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Home My WebLink AboutDriveway Permit 15-D-28 ,, �� "EX H I B IT B" «�°��""` �?'� ��"""";� � �� "" �.. ,:��rR��-°.{ � e� � � � �� m �,�'_ :�� #� � � � �� ,, , � FOR CITY USE ONLY '�.,�,��,�,�#�r-� PERMIT# /$ ��-�� DRIVEWAY PERMIT� DATE �J_Z,�-t�i � ,F APPLICANT NAME: ,�,, ��'�°�� , �> �� "'"" � OWNER NAME: � � � u � � f� PROPERTY ADDRESS: °� �- ;,� � � '� � '��H �,, 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 located within the Shoreland District? ❑ Yes No (If yes, applicant must submit impervious surface calculation) �,.� r o � �� , �� .. The driveway is proposed ofF what roadway? �'� �,_ , Is driveway shared by another property owner? ❑ Yes � No (If yes,signature of all parties is required) �N�� .� �"�,., Estimated Start Date � ` ��, , ' Estimated Completion Date �'""�� ""`"'" � �� ' 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 sl<etch does not need to be drawn to scale, however dimensions must be provided on the 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, he 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 b,ituminous material shall be left or deposited on the road during the construction of driveway. 4. Road must be swept clean after worl<is completed. .�rv�� ,, �� .�� ° �,� � ' "� � .�.� �'-�.�-� ��,�.......,.� �,� � ., �_,�... . M A �5 � p�� w ��b " � � ��"""� "� �"� .� ��„ �., �i�� '°� �._ ��, �� '�� ...__ w,��- -��"��..�._._.,�,, .�__._.W_.�.... ��" �.�._.� � � w ,... , � �,...,� � � d. , ��a�^ �� ,�� .�w�. _ 4 �.�... ...� w.� w..��__�_._._..�.__...W_. _�-� ��.� �� ...�..�n..__.�..�-�-�-- �� d.-� �`" � � ��,.,�"�' �`""��, a;� � �` ��,s,�,�,,. � �—~„��° , � ��4 �;� �� ,,� �y ��"� ��'� ��_��r��.�y � P•,. � � ,..� �„,�,..�"' �,��" ��ur��w�� .w..�"��..�. .�.,.�-�.� �. ..�.�...�.�-�" __. / ,, � �„ , ,� � ' i �, �� ,,, �� ,,. < � �� l ,(, ;,, �;; � „r % / i, �ii,r��..� ., , ;�,� � „ � , .n„. . :��. , �,,,,, /��/r / � �,/%6 ,.,.:,,, ..., „ f, ",, -, �, ��: � � ' ��r, � , ,,,F° ��., � � ii� � "�, '��' � �. „ , � ii��,;�� o�„�, �w � �,, „ iia <, �% /�� {�/ 1 \J �.J � `� J � c� ��,,�� , � � � �� --� , � �� a � , � �� S� � �� : 3�� .~ �r �� ,{, � ' � ' � ��4� ��. � � � � � : � � - � �, : � � . ; I w "EXHIBIT B" 5. Prior to placement of concrete or bituminous surfacing,the applicant shall notify the Engineering Department at 952-447-9830 that the worl< 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. . ate. ermit expires 90 ays a er approva 8. Additional Conditions � �� '��,��°�°� � ,�" �� ,� �� ,� � � �'��, , "�� w. If1lIPORTANI'- BEFl7RE STAFtTING 1NORK EXCAVATOR AIVD OPERATOR'S NOTICE This notice is to inform excavators and operators they must comply with Sectians 216D.03 to 216D.07 af MI(VNESOTA STATU7ES Call Gopher State One Call (800)252-1166 or 651-454-0002 Or go to www.�opherstateonecall.or� Smart Phane: http://mnticketentrv.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. I 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. �� '" � �� ° � Q'u�� '� � � � �' ' ��'��, Contractor Applicant's Signature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ (� (',� V• 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 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 wi this application and submitted drawings. ENGINEERING OFFICIAL �� " Date /""z �' /S� Permi is lid if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) f 2�Z.,�— j '� f � � � � � �� I!