Permanent Sign Permit Date Received
Ile BUILDING PERMIT APPLICATION Date Notified
A,Ibertvi 5959 Main Avenue NE Date Paid
Small.rows.„Living.Big Cfty Life. Albertville, MN 55301 Ck, Cash, CC
Phone: 763.497.3384 Fax 763.497.3210 Permit#
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Site Address: BUILDING PERMIT FEES
Business Name:
The Applicant is: Owner Contractor Tenant I Permit
Legal Description:PID# Surcharge
Addition Lot Block
Owner: I Plan Check
Name Address I Engineering(site)
I I
City State Zip I Mechanical
Email I Fireplace(s)
I I
Phone (H) (W) (C) I Plumbing
I I
Contractor: I Sewer
Company Name License#
I I Water
I Address City St Zip
Water Meter
I I
Contact Person Email I City WAC
I I
Phone: (W) (C) (Fax) I JP WAC
I I
Architect: I SAC
Name Address
Storm Water
I City State Zip
I I License Check
E-Mail
Other
Phone (W) (C) (Fax)
I I TOTAL
I Type of Work:
HNew Construction Residential Addition Alteration Finish Bsmt I Type of Const.
New Construction Commercial Garage/Shed Reside/Reroof Fireplace I Use of Bldg
Tenant Finish Plbg Htg Deck
I I
Description of Work: I Occupancy Group
I I
Occupancy Load
Size of Structure: Total Square Footage:
Length First Floor I Zoning
Width Second Floor I Code Used
Height Basement
Garage
Estimated Valuation of Work: $ I Are Fire Sprinklers Required:'
Yes []No
Separate permits are required jor electrical,plumbing,heating or fireplace. 1 herehy apply for the above consideration and declare
that the information and materials submitted with this application are in compliance with City Ordinance and Policy Require- I Date Approved
ments and are complete and accurate to the best of mp knowledge. It is applicants responsibility to locate and establish the
elevations,if needed,of all site improvements. Required adjustments at owners expense. I understand that all City incurred I Fire Dept•
professional fees and expenses associated with the processing of this request are the respansihility of the property owner and/or
applicant and will be promptly paid Ifpayment is not received from the applicant,the proper y owner acknowledges and agrees I City Engineer
to be responsible.
Applicants Signature Applicants Printed Name Date Notify of Assoc&Covenant
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
Public Works
Approved by Building Official Value Approved Date
City Planner
Special Conditions or Comments:
A,lbertvill-c
Small'Tbuuin living.Big Oty Life.
PERMANENT SIGN PERMIT APPLICATION
Please print or type all information. Complete all applicable items on both pages. A Building Permit
Application must accompany each Permanent Sign Permit Application. Property Owners/Landlords
Approval is required for Permanent Signs by signature below or letter of approval submitted with
application.
Property Address
PID#
Applicant Name Address
Applicant City State Zip
Applicants Phone Email
Applicant is (please check one) Owner ❑Contractor ❑Other
PRINTED Property Owner's Name Signature of Owner * Required
Street Address Owner's Phone Number
City State Zip Code
Sign Contractor's Name Contractor's Phone Number
Street Address Email
City State Zip Code
Class of Work: FINew 11 Addition DAlteration Repair Demolition
*Please complete the following two pages to provide the necessary information for a complete sign permit
review.
CITY OF ALBERTVILLE 5959 MAIN AVENUE NE 763.497.3384 x103
BUILDING DEPARTMENT ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US
2
Sian Tv es Sian Faces Sign Frames Sian S"Pports Class Illuminated
Wall Plastic Plastic Plastic Business
Freestanding Metal Metal Metal Nameplate Yes❑
Temporary Aluminum Aluminum Aluminum Advertising * See below
Billboard Steel Steel Steel Directional
Monument Plastic Wood Footings Name late
No❑
Note: Please complete the following section by indicating the terms listed above in the columns provided for
each sign. If more columns are needed,use an additional form.
Sample Sin 1 Sign 2 Sign 3
Wall
Type
Quantity I
Face Plastic
Frame Plastic
Support Building
Class Business
Illuminated NO
Length 4 feet
Width 4 feet
Square Feet 16 square feet
In addition, sign permit applications must be submitted with the following information in order to be
processed and reviewed for City approval:
Site Location:
1. For ground signs,provide a survey or aerial photo showing the proposed sign site. The survey or aerial photo
should provide a graphic scale and should indicate the location of both existing and proposed signs relative to
lot lines,buildings, structures, etc.
2. For building signs(wall, window, blade, etc.), identify on which building fagades (east,west, front, side, etc.)
signs will be placed, and provide a scaled graphic of each affected building facade,with both existing and
proposed signs indicated.
3. If the sign is associated with a multiple tenant building indicate the location of the tenant bay within the site
via description or site map. Specify name of commercial development and location.
Building Information:
1. Wall signs cannot exceed 15% of the building facade or tenant bay fronting on a public street for commercial
development, or 10%of the building fagade for industrial development. Provide the building fagade or tenant
bay dimensions: (See Exhibit A&B)
Width (feet)x Height (feet) —Total wall surface (square feet)
Wall Sign Information:
1. Provide an illustration of the proposed sign showing the signs size:
CITY OF ALBERTVILLE 5959 MAIN AVENUE NE 763.497.3384 x103
BUILDING DEPARTMENT ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US
3
Width (feet)x Height (feet) —Total sign area (square feet)
2. Provide wall sign construction details illustrating wall mounting methods.
3. Identify the number and area(square feet) of existing wall signs on each building fagade.
Ground Sign Information:
1. Provide an illustration of the proposed ground sign showing:
a. The dimension of the total sign surface. Identify number of sign faces.
b. Detail on the height and dimensions of the support structure or sign base.
c. Total sign height.
2. Provide ground sign construction details identifying sign material and color.
*Illumination Information:
1. Provide a detailed description of any electrical components that are proposed with a building or ground sign.
Identify electrical connections, methods of illumination, and electricity needed. Demonstrate that illumination
will not exceed 500 lumens per square foot.
2. Verify that the sign will be wired to conform to the electrical code of the State of Minnesota.
Changeable Copy Sign Information:
1. Provide all required wall or ground sign information listed above (depending on where changeable copy sign
will be mounted).
2. Provide all required illumination information listed above.
3. Provide a site plan showing sign location and setback from nearest residential zoning district.
4. Indicate ratio/percentage of changeable copy sign in comparison to total wall or ground sign face area.
5. Identify length of time on message change intervals.
Signature of Applicant Date
PRINTED Name of Applicant Date
Building Official Signature Date
Date Routed Approved
Special Approvals: Building Official
*Monument&Free Public Works Supervisor
Standing Signs Wastewater Superintendent
ONLY unless noted City Engineer
Other
CITY OF ALBERTVILLE 5959 MAIN AVENUE NE 763.497.3384 x103
BUILDING DEPARTMENT ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US
4