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HomeMy WebLinkAboutDriveway Permit 16-D-31 #Single Family, Multi Family, Commercial , Industrial , Agricultural DRIVEWAY PERMIT FOR CITY USE ONLY �� rite° PERMIT# IG-T1)--S1 "Exhibit B" Email completed form to NBriese@CityofPriorLake.com DATE u 'r n Mail$30.00 check payable to City of Prior Lake to Nate Briese CHECK# 4646 Dakota St,Prior Lake MN 55372 RECEIPT# %3 v 111111111°: APPLICANT NAME: OWNER NAME: . /--, ' , 7204 PROPERTY ADDRESS: 17 PHONE NUMBER: qc C f-ei EMAIL ADDRESS: 0 P•'P0' /1 - / PROPERTY CLASSIFICATION Single Family Home . i DRIVEWAY MATERIAL: Asphalt** *Concrete, Pave Otter 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? l'aetU ; ' Is driveway shared by another property owner? (If yes,signature of all parties is required) Yes Estimated Start Date: Estimated Completion Date: fu- t 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 1 4 - rI;fnt; DRIVEWAY PERMIT i , "Exhibit B" u N n ,i,,,,,,„toci, IMPORTANT— BEFORE 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://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. /s/ /s/ Contractor's Signature Applicant's Signature FOR CITY USE ONLY AUTHORIZATION OF PERMIT Permit Fee $ ( .>•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 this application and submitted drawings. ENGINEERING OFFICIAL - �� Date Cz � — 1 iC Permit is valid if signed City Official L.-,-, PERMIT EXPIRATION DATE(90 days from approval date) 1 ^ t/1\) 1 Lig.W I! 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E. 1111/1.71 Plehal Blacktopping, LLC '8-- suit..,,I.,„.e..,0 01111. 13060 Dem Con Drive P/952-445-7676 PO Box 317 F/952-445-7682 Shakopee MN 55379 www.plehal.com Submitted To: Project: Mr.Tim Boyd 17339 Sunset Trl SW Prior Lake, MN Phone: 952-406-1900 Cell: Email: Description: Driveway Replacement Options(166 Sy) Price Opti 1: Driveway Replacement ➢ cavate 61/2"of existing asphalt and base material,haul away. Install 4"of class 5 crushed base material. ➢ Finish grade for a uniform slope,and compact using a vibratory roller. ➢ Install 21/2"(compacted depth)of MN/Dot spec hot asphalt. ➢ Compact using vibratory rollers for a durable finish. $4,960.00 Optio : Premium Driveway Replacement > E cavate 8 1/2"of existing asphalt and base material,haul away. ➢ Install woven soil stabilization fabric,and 6"of class 5 crushed base material. > Finish grade for a uniform slope,and compact using a vibratory roller. ➢ Install 2 1/2"(compacted depth)of MN/Dot spec hot asphalt. > Compact using vibratory rollers for a durable finish. $5,910.00 Any person or company supplying labor or materials for this improvement to your This proposal may be withdrawn by us if not accepted within 15 days.All depths are property may file a lien against your property if that person or company is not paid average and measurements are approximate.All material is guaranteed to be as for the contributions.All agreements contingent upon strikes,accidents,or delays, specified.All work is to be completed in a workmanlike manner according to beyond our control.Owner to carry fire,tornado and other necessary insurance.Our standard practices. 1-additional contract terms on reverse. workers are fully covered by Workman's Compensation Insurance. Estimator: Erik Anderson //r/ 7/6/16 Cell: 612-919-2235 A 'orized Plehal Blacktopping Signature Date Email: e.anderson@plehal.com Payment Terms:Net due upon completion.Past due invoices will be Acceptance of Proposal:The above prices,specifications and charged 1112%per month Finance Charge 08%annual percentage rate). conditions are satisfactory and are hereby accepted.The general provisions on the back of this contract are made a part of this contract and incorporated herein by this reference.You are authorized to do the work as -® alas tercata DISCIYEErI specified.Payment will be made as outlined. Signature Date 20120920 G \4-kL- eic3.0,4j diciTh.v-\ 6)-C t 7 i(A.t. 4-rd t 4\ \ e . f,..0, oudf\ \ i' i ,-...- \ ; .6)~ 0 ( ki5- <-1.---- % o j lin 1 , r A D , . 4s' O____A , _;__.. yayavA I' 's r , . -/A. /----,, 1\ , \ / , , \i,F p awir-z:. 11 .( tO,e City of Prior Lake RECEIPT 0 ,750/ I 4646 Dakota Street SE 44. Prior Lake MN 55372 411 952-447-9840 Receipt: 7530 Received Of: Date: 12/02/16 Timothy Boyd Customer: Timothy Boyd Receipt Item Receipt Description GL Number Total Driveway Permit 16-D-31/17339 Sunset Tri Zoning&Subdivision Fees 60.00 Receipt Total 60.00 TENDERED: Cash 60.00 Total:60.00 Susan Zick From: Dale Stefanisko Sent: Thursday, December 01, 2016 3:07 PM To: Nathan Briese Cc: Susan Zick Subject: 17339 Sunset Advised property owner to obtain an after the fact driveway permit for the property address 17339. He enlarged and is in the shoreline district 8 "4)4.. Dale Stefanisko $' Y 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 1