HomeMy WebLinkAboutDriveway Permit 15-D-20 ,,.�.� ���r��;�_ x City of Prior I.ake RECEIPT
,�� 4646 Dal<ota Street SE
`��`,�' � �"� Prior Lal<e MN 55372
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`� '�''' 952-447-9840
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Receipt: 2486
Received Of: Date: 08/07/15
Ajay J Vaswani or Kiran M Mendez Customer: Ajay J Vaswani or Kiran M Mendez
15866 Island View Road NW
Prior Lake MN 55372
' Receipt ltem �ece)pt Description GL Number 7ota1
Driveway Permit 15-D-20/15866 Island View R
Zoning&Subdivision Fees 60.00
Receipt Totai 60.00
TENDERED: Checks 4073 60.00
Total:60.00
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"EXHIBIT �"
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FOR CITY USE ONLY
��,�,����'`> PERNIIT# -
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DRIVEWAY PERMIT DATE �.>
APPLICANT NAME: �1,I���� ��������
OWNER NAME: ����� ''� ��`� G�� � �
PROPERTY ADDRESS: l����C:�C-� ��LH�i�� if y�'GC,� �I�' I�I �,l�y f � PC��. P`.,��"�'r � j M �'`I �`�.� � �
TO CONSTRUCT: � New �� Replace �� Widen
TYPE OF PROPERTY: � Residential �� Commercia) ��.� Industrial
Proposed width of temporary or permanent driveway � X,�.�. (Please provide sketch on reverse side or on
separate sheet)
Type of Material �'����-���
Is property located 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 Date ;�.. �;��,���_���.
Estimated Completion Date l":,_��-�,�.��,„..-��
SKETCH REQUIREMENTS
1. A driveway sl<etch is required as part of this permit. The sketch can be drawn on page two of the permit or on a
separate sheet. The sl<etch does not need to be drawn to scale, however dimensions must be provided on the
sl<etch.
2. Driveway sketch should include the proposed driveway, existing driveway(dashed line), driveway dimensions, �I
property lines, dimensions af 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 sl<etch should include dimensions to intersecting roadways.
CONDITIONS OF APPROVAL
1
1. No worl<under this application is to be started until application is approved and the permit is issued.
2. Where wori<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 wori<is completed.
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"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
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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 Lal<e 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 worl<in connection with this application shall start until the application is approved and the permit
issued.
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Contractor �plicant's Signature
FOR CITY USE ONLY
AUTF�ORIZATION OF PERMI7'
Permit Fee $ ����' �
In consideration of agreement to comply in all respects with the regulations of the City of Prior Lal<e i
covering such operations, and pursuant to authorization duly given by said City of Prior Lake, permission is ;
hereby granted for the worl<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.
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ENGINEERINGOFFICIAL e'"�� �"""--��f�'����m� �mm
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Perm is valid if signed by City Official
PERMIT EXPIRATION DATE(90 days from approval date) ��
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