Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Carriage Hills Dr & Pike Lake Trl ROW Permit
p i i i f_�_._��--------_�_ -- �.� I P � x . _.. . 1 , O� :. P����p � � �.�� � �* ' � �, « „ � t, ��. � .. .�.� . �, PERNIIT � � N F S p' � TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS AND .A.PPLICATIUN FOR INSTALLATION OF UTII�ITIES � � �� �'.A�� .�; I s �R . � :k C�� ^ � � �i . z.o�ar�on �- . '' . � ' 2. Nature of Work ��C-� 3. Tndicate below items to be affeated and include a sketch or plan of work �o be done. ' . � Curb & Guttcr Stteet Surface TraiUSidewalk Trees: . , . ', Pond/W�tiands � (Pubiically owned . � Traffie Control Devices/Signs or Privatoly or�vned � � •� � � Utilities • ' Drainage Other ' � StructureBuildinBs • ��� 1 �L�� ��1'�°�T o � -- 4. Method of Installation or Construction . 5. ��Vork to start on or after: ('�,`" �s and shall be�completed by: � �' 3 0•_` unless an exten'sion granted ta:. � —�y' ' ' . DATE STAFF/DATE 6. Will detouring of traffic be necessary? N a If necessary to detour traffic, describe suggested route: �� , 7. Provide with this applicativn a copy of the contractorS Public Liability Insurance: , DETOURS: The Director of Public Works shail be '°r '' '•�ritin� a+ lea_� 7� hours in advance of any detour beirig established, changed or discontinued. � ,�- �� Pxor� �a•� ' aa � 3 NAME OF APPLICANT E M E �� � �tqJ '—�v d� PLEA.S PRINT FAX Q� • 30q � SA�A 6 E. �• ��'3'7 8� ' . �-, • P,DDRESS Ci TATE STREET NAME OF PARTY OR ORGA TION PERFOR�vIING WORK L S � � _�j CONTACT PLRSON: a �� �-- EMERGENCY (24 HR.) PHONE #: ' ' a . �B • $�'►C 1$'S _ DAY PHONE S �'� (- � �- ADDRESS �"� �' �" � CITY STATE ZIP � STREET w;t�ow R,�1Q.f` �t� S �` 1 `�`� �;;a undersi erewith accepts tlie tetn�s at►d �aniliiions of'tnis permit by the City or �'rior 'Lake as herein � c a ed an ee ly ply ttierewith to the satisfactiori of thc City of Prior Lake. , (.)1�. c—�- � v l� . • " itle: Date: Signed: M� ►����- 4age 1 of 4 44� -423o I F ax �6121 44"1-4245 � �'11 1 4`n.1 \ `""_�C� . . _ CF �'(10��'�.Q���'�'(12SO EMP�.O`{ER _...,�� nPPOR'C�1NCC'l , , � . , ����� ., � '4,. EXHIBIT "C" TO PRIOR LAKE PUBLIC WORKS DESiGN MANUAL PERMIT TO`WORK WITHIN CITY PROPERTY RIGHT-OF WAY/EASEAAENTS �4ND APPLICATIOM FQR INSTALLATION OF UTILITIES � PAGE 2 FOR CITY USE ONLY AUTHORIZATION OF PERMIT FINANCIAL SECURITY: AMOUNT: TYPE: (Cash, Bond, LOE, Efc.) Fee: $ ZSD•a1D Receipt No. Permit No. U� "�s" 7g LIABIILITY INSURANCE PROVIDED: �{ S��`i'S /9c�It•,I In co�sider�t+on of agreement ta 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, said work to be done in accordance with special provisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS By: __��,��-' �!• �'�.�" Y /DATE ALL LEGAL REGlU1REMENTS SHOWN ON PAGE ONE (1) AND ON ALL "SPECIAL PROVISIONS" SHALL BE COMPLIED WITH. THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE CITY OF PRIOR LAKE CITY ENGINEER. G:\PfiRMITSUtOW UtilityUtOW PERMITS.�c � � � � .�.__-_____._.___._._�._._.....__...---.—_—____._..__..�._..__._..___...__---_____.___—.____,_.____.._._._____--_____.________..�.__� � �� ��1 EAGLE CREEK AVE � v � ` N � �o OD�D n`�, �; � � �� � � � � ' V � � � �� ' / � � i��� y T � � . ! // ~ \ � 1 ' Y P \, ''�� � � , x� � , � �� � r / ���� ��� �> �' �` 1 1 I I r>N�� � �` c i-----Q���� ' �•. I 1 d I � �� � ^ d'ti���� i� ��� � ' ` Q �% �� —'� 0 °_ � �/ � � �@(�5 — ui� � � � � � / // � �� G b � `` �\ \\ � , O . � • 1 � � / � / � � � � � "�• � � � / . ��d / / / ,/ � � ��� �\ � � � �\� . � >. � /� � �, % �,•,,t� �` ��� / Q� � . ����� , i�> � /�j� � �,�' \�, � � • ,`� g �/ � � � � R � � i� � //^♦ �'�\ � `, � % r/� � � '-`� � ! � � � � ♦ � 0 / � / / . p � �0 •��0�'O � ��i��i ����`����J `\ "' a i�/ � j ` �#���Ai� �d � � � � —!tZC� �9w� ��� �`� � E:. � c�/ � �. r A q� vlTl � ` J �{ I � / !� ' N � � � �g� ,�' �� � � � ,' ����� F� \ r � � . r) , l � . � . � ; �� � � � l , ,`��� �--�� ��..�� � t D � � R ��F��, �� ,�� i � �= � ��� A p �, /� � ��, W I � ,`, � � ' (Il'� 1 �' i ��e�(�� R � � . � � ' � � r� � � ; � � � � � <C1 I I a • D _ ..l�.r _ �""-- 1 � � �D � � ,� � � A � # � � I • I I ' __ � '�-._ .� , 3 — I 1 � � --� — � , � � ' � n �-- ' — �� 4 \ � �_ _ "� = y�• _ i _ -�__ �/ + I I' —�'— "� — � � I �•li; �, i i r- ------..._ , I I I i ; � ;' ' � I � ~ ``� -- — ----`� -- r � 1 CARRIAGE LN ' � i a ��� � � - - �� � -� � ; -----�.._�_�_,�__ � ; , �I I� � ' � I 4. ��`. . .� ,� � z f '� ``� �, ,, / ,, , \ u � I llll � � � � � � • , �' � Z� ��-�,�� � i-4r� � ; � ', &. , _ _ � � ; � �A �� ` N i �� �� � . ���� CCC � i � 16`_ __� � " u>w�� i � , � `` _ 0 ' � � � � � � � �� D N . � ��, � I I I � �� �� � � 1 1 la 1 . � I I 1 � � 1 ; I � I � i� � � �1 � I .-� � 1 ���� T � �� 1 �� � � _ .. �� d � � I I I� ..-� �' �� � �€ -. _� � � � � � T � � a i q , H ��� �l9N7 � i `' � ,'y � � � ' � ��� u> a.�� �� �� i� p 1 I 1 L � L� . 1 ����1 1 . � 1 � `� ,'1 ',� �♦ � � , ' , ,` �,� . $ , �\� �,`' ��'�� �• �. ���"•��_� ���.`�.`—� � � 7 � � � � � � � � p ` � � �� ;_- � `1 -----� �� SURREY 1_N N�' �� r � ; \ �\� % �i Q �� — i 1 1 �--- !N' ------- � �h��^� ��G��� �', �\\� v' �� � . � � � I . IR � \ �'�;�', � � . 1 � � � .- � �, � . �'�°�°�°�°�� .>��� �. � � ��� • `� � � � � �.�`' \\ '"'� �•' �i i ia � ���� �' � � ;, �, � " � " • Y �� � `\` •`� X� ` � • � ,:F ��� �� 1 � � vm �� �,,,= m � ; u.ro��9 � +� I� Z� � I� �O �[ �� j � � I � � ,: � v� �� � � l � ��� � j � � i M i . 1' .� � � � ' `, � �/` ,/� �i i ��� � Y / �m����' I ` m �' ,� ^ � � --- , / a � ��� � � �F � = p � , � f � �� .�'` � � e \ p "-� � � � � , / , � {. _.` e � � � __ /, r . � W > • Y� � � § � � � - � r � � �� °!# , _ I l�� ,,,� �,' � r ` _ , � � � �• ior� , � !� �-\, i �i g � `� ,/ � . ,; � a �d 0 � �, ���� �-�� i �-3 D v�i �°' p�� i � ��_ sew -� �•�, L+ �� �� �, ,� � : � � Fi � � � � � ! '� � \ ----� _ ACy �, � �� � Y ` --� _ _, � —� AN Ciy s W > . � � �, I �� � � � a � --- � �� ---- i i i- -_� `�� ,.�.__ G � � � � ' � � ' � � , t .\� �--� _ �� � g � � • - - -- � `= L � 'i� `_ _ n '" _ "x+r — �� �� � � � 9 �r � � �.� ; �., � ' y � � � � : ' � '� � � % " � � � � s �-.__.M_.._______.-__ � � � � � ,��' , , . � � �a y � � ^ 2 w � ._., �� r' � w s ro�� � ITI `!._...----- +� � , .. � � �', � �' �� � � O r� .�, � ' ° -- ' � `� �•- � �_---____ � ' � _ _ - -� ` _ - ,, �a .o � •� G L � � � � ° ��Z � `, 4� � 'Y c, �_� - p ,� ; j'� � � ► . ----- � • �� �� � . � i I �� � 5�� _ s ���� i x' � i �•, � . I��'•� � a '� -- _�- �3 I i �C� � � I � O f ^ % �`. '"' :u� uS j / I I �' j� � ,, � V i // �, V" ' � � � ,_' � ` (��.% ' 4 ���� ,' li ��i � i � i� ���� � � � � f ,' i � � '-- �' I i� $--- �°��`� � � ' , „ � � � , i , j � ..� � ,i� n � � - �, . , - y � ro�N�� .' � i i � � � ` � vM t �$ � � f�A� �`' � i �\� � \�•�� M � C81 Rd� ' a � ����" t n � I� �, • `.�\ �� p �-' %,, � M f l � � � 'h\.\ � o .\ � i . � • /'� � i � \' Q � �����, /� �i � \ . J �� . ���� � � ;' � i �� � ��.� �� = / ,'/ i' i i . ' �. p' � � / � 1 � �,, � �`__ /. � � � ,%� a� � � ���-.� R ■ E � � � (� � / � � � ^� � � b '.G � � __._..._.�..._._.____._.___.�..--------_._.._;' 1 � �' .. � � , m��� � �� � � ,�. s � p>_�6 � a �o � I �I�i: �t� ��� I I i Ul f'l I•I�: �� � II I: \� D "D , �!�li �� � � ♦ \ � I��li� ' i a ��y E �'`. o . � �I I� � . a�� . � ' �'� :: I• � " � I �� �� � ,=�3�� ,,�� � � �o � � � � ��\ `nr�t . � a H } � � P � � � � � m Y> li �yt � \ ��� � • ��� , e � d � �, � `, �„ -� ����� � � � � � ^�, , , � l� 3ld � I1N9IN 1 � �— j ; "�` � " � c ' - � � � 1 � CQ d � ��� �—°' � uw � � �-0 1 �'T �-.\ �\ �\� � � ---�---�-...�__ '--i�r _ � ` � � I j � �"'�; \ \ \ "�'� �� �I° �� — --- -- N' _ � ^ '-o-'— �, ' - � �¢ �► � ` �� �0 �+'` ` -. .m � i-- I �� � � � ---- ---QQ ---- irr __-b� ROSE ` �� `�' � �1 � � �� � � � � � , `� � , ,,� ; WODD RD m ¢ `\\ 'a�.. � � ; ' � � S �\ \\ �\ �\ i � � � � � �` � � ,,'� �,.� w ���� � � � i �� �� �� �� � � 1� �� 1 y t---�-- ; � � � i � ��� �---�- � � � ��; . �� � � �S `� � � --- � "t � �� � i �•0' •' � ----- � � � 1 � ; � � 1� �, ; � � ! I � �,� � @�Cl' ��r _ � __� �_ -- ----- � �, # ` 1 � ,'� � �' � i i t�l'"'� �% .�� �-' � �; -- �, � p � � �° �° I� � �° � - �° � N �� �-�- _ m � ' � � � � ' �' a�Ig���$ ' _ t� ° � '- �' - � ---- � _ � W - • �s _ G �� t� � � � � � BM• ---; �� � _ -_, �. i °° - � -- � �__ � _ -� `°'"'v � , - _�' " - t��-�.. = :�-' � __-�'- °, � ���°' i" �1 ° r = ° � � f � 7 � � � '�, r �`+.,r'---- '�� � '— nr'� 9 , I �� a ' � �" . > . �; � ����� �, � �' _ , ' ,, �;' �,��� I ;� �_-� � ° ; �� � � ; � ~ � • � �� aal°aa�� � �' � �� 4 � ��� ,_���� I � ��ro�� �, � � , d� , ��� � .�.�# ,� ♦ __ , , � � � � ��� � ,. -� ���� y �`• �� ' ' � � sa� _ _�!— G �� / � �� ��• \�1 as..y � � � •�• C i' �/ � �� �` �`•\\ d � � .>N�� � - �- -�� � �' � .-�� � . � C ` O i �► M Z � D(� �! I � �b' � •! � /) �� . 1 �a` �' I m � ! ' ' � ( � S 19. e � __ Aii _ _.� I= �_ M r �. � • � • • � • • � -� \ , `p • ` N � —_ 0~ �• •���• a ! ! r � � ' ,o,� -- .ue --� , _ � �. _ i � � � s � �'��b�� �,���� y ti � � � p �� . - _ �— � �03 Y � ss� � . � 7T �7� W D � �d ....�� v� � � $ � � cn�1 � �°°_�9 �$, � � � N _.r�...._.___....___...._.__"___...._.�__.....�_.__....._._,�._�._....__._..._.�._..____'�___.....__..__._.__.._..�___�___.___...`._�_.. � ._...�.."'�"._�.�.__..__..r....�_._���.._..__.�_.._..__'_"'...__._..___......,._._.....�.._.... � � � � �,�'� �� �;; � �� � � =� z �� --�,--_ � -----_..__._____._ ---�__..___------ ��___�.�._.__ �� � N ----__..__._.___-------- �'yr, � --- ------------_�_._� Y . � ��, i •�. A ------•�� .�.�.�....�.�..r.,,. �o�i���r� r���� / � � � —__.—� --------____ aao(__"'_ — _—_.._ —�_ — ��n. � eee� —O�yrO — O� �Or' — iea � - - � 3 ' � �' � D � I �� ° o o �: o'I � , �- , ;' c� � � � � i � ; ' � � �. o aa N�aoa m , r� � �`� � �\ ,o. z �° N i D�7' �D -="-' _-- --- --- -,�, • A - � ' , � d � � � .�-----'+`�—__'--- � ,�� � ' � � � _�{�._ � � a ' `_ 1 � , 1 R � �� � � � R G � � � 9 --- r �' ' \ (;j ' � " � � � .� � MITOKA CIR 1 , � - �� d � ~ , � � _ � I �c �� - � � � CI� � � ; ; � �, � i �' � � �^ � � � � � �. � ,`�� � � �� � f i� ' ..r.�° I a.e � � 1 � `1 wrw�� ; � � v � � L _. T__ J � � ��c �� �►� ._... .-�----._____. ► � � � � i _"� � y ,� .� �.,, � �`\'�\ � ._._. __ ------_..__ ._. -- li �� � �, ,� � � ' "� � �O�D a ,� ,� � . . � � � � - � � � , ; � � � �,� �A , � / � D I J�J� � ■ � -- ��o� _ j � ' 1 � 7 - ����. , I � �CL�� � _ � � � � � � � MHY� � . ...�. . �; d� V� _.____� � �, �i � � � � � � � � , --- --- -- - `_� _-- _ --_ ' � . �'� � , > N � � � I � Ue� � , �iei• � u�• _ ur _�I � � � \ �t .�.. ,� ( ; I .��.oao� ,% ,: `, � •, � Q ` �� �`� b , � I � � � � � � � � � � � � �� �� �" � � £ � � � � ; I ► �; � � �..�._ � �, � � ' i � . ; , �' , � ~ T � . � � � I � � O 0 , � m ♦ ��� � \� I ! C � 1 �8; � il � � ��� � 0 � , � ` ' � � � \ ` ;. . , � � p � � ' Y + �� usro„� � r �� i '�'�m� �(196� ,� ��/ v \�� Q I � � / / � � ' ��,� �� �i � �r r ` �� � � « i � �` � __, � 1� i � I i ,� � /i Y'r �� � u a`l�Y � _. � �.� , ir � , _ � „�C` i i s� � j i � �Q ' I a � � �/ � �, ._�f / � a, ► � � � � �- ' � � , `� b i � � - I I �i: ! , -- � I. li �a j� f , ��y ,�{ i/� i i ' I I I � E -p � d + �� -'' � �--- a ?� i 1� F' 1 1. � I: D� tnf'1 ¢I � � j � = � I��li'� ► I1 � � � . I , � �� � �� ` � # � � � ��� � � `• � ,, % � i i� �'� �� � , �� �� i ''� � '-- � ' � ' �3 i � . ::i� �,���� --a� �. /�� �z � �I I) Y � ` �� � ❑ � ? � � � ' � � � � ��� � �i� ,�� c i � � . � � I / �� I �!� � � '% `,,; � ����� `,j , 1 � / � � � v • � y y Y b ---•-- ___. � �� � j�i��� �r/ / .sm�� ��.•� �� 0 _•- � r� O . � � � ~ r � y � �� �� � � � I � � ���\ I � 3 � �i0'�R yi �� � � J � , �� � �� 1`�, ,� � � a a � � ♦>,u�� � ` �'�� � / 7'o k ��Mm t I� ���� \ �] '��F = �'�' . ,- �' � -��` � � , � `����--___ � V �'-� �, __�. ` �� �� (/ � � . � � j � � ' v � —_"-,�``+� ♦ 1 f' � n �� ���� �i�t `� � Y „/ 1 �� //,, � -- �� � + +� � �� .� H � �- a>u�� � I � -��` _ / i�� � i- ' -'� � '�'� ���� `,� � ITI / J• • � ' D � �, � �� i� i� � � �'"-__.¢- IT� e� � X � � � � /' �% / �i ��� � 'u� 1 11 i � � � � /' (� . f. � �� -� '� p6 C�� �\ ' f 'OZ � �/ I/ d� � 1, � � r ,•'��� �d � ti �i�� i I � -j�y o � �� � 0�(� ; ��� � I h � p r��� �- ; ; ,/� ,�r .� � C�b� � f ��o�� —� ��,,� �a� � � 1 i �. 0 n i ��7�� � � \\���` � d � � � � � i ����� � / \�'���` '� '' $`\�' ' � ' I � �'�° � �° �° � O ` (�; ' � � i i � � �� t -o S �j �,,. �--- o :� `�` ,� �� �, � D � , � `� � � _ � � D � � �� .� 0. Y � �� � � _ �r- " � � � � � __ , , �— � � =u� 1 aF �_ � % j .>_�� I " = O � I � / � ^ I � � , I � i II r i � i i p . � .�.. � � i / Y I I ' �Z � _ ' � Z / � D � r � f I $ � � � � �� � N ml'�'1 � c �p � i � n, � � � �a ___�.__._�..._�__..._.__._._.r. r/ a+(�rj � I , ___.__�___� _ � I � $ � � _..__._.__.____�.________._� , , � � , ,