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HomeMy WebLinkAboutDriveway Permit 16-D-24 *Single Family, Multi Family, Commercial , Industrial , Agricultural DRIVEWAY PERMIT FOR CITY USE ONLY orxt°1 ``• "Exhibit B" PERMIT# /to - 0 - ¢. ke,: tom. DATE Le 'uEmail completed form to NBriese@CityofPriorLake.com Mail$30.00 check payable to City of Prior Lake to Nate Briese CHECK# ' ' 2 / 4646 Dakota St,Prior Lake MN 55372 / 0 !a 0 RECEIPT# APPLICANT NAME: jGj/ /04.49-e,e, 4-�/,fes' /tic OWNER NAME: /Gi9-77-1 .d PROPERTY ADDRESS: ¢Y ¢/ f - -, jv, � `? &ID PHONE NUMBER: ¢a 2 05-e EMAIL ADDRESS: -- f2 PROPERTY CLASSIFICATION Single Family Home #\, I " &TERIAL: Asphalt* *Concrete Paver, Other Proposed width of temporary or permanent driveway (Please provide sketch on reverse side or on separate sheet) --� �--y, Is property located within the Shoreland District? AJv Yes If yes,applicant must submit impervious surface calculation The driveway is proposed off what roadway? Is driveway shared by another property owner? (If yes,signature of all parties is required) Yes Estimated Start Date: Estimated Completion Date: q- /Z, / Co 9 IZ z/ (o 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 of rnro , DRIVEWAY PERMIT �IF A, � .p F' "Exhibit B" IMPORTANT® BEFOI"E STAR T iNG WORK EXCAVATSR 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.xopherstateonecall.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 •- i,.9.,-7- FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee$ 3D, 0 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 accordanc with this application and submitted drawings. ENGINEE NG OFFICI�A G%�d�^ Date /?// �'�—�m' valid if ned by City Official / / /i PERMIT EXPIRATION DATE(90 days from approval date) / cQ/�f ! e G z PRI City of Prior Lake RECEIPT ? L9, 4646 Dakota Street SE Prior Lake MN 55372 U 71 952-447-9840 Receipt: 6860 Received Of: Date: 09/12/16 Fireplaces and More Customer: Fireplaces and More t eceijpt` V ii ipt De erg h GL Ni tuber e Ei ()talc Driveway Permit 16-D-24 4141 Raspberry Ridge Zoning&Subdivision Fees 30.00 Receipt Total 30.00 TENDERED: Checks 7821 30.00 Total:30.00 ., .• Sunieyors certificate SURVEY FOR : Tom Holme Construction DESCRIBED AS ; Lot 6, Block 5, RASBERRY RIDGE 2ND ADDITION, City of Prior Lake, Scott County, Minnesota, and reserving easements of record. tzs . ti 929.1 '',1$4,i// N. Fi �F. 0 +?� ' ell ,1 Z) '.. 43s, °o ' \ rJb // ,3.r� 37.3 4:/ t . \ V Alp / Orti;e1<r' 4.t.,5, qtr / 93tc.+ S° °p y� sen nr 1 f 2�s O r. O ,$. \ 92?,fo e° p els 2 ` A` 2500 n`4 ,'> I/ 1//" 1. / � // rte` ~' // 92 // , // /, �4.v / rte A4, 0.1 / i 0 `.- 1 , ,i/ ''' 1 s , I V/z'/' 0 1 / (t-> 1 ,o r• .., LOT SQ. FOOTAGE = 16, 347th • PROPOSED ELEVATIONS BENCHMARK, 7NH@ it � Top of Foundation 38,b Garage Floor =937.to tlev=946.57 Basement Floor =g29.1 Aprox. Sewer Service Elev. =verb Proposed Elev. _ <.__.. N MIN. SETBACK REQUIREMENTS Existing Elev. _ Drainage Directions = 0Front -:30 House Side -to Denotes offset Stake = o SCALE : I Inch - 30 Feet Rear -25 Garage Side -10 JOB NO: I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION `?YL' ,'? JIEDLLIA,D OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BOOK: PAGE: ', '",`ri:: Planning Engineering Surveying f ) C�tT t'' stOf Ent etoo,nIten Remy Iloollniton, Nlnnoftf 55120 Date R e //0/ / ,, °. 'T` i' ?t,1 1:� t Tflfnnen teal eetvotes F RE (L NDGREN, LAND SUFifYEYOR CARD F I LE: DWG. CHK. Mt .. S T LIGFN9f= Nt1MnER +MA7n tr11sc11-Z Susan Zick From: Nathan Briese Sent: Monday, September 19, 2016 9:33 AM To: Susan Zick Subject: Re: Excavating Permits „.t.Also the driveway permit on my desk for rasps pi r[y`ge is ok too. Sent from my iPhone On Sep 19, 2016, at 9:30 AM,Susan Zick<szick@cityofpriorlake.com>wrote: 1) -....np7i1l,ip 11.11 4.1111.111111111111111.11 3 ----... <image001.png> Susan Zick Development Services Assistant City of Prior Lake 14646 Dakota Street SE I Prior Lake, MN 55372 Direct: 952.447.9830 I Main: 952.447-9800 1