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Home My WebLink AboutDriveway Permit #12-D-13 � �� : ��'�# "EXHIBIT B" FOR CITY USE ONLY DRIVEWAY PERMIT PERMIT# j.�- - ��3�] DATE �T/Z J APPLICANT NAME: �� 11 ��U �SI L�t�.�G9/1 OWNER NAME: � ls 1 a�LI � . . .. P OPERTY ADDRESS: � �l,l.,lj" (��-aZ.q9..d -0 TO CONSTRUCT: O New ❑ Replace � Widen ��-�'�,� o �- � replac� TYPE OF PROPERTY: � Residential ❑ Commercial ❑ Industrial / Proposed width of temporary or permanent driveway [�� (Please provide sketch on reverse side or on separate sheet) Type of Material ��Q�Q Is property within the Shoreland District ?❑ Yes p( No (If yes, applicant must submit impervious surface calculation) < "�� <� The driveway is proposed off what roadway?�,�,(�d t'fl � � �� Is driveway shared by another property owner? ❑ Yes �No (If yes, signature of all parties is required) Estimated Start Date "" � � Estimated Comple'tion Date � '" � � � ' SKETCH 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 include proposed driveway, existing driveway (dashed line), driveway dimensions, property lines, dimensions of driveway from property lines, building locations near driveway, arrow indicating north, surface 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.` Pnor to pfacerri�nt of concrete or bituminous surfacing, the applicant shali 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. _. .. . ' _., a ,, � g �°� � �, � �"�x�' "EXHIBIT B" 7. Permit expires 90 days after approval date. 8. Additional Conditions 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. 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 canform 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 is approved and the permit issued. C �,'CQ.�LU �C'wt.s�r►�crn ontractor ApplicanYs Signature Date: — 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, s' work to be done in accordance with this application and submitted drawings. ENGINEERING OFFICIAL Date / /L' _ Permit is valid if signed by City Official Permit Expiration Date (90 days from approval date) � � ��`° ., , _ �,. . _ ,. , _ . x . , . ,. - ,�,_ ,. ,.. ��. � �, } p � � �� _ �- s `�� S � �� - � � __---�..... � ' � � . '; � i � A � �i _ _ r.NT :..� , �`�_ ^ r __� � ' � � �� ,- ` 1 � ;, , , s t �,, I � � �- � S / / �61A 5 `�� ` � 1 / � �./ � � -f-- c � � -�-- � � , �� , � �. � w__ __- , _�_ _______--_ ___ _ __ �_�^ _ _ ; `; �� ` � 1 �e __ _ w �! � � � -�. _ �.a � � � �s � (' � � � . � � �� _ —_. � —. _. — --� _--- - --- � � ; � �' - ..._._ . i _�_—_.. "� ---4... � � x I � � `!`�' "� � I ( f i � i � J 4,h i � ^ Ot � � o j^� c� 7� � . I gi � i .` n ! f � � �r�%;�, c� �'� �`u �i �,��,��. "EXHIBIT B" DRIVEWqy pERMIT FOR CITY USE ONLY PERMIT # _ j — APPLICANT NAME: DATE �' � '-� OWNER NAME: � U � � P OPERTY ADDRESS: � • • u..,� (��-�L.99-O.�z .0 ` � TO CONSTRUCT: ❑ New — ❑ Replace O Widen TYPE OF PROPERTY: �� e-pIc1C�Q }�Residential ❑ Commercial Proposed width of tem orar � Industrial p y or permanent driveway � Type of Material (Please provide sketch on reverse side or on seNarate shcet) Is property vvithin the Shoreland District ? L7 Yes � No (If yes, applican' must submit impervious surFace calculation) The driveway is proposed off what roadway? � `'�' Is �riveway shared b �� Q V�� y another property owner? ❑ Yes y�No (If yes, signature of all parties is required) Estimated Start Date — 5.9 � Estimated Completion Date -1 ' �' + p� SKETCH REQUIREMENTS �=_: �• A driveway sketch is required as a part of this permit. The sketch can be drawn on a separate sheet. The sketch does not need to be drawn to scale, however dimensions must be provide p ge two of the permit or on a 2 � Driveway sketch should include proposed drivewa , d on sketch. lines, dimensions of driveway from p Y Y existi�ng drivewa features near proposed driveway location (trees, hydrantsn utilities'�etc.).eaa dre ewa �' driveway dimensions, property y arrow indicating north, surface 3 • If on a corner lot, the sketch should include dimensions to intersecting roadways. CONDITIONS OF APPROVAL �� No work under this application is to be started until a lication is a 2. pp pproved and the Where work on traveled roadway is necessary, tra�c must be rotected and fla S ermit is issued. barricades must be placed in accordance with safet p y procedures. 9 signs, safety cones and proper 3 • No foreign material such as dirt, gravel, or bituminous material shall be left or de construction of driveway. -- posited on the road during the 4 • Road must be swept clean after work is completed. 5. � . p ,.,, ._, Prior to Cacerri�nt of concrete or bituminous surfacing, the applicant shall noti the 447-gg30 that.the work has been completed and is ready for final inspection. 6 � fY Engineering Department at 952- , No changes or alterations in entrances may be made at any time without written Department. — permission from the Engineering A , Scott County, MN �� s a A 1 � � �� , Ffi " t .' . .. � , �d. ` � . v �. ..�. ,,�. e; � �' � � 4 . �� ". .� ��' 3913.; '�5?+31 " s.. .5T37, _ �� III � � � �r , �_�� .� � � � � . �� , . � �� E�� : 4 . � �� , � �� ° � r�, a �,°s" � ; `�e"� ... e ' • � ! � � `4 . � � �b � � ��.ee9 ,. .. ..�, � �., . :l. . A, „�� ' y,.. " � � � ��, � , I „�.� ii� � 11} �� , I,,� !�� i . - I° �,,,� � � � � � ,� � �� d � � 8 � . . , x� �� , �: . � .�, ; F . �� a . �� ` �C� ,� ' � � �,� � :. � � � 1,-�-; � i�� ,. i�� ,:r �. � ti � ,N � � : � � , �. � � � �� , ' � � This drawing is neithera legally recorded map nor a survey and is not Map Scale N intended to 6e used as one. This drawing is a compilation of records, � inch = 26 feet information, and data located in various city, county, and state offces, and other sources affecting the area shown, and is to be used for reference W E -d"+•- purposes only. Scott County is not responsible for any inaccuracies herein Ma Date contained. If discrepancies are found, please contact the Scott County p *�� surveyors otfice. 8�7�20 � 2 S