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Home My WebLink AboutDriveway Permit #10-D-07 04 exro � �� "'NM�''' "EXHIBIT B" FOR CITY USE ONLY DRIVEWAY PERMIT PERMIT# ��;- _ � — DATE �� c �/ APPLICANT NAME: � OWNER NAME: PROPERTY ADDRESS: L � ��— .r� � � . ' � � :� ' � T� //S, � 1.�-_ TO CONSTRUCT: ❑ New place ❑ Widen TYPE OF PROPERTY: esidential ❑ Commercial ❑ Industrial Proposed width of te �porary or ermanent driveway (Please provide sketch on reverse side or on separate sheet) Type of Material � Is property within the Shoreland District ?❑ Yes �No (If yes, app►icant ust submit impervious surface calculation) The driveway is proposed off what roadway? Is driveway shared by another property owner? ❑ Yes �o (If yes, signature of all parties is required) Estimated Start Date � Estimated Completion Date SKETCH REGIUIREMENTS 1. A driveway sketch is required as a 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 sketch. 2. Driveway sketch should include 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 APPROVAL 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. 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. �� PRIq � �� ",,,��°'' "EXHIBIT B" 7. Permit expires 90 days after approval date. 8. Additional Conditions IMPORTANT: Before startinq work . . . The Applicant shall call Gopher State One Call (1-800-252-1166) 48 hours prior to starting work. Applicant must call the Engineering Department (952) 447-9830 for inspection 24 hours prior to time of inspection. 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 ali 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 appro nd the perm� �ssaed. t; ( , )� �.., / �'�'�__ . ��;f�:�fl�` ';'�.L�' 1� �� ._.... `' Contractor A IicanYs Signature Date: FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ .�h • C' C` �2.� ��• J�� / 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 work to be done in accordance with this application and submitted drawings. ENGINEERING OFFICIAL � � �-----'""�"�' Date 7 ' � I� � �;, Permit is valid if signed by City Official Permit Expiration Date (90 days from approval date) '� x�s r�5 � . a,�. � _ � �I �-�Q � n �,�, �,�� R�� I � �� J �,`� ��1/`� c�4,�� JOB ESTIMATE Radloff & W¢b¢r Blackto Inc. 19450 Normandale Road Prior Lake, MN 55372 Phone 952-447-5733 • Fax 952-447-6557 PARK/NG LOTS • DRI VEWAYS � Proposal Submitted to: ��'�� ,��!�'Z'��-c�� Date 9- �-f� .- Street �/ � � (�'',,��.��•t�.�c-u, City ��.��_,�__ Zip Hm. Phone ��5� )a��-ss� j Wk. Phone� � Cell. Phone ( � ,.,..,. Job Location Billing ar�dress if different from above , - '� � ` ' --- �� - �� k� � � � f�.� -- � � Q `� � V � �� . � � 1!�{ � — � �` t/ -� � l ��` � 'aJ l /�� 'n `�� rL - `G Yv� � 3 - .� � �� O� ��o � ��. .� I�� G Approximate square feet p�' �� Y/'" Dig out _ e''.�-, _ .�� . Use our base to establish inches. � your base and add our .�''o��,� �- base if necessary to establish �� inches. � Inches of compacted asphalt using �( j� ,� mix. We Propose hereby to furnish m t r'als and labor - complete in �ceordance witt� the above specifi- cations for the sum of � _ w ($ � � O�. J Terms Any alteration or deviation involving extra work will be executed upon written order only. A finance ch�rge of 1 1/2 % per month or 18 % per year will be charged pn delinquent accounts. Check to be made out to Radloff and Weber Blacktopping, Inc., and given to foreman on completion of job. Lien waiver and instructions on hov✓ to care for your new asphalt will be given to you at this time. NOTE: This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature X Date [ / Work to Begin approximately the week of depending on weather, soil conditions, strikes, accidents or delays beyond our control. Workman's Compensation and Public Liability Insurance on above work to be taken out by Radloff and Weber Blacktopping, Inc. _� YEAR LIMITED WARRANTY ON DEFECTIVE MATERIALS AND WORKMANSHIP, excluding frost cracks, damage from petroleum produCts, puncturing with sharp objects and other neglect. Water will not drain unless there is a 1.2 % upgrade to work with. NOTICE OF LIEN: Material meets Minnesota standards, labor will be in workmanlike mannec A finance charge of 1 1/2% per month or 18% per year will be charged on delinquent accounts. Persons or companies furnishing labor or materials for the improvement of real property may enforce a lien upon the improved land if they are not paid for their contributions, even if such parties have no contractual relationship with the owner. Minnesota law permits the owner !o withhold from his contractors so much of the contract price as may be necessary to meet the demand of all lien claimants, pay directly such liens and deduct the cost thereof and the contract price, or withhold amounts from his contractor until the expiration of one hundred twenty (120) days from the completion of such improvement unless the contractor furnishes to the owner waivers of claims for mechanics lien signed by persons who furnished any labor or materials for the improvement and who provided the owner with timely notice. The owner hereby waives all further requirements of notice under Minnesota Statue 514.011. PH. 763-421-6417 CZARS OF TAR, INC. FAX 763-783-9183 18475 RUM RIVER BOULEVARD, ANOKA, MINNESOTA 55303 PROPOSAL AN,p CONTRACT PROPOSAL SUBMITTED 0: �� 1 l� DATE: �J•'�� ADDRESS: 3 - � JOB ADDRESS: CITY/STATE/ZIP: 37 PHONE (S) : �� a� . ESTIMATORS NAME: MAP: � � t � r�f PROPOSED SPECIFICATIONS: CZARS OF TAR, INC. SITE PLAN AREA OR SEE ATTACHED PROPOSES TO FURNISH ALL LABOR & MATERIAL NECESSARY TO COMPLETE THE FOLLOWING: ❑ 1. REMOVE & HAUL AWAY: ___ ASPHALT ��,�` g� ___ SOD/DIRT___ CONCRETE ____ OTHER ❑ 2. NEW EXCAVATION TO BE _____ INCHES BELOW FINISHED GRADE '�� ❑ 3. INSTALL CRUSHED CLA55 7 AGGREGATE BASE AS , NEEDED TO ESTABLISH A_____ INCH GRADED AND COMPACTED BED. ❑ 4. SWEEP AND CLEAN DRIVE, APPLY TACK OIL '! AS NEEDED. OVERLAY EXISTING DRIVE WITH I � �� ______INCHES HOT ASPHALT �� cs � '� 5. GRADE EXISTING BASE ADDING AS NEEDED, AND .� COM�ACT. �> � �'� �� ti DA ;/G UI/IT�_�_7 !":.r-.HE L�F �'iE�.T ,�^,�P� � LT A�"IX *- �`=- .. 2341 A OR 2341 B COMPACTING TO A�1�- � N; �� FINISHED MAT. �' � � � 7. OTHER-------�,-------------------------------- � Z � .. , �'1�� id �'I_� __��4!-�!f�E�__��,Q _ �� ``�" . �. .. . � ��!!�=---��----�'��----------------- �� -- � � �� . ALL OF THE WORK TO BE COMPL.ETED IN SUBSTANTIAL AND WORKMANLIKE MANNER FOR THE SUM OF: �� Dollars S . Payment to be made as fol ws: ' �% down °o.after base work is complete and balance due upon completion. Any unpaid balance ill accrue'<interest at 1.5°o per month, 18°o annually. All material is guaranteeA to be as speci(ied. All work to be comnleted in a workmanlike manner according to standarA practices. Any plteration or deviation (ram above speci(ications lnvolv- ing extra cos[ will be executed onty upon written orders, and will become an extra charge over and above the estimate. All pgreements contingent upon strikes, accidents or delays beyonA our control. Owner to carry (ire, tornado and other necessary insurpnce. Czars o(Tar Inc. carries nublic liabifity and workmpn's compensation insurance. Notice of lien: Persons or companies furnishing labor or materials for the improvement of real property may enforce a lien upon the improved land if they are not paid for their contributions, even if such parties have no contractual relationship with the owner. Minnesota la'w permits the owner to withhold from his contractors so.much for the contract price as may be necessary to meet the demands of all other lien daimants pay directly such liens and deduct the cost thereof from the contract price, or withhold amounts from his coniractor until contractor furnishes to the owner of claim for mechanics lien signed by persons who furnished any labov or material of the improvement, and who provided the owner with timely notice. The owner hereby waives all further requirements of not e under Minnesota statute 514.01 l. Your driveway carries c+ year structural guarantee. - DATE � nature o f Owner SI NATURE O O ACTOR ;REE TO THE TERMS ABOVE AND BACK N TE: This propo al may be w b s if not acce ed within�_days. i