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Home My WebLink AboutDriveway Permit 16-D-03 DRIVEWAY PERMIT FOR CITY USE ONLY „ PERMIT# _ Exhibit B„ z Email completed form to NBriese@CityofPriorLake.com DATE 4. z 2_ 16-3 Mail$30.00 check payable to City of Prior Lake to Nate Briese CHECK-#- 4646 Dakota St Prior Lake MN 55372 RECEIPT# �MYS� APPLICANT NAME: Michael Zurn OWNER NAME: Michael Zurn PROPERTY ADDRESS: 14092 Candlew00d Ln. NE PHONE NUMBER: (952457-5929 EMAIL ADDRESS: berettaz2692@mChSi.COm PROPERTY CLASSIFICATION Single Family Home DRIVEWAY MATERIAL: Asphalt Proposed width of temporary or permanent driveway / (Please provide sketch on reverse side or on separate sheet) I Is property located within the Shoreland District? NO If yes, applicant must submit impervious surface calculation The driveway is proposed off what roadway? Candlewood Ln. NE Is driveway shared by another property owner? (If yes, signature of all parties is required) NO Q 17=tart Date: 5/1 /16 /1 /16 Estimated Completion Date:5/31 /16 /31 /16 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 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, 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. Permit expires 90 days after approval date. 7. Additional Conditions DRIVEWAY PERMIT Ile r , "Exhibit B" V �� m IMPORTANT— BEFORE STARTING WORK EXCAVATOR AND OPERATOR'S NOTICE This notice is to inform excavators and operators they must comply with Sections 216D.03 to 21613.07 of MINNESOTA STATUTES Call Gopher State One Call (800) 252-1166 or 651-454-0002 Or go to www.gopherstateonecall.org Smart Phone: http;//mnticketentry.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. 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. /s/ /s/ Contractor's Signature Applicant's Signature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ 30) e Q® 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 is application and submitted drawings. / ENGINEERING OFFICIAL Date Z ` Permit is valid if signed by City Official PERMIT EXPIRATION DATE (90 days from approval date) � � / w }.... .yn t t}- " �S.,YI.,- . .... -. yy, +51 lc RVEYOR'S CERTIFICATE • BRANCALE CONSTRUCTION, INC. WOOD = 00 C9e>aj R+'59045 c APPROVED I- 7+ s 3S '. 0 PLAMIING DEPT Signed Date X23 i \3, 1 K P�OPOSE-\ o C989,J� o a CSI +44t#14 CO . f I DRAINAGE 8-UTILITY EASEMENT PEA PLAT 5 ' 9?.5) `NO"0-§'481#E 8/.50 -. HAM/-Tl-)i4 57, r1:/h A00. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND SCALE: 1 INCH = 30 FEET XD00..0 DENOTES EXISTING ELEVATION PROPOSED GARAGE FLOOR = 969-6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED L014EST FLOOR = 986.8 FEET _ PROPOSED TOP OF BLOCK = 990, 1 FEET .1 KREBY CERTIFY TO BRANCALE CONSTRUCTION, INC. THAT THIS IS A TRUE AND CORRECT REPJZESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, Block 2, SAND POINTE 4TH ADDITION, according to the recorded .,Plat thereof, Scott County, Minnesota. �- AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 14TA-DAY OF �E ARy198� iii SIGNED: JAMES R. HILL, INC. IV BY: E.V• 7- HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE 1� 89337 JAMES R. HILL, INC. ' FILE NO, 74/42 Planners / Engineers / Surveyors K. r. 0200 Humboldt AV-nu- South FOLDER 4100 nlnOtoo,Mn. 55431 812-004-3029 1 ®r►�rete e w.southsuburrbanasp aitoc 0rA Patio, Steps &ouch Suburban Asphalt Sidewalks NEW WORK m ®VEMAYS a SEAL COATING 20455 Huntington Way, Prior puke, MRI 55372 (952) 447-3693 EMAIL: southsuburbanasphait@gmail.corn DRIVEWAYS PARKING LOTS PATHVJAVS Date Proposal Submitted to: Phone W Street: City, Stater Zip Phone H Property to Blacktop Directions Scope of work to be done: �. . . . . . L . . . . . . . . . . . . . . Bid ($ ) NOTE:This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL-The above prices.specifications and Authorlaed conditions are satisfactory and are hereby accepted.You are authorized to do the 8!g nalWe Tills work as specified.Payment will be made as outline above bid.PMVmenl due on complelfon unless prior aoroemenl Acceptance of Proposal renders this form an INVOICE Date of Acceptance Please pay from this invoice no Statement will be sent. .Customer Signature NOTICE OF LIEN: Normally filed after 30 days,with legal costs added Persons of companies furnishing labor or materials for the improvement of real properly may enforce alien upon Iha improved land if they are nol paid Ihsir conlribulions.even if such PaMptt have no contractual relationship with the owner Minnesota taw permits the owner to withhold from his contractors so much of the conlract price as maybe necessary to mast IM demands, of all other lien claimants.pay directly such Irons and deduct the coal Ihareof and the contract price.or whlltwtd emamis from his contractor until IM aspiration of 120�y the completion of such improvements unless the contractor lumtshee to the owner warvera of claims for mechanics lien signed by parsers who fumishad any labor or materiel for the improvement and who provided the owner with timely notice Completion Dale . Notice Date Intent to File Lien Dau Lien Filed While - South Suburban Yellow - File Pink -Customer a PRIG j City of Prior Lake RECEIPT 4646 Dakota Street SE Prior Lake MN 55372 .' 952-447-9840 i` .. ,ttf�,hrt�Urt2� Receipt: 5036 Michael Zurn Received Date: 04/22/16 Customer: Michael Zurn 14092 Candlewood Lane NE Prior Lake MN 55372 Receipt Item Receipt Description GL Number Total Driveway Permit 16-Od-03/14092 Candlewood Zoning&Subdivision Fees 30.00 Receipt Total 30.00 TENDERED: Cash 30.00 Total:30.00