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Home My WebLink AboutDriveway Permit '" APPLICATION: DRIVEWAY CONSTRUCTION TO THE CITY OF PRIOR LAKE, MN PERMIT NUMBER 04 ~i>o J The undersigned herewith makes application for a Concrete or Bituminous Construction Permit DATE ~(1(o'-f (for office use only) TYPE OF PROPERTY: ~.8.esidential 0 Commercial 0 Industrial ADDRESSOR LOCATION /6366/74c1/JDoo1 AvE; g.e~ ?L. , LEGAL DESCRIPTION OF ABUTTING PROPERTY BLOCK 2- ADDITION )jrtx>f:<;iI;/).R "a J~OWNER ,/J1Ickel fA} I!;V/) A'~6y L \ 5 elYtfP Replace t Widen 0 'wide (TEMPORARY, PERMANENT) Drive app. APPROVED BY: /J2 FEE COL ECTED 4(3!~ '-f #p DRIVE APPROACH TO CONSTRUCT New 0 Type of Material /3/h/Y1'/)()i.I J Date By When widening or constructing new driveway approaches a $10.00 fee is required at time of application and a sketch of property showing present and proposed driveways in relation to property line. (Sketch on reverse side of application or provide a separate plan) As provided 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 provisions included in the permit. It is agreed that all work will be done to the satisfaction of the Engineering Department. It is further agreed that no work in connection with this application will be started until the application is approved and the permit issued. ,hll.k?";-a./1 ~,h/I; Contractor ~.J-I VV ;::;~ Applicant's Signa~ 6/3 20 t:J~ Date REQUIREMENTS 1. No work under this application is to be started until application is approved and the permit is issued. 2. Where work on travelled 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 placment of concrete or bituminous surfacing, the applicant shall notify the Engineering Deparment 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 starting work... The Applicant shall call the Gopher State Number (1-800-252-1166) 48 hours prior to starting work. Applicant must call Engineering Department (952) 447-9830) for inspection 24 hours prior to time of inspection. G:IFORMSIDRIVEW A Y.DOC Concrete Patio, Steps Sidewalks South Suburban Asphalt NEW W08K - OVERLAYS - SEAL COATING 20455 Huntington Way Prior Lake. MN 55372 (952) 447-8698 I" ,.". :~; {\t) ,j DRIVEWAYS PARKING LOTS PATHWAYS Proposal Submitted to: Street: Date Phone w City. State, Zip Property to Blacktop Phone H Directions Scope of work to be done: ._........"'.,..._c. .j .....-- '.l i'\ --," "\.f '\ ..-~ ,j .... t'-~ . Bid ($ NOTE: This proposal may be withdrawn by us if not accepted within _ days. ACCEPT ANCE OF PROPOSAl- The above prices. speclficelions and condihons are salisfactory and ars" hereby accepted. You are authonzed 10 do the work as specih6d Payment will be m~.:as.: outline ~bov. bid Pevmenl dUll on ~1.tion-unl..I~~' /_,"'J/..~ /' ._/:.l' DiI,. 01 Accoptance ./ ,;>/" ,:;:c ?/'~"~--:. ,'_;<" .-t C~storne' Stgn.lure __~-':JA'?/'~;rt.l" ,_.p,/..'? .'1....' r''';>Z.llJ.-,~/ A_1ucI ...-..... n.. Acceptance of Proposal renders this form an INVOICE Please pay from this invoice no Statement will be sent. NOTICE OF LIEN: Normal"lliled aner JO days. w,th legal cost. added p.,sons. 0' companies furnishing labo, or male'lal, lor the N'npfov..-nent of ,... property may entoree . hen upon the imPfDY*i land if they .r. not paid thew contributlOf"ll. .....,. if such patlie. have no conlraclual relahonstup WIth I"'it ownt., Minnesota law permlt.lhe OliIlrner to wllhhold from hi. contractor. eo much 01 the contract price .. may be nece"''Y to ......Ihe dernanda 01 all olh., hen Cla.mants. pay 1~1'8ClIy such I..n$ and deduc11he COII'hereo' and the contract pnc.. 01 wiIt~ amount. from hie contrac:tm untlllhe ..pir8'ion 01 120 day. hom ,he COmplell()l'l 01 Such 'mproo"ttments unless the conlfactor 'umlsh.. to the OWN' WIN.,. 0' cta"", tOl mec:hantcl ken I9"ed by pe'sona who luf'N8fted any ..bot Of material lot lhe Imp,ovement and "'''0 prOVided Ihe owne, with timely notICe Complellon Date . Nolte' Oal8 Inlenl 10 F .Ie Lie" D.,. L_ Flied While - South Suburban Yellow. File Pink - Cuslomer