HomeMy WebLinkAboutDriveway Permit #11-D-10 ' May�2�-2C11 02:33 PM 3M Company 651-736-7615 �/4
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APPLICANT NAM6 !� � �L � � ��� " �� � " �'�' � � "
QWN�R NAM�; ��
PROPERTY ADDRESS; 1 I I� �O U �� Q !�► �
TO CONSTRUCT. � Naw �plsce ❑ Widen
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TYPE OF PROPERTY: �Reeidentlal � Cammerclaf G industrlal
Proposed width of tempvro�ry or pannansnk driveway (Pleaaa provlda ake�h on rovarae alde or on 6eparaEe eheet)
Type of M�Eeriel Ca���"�
Is property wtthtn the Shor�eland Dlstrlct T 0 Yes J�,r[o (tr yes, epp�lcent muet submft impeMous eurlece calcui�tfon)
Th� drivawey is propoa�d affwhat roadway7��lfLl� C1P IVP -~ /dr1l���U�i �
Is drlvewey ahared by ena'ther property owne� G Yes �f�tl'o (If yes, sleneture of aEl parNes is requlred)
�stimated 3tart Date �
�stimated Completton [�ate ( � �
BKETCH REOUIREMENT9
1, A d�vewey skmtch Is r�qulr+ed as a part oP thts permit, The sketcit can be drs�wn on p�ge twa of tha permit or on a
separa#e she�#. The sketch do�s not need to be drawn ro ecale, howrever dlmenslons mus! be pravlded on skaEch.
2. Drivewey eketch ehould include praposed driveway, exispng driveway (da�hod Ilns), drivewa�y dlmenslona, property
lines, dimensions of driveway from property Iines, batlding Iocations near drivewey, arrow Indfcating no�th, surf�ce
features near proAosad ddvaway Ioc�tlon (trees, hydrants, utUftles, eta).
3, I! on a comer lot, the eketch should inoiude dimenaions to intersecttng roadways.
CONbPf'I�NS bF APRR�VAL
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i, No work under this applioadan is ta be s#arted until appltoatton Is approved and the pertnit Is Iseued.
2. Where work on treveled Cosdvu�y is necessery, treffi� must 6e pmtscted and fl�gs, aigns, aeiety cones anst pfOper
bS��C8id6s mUSt be pEacsd in aecotdance with safety procedures.
3. No furelg►t materSal suah as di�, gravel, or tiduminous material shall ba left or d�poeitad on the roed durtng the
construotion of driVeway.
4. Ros�d must be swept ciean after wvtk is comple6ed. .
B. P�ar tc placement of concrete or bftuminous aurfacing, ths appltcant $hall notify the Enginearing Department at es2�
A47 th�t !he work haa been campleted and Ia roa�y for flnal inapectlon.
e. Na changes or alteratioes tn sntrancea may t�e made at any time without written oermission from the EnQineerin� �
Deparfmant,
� f�ay-24..2011 02:33 PM 3M Company 651-736-7615 2!4
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""'�+'"' "�XHIBIT B"
7. Permit expires 90 days after approval date.
S. Additlonal Canditlons. _
�pApORTANT: Bsfore atar�na work . . .
The Appllcant aha�l cell Gopher 8tete One Call (1-800-252�1166) 48 hours prior to starting work AppNcant must Call the
En ineeri� �e artment 952 447-9830 for ina ction 24 haurs pr9nr tc Nm� of tnspection.
As provlded tn Ordln�nce Numbers 9107.205 & 1107.Z08 I, We ths und�r�igned, herewith make applicetlon
ior permission to construct the driveway at the a6ove loeation, said d�iveway to be cpnstructed to conform
with the standerds oF the Ctty of Prior Laka and ta any special prcvisions included in the permik It is agraed
that all work will be done ta the sattsf�otion af #�e �ngineering Department� t a further �g�eed tha# no work
in eonneation with this applicafion shall $ta�t until the applicaHon is approv he parmit tssued,
Contractor Ap Iican!'s Signature
a��. .—���N f � r r
FQR C1TY US� QNI.Y
AUTHORIZATION OF P�RMIT
Petmlt Fee $ � 3� -O D ,
le canslderetton of agreement fo comply in ell r�speots with the regulations of the City of Prior Lake covering such ope�tlans, �nd
pu�suant to �uthb�lz�klon duly glven by sald CIty oF Prtor Lake, permlaslon le hereby grarded fer the work to be dona as dascribed in the
above application and submitted drawi said work ta be done In acxordance vWth #his applica�on and suhmltted drewinps,
ENOINEERIN(30FFICIAI, p� S �Z�
Permit s valid if sign�d by Ci#y Officiel
Permit Expiratian Date (90 days t`rom approval date) _'Z�"�
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