HomeMy WebLinkAboutDriveway Permit #12-D-11 S
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�` ' "EXHIBIT B"
FOR CITY USE ONLY
DRIVEWAY PERMIT PERMiT #� j 2--
DATE
APPLICANT NAME: / '�d"` IC7�,��W�� 1
OWNER NAME: _ R !'� O�hO�. /M�Of'�°i
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PR PERTY ADDRESS: �� C'i��� � rI . �
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TO CONSTRUCT: ❑ New �Replace ❑ Widen
TYPE OF PRQPERTY: �Residential ❑ Commercial ❑ Industrial
Pro osed width of tem ora or ermanent drivewa �
p p ry p y �� (Please provide sketch on reverse side or on separate sheet)
Type of Material I'a S�h�
Is property within the Shoreland District ?❑ Yes P�plo (If yes, applicant must submif impervious surFace calculation)
The driveway is proposed off what raadway? � ri �i'c� Tr1 �
Is driveway shared by another pro erty owner? ❑ Yes �lo (If yes, signature of atl parties is required)
Estimated Start Date J ( �
Estimated Completion Date � I J` ��
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 indude 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 compfeted.
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.
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�`'� "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 inspeetion.
As provided in Ordinance Numbers 1107.205 & 1107.206 I, We the undersigned, herewith makeapplication
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 aU work will be dqne to the satisfaction of the Engineering Department. It is further a reed t t no work
in connection with this application shall start until the application is approved a he pe d is
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Cohtractor plicanY ' nature
4 Date: ��Z �� `� ,
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FOR CITY USE ONLY r
AUTHORIZATION OF PERMIT
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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 submitt�d drawings, aid work to be done in accordance with this application and submitted drawings.
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ENGINEERING OFFICIAL � . Date ��
�: : Permit is valid if signed by City Official
Permit Expiration Date (90 days from approval date)
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Scott County, MN
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Property Information
Parcel ID: 252840180 Bathrooms: 2.5
Taxpayer Name: HULKE BRIANA L Year Built: 1992
Taxpayer Addressl: 14763 BRIDLE RIDGE Deeded Acreage: 0
Taxpayer Address2: PRIOR LAKE, MN 55372 GIS Acreage: 0.27782
Property Address1: 14763 BRIDLE RIDGE Zoning Classification:
Property Address2: PRIOR LAKE MN 55372 Legal Description: SubdivisionName
CARRIAGE HILLS 1ST ADDN Lot 001 Block
School District: 719 Plat Name: PLAT-25284 CARRIAGE HILLS
Estimated Land Value: $70,000 Block: 002
Estimated Buildings Value: $146,800 Lot: 001
Total Estimated Market Value: $216,800 Unique Well & Boring No.:
Home Style: 1-2 STRY Well Depth Drilled:
Bedrooms: 4 Well Date Drilled:
This drawing is neither a legally recorded map nor a survey and is not Map Scale nf
intended to be used as one. This drawing is a compilation of records,
information, and data located in various city county, and state offces, and 1 inch = 32 feet
other sources affecting the area shown, and is to be used for reference .,,,�.
purposes only. Scott County is not responsible forany inaccuracies herein Ma Date W E ��
contained. if discrepancies are found, piease contad the Scott County p 1. ,r�ry"��
s�r�e otr�. 7/2/2012 $ '�