stud Mounted Flat Cut Out Letter
Face Material : (0.125) Aluminum
Paint Color : MP 86454 "Custom ABC Blue"
Face Decoration : Avery SC 900-101-O “White”
Performance Vinyl Applied to First Surface
White painted alum. panel w/
applied Avery SC 900-680-O “Sapphire
Blue” vinyl on face surface.
6" Alum./Non-Corrosive Stud
welded to the back of the face,
1/4" Ø; thread 1/4"-20
0.063" Aluminum returns
painted colors as noted
0.125" Aluminum faces
painted colors as noted
PMS 281 C “Blue”
PMS 187 C “Red”
White
Avery SC 900-680-O
“Sapphire Blue”
Avery SC 900-101-O “White”
Client:
Description:
Color Key:
Layout Date:
Location Address:
Revision Date:
Sign Management Made Simple File Name:
29780_Lakeville.pdf
Project Number: 29780
ABC Supply Co. Inc.
1 ABC Parkway
Beloit, WI. 53511
ABC Supply Co
21881 Grenada Ave
Lakeville, MN 55044
08/29/2022 - RS/VP
09/06/2022 - AR
11/02/2022 - RS/AR
12/01/2022 - RS/AR
12/13/2022 - SK/AR