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HomeMy WebLinkAboutDriveway Permit - 05/14/09 1 P.2 r DRIVEWAY PERMIT APPLICATION f PRIO 6(11)11 PERMIT # 09 - D03 DATE: 1 - 0 9 4 tenvss (FOR OFFICE USE ONLY) s \ 1 A 7 TYPE OF PROPERTY: Reside D Commercial 0 Industrial APPLICANT NAME: / S', 44 -- w /r (4x e le e� x 1 �A`�z k OWNER NAME: We?ii') / ((2 PROPERTY ADDRESS: 1 09 /19, E r • U'-) Aid i d 4 / / , ' , `,A.) 07 '2t- Approved 8y. DRIVE APPROACH i . yl f6 TO CONSTRUCT: 0 New (Replace 0 Widen Date. se-e iilJM /j i )J wide (TEMPORARY/ ) Drive approach s 20 O9 T of Material /tin S I • e / Fee: /O. btu REQUIREMENTS 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 shah 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 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 yp@tten j=ission from the Engineering Department or Inspector. IMPORTANT; Baton Martina work .. , The Applicant shall call Gopher State One Cail (1-800-252-1166) 48 hours prior to starting work. Applicant must call the Engineering Department (952) 447 -9830 for Inspection 24 hours prior to time of Inspection. Mien widening or constructing new driveway 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 ine. (Sketch on reverse side of application or provide a separate plan) As provide in Ordinance Numbers 1107205 & 1107,206> 1, We the undersigned, herewith make application for permission to construct the driveway at the above location, said driveway to be contracted to conform with the standards of the City of Prior Lake and to any special provision Included is the permit. It is agreed that as work will be done to the satisfaction of the Engineering Departrrtenl It is further agreed greed that no work in connection with this application will be started until the application is > �spgapv� {sued. 4sZ lT / ( W ry C© " 6q /�.v( ✓ 4-7?-7--/-7,---) '�� Contractor Applicant's Signature Date: 0 ~ / 7 -0 p . 3 . . . . 1 • 3r40,1-.1e01,; Vitroft taw , .9 . M „.....bi . 9 - x riALT & coNoR ETE BUY KNox, iNc. Office Use: • •,' r4t- il- --?., ' .. - :- ''.-". Corded PersOn . 4,1 .-.: ..• - ....; • ,-- . ,' ..4.••••••: 1 : • . - e el ,. . ; ."' " i r.ross Street - ••• '' "' ':" . -'• •,='. - '•••:. • • ' / ., e% ... e t • r.:-.4-1..LF.:.:3gis:7,r,p c /AI Site Address ..._ e / ---;- . - - - -' 5 L - - , e"--,i? '../ ^ .... / ( . / ":.:" C,`"/ C (:..i --. ■..0 .- City Home Phone I.0 • C...()' \D-\-Q -:....-:; , Work Phone ,0 7.,,,,, ,..:./.•ir , 7. - .., -' - ;I; .,,--=- "-- .•; h.. , .. Bp - " GR I - ..".:, .•.). `... i ---- ..),...)0\.../...\--... r.: Date Sold Cell Phone .1.: . r- — .--.' . 111-"I _.-. __ . ..__> ? 7 ". . . ' i .. -- - '''■-•;' (::": -. -- -...) T ' -• 1 ... .4-.• ! Lead # Lead Source Vizyct-op. . -I .. 5.4/342 „....7 :_ . -.Ad .9 ., f.) 1 .'"-• '.. e .. .:1 .. - ' 4 • / _...,:•••. ... •'• ...' 1 PERMIT: VON - ON El GOPHER .`eY El • ...: Sprinkler Systeni1=1 L•sl 09/.5? -ig. .., • ••••. 7: Tree Limbs 0.0 'T Date Applied: Approval: # . _.... ist. . Tree Roots D O • Prop.D - Sa 6 Tree Stumps 0 Si , AP G - s r SP PT BO WL FT n ----- -- Existing Wat D- 0/L er Shut-off 0 .■ BASE: :1 ;' iFfaiitar: Repair Sideview New -- P......- - — ..1- .1 1 I EXCAVATE . . i . . „, . . . .: . i . f . I - . 1 ., f. ./ . .1 SCHEDULER:PG S/P 111 & 'i 7 . ■ f 4 , d . i • 'I 1 ..? • : • I • f • I • ; • :: • :' 1 AS.A.P 1 - . or AFTER 121 BASE $ ' . • • ,,,, 7' ' .r ' ,• _,.., s L, ,,. j. - --" .::::•' .; f ..." ,... .,-. 177....... i . . . 7 . s . .: ' — .. • 1 .1 • j • ,- i .. ri • • ..;. vs ' : . ' • :,- ; • 1 I . i 6 1 / / r :I ,/ 1 i 1 I . . i , .i • v • - ' . r 4 , _.,-, -' ' ....... Tr - ;`, - - - •i t . i .2f ' ! i • il • i • STEP . , .,, : .... i i • V / REMOVA • • :.• 1:-: •P •," • ....... .4 . • . . .. • . . . . . . " ,...„. ., , TRUCKS • ; ' -- ' • • ...... • • 1 • ; ! SPECIAL INSTRUCTIONS / : ........„ . . A i i / IN/OUT • - ' . ] et _____„ ''' SAW — , CUT f ,-. - . :'''..-.-.1 .'"." - . . i . j. ;. ,''. ..., .5z: 1 . s 7 r ..,. / 1 ' 1 1 e 9 ....::.'h..7:-: - ,7......:: ---; '." b —. • 1 : ! • • i 67 : ,: i • WORK ) : , • 1 ' . ., -- 4Pg77.:A. 1 ...., . , ...., ., .., •• • CLAY -- - • ' • i .. + i Od 1 : • 1 • 1 BARRIE . ; ••: :•"- . l _ . '‘ 'I • - 1 P , 0 , : I • A • ...." , ...: i• . 5. ,171.a•-■ of -.77: , ..!) ,i-F:e.,„ 7 ,-;;;;" 0 REPLACE $ ...._%•:.,: .f.....1... 1,-7 6------0 ..,-... WITH • .. ) ..) Nc 1 4--) I„Z- "•4, 1 1::1:? • • ....... - :=. --------4 .. 1--..— 7; Li . , . . • • • . . . . . In 7. ....,,A .- II .•,.. ....••••• 0. • • ...• f ,:. 1 4 '7 .' • 1 4 •• - • ... .Cr .1....' PATCH .. ., ,‘: • • : , :: r. - • z ::, , ©.... ..... .„, 1 2:i 11;- ' ---; ...-,-, ..-1 -..''' •- . 1 - 4,, , I • ■ e•. • '..• }7 xr • • 1 -; rf ..t• ..""P- t:';'• -'•„ • • • 0 r : if; `1 '- '. 1. (T), p; , :,, ii • :.. ,.. • ). e '''' C.) r1 ; ... , ' i./ ; ''tk- .: ,..:',.:!:, •:.,-::f - :.:-..e'c.,„' ... i—,..., .....-0 . ,- . :. ... ) to. . .. • ..... ..-.-, .„.... . ,,f 7,A i; • f...n „- - , .1 r SEALER .• 1 , ..,. . ,•,. !) 1 "4 - ' ' . - ''''' le--...A 1 WHEEL ' • ; I "...'- SARRO • • .._' - ' - -.....--;•- i 2.-7 --- - e ' .' ,.. "),• A" .Y'• CUSTOMER TO ADJUST SUR- GUSTO : - ” ROUNDING HEIGHTS TO MATCH WORK - - - - . . • FINISHED EDGES AS DISIRED .; -, ' ,' ...%. • Regarding this installation is everything you wanted in writing? Customer has received Instruction booldet. Customer agrees to pay required permit fees. El YES ID NO n nol, Please put it in waling, sign and attach. "WE BUILD THEM STRONGER Ini SO THEY LAST LONGER" . . . • tial r -