HomeMy WebLinkAboutExcavatomg & Grading Permit 16-G-19 1 Rileceji 6)- Cori 5 "-- 5 -z- 2--zZLt 6�
"EXHIBIT A" A.-' 'h
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_.a.__,.s FOR CITY USE ONLY
,1111111e,,.. PERMIT# —
DATE tLJ
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EXCAVATING & GRADING PERMIT E' Ei p•e - /
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Applicant: 44%-, 5 -t- y 6;‘,5- -.--11 `-.s.,•:--es a<-c-LAP14ho (,' ) 2-� - .2,/3$
Project/Development Name if Applicable: Z--� a� 3 ,._.77.,, L4, - . �-cc.c1 /'cr7,`y../ .-. -
Address: /�ys�" --�~��, -<�'`, e 1) _.c ,c-4. C�f sw �.'.�.� LLei !Ay--
Property Owner: ,2.�7c« ..-4..0n...‘ �� ( / r o,.4- /
Phone: ( i'2) Z 09 S/3 8
Address: /‘ L75-5;-- ../.., i " o4..,r 6 e A c_< cr, �✓1----' �-e,cae- 2 `"t-v_-
Contractor: cFr 1 te/7�5C /
, -7-n
-. Phone: ( 4-2-) ./1( .- 21-rte
Address: 3 6® 1(<-7°
2€,I"��°" 7' L-a.tecv, (t-t- /1,t.r
Consultant Engineer/Surveyor: V`� e; (/A , 5-0r1/3-< .-t1,, Phone: ( 5j C/Y 7- 2-c-7-0Address: r/4‘ `> fret-, /`l/ •74- 1 ci /,/,•z.- L ,,- ---
Emergency Contact(24 HR): CA✓'�..5 ti•--► t"lroC--‘ Phone: l ' ) 22`y - 64"4f a
Location of the Property: j ' < -0f a-, vs t . 4 £d•-74-- 3
Legal Description: eo71" 3 -, i-, I e< �Gz,
Will the excavation or filling be in a: Watercourse Wetland Upland
Purpose for the proposed excavating or filling: (tet-/-s-1,,,,,5• s 14 w1 S"f-e(0 5-
Estimated
Estimated start date: g(/`a/r E Completigra date: Z.-+---c�XS
What is the type of material to be removed or deposited? t '
What is the quantity of material to be removed or deposited? n/' /4
What is the total area disturbed for excavation or filling? 6 )1 4
In what manner will the material be removed and/or deposited? a)'1 ho
What highway,street or other public-way will material for removal or deposition be hauled or carried? !J 0)-e_
What,if any,street,avenue, lane,alley,highway,right-of-way,thoroughfare or public ground will be obstructed?
N d nye_
IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPLICANT TO DEMONSTRATE TO THE SATISFACTION OF THE
CITY ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCAVATION AND/OR FILLING COMPLIES WITH THE
OVERALL CITY OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF
A REPORT WITH SUPPORTING CALCULATIONS OF A REGISTERED PROFESSIONAL ENGINEER.
Will proposed excavation or deposition affect the City of Prior Lake overall storm water management plan?Yes_ No
If yes,explain proposed effect
"EXHIBIT A"
SUBMISSION REQUIREMENTS:
A. Completed application form
B. Map or plat of the proposed filling or excavating showing location and amount of material proposed to be
removed or deposited,with a description of the area
C. The depth or heights to which such removal or deposition is proposed throughout the area and the proposed
angle of all slopes to be shown on a 2' contour map at a scale of 1"=50' or larger. The proposed and original
contours shall be shown including all property within 200' of proposed excavation or deposition and shall be
signed by an engineer or surveyor registered in the State of Minnesota
D. Erosion control plan
E. Effect on existing utilities
F. Application fee
G. Amount of Letter of Credit,or deposit of monies in a sum sufficient to pay the cost of restoring a site. The extra
ordinary costs of repairing, highways, streets or other public ways along designated routes of travel and to pay
such expenses as the City may incur by reason of doing anything required to be done
H. Public liability insurance
CONDITIONS OF APPROVAL:
A. Applicant must call the Engineering Department for erosion control inspection at (952) 447-9830 prior to earth
moving activities.
B. Maximum 4:1 slopes are allowed in"maintained" areas except approved by City Engineer. Maximum 3:1 slopes
are allowed adjacent natural resources.
C. Slopes greater than or equal to 3:1 shall have approved erosion control Best Management Practices installed
immediately after finished grading.
D. Minimum grade for drainage swales shall be 2%or greater.
E. Removal or depositing of material greater than 400 cubic yards requires a conditional use permit,unless it is part
of a preliminary plat application.
F. Applicant is responsible for obtaining and meeting the conditions outlined by other permitting agencies including
but not limited to the following: DNR,Corps of Engineer,Prior Lake/Spring Lake Watershed District,Scott County,
Mn/DOT,MPCA.
G. Applicant is responsible for all damages to other property or facilities as a result of work covered by this permit.
H. Applicant must call the Engineering Department for final grading inspection at(952)447-9830 prior to release of
grading security.
I. Additional Conditions:
THE UNDERSIGNED HEREIN CERTIFY THAT THEY HAVE READ SECTION 706 OF THE CITY CODE AND ACCEPT THE TERMS AND
CONDITIONS TO THE ISSUANCE OF THIS PERMIT AND AGREE TO FULLY COMPLY THEREWITH TO THE SATISFACTION OF
THE CITY OF PRIOR LAKE ENGINEERING e /J by Date 7 ._(
DEPARTMENTI 6 OR ITS DESIGNATED AGENT.
�jT- 1
Applicant: fG�Illr �V
Property Owner: /iUvet 19e421; c`SS6c ii11-& Date
"EXHIBIT A"
IMPORTANT- BEFORE STARTING WORK
EXCAVATOR AND OPERATOR'S NOTICE
This notice is to inform excavators and operators they must compiy with
Sections 216D.03 to 216D.07 of MINNESOTA STATUTES
Call Gopher State One
Lala out)) ti€sb o:u p is
Or go to www.gopherstateonecall.org
Smart Phone: http://mnticketentry.korterraweb.com
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Financial Guarantee Amount$ Financial Guarantee Type
I (Letter of Credit, Bond or Cash)
Permit Fee$ r 1 0 00
Liability Insurance provided? ❑ Yes ❑ No (Insurance Certificate must name the City of Prior Lake as an additional
insured party)
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 rawin s.
ENGINEERING OFFICIAL Date
Permit is valid if signed by City Official
PERMIT EXPIRATION DATE(90 days from approval date) / / -/S-16 Planning Dept.Initials
"EXHIBIT A"
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PROPOSAL
FRIEDGES, INC.
Landscaping • Excavating Contractprs
9380 202nd Street West, Lakeville, MN 55044
(952)469-2996 • Fax: (952)469-1755
Name Date
Ryan Svenby 6/7/16
STREET
16455 Inguadona Beach Circle SW
CITY,STATE and ZIP CODE JOB LOCATION
Prior Lake, MN Common area used for Lake access
ARCHITECT DATE OF PLANS JOB PHONE
We Propose hereby to furnish material and labor—complete in accordance with specifications below,for the sum of:
*** See Below ***
All material is guaranteed to be as specified. All work to be completed in a Authorized
workmanlike manner according to standard practices. Any alteration or
deviation from specifications below involving extra costs will be executed only Signature
upon written orders,and will become an extra charge over and above the
estimate. All agreements contingent upon strikes,accidents or delays beyond Note: This proposal may be withdrawn by us if not accepted
our control. Owner to carry fire,tornado,and other necessary insurance. Our within 30(thirty) days.
workers are fully covered by Workman's Compensation Insurance.
We hereby submit the following:
56 LF Middle wall 4' max height
50 LF lower wall 4' max height
Rosetta irregular steps through each wall
Areas disturbed due to construction to be graded, seed to be broadcast and straw blanket applied.
Total $14,250.00
Add 4OLF upper wall 4' max height
Rosetta irregular steps through the wall
Total = $6,800.00
PLEASE CALL IF YOU HAVE ANY QUESTIONS
PROPOSAL SUBMITTED BY:
Jim Peterreins, Landscape Estimator
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.
By signing you have read and are familiar with the Minnesota Mechanic's Lien Law.
Signature Date
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1.,Rt() City of Prior Lake RECEIPT
w' , 4646 Dakota Street SE
4IJPrior Lake MN 55372
', 952-447-9840
=tri v N t c��
ReceivedReceipt: 6614
Of:
Date: 08/19/16
Property Owners of Inguadona Customer: Property Owners of Inguadona
16576 onguadona Beach Cir SW
Prior Lake MN 55372
Receipt item Receipt Description GL Number Total
Grading Permit 16-G-19/16455 Inguadona Bch
Zoning&Subdivision Fees 100.00
Receipt Total 100.00
TENDERED: Checks 3001 100.00
Total:100.00