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THE 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.
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)
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
Goodwill
11578 207th St W
Lakeville MN 55044
Goodwill Easter Seals
553 Fairview Ave N
St. Paul MN 55104
Kristen Kropp 651-895-6543
klengels@gesmn.org
Topline Advertising, Inc.
16307 Aberdeen St NE
Ham Lake MN 55304
Katie Weber 763-428-5067
katie@toplinesign.com
10' 11.5"8'
87.7 sq ft 30'
5'15'
Katie Weber
10-9-23
LA219119
SIGN PERMIT APPLICATION & ELECTRONIC SIGN LICENSE Page 2
Electronic Display/Changeable Copy Sign License
Single occupancy building with gross floor area over 70,000 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 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
XX
C-3
X
$75.00
$75.00 11 October 2023
*Call 952.985.4440 to schedule a footing
inspection.
*Email kjenson@lakevillemn.gov after
installation for final inspection.
LA219119
Page 1 of 3
PROJECT: GOODWILL DATE: 10/06/23
PROJ. NO.: 41788-1 ENGINEER: PRC
CLIENT: SIGN ART USA
V5.5 units; pounds, feet unless noted otherwise
Applied Wind Loads; from ASCE 7-16
F=qz*G*Cf*Af with qz = 0.00256KzKztKdV2 (29.3.2 & 29.4)
Cf=1.740 (Fig. 29.3-1) 2 pole Cf factor= 0.97 13.6247 max. height= 30.000
1.0 Kzt=1.0 (26.8.2) (=1.0 unless unusual landscape)s= 8.00
Kz=from table 28.3-1 Exposure= c 2
Kd=0.85 for signs (table 26.6-1)
Lz=
V= 110 mph
G= 0.85 (26.9)weight= 2.477 kips
s/h= 0.267
MDL=0.00 k-ft (see Page #3)
B/s= 1.37
Pole structure height at Wind
Loads component section c.g Kz qz Af shear Moment MW
1 7.50 0.85 22.38 80.00 2648 19862
2 17.50 0.88 23.06 26.67 910 15921
3 20.54 0.90 23.82 5.78 204 4182
4 23.04 0.93 24.37 63.81 2300 52999
5 27.04 0.96 25.21 66.52 2481 67088
6 29.54 0.98 25.72 4.89 186 5494
sums: 247.67 8729 165.55
(Mw)k-ft arm= 19.0
two pole distribution factor *b*s (asce fig. 29.4-1 ):x 0.55 4778 90.63
Pu=2.97 kip M= 90.63 k-ft
M=sqrt(MDL
2+Mw
2)
Mu=sqrt(1.2MDL
2+1.0MW
2) =90.63 k-ft
Pole Design section; tube
Mu <Mn with Mn = fyZ fy=46 ksi = 0.9
H Mu(k-ft)t (in) Z Use
at grade 90.63 0.233 32.70
8X8X3/8" SQ. HSS, Mn = 102 k-ft
Footing Design footprint: round
=1.3 IBC 1605.3.2 IBC Table 1806.2, sections 1806.3.4, 1807.3.2 S=(1.3x2x150psf/ft)
P=3.73 kip S1 = S x d / 3 A = 2.34 x P / (S1 x b)S= 400
10' - 0" deep
Z req'd. (in) Size(in)
26.27 10
34.12
pressure
qz*G*Cf
33.10
35.24
36.05
37.29
38.04
Page 2 of 3
PROJECT: GOODWILL DATE:
PROJ. NO.: 41788-1 ENGINEER:
CLIENT: SIGN ART USA
V5.5 units; pounds, feet unless noted otherwise
Longitude Direction
applied shear at grade v=5.455 kip unfactored load
8.729 k (factored)
applied moment at grade m=103.47 kip-ft unfactored load
165.55 k-ft (factored)
depth of soil above footing hs=0.00 ft
allowable soil bearing p=2.000 ksf (i.e., 2000 x 1.333 = 2667 psf)
(use a factor of 1.33 for wind or seismic)
Signage Weight w1 =1.300 k (10'11.5"+2'-8"+2'-8")*(8')*10psf
Brick Weight w2 =18.740 k ((2'-8")*(2'-8")*(21'-1")*0.125k/ft^3)
Spread Footing Design
moment m= 125.29 k-ft
Footing size (ft) b=17.00 L=7.00 h=4.00 S= 138.9
Footing Weight= 71.4 k See Above ,w1+w2=20.040 k soil 0.00
total= 91.44
Overturning; Mc=320.04 Mc>1.5M 2.554 ok
soil pressure; max= 1.684 ksf min= -0.1 ksf ok
forces on concrete pad; V= 72.56 k Vr=116.10 k (=1.6V)
M=126.98 k-ft Mr=203.17 k-ft
Check Slab;
= 0.9 fy=60 ksi
fc=2.5 ksi 150 lbs/ft3
Flexure As=1.100 d= 44.0 in
Mn=Asfy(d-a/2)=2609 k-in = 217.42 k-ft
Mr Mn ok
a=Asfy/0.85fcb=0.152 in
Check minimum Asmin=3sqrt(fc)bd/fy =22.44 200bd/fy=29.92 or 1.333As=1.47 in2
ACI 10.3.1
Use As=1.47 in2
short direction s=2/(+1) =0.8 with =1.5 short direction;As=1.17 in2
Use #4@12" each direction
Shear;Vn=2sqrt(fc)bd Vc== 0.75 Vr Vn ok
Top Slab
Assume half of footing is in uplift
weight= 35.70 kip arm= 1.75 ft
M= 62.48 k-ft Mr=74.97 k-ft
Flexure As=1.100
Mn=Asfy(d-a/2)=2602.62 k-in = 216.88 k-ft
Mr Mn ok
a=Asfy/0.85fcb=0.370 in
Check minimum Asmin=2sqrt(fc)bd/fy =9.24 200bd/fy=12.32 or 1.333As=1.47 in2
Use As=1.47 in2
short direction s=2/(+1) =0.8 with =1.5 short direction;As=1.17 in2
Use #4@12" each direction
10/06/23
PRC
673.2
Page 3 of 3