HomeMy WebLinkAboutDriveway Permit 16-D-29 DRIVEWAY PERMIT FOR CITY USE ONLY
rxrnR "Exhibit B" PERMIT# /CO - 0-2 ci
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z Email completed form to NBriese@CityofPriorLake.com DATE
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4646 Dakota St,Prior Lake MN 55372 RECEIPT# /l/L/ Ci
APPLICANT NAME: J&W Asphalt Inc. eiCf( etJ , /2f)L 6/--- 6/c 203-
OWNER NAME: Travis Hunt t;� (,1r LLQ �7 6 /
PROPERTY ADDRESS: 14090 Bayview Circle NE
PHONE NUMBER: 952-894-9078 EMAIL ADDRESS: ryan@jwasphalt.com
PROPERTY CLASSIFICATION Single Family Home DRIVEWAY MATERIAL: Asphalt
Proposed width of temporary or permanent driveway Sketch Attached to Email
(Please provide sketch on reverse side or on separate sheet) Replacing Existing Foot Print
Is property located within the Shoreland District? or tCS
If yes, applicant must submit impervious surface calculation
The driveway is proposed off what roadway? Bayview Circle NE
Is driveway shared by another property owner? (If yes,signature of all parties is required) No
Estimated Start Date: 0/18/16 Estimated Completion Date:
10/20/16
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
thio DRIVEWAY PERMIT
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"Exhibit B"
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IMPORTANT— BEFORE STARTING WORK
EXCAVATOR AND OPERATOR'S NOTICE
This notice is to inform excavators and operators they must comply with
Sections 2160.03 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
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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
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Permit Fee$ 60.0 C
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 thi application and submitted drawings.
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ENGINEERING OFFICIAL Date /0 -/5-i6
Permit is valid if signed by City Official
PERMIT EXPIRATION DATE(90 days from approval date)
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.i v1 City of Prior Lake RECEIPT
4646 Dakota Street SE
iiii,
a.,_ Prior Lake MN 55372
952-447-9840
Received Of: Receipt: 7149
Date: 10/19/16
J&W Asphalt, Inc Customer: J &W Asphalt, Inc
Ste 205
900 W 128th St
Burnsville MN 55337
Receipt Item Receipt Description GL Number Total
Driveway Permit 16-D-29/14090 Bayview Cir N
Zoning&Subdivision Fees 60.00
Receipt Total 60.00
TENDERED: Checks 9670 60.00
Total:60.00
Susan Zick
From: Dale Stefanisko
Sent: Tuesday, October 18, 2016 4:05 PM
To: Susan Zick
Cc: Nat Giese --
Subject: obi driveway permit
14090 Bayview have been given a notice for no driveway permit, started work. Marked double fee.0o'k ""61, Dale Stefanisko
v ,..
Code Enforcement Officer
City of Prior Lake 14646 Dakota Street SE I Prior Lake, MN 55372
Direct: 952-447-9811 I Main: 952-447-9800
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