HomeMy WebLinkAboutExcavating & Filling Permit
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CITY OF PRIOR LAKE
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APPLICATION FOR
EXCA V ATING/FILLING PERMIT
Permit No.
~q~- '~
q96 -0
Date --=1.-J'l.--l I qq
447-4230
ApplicantJ~ lJ [11 tA-
Address: . Si.f /2 A''Y\ble..-LUoc:d.-.Dr-.}
Property Owner: ~ QS cJ.o ev-{?.
Phone /I rqS- - f559
Phone /I
Address:
Contractor:
A)OA ~
~ CA... ~ o..b<>J Q..
Phone /I
Address:
Consultant Engineer/Surveyor
Address:
Phone /I
Location of Property:
Legal Description:-1-(")T b B k..UJ
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Will the excavation or filling be in a: Watercourse
S~J"'A..JJJ.,~ ~ '~~ Sk ()ttlc..s
Wetland Upland X
? /9Cf
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What is the type of material to be removed or deposited:
C (~~ Qj
Estimated start date:
Completion date:
In what manner will the material be removed and/or deposited?
< ~.U D~r -\-rLU~
What highway, street, or other public way will material for removal or depositation be hauled or carried? ~
What, if any, street, avenue, lane, alley, highway, right of way, thoroughfare or public ground will be obstructed?
1\1 D ob5tructr~
IT SHALL. BE THE RESPONSIBILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE sAnsFAcnoN OF THE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V A nON AND/OR FILUNG COMPUES WITH THE OVERALL CITY
OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF A REPORT WITH SUPPORT-
ING CALCULA nONS OF A REGISTERED PROFESSIONAL ENGINEER.
Will proposed excavation or depositon affect the City of Prior Lake overall storm water management plan? Yes _ No .ii- If
yes, show proposed effect.
1-
SUBMISSION REQUIREMENTS:
DfPoSIT -'1z.,/9~ .$115e~ o~ ~R,K.:#-- 9'-172.
(A) Completed application fonn (B) Completed legal description (C) Map or plat of the proposed tilling or excavating showing location and amount of marerial
proposed to be removed of deposited. with a description of the area (D) The depth or heighls to which such removal or deposition is proposed throughout the
area and the proposed angle of all slopes 10 be shown on a 2' contour map at a scale of I .. = SO' or larger: The proposed and origirial contoun shall be shown in-
cluding all propeny within ISO' of proposed excavation or deposition and shall be signed by an engineer or surveyor registered in the Stare of Mi/lnelOla .(8)
Erosion control plan (F) Affect on existing utilities (G) Protection of site by erection of suitable fence. guard or barricade (H) Application fee (I) Bond. letter of
credit. or deposit of monies in a sum sufficient to pay the cost of restoring a site. The extra ordinary costs of repairing. highways. streets or other public ways
along designated routes of travel and to pay such expenses as the City may incur by reason of doing anything required to be done (J) Public liability insurance.
Amount of bond Letter of credit,
rJ;~~ n~ermit fee j. t1! ,rro Signature of applicant
e)~~(p b Permit deposit 1> \':) 0 ~ City Engineer
liability insurance provided
Date 7- 1-9j
Date 7/:J-o/'lf
Permit is valid if signed y City Engineer.
J5~:tok?~ <;\ \+Rw::.t \..L^~\ ~~Sco--pi,,?\ b ~S~;~
(0$\'50.00 c9-t.ro~. Ao-O\)d ,\o.b~ ('~~(~ n\-a~ 8~\+:(~~..,~~31
V~vW--). \V'-~(+\.oV\ 'o.t '€~V'~~I~\ ~ ~t'" Ar(i ~ * \.A.+~)\ ~
(i) (<.,-t-tc(",,; v~ 0.50-\A--S Q:,e V'-eT Q.....v~~ l V\ ~; \. ~-a
~~t'"")" o...d ~'.\\~. g:y @t-Jo\e ~\ON-- Y<?"-\f..&:;...OV'\.<::;.
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~ * PIONEER
it .engineerlng e-=-
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it ~ ~
LAt<<) SURVEYORS . Ow. tHGlHtERS
lAHO PlAHN[RS. lAHDSCAPt AlCHn:CTS
~ (6~1) 681-1914 FAX:681-9488
.il: PIONEERCf'RE:SS EN!ER.COM
r ighwoy 10 N.E.
e. MN 55434
(812) 78J-1880 FAX:78J-1883
E-moil: PIONEER2ef'RESSENTER.COM
AMBU:WOOO DRIVE
KEYLAND HOMES
.3660-II-A
ClJEN~
PROPOSED HOUSE ELEVA nON
LOWEST fLOOR ELEVATION: C, 4l4> .~
TOP OF" BLOCK ELEVATION: C}Slf;;.
GARAGE SLAB ELEVATION: ., S'>.,
T.O.B. @ L.O. E:LEVATION:
x 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSEO ELEV" nON
- - - DENOTES DRAINAOE AND VTIUTY EASEMENT
- DENOTES DRAINAGE fLOW DIRECTION
__ DENOTES MONUMENT
-e- DENOTES OffSET HUB'"
AND CORRECT REPRE:SENTATlON OF A
LOT 6, BLOCK 1, SEVENTH ADDITION TO NORTH SHORE OAKS
SCOTT COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT
UNDER MY DIRECT SUPERVISION THIS 26 DAY OF MARCH, 1999.
REVISED 4-5-99 PROP. ELEV.
REVISED 4- 7-99 " TO HOUSE
SCALE : 1 INCH = 30 FEET REVISED 4-6-99 RESTAKED
....",---.
Certifica te of Survey for:
LOT AREA = 15.045 sq" fl.
HOUSE AREA =1 893 sq ft.
ORIVEWAY AREA '=531 sq. It.
COVERAGE =16.11%
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NOTE, PROPOSED GRADES SHOWN PER GRADINC PLAN By: RLK
NOTE: BUILDING DIYENSIONS SHOWN ARE fOR HORIZONTAL AND VERTICAL LOCATION
OF smUCTURES O~L Y. SEE ARCHITECTUAL PLANS fOR BUILDING AND
FOUND" TION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON TflIS LOT By THE
SURVEYOR. THE SUITABIUTY Of SDlLS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT TflE RESPONSIBILITY Of TflE SuRvEYOR.
NOTE: THIS CERTIFICATE OOES NOT PURPORT TO SHOW E"'SEYENTS OTflER THAN
TflOSE $HOWN ON TflE RECORDED PlAT.
NOTE, CONTRACTOR MUST VERIfY DRIVEWAY DESICN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DA lUM
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE
SURVEY OF THE BOUNDARIES OF':
2172
96420.01 JJS
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957.6
BENCH MARK
_---TOP OF PIPE
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BY:
HOWN, AS ~VRVEYED BY ME OR
""IE" ENQ~P.A.
Reg. No. 19828
1 OF 2
11:11 65. 01 'Jd~
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