AF-S - 41902'� CITY O F PFlID LEY s�e�ecT N.
6431 UNIVERSITYAVE. NE. � 6 2 b
FRIDLEY, MN 55432 S I G N P E R M i T
� (612J 572-3604 RECEIPT NO.
COMMUNITY DEVELOPMENT DEPARTMENT �O�
BUILDINO INSPECI'ION DIVISION
NUMBEi� 11EV DATE pAGE Of •PPROVED BY
9-I-91 11�13��� � � e00
JOB ADDRESS g350 East River Road NE
t LECsAL �OT NO. BLOCK TRACT OR AODITION
DESCR.
2 PROPERTY OWNER MAIL ADDRESS 21P PMONE
Cit of Fridle 6431 Universit Avenue �iE 763-572-3599
3 SION ERECTOR MAII ADDRESS 2�P PNONE LICENSE NO
Same
� SION TYPE
( ) WALL ( ) PYLON ( ) ROOF (X) OTMER Monument
S CONSTRUCTED OF: 8. 20NIN0
Brick, B1ock, Redwood
7 BUILDINO LEN6TH 8 EXI8TIN0 810N AREA 8 MAXIMUM AREA ALLOWED
10 CLASS OF WORK
p NEW O ADDITION O ALTERATION ❑ REPAIR
X
ii DESCRIBE SION 8 x 4` (Main Sign) and 8 x 1.5 �club emblemsa
LENGTM: HEI011T: SG.FT: EIOHT ABOVE GRA E:
12 MESSAdE (SEE ATTACNED SKETCM)
"Fridley Welcomes You"
STIPULATIONS
Electrical permit needed to wire sign.
SEPAFATE PERMITS ARE REOUIRED FOR ELECTRICAL, WIRINO� OR REVOLVINO BEACONS, 21P FLA3HER8, AND SIMULATEO DEVICE9,
ALTERATION Of THE BUILDINO. INCLUDING qNT 90URCE OF LIOHT WHICH CHANGE9 IN INTEN8ITY
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ARE PROHIBITED.
AUTNpR12ED IS NOT COMMENCED WITMIN 89 DAYS, Oq IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED.
I NEREBY CERTIFY TMAT I MAVE, READ AND EXAMINED THIS APPLICATION
AND KNOW TME SAME TO BE TRUE ANO COFIRECT. ALL PROYISIONS OF �AW$ VALUATION SURTAX
AND OAOINANCES GOVERNING TMtS TYPE OF WORK WILL BE COMPLIED
WITM WMETHER SPECIf1E0 MEREIN OR NOT. TME GRANTING OF A PERMIT � 12 a OOO N/A
DOES NOT PRESUME TO OIVE AUTNORITY TO VIOLATE OR CANCEL TME pEphA1T FEE TOTAL FEE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR' THE PERFORMANCE �OF CONSTAUCTION. —O— —O—
S�GN�TNAEOFCONSRACTOfiOp�UTMOAQED�OENT �a►TE� ME P P V LIDATEO TNIS IS �OUR PERMIT
S�GN�TUAE O� OWNEA ��� OWNEp BU�LDfAi �DA7 � .DG �h5� � f��
S�
CITY OF FRIDLEY
6431 Universit�r Ave NE
Fridley MN 55432
571-3593
SIGN PERMIT APPLICATION Effective 1/1/2000
wAcr�,Q
Owner: � ��'"T��'Q,�/�t„C�.•� Sign Erector: o� 1�'�i2�rJc,� z.� K
Address: �3 j l�iu c V�r�S,rti ,Q��- Address: �' �j d8 L/�UN�1 Sr72��i-
City2ip: �� O G���.� f!/�N • ��q 32 City/Zip: (��,c./ �� �5 . /1�1�u �S_yJ 33
Tel. No: (163) �72-359'9 Tel. No: ��/zZ,S'S- 7779'
�;
SIGN LOCATION/DESCRIPTION
Address: �J?� �i95ri' �i V'�2 �4.f� Zoning 1� Sr.0 �jj�
�t���
LENGTH B t HEIGHT � SQUARE FOOTAGE �
+ y�
() Wall; Leng� of Wall /� �� 5 Allowable Sq Ft � 27' �
( ) �le�i; Setback from property line
() Roof; In Lieu of Pylon Sign
From Driveway Oif Ground
() Campaign; $15.00 deposit - refunded when signs are removed after election
SIGN MESSAGE: ���L� �LU='1 I/�� �L���S �O U-
Constructed Of: K. _ i3��.lc. r.�� Estimated Value $ 1 Z. C�r� �J °-�
Illuminated: Yes (j� No () IF YES, Electrical Permit Necessary to Wire Sign
l`
The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all working
strict accordance with the City of Fridley ordinances and rulings of the Building Inspection Division and hereby
declares that all the facts and representations stated in this application are true and correct.
DATE:_� U APPLICANT
Permit Fee
Surcharge
TOTAL
FEE SCHEDULE
0 to 40 Square feet =$50; 40 Sq ft or more =$80
Add $.50 surcharge if sign is not lit
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