HomeMy WebLinkAboutDriveway Permit
MAY-08-2007 08:28 AM
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DRIVEWAY PERMIT APPLICATION
PERMIT # D 7- J;: fJ2-
DATE: ~lOl
C"~ OFFICI! UII! DNL Y)
TYPE OF PROPERTY: ~esldenti81 Q Commercial 0 Industrial
APPLICANT NAME ()J\ \*""\\j.~ ~~ t>C\ \ l\'<\('~
OWNER NAME: m.~)\ B\\. rV--\\C) rd}-
PROPERTY ADDRESS: \ ~ l~~ \~ ~ ~ ~ 't\\\ 0
DRIVE APPROACH
TO CONSTRUCT: 0 New ~eptace CI Widen
\ \ ) ~\~~ S~ wide (TEMPORARY, PERMANENT) Dri.... approach
f\, IPleaH provl" Hetell on re_.. ... 01' 0I'l a ....... ."Nt)
Type of Material t-\~~ C\ \!c
Approved By:
Ih4i!>
Date:
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Fee:
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REQUIREMEN1:~
1, No WOrk under this appllcatron is to be started until applicatIon Is appro...ed and the permit is iS8Ultd,
2. Where work on traveled roadway III necessary, traffic must be protected and flags, signs. safety cones and proper
barrIcades must be placed In accordal'lCe with safety procedures,
3. No foreIgn material such 8S dirt. gravel. or bituminous material shall be left Or deposited on the road during the
construction of drlvewey.
4. Road must be swept clean after work III completed.
5. Prlor to placement of concrete or bituminous surfacing. the applicant shall notify the Engineering Department that the
work has been completed and is ready for final Inspection.
6. No changes or alterations in entrances may be made at any time without written Dennis8l0n from the Engineering
Department or Inspector,
IMPQRTANT: _fora ,tartlna work . . .
The Applicant shall call Gopher State One Call (1-800-252-1166) 48 hours prior to starting work, ApPlicant must caN the
E ;neerlng Department 952) 447.9830 for Inspection 24 hours prior to time of ins ctlem.
When widenIng or constructing new drl...eway approaches a $10.00 fee is required at the time Of application and a sketCh of the
property depicting present and proposed driveways In relation to the property line,
(Sketch on reverse side of appllc8tlon or proVide a separate plan)
As provlde In Ordinance Numbers 1107.205 & 1107.206> I, We the undel'5igned, herewith make application
for permIssion to construct the driveway at the above location, said drNeway to be constructed to conform
with the 9tandards of the City of Prior Lake and to any !lpeelal provisions included In the permit, It Is agreed
that all work wi" be done to the satlafaction of the Engineering Department. It is further agreed that no work
in "action with this application will be started untiltne epptlcat Bppmved and the permit Issued,
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Date: W! 07
-
PAVING, INC.
PROPOSAL
&
AGREEMENT
Date:
Name:
location:
ML:
For O/fk:e
Use Only
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700 Railroad Street West ~, ,~
Norwood Young America, MN 55368
Phone: (952) 467-9002
Fax: (952) 467-9003
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PAVING
o 1 OVERLAY: Sweep area, apply tack, overlay with MN OOT Spec. 2341 Asphalt.
Thickness: Approx. Area: $
o 2 REMOVE/REPLACE: Remove existing, excavale 10 specified depth, add Base,
compact install specified amount of MN OOT 2341 Asphalt.
Base Depth: Asphalt Thickness:
Approx,Area $
$...;" i>-'
o 3 GRADE AND PAVE: Grade existing base, cornpactinstall specified amount of
MN OOT 2341 Asphalt,
Base Amount:
Approx. Area I i < ".!
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Asphalt Thickness:
$ !i i-I
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PATCHING
o 4 DIGOUT: Remove and replace failed area with MN OOT Spec. 2341Asphalt,
Depth: Approx, Area: $
o 5 SURFACE: Sweep area, apply Irack, overlay with MN OOT Spec. 2341Asphalt.
Thickness: Approx. Area: $
SEAL COAT
o 6 EMULSION:
Approx, Area
o 7 HOT Oil AND ROCK SEAL:
Apprax. Area
'.
.~
$
. t
$
o 8 OTHER
We Propose hereby to furnish material and labor -
complete in accordance with above specifications, for the sum of:
o 5 YEAR WARRANTY ON PAVING
TOT4L DOllARS ($ i "f" t' I
-L-% DOWN PAYMENT ($
, ..., ~'^'}'! "..
BALANCE DUE ($ i ..& ;;.
)
)
)
Payment is due upon completion" This Proposal is void 30 days from dole,
NonCE OF UEN:
II ANY PERSON OR COMPANY SUPPLYING LABOR. OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A UEN
AGAINST YOUR PROPERTY IF DlAT PERSON OR COMPANY IS NOT PAID FOR tHE CONIRIBUI1ON5. UNDER MINNESOTA LAY/, YOU
HAVE lHE RIGHT TO PAY PERSONS WHO SUPPUED LABOR. OR MATERIALS FOR 1HIS IMPROVEMENT DlRECIlY AND DEDUCT lHlS
AMOUNT FROM OUR CONTRACT PRICE, OR WITHHOlD tHE AMOUNTS DUE THEM FROM US UNnL ONE HUNDRED twENTY (120)
DAYS AFTER COMPLETION OF THE IMPROVEMENT UNLESS WE GIVE YOU A LIEN WAMR SIGNED BY PERSONS WHO SUPPUED ANY
LABOR OR MATERIAL FOR THE IMPROVEMENT AND WHO GAVE YOU nMELY NOTICE."
All material is guoran1eed to be as specified. All work 10 be completed in a worlananlike manner according 10 slondard practices, AIry alteration or deviation from abaYe specifications involving exlra costs
will be executed only upon written orders, and will become an extra charge OYer and abo"" the es~male. All agreements con~ngent upon strikes, accidents or delays beyond our contral. Owner 10 corry
fire, Iomado and other necessary insurance. Owner is responsible for repair or replacement of phone, cable lines and dog fencing cui during necessary execution. Our workers are fully cowwedby
Workman's Campensa~on Insurance.
TERMS OF SAlE:
TolaI amount is due upon completion, finance charges of 1.5% per monIh (111% per Annum) are adcIed 10 past due
balances, Cuslomer further agrees that in the event it is necessary 10 commence legal actions 10 enforce payment, the
customer will pay in addition 10 the principol and inlerest herein, the amount for collection costs including attomey's fees.
Guarantee for malerials, equipment and labor wiD not include: Tire marks, holes made by sharp or pressure objects, gasoline
or oil damage, settling along the back Fill area and puddling with less than 2% grade.
SoUTHWEST PAVING,INC__
By:
AUTHORIZED SIGNATURE
ACCEPTANCE OF AGREEMENT
The above prices, specifications, and the terms and conditions of this agreement are satisfactory and are hereby accepIed,
You are authorized 10 do the work as specified. Payment will be made as outlined abaYe. By: ,....,
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