Loading...
HomeMy WebLinkAboutDriveway Permit 15-D-29 "EXHIBIT B" �,� ���r�,�.�,,, .� �, , �a 1 ��' FOR CITY USE ONLY �«�g��ry�r ' PERMIT# �� �,,, � DRIVEWAY PERMIT �aATE �� � � ' � d � � ��f APPLICANT NAME: t�:°�°rd�,_ � �°mm �� �lt � ^ � ��. ..�rm OWNER NAME: ��"�-'"P°�,. �')�l,'C�$��P°�°� � ���� � ��.� PROPERTY ADDRESS: I �`°�`�� � {,�� ��s`,,"�,,��� �""�p��°�c�r��„„;�,, ��;��;:�� TO CONSTRUCT: � New �� Replace ��Widen TYPE OF PROPERTY: �,,,Residential �.v-.� Commercial �.� Industrial /i Proposed width of temporary or permanent driveway ��'1 (Please provide sketch on reverse side or on separate sheet) Type of Material p�,�;.���°Q°'�,,��""�,� Is property located within the Shoreland District? � Yes � No (If yes,applicant must submit impervious surface calculation) � ��' ��� , The driveway is proposed off what roadway? ��'r��",� ��`������""° �����-��� �„� ���� ` Is driveway shared by another property owner? � Yes � No (If yes,signature of all parties is required) � Estimated Start Date ��,���/���'d��"� � Estimated Completion Date ��/ Z-Z-�?����t.""�� SKETCH REQUfREMENTS 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 � sketch. 2. Driveway sketch should include the proposed driveway,existing driveway(dashed line),driveway dimensions, j 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.) I� 3. If on a corner lot,the sketch should include dimensions to intersecting roadways. CONDITIONS OF APPROVAL � l' 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 tlags,signs,safety cones and � proper barricades must be placed in accordance with safety procedures. r, 3. No foreign material such as dirt,gravel, or bituminous material shall be left or deposited on the raad during the � construction of driveway. � 4. Road musti be swept clean after work is completed. � f �; � � "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 .�". �a�f( ev r ����.��". �'°',,:�,,� ���� ��°a„.,��,�a��a�� ��°r�a�,��..��� ��'�'���are..���I',��°�,�' - � - � � �,"��r°��r � .,�,���� �p�".t� �.��t ^� d �^a � � �,._ .r ..a�'A .�"-N .�� a „ws+�,ai"`�"'.,,�,�a "�E"ld'�''� '�d✓'"��"�'4,e��"' „ �����.... � �� tl�l@\6191@016f1@f119101�llIV4tAl91Nll}IptlQ\NN!�lldFVIqII�III�IiRWIIIAi�d4NN1l6�Y,�lAWIiMI@@I�\YfiuYNF�ItlIi�YNlU�l01Y1MYNYfiIMNVWdOfiI1�XMINIVNM�PmC�9LIM4Y4',xi�l@IRIiIi�i�.WYV�ItIiiW„qN6PIINiiM4k116itiWNIX11011!NYd1:Rl�q➢!dYlNOiCW�riII�IqIIm11N'�IC9i011tNIM1�MIlI�l0A.1p�IPNAttd141PAdMIYNAYtd(;fiIiPPINdtMlqp4kNlNll@14i�Ilttii�;NPI1VAqIIN.b0I141Wili��iFilliWYA114Y1VilU1�VPSI01pMllA'�IE�N01�141RYN1PalI(r'tqqMn'qNYidAtltlt(AiN�li1�4MIVi�INI�';OIIIWn,411((WIIHIIXIlMIttN1NPo1YSqWpMC:NNNWMri1?»?ditllMupHP`J141�4th ,�(�'���������'��N°�6�IN UY���� u��II���_�����I��.�ICIC���u��.���������m �..����,�,�d'�����°�'��o-��'��,,�:�I(� ��v.i4���N'�;��� ������"l��°:I���/���Il°��;;��I,k�'�� �a��rtlk��d��� �;:;n ��nIN^in Nah;9�R��° 'k� �rNX��fl"&�tl�IVtlB� Y,„�7��h %��?��u„:F�"u �%�V�I�k�R;,��Rfl,"I(r.4��:��"I� a ��4?I"v;� V`Yf?Y�{I'r� M;B"k8"l6�,"r0��t�`d�"�'�'���"� � ���wa,�.����i�u.���"".�.���.fl.9� ��m �.li.������!;� u.����� %�i��6N����Ik��������la"����'�.�'�"'�u��p � �"��If ���������{;����u�^� "n�������� �:�iG�.��a��m �'.,�1i1{h ��ru'�VU�� �����:.:tl ���Qu�',�u°���uh ��rat� ���li@��� �'�'��������°���a����nr�r,���s��rstat�ca�t���iN.c�r� � ������°��wr���°����^����:�w�°u��;; h�n ��r�s�'ic�C���rr�rvm6�e�r��r��ma���.�c�rra oau�mmuw�Wv�aro��uuuumom�mmmwmioi�uu�uommmouuuuuuuuuomumuwm�w�iaou�m,wumi�m�nmovu�aw�uomuomuuGumumwimrc�iwm�wuo�u�womw,wuw�iww�arewi�mimiomw��,uuuuu�wwomiumuo�u�v�wwu�wmwauw�a�miurvoiwun�reowr�ou��wm��o�vmWupumm�rv�i�iwmmr�w�w,w�muuurmoumw�m��nu��Nimm�i��o�;ummmrvw,nvnntivi�mu�u�mu�imaimuu�uumimw�ioumau�m�omnw�uuiw:uuwu�wuuv�s�i�v�auunwHurmvwr�uu� � 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 i 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 connectian with this application shall start until the pplicatio °i's a��roved and the permit ' issued. _� ,� ��" � �.. a.._ � �� i µ�� � ��µ °°'""�°� 1 ���,;� Contractor A��plicant's Signature a �Ara.� ���Ak���u�'Cw� E�a��_�m ��°��"��`�, . I FOR CITY USE ONLY i AUTHORIZATION OF PERMIT Permit Fee $ Jd-d� i 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 the above application and submitted drawings,said I work to be done in accordance with this application and submitted drawings. � r� � � ENGINEERING OFFICIAL '/ ��J '� Date /U �Z "I S { Permit is valid if signed by City Official � � .�"" i PERMIT EXPIRATION DATE(90 days from approval date) �� ���� i � � � f l SUBJECT �"���''���,�� �'�_, � �,� �` SHEET � OF � . connPu�E� Bv � ������ EKS-114 Rev. 12-04 /� f � � =,T'4�ift^��fv�o�t • ���l��� � �� �.. .)d1��f,�•� �3'i�.�'i �C�.���.-(�tm*v8'�t ���� td � � �� � . . �r-��� . " e D . 5.� . . s✓ t\ F� . . . . . . . � .. . . � .. . . � � .. . . . - � �. � I . .. . .. � . ; . . ��.-$ ��E����'t I _ � � ��_ � , _ � �� : � � �� Y - . . ����� �r�� ���e��`a` �', ,�'�-- : . . . �. .� . � s . .. �� . . . . . .. . . . . . �. t � S � : . - . ... .. ,., .. . . . . . , . � . �. l � � - • _ � `�`�,� 4 � � � 3� � _ � ` �.-----�. d�` — �. � ` � �_ � �� �& � � �; . . 3 .. . � . . � . . . . �Y� .. . � � � . r � . . ..� .� �.} . . . . . � ��� ��3�."� 1 �aG.�STt�G � �_ � �� ��� � t �' s � °��,��� � � � � i � �. _ , _ ( � -.,_ 4 3�ti _ ��`� � � r` ° , , _ 1�4 : � ►�, � ' . . . . - � . . . i . � . . . . . . f � ',. ` �+�_ # , . . � ����' ' ' ' ." ' b ' .�' .. . � � � � ' . . .� .i.�4 3. . . �`�� � �t'� � � � . .. .,.� .�. .,.e,. .�.- ..d-��.m... -», ..�.. - - . 1 ... �j, j / � ,� i � . ( � : �. ��..� � �� T m� � t���� Q � :%��a� � .._ � �� r e�� � a' �`�..� '` �. _ 9" �f, - �o J .� p n �� �8�.��� g:� " ;'; . ,' > � .r e , ., �,. 1A ��� <q- e �.. � ". . ._. . .. , :':�.�:.�. �r .��ef, .. — �.,--.. - .m- �� .,,� ....�. , . ..� . __._.,_ �n � _ . ... ... .._.._._ _... . t.� �`�---��`a-�- ����k ! l�� ���� � � ,� .� .� ..���__�. . .__ ��_..___._�.:.� .._. _ �_.:�� I f„ � �y�r�� ;. City of Prior Lake �� �'� �`� 4646 Da kota Street SE R E C E I PT � . �;�� 3 Prior Lake MN 55372 , �t3; �< 952-447-9840 �. �� ��'����t�r=��"�.` ��� Received Of: Receipt: 3085 Date: 10/08/15 Seth Johnson customer: Seth Johnson _ _ _ _ _ _ _ _ t �teceipt item tteceipt Description' G�Number 7otal Driveway Permit 15-D-29/15469 Fish Point Rd Zoning&Subdivision Fees 30.00 Receipt Total 30.00 TENDERED: Checks 2703 30.00 Total:30.00