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Home My WebLink About2014 Driveway Permit 14-D-1 "EXHIBIT B" u0 kiFOR CITY USE ONLY PERMIT# DATE i DRIVEWAY PERMIT C6(,4-6 -e,\I`-e, APPLICANT NAME: ,C� I OWNER NAME: 5e-c&PI 41 it 6( — &u4 QJ PROPERTY ADDRESS: t-714(-( ), /r� �� f v TO CONSTRUCT: ElNew EA, Replace Widen / TYPE OF PROPERTY: RZ Residential ❑ Commercial ❑ Industrial Proposed width of temporary or permanent driveway 9„.1 ) (Please provide sketch on reverse side or on separate sheet) �q n Type of Material Qw� �`e-- Is property located within the Shoreland District? ❑ Yes ` ko (If yes,applicant must submit impervious surface calculation) . k )-6(A-)(\''++The driveway is proposed off what roadway? . "U� Is driveway shared by another property owner? ❑ Yes No (If yes,signature of all parties is required) Estimated Start Date (s'`` \q Estimated Completion Date (1'" ' `Li SKETCH REQUIREMENTS 1. A driveway sketch is required as 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 1:he sketch. 2. Driveway sketch should include the 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. "EXHIBIT B" 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. 7. Permit expires 90 days after approval date. 8. Additional Conditions IMPORTANT- BEFORE STARTING WORK EXCAVATOR AND OPERATOR'S NOTICE This notice is to inform excavators and operators they must comply with Sections 216D.03 to 216D.07 of MINNESOTA STATUTES Call Gopher State One Call(800)252-1166 or 651-454-0002 Or go to www.gopherstateonecall.org Smart Phone: http://mnticketentry.korterraweb.com 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 satisfaction of the Engineer n;; Department. It is further agreed that no wor in ection with this application shall start i thea,:L;.::.'o; approvedroand the permit issue ,_-,\ cOitC,,� , ''''' diril Contractor Applicant's Signature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ Ja 1)6 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 wit this application and submitted drawings. ENGINEERING OFFICIAL _ �, � Date \574// Per it is valid if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) RICHFIELD RICHFI LD CONCRETE — The Twin Cities Paver of Choice — CONC ' ETE ESTIMATE By: A/WIC # 40 7-gtri '0173 I ID Date: P 0 ‘410 .. r Name: '' 4.5r.,0 /11/4-e-g- L U F BBB. Address: 1-74/41 Z- Muji-/T0hifj ILO. Zip:55 3 p D C U pw 1 AC CRE i.IT ED City: iv,eloe. ,LaK,-C L BUSI FSS S U (h) No Yes D Ok to use Bobcat Replace as is [a- 3 in yard.Customer (c) (1,737 - '3 I q -3_80c Flares 42- D repsonsible for an,/ Stumps/Roots U da yard/landscaping repair. (w) Water shut off a CI 0 Garage Door 7' New Cover „fir U Premium Concrete Services Drainage Problem al 2' Sign U Design on separate copy U Apron L3 Patio Driveway /337- 0 Sprinkler heads? ile plc- 1 O Sidewalk 20 0 Steps U Garage Floor 3 C/141- C'llUe.CIP.' al Stoop al Curb _ 1...1 Other 1 1 c)OV(hii4V tjFa DM toriwier. U Permit Yes / yb ID Remove Asphalt(Extra charge if over 4") \ ''''' gm 046 . 1906.144- .,1.-• -- - 1 U Remove Concrete(Extra charge if over 4") 1 Remove Gravel, Dirt or Sod — Stir.— 1 D Addition to driveway o LZ(Basework as needed up to 4" - (.5.(241-\'°,AL" 1 Pr Regrade for proper drainage t pi 0 Cr3/8"Rebar 4'on center - — AS) SUPER EXTERIOR CONCRETE MIX i 1 4500 PSI Z(Micro Fiber 1 Uf Finish:0roo0Smooth/Exposed/Stamped 1 6rIZAa Le O Color b'PSS 'Saw Cut!Hand Tool joints/Zip Strip(8 feet or less) ,---- L6A-Ve OeAt I Sealer O Backfill: Homeowner/Contractor U Grass Repair: Nomeown*I Contractor / :27 YR Warranty Estimated Cost: _ it.'710 44.1eposit — Li cOd Balance At , Customer Approval Date i have read and agree with the terms and conditions on the reverse sid Property Line? SIGN AND RETURN WHITE COPY , U Compd D Subpd 7745 2nd Avenue S" Richfield, MN 55423. Ph:612-866-8073•Fax:612-866-8078.www.richfieldconcrete.com Licensed • Bonded • Insured ---- 1 RICHFIELD LD CONCRETE — The Twin Cities Paver of Choice - *ilk]ki lig i ETE ESTIMATE By: MariT # (07-€'07 1 75,02.--D etri' , Date: 41-24-(tt P 6P-1-• 0 .'',,,41,1ri'i 1-'''.,, ,,.. 40 "s1 410 Name: / (illfra- L i, F D , . Address: /74/Li z. trvivjw,,i an, Zip:55 37 7 P D „ . A BBB BUS! ESS City: 7faiDa- &44ar- C (3 1,... CCRE illED ___.--, S CI (h) No Yes 0 Ok to use Bobcat Replace as is 0" 0 in yard.Customer (c) CO37 - 3!g -380<- Flares , -• 0 repsonsible for any Stumps/Roots a a yardnandscapingiepair (w) Water shut off .0- (3 D Garage Door 7 New Cover 5K 0 Drainage Problem CI .4 Sign _____ Premium Concrete Services Pa O Apron o 0 Design on separate copy U tigitriveway /33Z- 0 Sprinkler heads? P-6-1414- O Sidewalk SO 0 Steps 0 Garage Floor 3 cm2_ C-1,14kAP- U Stoop U Curb _ U Other r 1 1 co`Yq4k,,r -----, ti9,--` rizokt (00Altoot ill; uKAC:14 D Permit Yes / NCI \ 1 U Remove Asphalt(Extra charge if over 4") \ Om 64C- 5466444- ,,.., O Remove Concrete(Extra charge if over 4") ,Wi Remove Gravel, Dirt or Sod U Addition to driveway LTRA‘°(-- GeBasework as needed up to 4" p'Regrade for proper drainage 3/8" Rebar 4'on center --- SUPER EXTERIOR CONCRETE MIX 4500 PS1 ., 21 Micro Fiber O'Finish:BroorignnoothlExposed/Stamped (19.Atiel,-- D Color (SCIAScl 2/Saw Cut/Hand Tool joints I Zip Strip(8 feet or less) ..-- 1.-6A4W Grialia Ag1/40it/Sealer .„..,- O Backfill: Homeowner L Contractor D Grass Repair: Opmeownpr I Contractor I/ ci_ YR Warranty 1 _ 7. Estimated Cost: 4 61go .--' 4---. - ii rOd Balance • ....._ . , Customer Approval Date 1 I have read and agree with the terms and conditions on the reverse sid Property Line? 1 SIGN AND RETURN WHITE COPY GI Compd D Subpd 7745 2nd Avenue S•Richfield, MN 55423. Ph:812-866-8073' Fax:612-866-8078.www.richffeldconcrete.com Licensed • Bonded • Insured