HomeMy WebLinkAboutDriveway Permit %
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�'`"��'�"�"� "EXHIBIT B" � J �p7
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FOR CITY USE ONLY �
DRIVEWAY PERMIT PERMIT#
DATE
APPLICANT NAME: �1 '� � ��r�\S� �"�� � �` ���
OWNER NAME: �J �-TT ��✓l S '�O �GG�-S/'
PROPERTYADDRESS: �7 �O� �Pr�c..�. /►�.,�� l �P/2)►^ �,r ��✓7�
TO CONSTRUCT: ❑ New �Replace ❑Widen
TYPE OF PROPERTY:�Residential ❑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 �No (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�ate �/2 y/�5
Estimated Completion Date C��Z�l�,�.�"
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 norkh, 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 bituminaus 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 I
Department.
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"EXHIBIT B"
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
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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 worl<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 application is approved and the permit
issued
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Contractor Applicant's Signature
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Permit Fee $ ��• �t,��
In consideration of agreement to comply in all respects with the regulations of the City of Prior Lal<e
covering such operations, and pursuant to authorization duly given by said City of Prior Lal<e, permission is
hereby granted for the work to be done as described in the above application and submitted drawings, said
worl<to be done in accordance with this application and submitted drawings.
ENGINEERING OFFICIAL Date �� ��• 1 �
Permit is valid if signed by City Official
PERMIT EXPIRATION DATE(90 days from approval date) �D D��
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� � �it of Prior Lake RECEIPT
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4646 Dal<ota Street SE
`�� � : Prior Lake MN 55372
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Received Of: Receipt: 2157
Date: 07/10/15
Jeff Christopher customer: Jeff Christopher
3389 Spruce Trl
Prior Lake MN 55372
���� i�eceipt Item � Receipt Description � GL Number �l'ota)
Driveway Permit 15-D-15/3389 Spruce Trl
Zoning&Subdivision Fees 60.00
ReceiptTotal 60.00
TENDERED: Checks 12023 60.00
Total:60.00