HomeMy WebLinkAboutDriveway Permit #13-D-06 �� fJtlp
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�``'""�'"`* "EXHIBIT B"
FOR CITY USE ONLY
DRIVEWAY PERMIT PERMIT# -D/
' DATE
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APPLICANT NAME: \ L. 1 �(,
OWNER NAME:
PROPERTY ADDRESS: ��i � c I r'
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TO CONSTRUCT: ❑ New y� Replace ❑ Widen
TYPE OF PROPERTY: � Residential ❑ Commercial ❑ Industrial
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Proposed width of temporary or perrnanent driveway � V (Please provide sketch on reverse side or on separate sheet)
Type of Material I T� �"� 4 l�'
Is property within the Shoreland District ?❑ Yes � No (If yes, applicant must submit impervious surtace calculation)
The driveway is proposed off what roadway? Jfl �l ��`� ��'\
Is driveway shared by another property owner'? ❑ Yes ❑ No (If yes, signature of all parties is required)
Estimated Start Date l` ���
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 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. 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 startins� 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 sta dards of the �Ci l.�-Prior Lake and to any special provisions included in the permit. It is agreed
tha wil eo1T' the satisfaction of the Engineering Department. It is further agreed that no work
' con i this application shall start until the application is approved and the permit issued.
Contractor Applicant's Signature
Date: /d /.Z�/r�
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Permit Fee $� 3 Q�� U
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, said work to be done in accordance with this application and submitted drawings.
ENGINEERING OFFICIAL Date �/�I�
Permit is valid if signed by City Official ��� ��� �M.
Permit Expiration Date (90 days rom approval date)
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ESTIMATE 8,,: _,_.o �.l � # � ��1 0� 1 �-/.. �p � � � �
Date: '� , �; � 1 � I , . . .
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P
ame:�, ��_ Er�' � 7745 2nd Avenue S.
Address: � (� C� � C�" L Richfield, MN 55423
B Ph: 612-866-8836 • Fax: 612-866-8078
Ci�y: �; � �-� ,� � P www.richfieldblacktop.com
� / No Yes ❑ Ok to use Bobcat
(c) �,�) ,�,��— � � �j Replace as is ❑ _ � in yard. Customer
Flares ip� ❑ repsonsible for any
W � Stumps/Roots �" ❑ yard/landscaping repair.
�er it � No Water shut off �' ❑
�Remove Asphalt Drive (Extra charge if over 4") New Cover ^ ❑
❑ Remove Concrete Extra char e if over 4" � Sign
� 9 ) Draina e Problem ❑
❑ Apron removal 2 car 3 car ❑ Design on separate copy
❑ Cap Blocks (Does not incl. foundation work)
�-'f�r�ove Gravel, Dirt or Sod � ����� ,,P
�'' ���Base, after compaction � �
1
❑ Your existing base and ours ��► �
C�Regrade for proper drainage � ��
1�]-� Hot MixAsphalt compacted to�. �J G
❑ Addition to drive '���'''����'�
❑ Concrete, see concrete form ��
�Approximate Square feet � � ���( �
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�Y.L Yr. Warranty /����,�
�Y Yr. Asphalt Protection Plan (see details on back)
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Qptions: � '�Q
❑ Fabrie Installation SF $
O Permlock LF__�� $ p , �� -�
Customer Initial �
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Estimated Cost: � �
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Balan (�
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Custome proval Date
I have read and agree with the terms and canditions on the reverse side.
31GN AND RETURN WHITE COPY Property Line?
1 2� 4 5 Ci�cle One
Licensed • Bonded • Insured
Scott County, MN
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Property Information
Parcel ID: 251850040 Bathrooms: 1.75
Taxpayer Name: KUTZ KENDRA Year Built: 1994
Taxpayer Address1: 17248 SUNRAY CIR SW Deeded Acreage: 0
Taxpayer Address2: PRIOR LAKE, MN 55372 GIS Acreage: 0.38319
Property Address1: 17248 SUNRAY CIR SW Zoning Classification:
Property Address2: PRIOR LAKE MN 55372 Legal Description: SubdivisionName
WOODVIEW 1ST ADDN Lot 004 Block 001
School District: 0 Plat Name: PLAT-25185 WOODVIEW 1ST
Estimated Land Value: $70,000 Block: 001
Estimated Buildings Value: $128,800 Lot: 004
Total Estimated Market Value: $198,800 Unique Well & Boring No.:
Home Style: RAMBLER Well Depth Drilled:
Bedrooms: 3 Well Date Drilled:
This drawing is neither a 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,
information, and data located in various city, county, and state offices, and 1 inch = 54 feet
other sources affecting the area shown, and is to be used for reference W E �_
purposes only. Scott County is not responsible forany inaccuracies herein "'� �,,,;�_,,--_
contained. If discrepancies are found, please contact the ScoH County Map Date �������
Surveyors Office. 6IZ�J�ZO� 3 S
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�llae�.fr�{I responsibili�r fo� arty i�a� op �is ,
� �:apd � agree that ! am respo :�le br��ng � .
�#Irty sthk�ur�s iha# n�ay be iocate�l moor�t'w�lh
��te.q�irei�ients ot the Zon�g��. ' .
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prepared for LpT 4, BLOCK 1,
WOODVIEW 1 ST ADDITI4N
,N�j // CENTU.RY dccording to the reco�ded plat thereof.
. caNsTR UcT.�a.� SCOTT COUNTY� MINNESOTA
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SCALE : 1 " = 3�' ,�� i� �
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0 0 `�.q/ � 1,� YERIFY EZEVATIONS &
L O T 5 �c� ...� �� ly,�� ��, �D� DIMENSIONS PRIOR TO
/ ¢ - � 'y CONSTRUCTION
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BENCHMARK C j' �` ��Ra
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m�u. �,t 7 & 8, ��. �
EG,.d,fii�,. 957.67 o Denotes iron monument
ee3.5 x Denotes exiating elev.
(987.0) Denotes proposed elev.
■ Denotes Off-Set hub
• ��� = Top of block elev.
�PS�PrJrPYT $C �S�D�tMfPB, .�Zt�'. q�(p,dp = Top of fin. garage floor
---- LAND SURVEYORS ---- ��� ,� = Top of basement floor elav.
• 8500 210TH STREET WEST LAKEVILLE, MINNESOTA 58044 �..r--- Indicates direction Of surface drolnage �,�
PHONE : (612) 469-1889 Fax : 469-1899 .
. l hereby certify that fhis is a frue ond c�recf representafion of a frocf of lond
os shown ond described hereon. �!� arepared b me on this � doy of ' �J'�P/� rp»� �$e� _. 1993
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Field Hook 11/36 � ��,��., �:.�,�►�(+ �^.-!� Minnesoto Registrotion No. 19790
T � h N � J.1330 pon .R. Wesferg n