HomeMy WebLinkAboutDriveway Permit 15-D-26 � "EXHIBIT B»
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_ DATE � l�._l�"
DRIVEWAY PERMIT
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APPLICANT NAME: �� (� � ''�" � °� '1 '�"� �"" ��•� �� /
OWNER NAME: �`�"^ ��
PROPERTY ADDRESS: I°�� m °�� �'� ��""� m � � '�� � �
TO CONSTRUCT: �� New �� Replace �� Widen
TYPE OF PROPERTY:�.� Residential �� Commercial � Industrial
Proposed width of temporary or permanent driveway �� � � �� (Please provide sl<etch on reverse side or on
separate sheet)
Type of Material �� � '�"1 � S
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 ���u"�"�' � � � ���`
SKETCH REC�,UIREMEIVTS
1. A driveway sl<etch is required as part of this permit. The sl<etch can be drawn on page two of the permit or on a I
separate sheet. The sl<etch does not need to be drawn to scale, however dimensions must be provided on the
sketch.
2. Driveway si<etch should inc{ude 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 sl<etch should include dimensions to intersecting roadways.
CONDITIONS OF APPROVAL
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1. No work under this application is to be started until application is approved and the permit is issued.
2. Where worl<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 worlc is completed. f
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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 lacation, 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 worl<will be done to the satisfaction of the Engineerong Department. It is further agreed
that no work in connecCian with this application shall start until the application is approved and the permit
issued.
Contractor Applicant's Signature �
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Permit Fee $ ��• �C.�
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 Lal<e, 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. �
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ENGINEERING OFFICIAL--� � � ` � ,�._.._�.,_w�._ Da�e ������ � �
� Permit is valid if signed by City Official � �
PERMIT EXPaRATION DATE(90 days from approval date) � �'�j�"r �i I
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f` t?t�� Cit of Prior Lake
���`� �'�$ '` 46 6 Dakota Street SE R E C E I PT
��,� � Prior Lake MN 55372 ����
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��' �` 952-447-9840 '
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Receipt: 2944
Received Of: Date: 09/23/15 '
James Srele Customer: James Srele '
Receipt item Fieceipt Description' G�Number 7ota1 .
Driveway Permit 15-D-26/15935 Franklin Trai
Zoning&Subdivision Fees 30.00 '
Receipt Total 30.00 '
TENDERED: Checks 2113 30.00
Tota I:30.00