HomeMy WebLinkAboutDriveway Permit __._
;,�� ���r�,��;,v �ity of Prior �ake RECEIPT
,�� � �, ,���� 4646 Dakota Street SE
��` ���: Prior Lal<e MN 55372
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952-447-9840
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Received Of: Receipt: 2261
Date: 07/22/15
Tyler Dreyer Customer: Tyler Dreyer
6571 Rustic Road
Prior Lake MN 55372
i�eceipt Item i iteceipt Deseription Gl Number Total
Driveway Permit 15-D-16/6571 Rustic Rd SE
Zoning&Subdivision Fees 30.00 '
Receipt Total 30.00
TENDERED: Cash 30.00
Total:30.00
DRIVEWAY PERMIT .. .... .Fo.R crnr u5E orv�Y..__.._..
�^"� �����^�" "EXhiblt B" PERMIT# ���� �- y �p
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� �'i Emaii completed form to NBriese@Cityofl'riorLake.coin
Mail$30.00 check payable to City of Prior Lake to Nate Briese CHECK# ��
4646 Dakota St,Prior Lake MN 55372 RECEIPT#
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aPPucarvT NAME: TYLER DREYER
owrvER rvannE: TYLER DREYER
PROPERTY ADDRESS: 6571 RUSTIC RD SE '
PHONE NUMBER: 651-248-4659 EMAILADDRESS: TDREYER@GRESSERCO.COM I',
PROPERTY C�ASSIFICATION Single Family Home DRIVEWAY MATERIAL: COIICI"2t@ � I
Proposed width of temporary or permanent driveway SAME AT CURRENTLY INSTALLED 21'
(Please provide sketch on reverse side or on separate sheet) TEAR OUT AND REPLACE
Is property located within the Shoreland District? YeS
If yes, applicant must submit impervious surface calculation THIS WILL BE A TEAR OUT AND REPLACE
The driveway is proposed offwhat roadway? RUSTIC RD
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Is driveway shared by another property owner? (If yes,signature of all parties is requiredj NO � �
Estimated Start Date: �/Z�/� � Estimated Completion Date:7/��/� � �
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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 the I
sketch. �
2. Driveway sketch should include the proposed driveway, existing driveway (dashed line), driveway dimensians,
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, �
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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 �
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construction of driveway. i
4. Road must be swept clean after work is completed. �
5. Prior to placement of concrete or bituminous surfaeing,the applicant shall notify the Engineering Department at �
952-447-9830 that the work�as been completed and is ready for final inspection. j
6. Permit expires 90 days after approval date. �
7. Additional Conditions �
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�� �BA��ra� DRIVEWAY PERMIT
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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�ake and to any special provisions included in the permit. �
It is agreed that all work 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's Si ture Applicant's Signat re
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FOR CITY USE ONLY r
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AUTHORIZATION OF PERMIT �
Permit Fee $ �,.'� � ���� �
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 e above application and submitted drawings, said
workto be done in accordanc�-�nr�h this app,li„c� ion a d ub,� itted drawings, �
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ENGINEERING OFFICIAL ��° �� �� °�,� � "�,.., Date "��� �
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��e'r �it is I d if signed by City Ofificial
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PERMIT EXPIRATION DATE(90 days from approval date) �/"°�� ,""��-"�` �'"� �
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