HomeMy WebLinkAbout2015-00026 - free standing monument � � CITY OF ORONO * z 0 1 5 - 0 0 0 z 6 *
� � ' 2750 KELLEY PARKWAY DATE ISSUED: OU27/2015
� ' ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
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ADDRESS : 2750 KELLEY PKWY
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : SIGN
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : SIGN-FREE STANDING/MONUMENT
VALUATION : $ 10,000.00
NO"I`E: 4-(FREE STANDING SIGNS FOR BOTH CITY HALL&POLICE DEPARTMENT)
(3)ILLUMINATED AND(1)NON-ILLUMINATED
2750 AND 2730`KELLEY PARKWA
� �
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APPLICANT SIGN PERMANENT 201.36
TOTAL 201.36
LEROY SIGNS Payment(s)
6325 WELCOME AVE N CHECK 99485 201.36
MINNEAPOLIS,MN 55429
(763)535-0080
OWNER
City of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O.BOX 66
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued sha11 be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be �
revoked at any time for due cause. �
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Applicant Permitee Signature Da e Issued By ign ure Date
CITY OF ORONO * Z 0 1 5 - P1 0 0 2 6 *
' 2750 KELLEY PARKWAY DATE ISSUED: OU27/2015
ORONO, MN 55356-
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 2750 KELLEY PKWY
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : SIGN
PROPERTY TYPE : COMMERCIAL-BUSINESS
C01�1STRUCTION TYPE : SIGN-FREE STANDING/MONUMENT
VALUATION : $ 10,000.00
NOTE: 4-(FREE STANDiNG SIGNS FOR BOTH CITY HALL&POLICE DEPARTMENT)
(3)ILLUMINATED AND(1)NON-ILLUMINATED
----__
2750 AND 2730 KELLEY PARKWAl.
)
APPLICAI�TT SIGN PERMANENT 201.36
LEROY SIGNS TOTAL 201.36
6325 WELCOME AVE N Payment(s)
CHECK 99485 201.36
MINNEAPOLIS,MN 55429
(763)535-0080
OWNER
Ciry of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O. BOX 66
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. � ��j
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Applicant Permitee Signature Da e Issued By ign ure Date
' - -- -- City of Orono _ _ __--- --
Permanent Sign Permit Application
�O A rO Mailing Address: � C����
� �t �v PO Box 66 Permit number: ���5
� Crystal Bay, MN 55323-0 6 Date received: j '� �-"�
Street Address: Received by: "�
� S.F �� 2750 Kelley Parkw I��.� Permit Fee: $
tq �, O r o n o, M N 5 5 3 5 6 � 1�V ^
�ESH�j � —//�/ � � �j
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ����� �Y
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATfON:
�j�,7 3C� ' A
Site Address: e7i''�,�� � �,<���r
Street Frontage of Property � �/aq/�j�,�c,� �� (feet)
Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination:
❑ Needs replacing Sign Face Length: ❑ Wood ❑ E�Rernal
❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal
Face Change
Total Square Footage: ❑ Metal ❑ Indirect
❑ Other(specify)
Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify)
Distance from Bottom
of Sign to Grade:
OWNER INFORMATION:
Name: ���:��,��(�
Address: �`��(� P.�✓'c�,�i� City: C� ,�''C..� ,�yL�IP: �'l`-�' �-
Contact Person: ���r�� ���i��
Phone: --� �-- �y�
Email and/or Fax ,�}��'L�j �1�,��`✓C�, /�b , f��
CONTRACTOR/APPLICANT:
Name: G� ��
Mailing Address: �'��������yQ�/� � City:,� P: �1�✓ls � -
Contact Person: �f��;����-'�F
Phone� ��'�"��"�'Qf�G
Estimated Construction Value$�� ���' " *All work is to be done per IBC
PROPOSED SIGN INFORMATION:
Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination:
✓
�New Sign Installation Sign Face Length: � ❑ Wood ❑ External
r
❑ Sign Alteration/ Sign Face Width: � � Plastic �Internal
Face Change
Total Square Footage: � � Metal ❑ Indirect
❑ Other(specify) �
Top of Sign to Grade:�_ ❑ Other(specify) ❑ Other(specify)
� `� �j�� �_lLz.ub��,
Distance from Bottom � /
of Sign to Grade: ��vit�
c�r�.,, �v=,
A Minnesota Sfate Electrical Permit is required if e/ectrical work is proposed.
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� City of Orono
Permanent Sign Permit Application
All of the information below must be submitted in addition to the completed application form:
REQUIRED SUBMITTALS:
1. Drawing of the proposed sign, including all of the following:
• Dimensions of sign
• Message/content of proposed sign
• Structural drawings, shown in 3 dimensions (including footings)
2. Sketch (or survey) of the site, including all the following:
• North direction and scale
. Location of structures on the lot (and dimensions)
• Street Names
• Amount of road frontage
• Placement of proposed sign
• Existing sign inventory(location and size of existing signs)
3. Signs:
• Any signs to be removed?
• If so, list how many and square footage
4. Erosion Control Plan:
• If the sign construction involves land disturbance (grading, excavating, filling), the applicant must comply
with City Code Section 79-7(c)(1).
APPLICANT ACKNOWLEDGEMENT:
• This is only an application for a permit. I WILL NOT erect the sign until I have received the permit. I understand a double fee
will be charged for any sign erected prior to obtaining a permit. Incomplete applications will not be processed;
• Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate
violation;
• This information is complete and accurate;that the work will be done in conformance with the Ordinances and Codes of the City
of Orono,with the State Building Code and in accordance with the approved plan.
Applicant Signature: ��%�� Date: /-��s�/�
For Multi-Tenant Buildings:
Property Owner or
Manager Signature: Date:
Printed Name of Property Owner or Manager. �'�`��C:��Q
Phone Number: �� " ���� Email and/or Fax Number: Q��a— �— �C%�'�
,
Building Staff Approval: � �XJ�--- Date: � '� �' �5
Zoning Staff Approval: �J� 1 � Date: � , �"` •�
\(applications)\Permanent Sign Permit Application.doc
3/1/2013 8:56 AM
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