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Home My WebLink AboutDriveway Permit #12-D-03 . � O � PRJp� � Y 3 F 4 ��""�� "EXHIBIT B" FOR CITY USE ONLY DRIVEWAY PERMIT PERMiT# �L_ _ DATE � j' �� jZ APPLICANT NAME: _I X 1� e f� /-1 S n J�►G 1� [ N(, � OWNER NAME: � V �C r Y� � P OPERTY ADDRESS: Y � Y1 r I� n � J� �� v�3-o Z I,'�Replace s � 3 �" TO CONSTRUCT: ❑ New �' y�en TYPE OF PROPERTY: �'Residential ❑ Commercial ❑ Industrial Proposed width of temporary or permanent driveway (Please rovide sketch on reverse side or on P separate sheet) Type of Material �` Is property within the Shoreland District ?❑ Yes ❑ No (If yes, applicant must submit impervious surtace calculation) � � � The driv�eway is proposed off what roadway? �1 WI�Y �/ _ �1 "� -�-�- Is driveway shared by another property owner? ❑ Yes J�7'No (If yes, signature of all parties is required) g� ' Estimated Start Date_1 �"�'� ��!� � EsUmated Compiefion Date_ �-r� �� i `v� ��, 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 inGude proposed driveway, existing driveway (dashed line), driveway dimensions, property lines, dimensions of driveway Trom property lines, building locations near driveway, arrow indicating north, surtaoe features near proposed driveway location (trees, hydrants, utilities, etc.). 3. If on a comer iot, the sketch should include dimensions to intersecting road�nrays. CONDITIONS OF APPROVAL 1. No work under this application is to be started until application is approved and the permit is issued. 2• Where virork 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 svvept clean after work is completed. 5. Prior to placement of concrete or bituminous surtacing, the applic�nt shall notify the Engineering Dapartrne►it at 952- 447-9830 that the wrork has been completed and is ready for final inspection. 6. No changes or alterations in entrances may be made at any time without written oerrnission from the Engineering Departrnent. , - (/� . � y� � )�, ��/ �� . , o � ew ti � � � M � .• �"� ' "EXHIBIT B" 7• Permit expires 90 days after approval date. � � 8. Additional Conditions � ��-�-C- �-Q�� ,�-� "_ 0 `" IMPORTANT: Beforr+e startina work The Applicant shall call Gopher State One Call (1-800-252-1166) 48 hours prior to starting work. Applicarrt 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 conform with the standards of the City of Prior Lake and to any special provisions induded in the permit. It is agreed that al� 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 appliqtion is oved and the perm issued. _C!1Sf�1 . �� ?,�- --__. t V Co actor A plicant's Signature Date: ,�d � � �, FOR CITY USE ONLY ,1 AUTHORIZATION OF PERMfT Permit Fee $ �Q '� Fn consideration of agreemerrt to compiy 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. �j�J�fJ�'' ENGINEERING OFFICIAL Date �Id Permit is valid if signed by City Official — Permit Expiration Date (90 days from approval date) . � �- --�-� 0 . �...�'�1- ASPHAL Proposal T � T, INC. _ Date �'�' ---�'-__ C C1� Licensecf an�+ Ir�surect Z ' 604 Shirnrncor St. �� Mayer, MN 55360 1�15l� �iS �f>` 952.657.1181 �� www.expe�tasphaitin�.com ,� � r,�[.. .�- _ �ax� �2.�.1 �.,�-..� ,, � A Traditian C3f Excelience Since 1984" e• 12.221.003 �omer Name ;��,�� `: �.�-� ��-� .- t �� Address � " ' , : �;, y -. f� "-' �( Contact Person: t�'�.-��-' , � . City ��i'�l `��V� � =:�1��'` State >, _-� _ �'y -� ZiP � � �� fi� Cell Phone#�" `, Z `'� `: ( �; ((,� . � `.� Phone (H) �W� ❑ Job # Client # Cell Fax /, Development � ��, ' `7 % U � � �� ( � � • � L ,:—.._. sq. ft. ` 7 sq. Yd. d ' � � 2. Stake out and sfing line all straight edges �... . . .._. _ , C�, LY � �--' _ _ _ � 3. Hand cut grass edges, where needed � ❑ 4. Saw cut all cuts form straight, vertiql joint line. � �. � ti � _ � . _ � _ � ` . �'1j J C� `� ��,� � 5. Determine grade �� : �-�- (�� , , � - � 6. ImPort�� tons of aushed rodc base as need to. �. : ._ . ; _ � �. i� �-t`l-� �� t�t.,� _ ,��,��' estabrsn� i *�. s . . ; �� 4 � j ; ._ �� INIII . . � � . __.._.-. , . - , _ a� _._.��.�..�3n,._. 7. Stta for draf __w._ a� �__, �.-__Pe nage� wet base, compact subgrade to u' density. -.�.� -.. .. �-�.. _ � _ _ �__,__.__.�..__� . _ � • _ � 8. � tons of hot-maed asphait pavemen � consisting . _ . _ . of 5-7 percent cement appropmately 3 �, � ._._.. __ ,_ _ machine rolled to _ ° ` * ��. �,�.; � . - �`� J. �� -� ❑ Type 2341A (1/2' modified � Type 2341 Wear (3/4' �_ , � . o s. ai , t�, ProJ� �luiring excavation will have a locate veri6ed by , , ._ �_ _ `Gopher One Call" prior to the start of said excavation. locates �,, �� . �( will be called in by ExpertAsphalt, Inc. _ _ .� • . � . rar _ _ ; . � _-� _.._. �%, "" �� P�9 10. Driveway has shaded areas Yes ❑ No � ,/-� , � � . � 11. O�ter'. �� /�,� l /1 1 �wl � ..a_ �,..��.. ; .m.d,�,..��_�- �-- ,.. , � � . �. _. .; : � r.a w A � � f � ,_n�_ 5-� _,.._, .�� m_ . �.�_� �� zN ;5 year gua_rantee_ if sealcoated by Expert Asphalt, In�., f ;1st, �rd � 5th yr. atter instaliatiorf � . t All the above work to be completed in substantial and, rkmanlike manner for the total of Terms: 25% down, remainder Net due upon completion ofjob. i� roPosai a��ePted sign and return Any unpaid balance will accrue at 1.5% per month. Good for 15 dayS. white copy with a check for 25%. Balance due upon compietion ExpertAsphalt, Inc. agrees to carry Workman's Compensation and Public Liability Insurance, also to pay all Sales Taxes, upon the material fumished under this contract, as required by the United States Government and the State in which the work is performed. ExpertAsphalt, Inc. agrees to complete the above outlined ' work in a workmanlike manner in accordance to standard construction practices. All agreements are contingent upon delays beyond the control of ExpertAsphalt, Inc. Owner will not hold Expert Asphalt, Inc. responsible for settlements, due to nature such as freeze & thaw. Expert Asphalt, Inc. has the right to refuse to acc y proposal. No Refunds. Pre-Lien Statement: Although we expect that the account will be paid without litigation, this notice of non-p�yment is given to Co ith recent changes ofthe Minnes la �#payment is not received, a mechanic's and material man's lie ul filed and ced ainst the project. Signature of Owne �� ! ' , �� ,1��2.' � �}� � , ,\ ' � � � Signature of Contracto�_�_ _ � �� Date � Da "The bittemess of poor quality remains. ..Long after the sweetness of low p' e is forcSotten" Scott County, MN ,� 53d1 14�01 �� :id�l : :... _. .. �i '�,,, � 1 � t w �' �' �3�7' i �a� �a� i �; � �� °� �' _ .. _ �. ' " `- ». � �„�' � �,. �%� -` � u, ' �_ , �- - � �. , . g , . �z " r � _ , , �.: � r , � �� - .. r ��u� ��._.�, � � I � ��'"- � �� r� � �'°� ` � r.=��" ��.`" � �_ Property Information Parcel ID: 252150830 Bathrooms: 1.75 Taxpayer Name: CARLSON DAVID J Year Built: 1985 Taxpayer Address1: 14500 SHORE LN NE Deeded Acreage: 0 Taxpayer Address2: PRIOR LAKE, MN 55372 GIS Acreage: 0.32518 Property Address1: 14500 SHORE LN NE Zoning Classification: Property Address2: PRIOR LAKE MN 55372 Legal Description: SubdivisionName SAND �" POINTE 4TH ADDN Lot 018 Block 005 School District: 719 Plat Name: PLAT-25215 SAND POINTE 4TH Estimated Land Value: $70,000 Block: 005 Estimated Buildings Value: $105,800 Lot: 018 Total Estimated Market Value: $175,800 Unique Well & Boring No.: Home Style: SPLIT-ENT Well Depth Drilled: Bedrooms: 2 Well Date Drilled: This drawing is neither a legally recorded map nor a survey and is not Map Scale N intended to be used as one. This drawing is a compilation of records, information, and data located in various city, county, and state offices, and 1 inch = 39 feet other sources affecting the area shown, and is to be used for reference W E ,,,�e.�#� purposes only. Scott County is not responsible for any inaccuracies herein '� .-�' _ � contained. If discrepancies are found, please contact the Scott County Map Date s�Ne otti�e. 5/10/2012 S ��, ��