HomeMy WebLinkAboutDriveway Permit 15-D-27 �:� ���?t���,� City of Prior Lake RECEIPT
4646 Dakota Street SE
���`� � ��'�t Prior Lake MN 55372
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Receipt: 2860
Received Of: Date: 09/18/15
Bob Corredato Customer: Bob Corredato
Receipt item ii Receipt tiescription GL Number Total
Driveway Permit 15-D-27/15394 Fish Pt Rd
Zoning&Subdivision Fees 60.00
Receipt Tota) 60.00
TENDERED: Cash 60.00
Tota I:60.00
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"EXHIBIT B" `
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, FOR CITY USE ONLY
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DRIVEWAY PERMIT
APPLICANT NAME: �� �--^�� I�C: %�..J � �
OWNER NAME: � � �� ��/�('" � �
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PROPERTYADDRESS: /� �l �J 7� �`�S� ,����� �� ��__i_l��
TO CONSTRUCT: �� New � Replace - Widen
TYPE OF PROPERTY: � Residential � Commercial �� Industrial
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Proposed width of temporary or permanent driveway f�y (Please provide sketch on reverse side or on
separate sheet)
Type of Material �� ��� �� �c�
Is property located within the Shoreland District? l---� Yes �� No (If yes, applicant must submit impervious surface '�
calculation)
The driveway is proposed off what roadway? ��/S�Z���/�� �( 1 �
Is driveway shared by another roperty owner? �..� Yes � No�(If yes, signature of all parties is required)
Estimated Start Date � �f 5
Estimated Completion Date ����'°'��/�
SKETCH REQUIREMENTS '
1. A driveway sketch is required as part of this permit. The sketch can be drawn on page two af the permit or on a
se arate sheet. The sketch does not need to be drawn to scale however dimensions must be rovided on the
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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 APPROVA�
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.
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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 Lake 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 a proved and the permit
issued. � �.� � ........._.
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Contractor ���� Ap�licant s Signature �,
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FOR CITY USE ONLY ,.� �°� �°��°� j
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AUTHORIZATION OF PERMIT �
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Permit Fee $ �r1C,'�, �' `�° ��
In consideration of agreem�nt 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 with this application and submitted drawings.
ENGINEERING OFFICIAL_ �""�_���� Date � / �� � � � '�
Pe it is valid if signed by City Official
PERMIT EXPIRATION DATE (90 days from approval date)
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