HomeMy WebLinkAboutDriveway Permit #13-D-20 - ,.
�� PRlp�
�
� �
'�^��'` "EXHIBIT B"
FOR CITY USE ONLY
DRIVEWAY PERMIT PERMiT # -,d"- 0
- -- -___ _ ---- - ___-____ __ DATE- -- --
. _. _ _-- -- 4- -- - ____
c �
APPLICANT NAME: � J L
OWNER NAME: �
PROPERTY ADDRESS: ��� -���..c�� �.(�
TO CONSTRUCT: ❑ New ❑ Replace �Widen
TYPE OF PROPERTY: �LResidential ❑ Commercial ❑ Industrial
Proposed width of temporary or permanent driveway (Please provide sketch on reverse side or on separate sheet)
Type of Material
Is property within the Shoreland District ?❑ Yes �lo (If yes, applicant must submit impervious surface calculation)
The driveway is proposed off what �roadway? � .
Is driveway shared by another property owner? ❑ Yes ❑ No (If yes, signature of all parties is required)
Estimated Start Date ! ��7'�/N
Estimated Completion 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 musf 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.
; �
� rsrq�
s`� �
�'�"�"` "EXHIBIT B" /
7. Permit pires 90 da fter approval date.
8. Addition
IMPORTANT: Before startinq 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 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 satisfactio of the Engineerin epartment. It is further agreed th t no work
in connectio wit this application shall s until t e applicat n is ved and the permit i ue .
SG �, ( 6�-- �� l�° � ` ` R-
Contractor �plicant's Signature
_- Date: � �� � 3
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Permit Fee $ S �Q • � d
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 drawin s, said work to be done in accordance with this application and submitted drawings.
ENGINEERING OFFICIAL Date / D/�/N
Permit is valid if signed by City Official
Permit Expiration Date (90 days from approval date)
.
. /.3 -.Z�
�- concrete www.southsuburbanasphalt.com � 4 8 2
Pe,;a, Steps South Suburban Asphalt,� �� f
Sidewalks o n �
NEW WORK - OVERLAYS - SEAL COATING �` ��� �
Wa Prior Lake M N 55372 �',1
_ 20455 Huntington y, ,
(952) 447-8698 � �
EMAIL southsuburbanasphalt@gmail.com f '- � � �
DRIVEWAYS PARKING LOTS PATHWAYS
Proposal Submitted ta 9 � � ��g Date �� �
street: � Phone �� � � d�c-�]'n '" � � ?
Ciry, State, Zip �1'`- r�� �� � Phone�a,�.._ �b�� � Z
Properry to Blacktop
Directions �
�
Scope of work to be,done: L �t� 3�`A�— ��'�'; �� � 3�{ 1�
b �, �� ��� � ��. � 5 ,� � : . . . . . . : : : : : : :
� � > �.. ...
�.-- � . .....
�,�y ,� --�� ..,�� ���� ��,� � . . ��� � . . . . . . . .
�. ._ . . . . ��, . . . .
- � re°"�� . . . . . . . i . � �R��eC;
�b ��� �!l r i � , � hINZG� . . . .��. . .I'1 ./. ' Nb�
� v ' � ,` �� . . . . . . . . .
2 � ��� � � S 3 0 .'�` . �'� . . . . . . . .
��+ � �' C7N1n�`Q", p� t ) - I'f�� ��. . . .�, . . . .
iU
�"�'` � � � � � �".� � � � �"' �r.i-�' 8 . . : � o �'fl. t..�'Q.1 1 :
�� �������< � �fl � z'���+ `�' � � . . � . �. �: . . . . .
r
� � . �� . . . .
�C �� � �b l� ��'� �!'►'� " � c .!. I�ZG� � �� � . . . . . . . . .
�- � � � � S � �L7" C �,► o��.d � .� � � . . .
�� � � � � � . � . . . �i . C�
3 7� �✓ y�;, t l .S c�, r-'��� F�i n t s h�� �. �?� .. . c��'�►-
.� � ¢-A�l- L. � i P.� j J �, 1Z.t�� ��� �,-? p � ,�P o.Fr � _ . . . . �
` y . .
, c-0 .. !��'�� " � /�'S'�" Bid ($ , b�
r , y us il nol accepted wilhin �� days.
� ACC CE OF PROP AL - T�e above priees, specifieatioee and ��tdJ �«�� f�_
'�(7�/ itwns aro satisl ctory and are �ereby accepted. Vou are aut�orized to do Me , �^� 4�n�tw� "��� v� � 4
V � work as specilied. ayment will De mads as outline above bid. P�vment due on �I � � /� �� �//?� ^�� ^�
como �_'' -, •. .., j�_� Acceptance of P sal"'eide s t s ior an INVOICE
�� ° r os�e o, �«e " - Please a from this invoice no Statement will be sent.
v .c :�ome, s, ���, � n p Y
Y -�' � — " � �� � �� '-� . , . ,,�/ . _
NOTICE O LI N: Normaity �i�ed aher days, with bgai costs added �-�������' �"�i!,� /�'/ L�� I�'�4� �}' / �"'6���"
�� r
Psrsons ol comparoes lum�sn,nq IaDor or mal�nals lo� tM vnprovsmsnl ol rssl0rop�ny may �nldu � Irn upon IM wnprpv�d I�nd i11My �r� nol p�d IMu conlriDuliona. Mn N WM p�rli�s
op
� � o co vacluai rela��onship wdn tne owne� M�nnssot� 4w p�rmila IM own�r lo w�lhholtl Irom hn conlnetw� w mucM� o11M tonlnet p�ir,� u may 0� MC�u�ry to r�t IM d�m�nds
all hen cl�imanls. Day Enactly such bens and dsducllM Co�l IMrool anC IM conV�et prb�. or wiMiholO �mpmU Irom hq conVKYOr uMi tly ��pwflion d 120 d�y� Irpn
/(� , ��,1�' I�a Compleho� o� such �mprovsmanls uniess ine conlr�do� �um�sMS lo tiv own�. w��v�n ol e4xm lo� m�eh�nks li�n sipn�E Dy p�norn Ww IumbMA �ny 40or a�NrNI lor IM
��y� �� �mprovemenl and wno p.ov�deC �he ow�er w��n t�msly nolie�
Compieiion Da�e .
Nohce Da�x �n�ani lo Pde Lisn DaU Lwn F�NE
White - South Suburban Yellow - File Pink - Customer
ti
L
. J �`�. �..`
�
`', � .
`
. ,
Certificate of Survey for: Ml' Rodne,y Dahlenburg
BUILDING SETBACK REQIJIREMENTS: BENCH MARK= 941.37 JOB N0..164 DWG:1641base.D1YG
FRONT YARD: 25 Feet Tov Nut Hvdrant near N1P SCALE: 1"=40' DATE: June 3, 2005
SIDE YARD � HOUSE: 10 Feet Corner o� L�t 1. BIoet� t=
SIDE YARD � GARAGTs: 10 Feet CENTENNIAL ADD'N
REAR YARD: 25 Feet O DENOTES IRON PIPE SET.
• DENOTES IRON PIPE FOUND.
LOT SIZB 41,246 S.F.
PROPOSED HOUSE ELEVATIONS: X 93290 DENOTES EXIS'TING SLEVATION.
FIN�ISHED� EO SR�ELEVATION = 944.54 ADDRESS: P�4 T Lake, 1 55372 (932. 90� DENOTES PROPO5SD TLEVATION.
r DENOTES SURFACE DRAINAGE.
I �en �en n �al (N8 J�r
eet
I �•, , vis ��'o;3e w p � N89'45'39 "E
� � w sp °t � ,^� (Road Under Construction)
� DO �, � 939.42
Top Nut � .._ _ _ _
� 13.9 Hydrant 938.74 �
9�.� � APPROVED T —
(o=�5�tiz'4�' P�ot) I PL�►NNING DFP�'
��sa.» P�or)
158.14 ++ I
� 4 � 151 '00 � 5 � Signed ' Date� �/ o o S
� 941.97 T 941.98 T/W I
�..� /93&SS � 939.01 B/W (
c � 937.53 2
O �
a O, `!� 942.14 T/W 943.88 I
+ l�� p µ V `V�' 8�� 941.32 B/W
�Concnts ^�
f/1G�. Q �(�' �?g�� RetaMMg o
,p� � ,(J� � �1v �q, Wa8 ` , I �
�^. ,�@ � CI ^
� n� � APPROVE
� Q� /� �p��� ��� �• 943.01 T 9 8 ' i N ENGINEERING DEPT
cV � /1� � ��! 942.20 /W 853,77 I
: : � Lj� C "J'� �Gara `�loor�*. � s4�.00 � I
}_: � sas.s4 ���e�.s. s�,s4 ' N Slgn � J Date ��,�
A , I I
r (Np 58.91' �e 3
;=: N� a,.�.�8 T,� � w �.�. �. 2 I
�_, 942.42 6/W Reta. q„_,� .'
s�1� �t� N �� � f��� " �
°' 2 9 =`
a' � I o
F ' I
;� � . ��.sa 9�.�s e/w I 2
�.- p concnte J I
�+_ (/� — Retalning �
� . Wall
ai_ i� r i e� �i e i � r� r� i• i I.
•-- 1 �-- 1�1 I 1-- I\I I\11 /\ 1 /\ 1 1I I I�I
�i� �� �_ � � i �_ i r � r � i �_ i �a �i i r
�_`__ __ I 5' Drainage and I
--' � '� — Utility Easement
iv� C� .
"� (' 939.86
ry� � I
' _.
• , •", Area� 41�246 Sq. Ft.
._. ��� , ; ._
0.95 Acres ' r P���!� �
I � �� V �, .. .,'�: �
``+ (. � y:x; .� �t'�� stte pian is accu�ai� t.: .t,.. �
r 1
�' S' Drainage and ��• ��J�a �d the C'dy of Pri ;,� ke ;s i�st� . rs
" � Easement 1 have "ut:'� �e
' _�_ permit based oti� the irtform3to
--�
� . _ �.:dcies cn this
— -- — — f�s1i� [E'3��Si� ��i+res�� `.G� ;:.�rn3�JR,
N8979'41 "W 141. 57 -- • �
i T ` 4
,��r; �ctu;es may be i:�t �n:.�.���:.... r�ri�. �
��3 � i � y VIlLLIk4IrJ�
�� �
.. �\i��
Lot 1, Block 1 CENTENNIAL ADD'N, Scott � � L-��
' �►,., ,�,� i Cf
I hereby certify that this eurvey, plan, or report Rga prepared by me or under
m�y direct superviaion and that I am a duly Ltceneed Lead Surveyor uader the
la�re o! the atate of Minnesota. N
.roa�v R& assocrA�s, nvc. John O/iver & Aasoc%tes, /nc.
cw�u sr�.+�..rt% r�a a�».�.w.�.. � rr.�.r�
680 Dodp� Avrnu�
Elk R{ver. Y{�n�aota
(7B3)II/—,�Oy,8 (1rdX�t41-6886
By: Randy . Morton, Land Surveyor
Minnesota Lieenee No. 21401 �a� �r �wc� �tc s*�o�t. ,$oo
Date: June 3, 2005 B+�*►�,uu. yN 66337
(86�)894-904b (FAX�9�—.4049