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 - ¢.
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'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: --
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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
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�'�—�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
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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
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LOT SQ. FOOTAGE = 16, 347th
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PROPOSED ELEVATIONS BENCHMARK, 7NH@ it
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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:�
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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:
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<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