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HomeMy WebLinkAboutDriveway Permit 16-D-27 Single Family, Multi Family, Commercial , Industrial , Agricultural • DRIVEWAY PERMIT FOR CITY SE ONLY ¢'1 PERMIT# /r 1° "Exhibit B" -�971 C' DATE /0• 7.. 10 Email completed form to NBriese@CityofPriorLake.com Mail$30.00 check payable to City of Prior Lake to Nate Briese CHECK# 01 — ®, q 4646 Dakota St,Prior Lake MN 55372 RECEIPT# 7Z 47 APPLICANT NAME: JIlyi 734n. /62 —b- OWNER NAME: hrtiph Ilan g Ited 1 4Lf�' Tan. PROPERTY ADDRESS: . 65 Ids lkw7- NW /,?Cir L4e, HNS5-3 Z2- PHONE NUMBER: '1 5- et_ S-6/0 EMAIL ADDRESS: L[rZ,r1da Al. e ymad EOfri, PROPERTY CLASSIFICATION Single Family Home * I'•'• A ► ATERIAL: Asphalt** �/ *Concrete, Paver, Other Proposed width of temporary or permanent driveway (Please provide sketch on reverse side or on separate sheet) Is property located within the Shoreland District? Yes If yes,applicant must submit impervious surface calculation The driveway is proposed off what roadway? Is driveway shared by another property owner?(J0(Ifyes,signature of all parties is required) Yes Estimated Start Estimated Completion Da 7 /-5-) 6 S_0 0/6 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 aft r approva ate. 1. //,�� 7. Additional Conditions L. n 4o/ Cl 'Ii i,i1 ✓ c htar Oh T4. Sc v P4 Sys U #!r1Y€bfly q rN cf°4 14 i,, 4 i `f v Sit pei/ cleP AveW`i7 17) *Vrvl l 406,--qt. I rxroDRIVEWAY PERMIT "Exhibit B" coo. 7S. eftN tS0? IMP s RTANT BEE•RE STARTING WORK EXCAVATOR AND •PERATOR'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. /s/ /s/ iN /. Contractor's Signature Applicant's Signature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee$ 30 .d 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 is application and submitted drawings. ENGINEERING OFFICIAL 6'," Ar Date /o ) Z —/t Permit is valid if signed by City Official I 2 /( PERMIT EXPIRATION DATE(90 days from approval date) / — --- N\ 0 ° 1 1 \V o vv \'' '\'''\ 0 ' '' Vv, fic..),,.., A3,/ ---"1"....... - iittAbmr,.,o,,,,. — .041 portioil 4-0 G 81T r ' 1 Print Preview ifrPage 1 of 1 Scott County, MN �- 14624 X14620 ff . �� Fm ,(i 14632 / %.,,,.. ' ,. iiik%. ,."_,, i,;,„ yam'- [ q 6�., • 14646 ! , f' � f � e' '111Eig 7 � 1!^ 43 14650 F p ` * a .2-9‘4 /2886 ` a t " 2920 . r ,,,.,.,..w, .„„,., -.-.-.. ......._..e -<....m„. ,,.r, �...�_ - _..,,_ _,,,,--... ..,...,.._.--.t,,,�.- .,.,.,,.�,_- -._tea, >...,,.--•--,-. �:.r.. ParcelID252970250 Property Address 14650 WILDS PKWY NW Land $120,000 PRIOR LAKE MN 55372 improvement $363,100 Taxpayer Name ANDERSON GARY WAYNE Market Value ;$483,100 I Taxpayer Address 14650 WILDS PKWY NW Homestead Status Y PRIOR LAKE MN 55372 Homestead Classification's 100 Res 1 unit Taxing District PL CITY Architectural Style TWO STORY Township/City 25297 Year Built 2003 School District ISD 0719 PRIOR LAKE Bedrooms 4 GIS Acres 0.53581 Bathrooms 3 Deeded Acres 0.00 Garage Size(Sq Ft) 765 Zoning Classification Sale Date 04/09/2009 Legal Description SubdivisionName SubdivisionCd WILDS,THE Lot 003 Sale price 25297 $302,500 Disclaimer:Map and parcel data are believed to be accurate,but accuracy is not guaranteed. This is not a legal Map Scale document and should not be substituted for a title search,appraisal,survey,or for zoning verification. 1 inch=74 feet 10/7/2016 http://gis.co.scott.mn.us/ScottGIS2.0/WebForms/Print.aspx?img=http://gis.co.scott.mn.us/... 10/7/2016 I Surveyors Certificate /4' ,50 SURVEY FOR :John Aish Inc. lUizL)S /-901y/- DESCRIBED AS :Lot 3, Block 3, THE WILDS , City of Prior Loke, Dakota County, Minnesota and reserving easements of record. 91.81, _- _.___.........-......_._........j 980.3 �� : 9805". 987.1 4=22°3o'o0" S:5°30'ee_. 45.9'_ Q �i_P. R=e0-00--__980.9 .r 989.6 a7 a C=23.56 -- F (,pa?s J 979,4 / '--- ----�`..-- ,\ ,,• °oo 00 / -�� � `p • 979.3 3 i Zoo ---- /`` e-- _ - - ' .-8- Exist. Exist.Home j / o /® 89.5 TOB=983.8 c.' °O / / / / • as CO / / 4 Co / / \'Z /981.6 / / / / / ` yq /// / .. \--" 902..8 / / "� 982.7/ /• / " 7` 8 27.Op /.•` L7/4..../1 oP opo Y 982.9 '• � /// / "� 72SforydGoro _�" .,19c�•// / 80. `TC�e. 9ep .83.7 '82.�' / /// / K .0o 1,..0- cm 1 / / 979.9~ - / O // / B0 '2.00 s q_--I Q 1 p // / ® N .27.. 98f'9/ `t / 982.1 (C) ! /// / 3 ` 34. • q // --� 9793 .. / 983.8'� / / oy / 982.5 ./ / o < �`j l 976.3 ,_ _ ^• ti, I- / / / / , / i.. i„ 989.7 989. / Q 989.2 .c ''....-APPROVED ENGINEERING C'7,7 Slg1ted Da:t IIk.`6Z, J PROPOSED ELEVATIONS BENCHMARK, Top of Foundation =983.5 • TNH ® 5&6/3 Garage Floor =983.1 El.= 984.75 Basement Floor =974.7 Aprox. Sewer Service =Verify . . Proposed Elev. = . MIN. SETBACK REQUIREMENTS Existing Elev. = Drainage Directions = Front-3o House Side -10 Denotes Offset Stake = e SCALE: 1 inch= 30 feet Rear -30 Garage Side -10 I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB NO: HEDLUNDOF BY MEE ORO UNDERIES MYOF THE ABOVE DIR CT SUPERVISION RIBED AND DOESERTY AS NOT PURPORTS OD 02R-655 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BOOK: PACE: /Z53 PLANNING ENGINEERING SURVEYING ________173 2005 Pin Oak Drive Iv Eagan, MN 55122 DATE / 319Z 1111 'r►-�• CAD FILE: io g0.5 Phone: (651) 405-6600 i•T:4Ii. LIN.DG EN, LAN URVEYOR Misc-02 Fax : (651) 405-6606 ,INN TA LICENSE NUMBER 14376 5173Iltirl PROPOSAL Minnesota ALL WORK GUARANTEED Estimate ID MU\�,- lizgi \ LICENSED CONTRACTOR Estimate Date o13\\l.- CONCRETE FULLY INSURED Z ,, Phone:612.886.8777 Estimated Job Time � Web:MNConcrete.com Project Requires Permit \--Prepared by -t^ `N\ � c 1(_ � A r. -�� :'- SERVING THE ENTIRE TWIN CITIES! Oyes Ono BBB Work Address: Billing Address:: 0 Check if same as work address Name I--1 tv F1 7 2.th-J . Name Phone#"\`;Z - c%‘'\- (,.I0 ❑Horne❑COO Work Phone# ❑Home pCell pWork Email �.•.,.,' �: —.•1.�•,.>l._ I..ii"I'S' r.,,�.n Email Company Company .,. Street \A C. S a 0.',\s, -7,-'\-_,-.--)•\. N`.3 Street City\ ° '_.,t i_P.'E State.._\�i)Zip S 5 5 1 E. City State Zip How did you hear of us? 610 Di\\i?._. s ,.LZ-i-- i Type of Concrete Work: j I J • Driveway ❑Sidewalk I ! ! 1 ,' ❑ Apron i0 Patio _ ElGarage Floor ❑Steps ) P ❑ Other I I '11'.7 3 N 11 Remove Existing Asphalt 1 1r O Remove Existing Concrete — ❑Remove Existing Base cif necessary) ❑Extra Fill ares ❑Granular Base yards of necessary) 0 Install#3 Rebar feet ©Install#4 Rebar feet ! ,`•, `e` 0 Install Wire Mesh J El Add Fibers Expansion Joint feat f \ . I \' r_i yards El 4500 psi Concrete \ t 0 Stamped ` / ❑ EE reder ("a' \ king feet ,0 Owner Responsible for Fill&Grass / '©Minnesota Concrete Responsible for Fill&Grass \ y t WARRANTY: YEARS Terms Additional Notes: When installing your new driveway or apron:If your garage foundation block is cracked or deteriorating,we will fill the top two courses with 4500 psi concrete. � , Ir s.,.�: L...:,Ivc oh,-).., �.x.; .�� �4,1Z-c, .f,.,.'\ ‘4-.,, .`Jc J c.L`j. - r ,..s.sisi\ ,..s'id,t c..v P-C —)-NitL II0',. Vii i-f+\ G , ..i:i -` 700 74. o it,,t--.N,,,,., ..>�.1\t.„ar-, kcis-it t, f_.C7. C' 0 i' 7 000 z i Estimated Total$ Deposit$ A0 "s Remaining Balance$ Signature(2 Date (Customer Approval) I have read and agree with the terms and conditions on the reverse side.SIGN AND RETURN YELLOW COPY. Angie's list.© MS ADDRESS:350 W 240th Street,Suite A,Jordan,MN 55352 ...rizCity of Prior Lake RECEIPT °, 4646 Dakota Street SE i Prior Lake MN 55372 1 952- 447-9840 Receipt: 7269 Received Of: Date: 11/01/16 Linh Tran Customer: Linh Tran 14650 Wilds Pkwy Prior Lake MN 55372 ,,,-;,,,R,66.11q l e elpftri t ) ILutTi4ft It a ,, Driveway Permit 16-D-27/14650 Wilds Pkwy Zoning&Subdivision Fees 30.00 Receipt Total 30.00 TENDERED: Checks 01-0269 30.00 Total:30.00