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Home My WebLink AboutDriveway Permit 16-D-26 (3) #Single Family, Multi Family, Commercial , Industrial , Agricu tura t /t6,/ 7//id / ` DRIVEWAY PERMIT FOR CITY USE ONLY i'3i1 i "Exhibit B" PERMIT# 'I[✓,,,—Q •—Z' Email completed form to NBriese@CityofPriorLake.com DATE � q j(. Mail$30.00 check payable to City of Prior Lake to Nate Briese CHECK# 1c f ( T 4646 Dakota St,Prior Lake MN 55372 RECEIPT# a q l�"s ArP Ntso APPLICANT NAME: l it hte., A. 16/6// -?-- OWNER NAME: (, /e- 76 1‘7‘71"/ i/( 4 PROPERTY ADDRESS: L a?� /�fj'-.‘ PHONE NUMBER: 95T 93i, 93&/ EMAIL ADDRESS: fp14,79/mss PQ/17Q,/ PROPERTY CLASSIFICATION Single Family Home * DRIVEWAY MATERIAL: Asphalt** **Concrete, Paver, Other Proposed width of temporary or permanent driveway (Please provide sketch on reverse side or on separate sheet) >:2' cAC E. Is property located within the Shoreland District? Yes If yes,applicant must submit impervious surface calculation ' t 5 -DQ t T The driveway is proposed off what roadway? 11\4A AV L I -A Is driveway shared by another property owner? (If yes,signature of all parties is required) Yes Estimated Start Date: Estimated Completion Date: 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 I nuo DRIVEWAY PERMIT c "Exhibit B" IMPORTANT- BEFORE STA'TING WORK EXCAVA TSAR 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)2524166 or 651-454-0002 Or go to www.gopherstateonecall.org Smart Phone: http://mnticketentrv.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. 73. ;/ Is/ /s/A/C- --n v// Contractor's Signature ApplicatL nature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee$ ® . 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 his appli ion and submitted drawings. ENGINEERING OFFICIAL � ✓= Date l�]' -ZZ-/6 Permit is va d if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) /2 -2Z-it Concrete www.southsuburbanasphalt.com 8 8 2 0 dip,Steps Sidewalks South Suburban ASphal • NEW WORK- OVERLAYS - SEAL COATING •,3\,. 20455 Huntington Way, Prior Lake, MN 55372 1i�I , (952) 447-8698 \2"' k EMAIL: southsuburbanasphalt@gmail.com DRIVEWAYS PARKING LOTS PATHWAYS Proposal Submitted to: ( 12. �) �0< Date k4-----1 -c}((_ Street: ��-SO - 2). ``T"- A S• qS rte 21 w City, State, Zip�4,-`‘6-� `� i '3 r Phone H Property to Blacktop ' - w-t g � -�`.•'5 Directions 42.A 4.12crt i9 t e. c 0„.4..,,k .C.c IY\ Scope of work to be done. 0,5, s.� tr.e.%..c 0,,.. 11tA- ( Qom;k-►-R. ¢ *e�•-set.`+ Q. . l.)Li c `k •c.—2,..- . 0`' cLe.r\ , c . `-• . 412...2..„44..) . .. .. : : : - A. Pi c&x.,...ac ,...N0,......",..,--1,6 ci.... ,S)..Q...tAkr., -A, .(4:2 lv‘C_L-QA , c.`-trA Lte_yz -9-1A&is-CA;-1 Xe ‘ VC' A}r2c7.-42ss2_C ., j u,v., \(✓1sJ4�.�?� '�c.4a.c P—n. .a- %:�yt i . . i . . . . . . .fln cwt `'`P � , �. � k^i • • ta.s ' r.. i()�ri 6 u \ b, 4.V..-et,. +-�dr &s - •.‘1*-). 'i*'eLA,1• t:s l':'&vt--Q.-t ck-N-ek \e'4a .,Q 1 v&Q.Q. , - --.$-Jk-c,.,U \54..,t.t. . .). .2, -\r,(23z 444?) • • ` >) .t a , r�. -.?-1/4-4 .,(4 , uuckv.1.0,,A-L . t ., : i---'.. cal4,1 .-1...44?_.- ` _ Wit_ Cr.✓. s i A f V"! i4 b ...2 ,j'.S• CJ�E,4_,+- A •• y i t. .r 1 c_. �.c... +et, (-v04 oN i ` o.3Vt Bid($ ""1' S.0 --- ) NOTE:This proposal may be withdrawn by us if not accepted within 14 days. ACCEPTANCE OF PROPOSAL-The above prices,specifications and Authorised conditions are satisfactory and are hereby accepted.You are authorized to do Me Signature � �+\ ,.+.+�+� .+"" Title work as specified,Payment will be made as outline above bid.Payment due on 4,,,,J completion-unless odor agreement, Acceptance of Proposal renders this form an INVOICE Deis of Acceptance Please pay from this invoice no Statement will be sent. customer signature NOTICE OF LIEN: Normalcy filed after 30 days,with legal costs added Persons of companies furnishing labor or materials for the improvement of real property may enforce a ken upon the improved land if they are not paid their contributions.even it such patio.. have no contractual relationship with the owner Minnesota law permits the owner to withhold from his contractors so much of the contract pace as may be neestesaty to meet the demands of alt other ken claimants.pay directly such kens and deduct the cost thereof and the contract price.or withhold amounts from his contractor need the eapwatmol of 120 days from the completion of such improvements unless the contractor furnishes to he owner women of churns for mechanics ken signed by persons who furnished any tabor Or maternal for the improvement and who provided the owner with timely notice Completion Dale . Nonce Dare Went to Fee Lon Data Lon Feed White-South Suburban Yellow- File Pink -Customer d.-e v,*. , "'e .rte.V-4 9 r ` ,),Y, 1 tU' -� G 71 M O, City of Prior Lake RECEIPT 4646 Dakota Street SE 7 Prior Lake MN 55372 1 952-447-9840 0 Receipt: 6946 Received Of: Date: 09/21/16 Gregg A.Voight Customer: Gregg A.Voight 5630 Maves Trl SE Prior Lake MN 55372 k Receipt Item ..,_„ Rc ipt tiescriptiot :.. ,k GL Numbeic y ,Total Driveway Permit 16-D- ✓< 5630 Maves Tr SE I ` ' N l•I// Zoning&Subdivision Fees 30.00 (�J ` Receipt Total 30.00 TENDERED: Checks 10571 30.00 Total:30.00 Susan Zick From: Susan Zick Sent: Friday, September 23, 2016 4:45 PM To: 'greggmaggie@gmail.com' Subject: Driveway Permit for 55630 Mayes Trail SE, Prior Lake Attachments: 20160923165110815.pdf Please see attached and note the Map Revisions Any questions, please contact me or Nate Briese Thanks you, Susan Zick Development Services Assistant I City of Prior Lake I Direct: 952.447.9830 1