HomeMy WebLinkAboutDriveway Permit
DRIVEWAY PERMIT APPLICATION
TYPE OF PROPE
PERMIT #
07 Do(
'I-2~ -0 I
DATE:
OWNER NAME:
PROPERTY ADDRESS:
wide (TEMPORARY, PERMANENT) Drive approach
AP~
D4_&~-07
Fee:
/[)cOD
DRIVE APPROACH
TO CONSTRUCT: 0 New j(RePlace )(widen
(Please provide sketch on reverse side or on a separate sheet)
Type of Material
REQUIREMENTS
1. No work under this application is to be started until application is approved and the permit is issued.
2. Where work on traveled roadway is necessary, traffic must be protected and flags, signs, safety cones and proper
barricades must be placed in accordance with safety procedures.
3. No foreign material such as dirt, gravel, or bituminous material shall be left or deposited on the road during the
construction of driveway.
4. Road must be swept clean after work is completed.
5. Prior to placement of concrete or bituminous surfacing, the applicant shall notify the Engineering Department that the
work has been completed and is ready for final inspection.
6. No changes or alterations in entrances may be made at any time without written permission from the Engineering
Department or inspector.
IMPORTANT: Before startina work. . .
The Applicant shall call Gopher State One Call (1-800-252-1166) 48 hours prior to starting work. Applicant must call the
Engineering Department (952) 447-9830 for inspection 24 hours prior to time of inspection.
When widening or constructing new driveway approaches a $10.00 fee is required at the time of application and a sketch of the
property depicting present and proposed driveways in relation to the property line.
(Sketch on reverse side of application or provide a separate plan)
As provide in Ordinance Numbers 1107.205 & 1107.206> I, We the undersigned, herewith make application
for permission to construct the driveway at the above location, said driveway to be constructed to conform
with the standards of the City of Prior Lake and to any special provisio~s included in the permit. It is agreed
that all work will be done to the satisfaction of the Engineering Department. further agreed th no wor /
in connection with this application will be started until the application is ap d and the rmit i d.
t,.
-./tf! Date:
Contractor
T
AIRLAKE INDUSTRIAL PARK - 83JO..220TH STREET WEST
LAKEVILLE, MINNESOTA 55044 PHONE 16121 469-4481
BLOOMINGTON OFFICE - 9001 BLOOMINGTON FREEWAY 135WJ
BLOOMINGTON, MINNESOTA 55420 PHONE 1612.884-5341
Surveyor's Certificate Ht\!?~ S ~\\I\QolJ ~:, -t'1't. ~_. .
I -) I r) -7 . ~
~ l_\ I c..:J . .'
~a SCALE: 1 inch = 40 feet
Ii /90lh,';>O
" .!9 ~6"~ 0 Denotes Property
I - _ ~ Corner
'S/ _"1 .
/ 1
/ /5
/ I
:::41 / LOT 9 I
.. :l I I :w
,~ / I ~
to" I I ~
~ / I 0
, ~
I , :
I.
f' ,.,
" / .." I '
~. / --~r
" ' i
;/~,
;- j .
~
I r"'.-
l_\) I
~~
'-.;
.'
I "'-r
L_\.J I
lO
~
-
~
------AVE-NBE-
I hereby certify that this is a true and correct representation of a sur~ey of the boundar~es of
Lot 9, Block 4, PRIOR SOUTH, according .to the recorded plat thereof, Scott County, Minnesota.
It does .not purport to show improvements or encroachments, if any. As surveyed by me this 8th
1ay of April, 1975. {
~.
411--0,.
~. 5S
..p "---J
Edward H. Sunde
Land Surveyor
Minn. Reg. No. 8612
--~_'____~'~""''''_'_'~''''M_''~~~'''_''~'''_''''''_^__~~~___,__""""'~_'_"__"'_~_~""___"_~'~"~'~"_"~_"_'"'_._" .,,",_~,~
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Appliption)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
t
"'-yo.u s
,
K.o lL, ~~.
, Lot Area eL '7 I sq. it. x 30% = .............. ~I 3 ~ 4-
************** *********************************************************
HOUSE
LENGTH
r;~
3)1
WIDTH
x c--20
x c2-V
x
SQ. FEET
/tJu?
~xO
ATTACHED GARAGE
TOT AL PRINCIPAL STRUCTURE......................
/; ~[('l
DETACHED BUILDINGS
(Garage/~'
/d.- x X
x
9(0
TOTAL DETACHED BUILDINGS.......................
9~
c:1;;L x J) '/
/ U;JY
DRIVEW A YIP A VED AREAS
(Driveway-paved or not)
(Sid~walk/Parking Areas)
&~ '
~ TOTAL PAVED AREAS.........................................
to-t-A {s - ~3,S
P A TIOS/PORCHESIDECKS
x
=
x
d, 9.~'j.S
~.
(Open Decks '/." min. opening between
boards, with a pervious surface below, are
not considered to be impervious)
TOTAL DECKS........................................................
OTHER
x
x
TOTAL IMPERVIOUS SURFACE
O? 677, 5:'
I
t3 6?;. ~ I
TOTAL OTHER............... ............. ............ ........... ....
l~ffiER
Prepared By
9
Date
Company
Phone #
L:\HANDOUTS\IMPERVIOUS SURFACE CALCULATIONS.doc
~
~
LA KODADA & SONS
- Family Owned Over 60 Years -
P.O. Box 282, Lonsdale, MN 55046
John Kodada Jim Kodada Kevin Kodada
507-144-2238 507-144-5390 507-744-5641
- Free Estimates -
Block. Brick. Cement. Fireplaces. Residential. Commercial. Agricultural
PRO"'OSAL SUBMITTED TO PHONE
Page No.
of
Pages
PROPOSAL AND
ACCEPTANCE
~) ~eSh ~ LJt()CO ~~S~,
tP ~f\ ...;e..~v-'f
'o.~ ~C...~ <.........-\ (~ ~r-l'''''('W",'J
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
G~3ro
I
DATE OF PLANS
$'.
We hereby submit specifications and estimates for:
~:e-V\
,j-eVi
O\.t\ ~"f-~S~' '^'d
~b~,j~ lNl.^'K.
.-\-...r ~ r \ 0~ ~
~~ ~D" d- ,~~\
h~\
c.~C-.~
00
C> v- \-
Qe. ~r ,
~~o..J
~ S i J e.\.J.) ~'J
~\)~ ~~l,l/C.
~ :). ~ '-4 ")
.<i y..)~
~
8-x S- vJ/\ ~ j ~'>
~,G--:\\
t.
'-J
4- h~ '- Ie-
.CQ0<,.s-e:Ae.-
tAr<Dv.......~~"'~I>~. ~ e. rJ.....,:+cr
* CP^~rCl\~O.n-\) ~.\\
$~J e V.tA.t:..
:*- ~~ '''' .S?~____-\
'/ c,../b"
-\: \ e
~e9
y...r~ Q..!
's/)~ \Y c.-I tC
~
'^\\ ~P'\\..s
.\\') ~~
c.()~ l eA- ~'" '" .
All material is guaranteed to be as specified. All won.. to be completed in a workman-
like manner according to standard practices. Any alteration or deviation from above
specifications involving extra costs will be executed only upon wrillen orders, and
will become an extra charge over and above the estimate. All agreements contingent
upon strikes, accidents or delays beyond our control. Owner to corry fire, tornado
ond other necessary insurance. Our workers ore fully covered by Workmen's Com.
pensation Insurance.
Authorized
Signature
DATE
4 -IS- -01
-()
C\. \vJ e.. y
CDIV\<dl~.-t~ ~tlv~~y
1/ If
J rd::cr
( C'"'-C. S~~
~.. \.,J ~
(..~+ ;/,
~
~~J \~L..~0 ,'~\:) r, ",""
-"~~
c~
o~
'c~~v.~r
b\j
dollors ($
).
Note: This proposal may be LI "-
withdrawn by us if not occepted within --r ~
Acceptance of Proposal - The above prices, specifications
and conditions are satisfaelory ond are hereby accepted _ You are authorized
ta do the work as sPecifiej'J Payment will be made as outlined above. ..... ~
~. ,. . / /t1 flJ.,.. 4' tI, r-J<::- ~'7
Signature