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~flijfORIVEWAY PERMIT APPLICATION
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(FOR OFFICE UeE 0Hl. VI
TYPE OF PROPERTY: 0 Residential IJ Commercial 0 InduSbial
hFPUSANT NAME: Co..", ~ It ( { -<. Ihoma S S b'f (.;t. y f:::-
OWNER NAME: ~ _C-/l.,,~flg.,~{ < Iho{Y\,LS SOfCt..yl'
PP.OP:~RTY ADDRESS: _1L.\~11o S:mfmr C,i ctC..\e..
PERMIT # __.________._
DATE: '-J. 'if -0 '7
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wide (TEMPORARY, PERMANENT) Dnve approlSer
-). ~--() 7
1000
[IRIVE APPROACH
TO CC'NSTRUCT: 0 New .,t Reptac::e Cl Widen
Type c,f Material__~""'_S~~ \C
(Pl.... pfO\/lde eIt*h an -.... .. or on iI HJIiII'I* aheetl
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REQUIREMENTS
1. No work undfilr thiS application is to be started until application is approved and thtt permit is issued
2. Where work on traveled roadway is necessary, traffic must be protected and flags, signs, safety coneli
barricades must be placed In accordanCe With safetY procedures.
S. No foreign material such 8S dirt. gravel. or bituminous material shall be left 01 deposited on the road
construction of driveway.
4. Road must be swept clean 8ft.er \NOr!< is comple1ed.
5. Prior to plaCOO'\8flt of concrete or bituminous surfacing, the applicant shall notify tns El1gineeriflg Departme that t~.e
work has been completed and is ready for f1nallnspeetion.
fl. 1110 changes or alterations in entrances may be made at any time without ~fi...Q!rmissio13 from the E fleer.r.g
Department or inspector.
IMPORTANT: IafGre stIlttlna work. ..
The Applicant shall call Gopher State One Call (1-800-252-1168) 48 hours prior to starting wort<.. Appli'~ent m\.l& (:1311 tte
En~~~E!.ring Department (952) 447-9830 for inspection 24 hourS prior to time of inspection.
When widElOing or constructing new driveway approaches a $10.00 fee is required at the time of applj'~ation a a SKE~IC"I 'Jf t1fl
pwperty depicting present and proposed driveways in relation to the property line.
(Sketch on reverse side of application Of' provide 8 separate plan)
As pTovide in Ordinance Numbers 1107.205 & 1107.206> I. We the undersigned. herewith make Boplication
for permission to constl'llct the driveway at the above location, said driveway to be constructed t('l conform
with the, standards of the City of Prior Lake and to any special provl ns inCludeo in tt'lQ permit, It is agreed
that all work will be done to the s8lisfaction of the Englll8flling It is tut1:har a that no work
in oo~iQn with this application will be started until the appIica d ~Ind the it iss Jed.
Contractor
.i\pplicant's S
GJ -l S - 07
Date:
l0/ UI 39~d
6J;10E96J;1l19
L9:90 L00l/81/90
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'-177' 5I-DrlM-J C,'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
D,,'V( \.Jc.y
DATE TIME
7-l7-tJ7
D 7- D03
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
)( D,.,.Vc.v...y
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Clost. purM, 't-
K,WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~"::!3ANner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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- --;001 E. 810.0.";;n910.n Frwy. (35W) Surveyor'S Certificate
Bloornlngton. MN 554299~6.0 .
(612) 881-2455 / NOJ~LEGENlJ
* 949.0 Denotes existing elevation
* T94~.'0) Denotes proposed yard elevation
*Proposed garage floor elevation = 951.1
*Proposed front house entry elevation = 95?5
*Proposed top of block elevation = ~5J.:2
*Proposed basement floor (walkout) elevation 943.5
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We hereby certify that this is a true and.correct
representation of a survey of the boundarles of the
land above described and of the location of all
buildings, if any, from or on said land.
Dated this 7th day of May, 1986.
SUNDE LAND SU~VEYING, INC.
BY: ~ ~D~.~. 1'-
Edward H. Sunde, R.L.S.
Reg. No. 8612
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