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Home My WebLink AboutDriveway Permit #11-D-06 � ` �.� FRtp� � � i`� "'��" "EXHIBIT B" FOR CITY USE ONLY DRIVEWAY PERMIT PERMIT # - �,.� � , DATE ,� // / APPLICANT NAME: �� `� �' �v � �I I� �'� �� F'r`5 ��'� � � i� i � OWNER NAME: PROPERTY ADDRESS: 1 � �-� I V v � I C� � � �U`'' `1 IV �t-' �`� - d � � �� TO CONSTRUCT: ❑ New �Replace ❑ Widen TYPE OF PROPERTY�Residential ❑ Commercial ❑ Industrial ,�,: Proposed width of temporary or permanent driveway ��m" G�S (Please provide sketch on reverse side or on separate sheet) Type of Material ��1'1�. t��"'IC� � C c�'IV1.w�� Is property within the Shoreland District ?❑ Yes �No (If yes, applicant must submit impervious surface calculation) The driveway is proposed off what roadway? �i 1 �C� � r��I Is driveway shared by another property owner? ❑ Yes �No (If yes, signature of all parties is required) Estimated Start Date �'��'� �`' �� ' -- C`-"�'Gr� �Il Wc'w'`��Q:� t / -�' �C;�' " ► J i � l 1 Estimated Completion Date �/2��% �'� U` � �KETCH REQUIREMENTS 1. A driveway sketch is required as a part of this permit. The sketch can be drawn on page two of the permit or on a separate sheet. The sketch does not need to be drawn to scale, however dimensions must be provided on sketch. 2. Driveway sketch should inctude proposed driveway, existing driveway (dashed line), driveway dimensions, property lines, dimensions of driveway from property lines, building locations near driveway, arrow indicating north, surtace features near proposed driveway location (trees, hydrants, utilities, etc.). 3. If on a corner lot, the sketch should include dimensions to intersecting roadways. CONDITIONS OF APPROVAL 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 at 952- 447-9830 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. , (�,�k FRlq�' F� � i`3 ""�°"* "EXHIBIT B" 7. Permit expires 90 days after,approval date. 8. Additional Conditions �/'�.�0�, �.k�i��i'"""'�"''� ��''�'�' "�✓ �r-� c�,,,,� _ �,�,�,��..�.�.�.� • IMPORTANT: Before startina work ... G� �� Th Applicant all II Go her State One Call (1-800-252-1166) 48 hours prior to starting work. Applicant must ca the Engineerin Department (952) 447-9830 for inspection 24 hours prior to time of inspection. �� ✓ � As provided in Ordinance Numbers 1107205 & 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 shall start until the application i�.approved and t�e permit issued. �'l�� -k� �Gl�. ��- Contractor . ApplicanYs Signature o�: �j�, �� FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ In consideration of agreement to comply in all respects with the regulations of the City of Prior Lake covering such operations, and pursuant to authorization duly given by said City of Prior Lake, permission is hereby granted for the work to be done as described in the above application and submitted drawings, said work to be done in accordance with this application and submitted drawings. ENGINEERING OFFICIAL Date Permit is valid if signed by City Official Permit Expiration Date (90 days from approval date) q�,� � ,�y,.,� a,1.�[..,.� ,n.a-GY t.�.C,�^�-UL,� ,t'�,-� �t/�..Q:c'� ' 3 /d // ;/ � � l/ u N�,� 1�'li� w,'f� �or�+� a..� �� s�ill JI or�s,`� �� ( , ��r � � � 3�� J�� `� �� 5 ��zo�� — k• � � ( � �� o� �., � i —. ��' � — � , J� a- �` �� '1� � � �a�� °j; p;R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � � i/;; �.\ �` � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE "�� .;``�'' AND UTILITY CONNECTION PERMIT ,� � o� � 1. White File pERMIT NO . 2. PinA Ciry� 3. Yellow Applicant lease or ' and si at bottom ADDRESS ' ZONING (otice use) l 5�a�� I�l i l d s �rkwa. �J� ��.u�Lc�� LEGAL DESCRIPTION (office use oniy) LOT BLOCK ADDITTON PID OWNER.��' � e �. � q (Name) ! ! rn (Phone) � � e �S� � � �O [ (Address) � S�� w I!� S Q/ (.t/Q � V r ��t �- BUII.,DER (Company Name) (Phone) (Contact Name) ��'�'( � � (Phone) � l Z Z'Z� — Z Z� 3 (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing �Re-Siding ❑Lower Level Finish ❑ Fireplace 1 ❑Addition �Alteradon ❑Utiliry Connectiori � .� � �� p, �� ( CODE: ❑I.R.C. ❑I.B.C. �Misc:�"' ' "- � (� Type of Cons�uc�on I II III IV V A B Occupa�y Group: A B E F H I M R S U PROJECT COST/VALUE S Division: 1 2 3 4 5 (excluding land) I hereby cectify that I have fumished information on this applicatiou which is to the best of my knowledge true and correct. I also cer4fy that I am the owner or authorized agent for the above-men6oned property and that a construcaon will conform to all e�tisting state and local laws and wip proceed in acoordance with submiued plans. I am aware that the building offici revoke this etmit for ju use. Furthermore, I hereby agee that the city offidal or a designee may enter upon the prope�ty ro perfotm nee � ectioas. X � � Signature Contractor's License No. D te - Permit Valuation Pazk Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's,�eposit $ Sewer & Water Permit Fee $ Other �' , $ Gas Fireplace Permit Fee $ TOTAL DiTE $ This Application Becomes Your Building Permit Wrien Approved Paid ReCei t NO. Date B Buildin Official Daze T6is is to ceRify that We request in the above applicafion and accompanying documents is in aaordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner mnstimtes a temporary Certificate of Zoning compliance and allows conswction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 6our notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372