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LA220253
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 202nd St W & Hunter Ct. Intersection 20204 Hunter CT Lakeville Lou Gleason Lou@tetonka.com Allyson Paulson 507-351-6425 Allyson Paulson 952-240-9422 MN 55044 Lakeville MN 55044 Lake Vale Image360-Apple Valley, MN 14607 Felton Ct. Suite 113 Apple Valley Lisa Yang Lisa@image360bloomingtonmn.com 651-204-0634 MN 55124 96” 64 96” 96” 11/1/2023 Lisa Yang LA220253 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 X RM-1 $75.00 $75.00 14 November 2023 * Email kjenson@lakevillemn.gov after installation for final inspection. Channel Letters Post and Panel Monument SignPylon Sign Interior Light Box Acrylic Sign Digital PrintingVehicle Graphics Exterior E- Color Disclaimer: Due to variances among color monitors and printers, the colors that appear on your screen or as printed may not be exact. I have verified the accuracy of colors, layout,quanties, sizes, spelling and wording. I hereby authorize the release to production accordingto this approved submittal. Copyright Notice © APPROVED AS IS:_______________________________________________________ DATE:_______________________________________________________ : PRODUCTION WILL NOT BEGIN UNTIL SIGNED APPROVAL IS RECEIVED. REVISE & RESUMIT:_______________________ CLIENT CONTRACTOR PROJECT MANAGER CUSTOMER SERVICE DESIGNER NOTES PAGES PREMIUM HOURS Ambro Alvarado Pages: 1/2 THIS IS AN ARTISTIC REPRESENTATION ONLY. ARTISTIC DRAWINGS ARE NOT TO BE REPRODUCED OR THE CONTENTS DISCLOSED TO OTHERS WITHOUT THE CONSENT OF IMAGE360. ARTISTIC RENDERINGS ARE THE PROPERTY OF IMAGE360 AND MAY BE USED FOR MARKETING PURPOSES, UNLESS REQUESTED OTHERWISE IN WRITING. WARNING, REDESIGN OF THIS SIGN PACKAGE WITHOUT APPROVAL BY IMAGE360 MAY RESULT IN DANGEROUS AND UNSAFE STRUCTURES. IMAGE360 DISCLAIMS ANY RESPONSIBILITY FOR REDESIGNED SIGNAGE IT DOES NOT APPROVE IN WRITING. Installation Location: 202nd St W & Hunter Ct Intersection Lakeville MN 55044 No premium hours included. (unless otherwise noted) All work is to be performed on straight time, regular hours. Proposal does not include nal primary electrical connection unless otherwise noted. No private locates included unless otherwise noted. No excessive dewatering included. Sign Permit(s), Electrical Permit(s), and Oce Sta fees are not included in bid price unless otherwise noted. Permit application will be submitted upon receipt of signed proposal & down payment. Production of project will begin after all permit(s) are approved from the city ocials. Image360-Bloomington is not responsible for damages to existing utilities, private underground wires, sprinkler lines, etc. that have not been located by the client. 2973 43rd ST NW, suite 110 Rochester mn, 55901 Office: 507-396-4500 www.image360.com/RochesterMN Lou Gleason Lou@tetonka.com 507-351-6425 Lisa Yang David Vasquez x1 NON-Lit Sign 3mm Aluminum Composite Panels Double Sided IJ180 Vinyl Graphics Laminated - Glossy Finish White PVC Frames 4x4 White Posts 4" Flat Cap PROPOSED: Monument sign is to be 96” H above ground. Install new proposed sign. New sign is to be directly buried for installation. Installed with 3ft x 1ft of cement footing Existing Signage Existing Monument Sign = (72” x 54“)/ 144 = 27ft² Proposed Signage Coverage New Proposed Monument Sign = (96”x96)/144 = 64ft² Monument Sign is 96”H above Ground EXISTING: Remove and dispose existing sign. NONLIT MONUMENT SIGN 120.00 in96.00 in48.00 in96.00 in 15.00 in35.50 in82.00 in 36.00 in12.00 in 4.00 in Ground 3ft x1ft Cement Footing LA220253 Channel Letters Post and Panel Monument SignPylon Sign Interior Light Box Acrylic Sign Digital PrintingVehicle Graphics Exterior E- Color Disclaimer: Due to variances among color monitors and printers, the colors that appear on your screen or as printed may not be exact. I have verified the accuracy of colors, layout,quanties, sizes, spelling and wording. I hereby authorize the release to production accordingto this approved submittal. Copyright Notice ©APPROVED AS IS:_______________________________________________________ DATE:_______________________________________________________ : PRODUCTION WILL NOT BEGIN UNTIL SIGNED APPROVAL IS RECEIVED. REVISE & RESUMIT:_______________________ CLIENT CONTRACTOR PROJECT MANAGER CUSTOMER SERVICE DESIGNER NOTES PAGES PREMIUM HOURS Ambro Alvarado Pages: 2/2 THIS IS AN ARTISTIC REPRESENTATION ONLY. ARTISTIC DRAWINGS ARE NOT TO BE REPRODUCED OR THE CONTENTS DISCLOSED TO OTHERS WITHOUT THE CONSENT OF IMAGE360. ARTISTIC RENDERINGS ARE THE PROPERTY OF IMAGE360 AND MAY BE USED FOR MARKETING PURPOSES, UNLESS REQUESTED OTHERWISE IN WRITING. WARNING, REDESIGN OF THIS SIGN PACKAGE WITHOUT APPROVAL BY IMAGE360 MAY RESULT IN DANGEROUS AND UNSAFE STRUCTURES. IMAGE360 DISCLAIMS ANY RESPONSIBILITY FOR REDESIGNED SIGNAGE IT DOES NOT APPROVE IN WRITING. Installation Location: 202nd St W & Hunter Ct Intersection Lakeville MN 55044 No premium hours included. (unless otherwise noted) All work is to be performed on straight time, regular hours. Proposal does not include nal primary electrical connection unless otherwise noted. No private locates included unless otherwise noted. No excessive dewatering included. Sign Permit(s), Electrical Permit(s), and Oce Sta fees are not included in bid price unless otherwise noted. Permit application will be submitted upon receipt of signed proposal & down payment. Production of project will begin after all permit(s) are approved from the city ocials. Image360-Bloomington is not responsible for damages to existing utilities, private underground wires, sprinkler lines, etc. that have not been located by the client. 2973 43rd ST NW, suite 110 Rochester mn, 55901 Office: 507-396-4500 www.image360.com/RochesterMN Lou Gleason Lou@tetonka.com 507-351-6425 Lisa Yang David Vasquez Site Plan 45FT 32ft EXISTING: Remove and dispose existing monument sign EAST of Hunter CT PROPOSED Install new monument sign EAST of Hunter CT N S EW Compass Key Existing Signage Existing Monument Sign = (72” x 54“)/ 144 = 27ft² Proposed Signage Coverage New Proposed Monument Sign = (96”x96)/144 = 64ft² Monument Sign is 96”H above Ground Install new proposed monument sign.