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Home My WebLink AboutDriveway Permit 16-D-18 "EXHIBIT B" eitt, Hee ,tAL 6 37 -14 f''�` /474/2 FOR CITY USE ONLY p ,�r PERMIT# ��.P -/O DRIVEWAY PERMIT DATE 7 APPLICANT NAME: ctOewnf i(‘10. c c&t 1 C SIM � OWNER NAME: PROPERTY ADDRESS: TO CONSTRUCT: C New fl Replace F-1 Widen TYPE OF PROPERTY: M. ❑ Commercial I I Industrial Proposed width of temporary or permanent driveway (Please provide sketch on reverse side or on separate sheet) Type of Material '" Is property located within the Shoreland District? ❑ Yes fiE No (If yes, applicant must submit impervious surface calculation) The driveway is proposed off what roadway? /.$>E :> Is driveway shared by another property owner? LI Yes [1 No (If yes, signature of all parties is required) Estimated Start Date ►`"ti f I L2 Estimated Completion Date 1/ 24/I 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. "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 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 216D.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. Contractor Applicant's Signature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ 36 ' Do 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 Permit is valid if signed by City Official PERMIT EXPIRATION DATE (90 days from approval date) !C? - ZS —16 i rt�x0 City of Prior Lake RECEIPT 4646 Dakota Street SE Prior Lake MN 55372 U a MI 952-447-9840 Received Of: Receipt: 6239 Date: 07/19/16 Greg Downer Customer: Greg Downer Receipt Item ... Receipt Description - �`GL Number Total Driveway Permit 16843 Willow Lane SW Zoning&Subdivision Fees 30.00 Receipt Total 30.00 TENDERED: Checks 1412 30.00 Total:30.00 Susan Zick From: Susan Zick Sent: Wednesday, August 10, 2016 8:26 AM To: 'gdowner76@gmail.com' Subject: FW: Signature page for Driveway Permit Attachments: 20160803151551522.pdf Please, sign the signature page attached and send back a copy to me of the signed page. I will then send all your final paperwork to you regarding your Driveway Permit. Thanks, Susan Zick Development Services Assistant CITY OF PRIOR LAKE 4646 Dakota Street SE I Prior Lake, MN 55372 952-447-9830 I szick@cityofpriorlake.com Original Message From: Susan Zick Sent: Wednesday,August 03, 2016 3:12 PM To: 'gdowner76@gmail.com' <gdowner76@gmail.com> Subject: Signature page for Driveway Permit Greg, please see the attached signature page I need signed for your Driveway Permit before I can issue the permit. I know that you have already paid the permit application fee, but I still need your signature for this permit. I also sent this to you on July 26th too. Would you please return a signed copy of the permit application page; either by mail or via email and I'll issue your permit. Thanks for your help. Susan Zick Development Services Assistant CITY OF PRIOR LAKE 4646 Dakota Street SE I Prior Lake, MN 55372 952-447-9830 I szick@cityofpriorlake.com 1 Original Message From: administrator@cityofpriorlake.com [mailto:administrator@cityofpriorlake.com] Sent: Wednesday,August 03, 2016 3:16 PM To: Susan Zick<szick@cityofpriorlake.com> Subject: Message from "RNP00267395FF43" This E-mail was sent from "RNP00267395FF43" (MP C4503). Scan Date: 08.03.2016 15:15:51 (-0500) Queries to: administrator@cityofpriorlake.com 2 Susan Zick From: Susan Zick Sent: Wednesday, August 03, 2016 3:12 PM To: 'gdowner76@gmail.com' Subject: Signature page for Driveway Permit Attachments: 20160803151551522.pdf Greg, please see the attached signature page I need signed for your Driveway Permit before I can issue the permit. I know that you have already paid the permit application fee, but I still need your signature for this permit. I also sent this to you on July 26th too. Would you please return a signed copy of the permit application page; either by mail or via email and I'll issue your permit. Thanks for your help. Susan Zick Development Services Assistant CITY OF PRIOR LAKE 4646 Dakota Street SE I Prior Lake, MN 55372 952-447-9830 I szick@cityofpriorlake.com Original Message From: administrator@cityofpriorlake.com [mailto:administrator@cityofpriorlake.com] Sent: Wednesday,August 03, 2016 3:16 PM To:Susan Zick<szick@cityofpriorlake.com> Subject: Message from "RNP00267395FF43" This E-mail was sent from "RNP00267395FF43" (MP C4503). Scan Date: 08.03.2016 15:15:51 (-0500) Queries to: administrator@cityofpriorlake.com 1 r 1 U Susan Zick From: Susan Zick Sent: Tuesday,July 26, 2016 3:02 PM To: 'gdowner76@gmail.com' Subject: Need Signature on Permit Application for Driveway Permit Attachments: 20160726150652280.pdf Greg, please sign the attached signature page of your Driveway Permit application and return to me either via email or mail or bring into City Hall. Upon receipt of the signed Permit Application, I will then issue the approved permit to you. If you have any questions, please contact me. Thank you, Susan Zick Development Services Assistant CITY OF PRIOR LAKE 4646 Dakota Street SE I Prior Lake, MN 55372 952-447-9830 I szick@cityofpriorlake.com 1