HomeMy WebLinkAboutDriveway Permit #11-D-20 ,: • � ►
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"""��"'� "EXHIBIT B"
FOR CITY USE ONLY
DRIVEWAY PERMIT PERMIT # -- f_ - _
DATE �
APPLICANT NAME: � � �G`'J � � Yl eS
OWNER NAME: e�'1 dlh� �`C-���'
PROPERTY ADDRESS: � y� � / �� �qf h V a'� � � � / "-� '
TO CONSTRUCT: ❑ New �Repiace ❑ Widen
TYPE OF PROPERTY�Residential � Commeraal ❑ Industrial
Proposed width of temporary or pertnaneM driveway (Please provide sketch on reverse side or on separate sheet)
Type of Material '/ s/" vl GL L��
Is property within the Shoreland District ?�es ❑ No (ff yes, a�licant must submit impervious surFace cakulation)
The driveway is proposed off what roadway?
ls driveway shared by another property owner? ❑ Y� �No (If yes, signature of all parties is required)
Estimated Start Date �UG/ �� ST
—�
Estimated Completion Date .Se T .
SKETCH REQUIREMEN7S
1. A driveway sketch is required as a part of this permit. The sketch can be dravm on page iw�o of the permit or on a
separate sheet. The sketch does not need to be drawn to scale, however dimensions must be provided on sketch.
2. Driveway sketch should indude proposed driveway, existing driveway (dashed line), driveway dimensions, property
lines, dimensions of driveway from property lines, building locations near driveway, arrav indicating north, surface
features near proposed driveway location (trees, hydrants, utilities, etc.).
3. If on a comer lot, the sketch should i�dude 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 nec�ssary, traffic must be protected and flags, signs, safety oones and praper
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 Gean after work is completed.
° 5. Prior to placement of concrete or bituminous surfacing, the applicarrt shall notify the Engineering Department at 952-
447-9830 that the work has been completed and is ready for �inal inspection.
6. No changes or alterations in entrances may be made at arry time without written permission irom the Engineering
Department.
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'4e ti EXHIBIT B 77
7. Permik expires 90 days after approval date.
8. Additional Conditions
IMPORTANT: Befone startina work . . .
The Applicant shall call GoptMer State One Call (1-800-252-1166) 48 hours prior to stardng work. ApplicaM must call the
Engineering Department (952) 447-9830 for inspection 24 hours prior to time of inspection.
As provided in Ordinance Numbers 1107.205 81107.206 I, We the unciersigned, hereMrith make application
for permission to construd the driveway at the above location, said driveway to be consUucted to conform
with the standards of the City of Prior Lake and to any special pravisions induded in the peimit. ft is agreed
that all woiic will e done to the satisfadion of the Engineering Departrnent. It is furth� agreed that no work
in co ' n ' this plication shall start urrtii the application is approved and the permit issued.
trador Applicarrt's S�nature
Date:
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Permit Fee $ � �
In consideration of agreemerrt to comply in all respeds with the regulations of the City of Prior Lake covering such operations, and
pursuant to authorization duty given by said City of Prior Lake, permission is hereby granted for the work to be done as descxibed in �e
above application and submitted drawings, said work to be done in accordance with this application and submitted drawings.
ENGINEERING OFFICIAL Date � /
Permit is v' signed by Ciry Official
Permit Expiration Date (90 days from approval date) t 1 30 �
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. CERTIFICATE.� OF SURVEY M 32- 9 35- 9 3
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�-- 1 " = 30'
Scale:
Lot area = 16,52i
I House = 1720
� Coverage = 10.41 �
� Hidden View Road
DESCRIPTION
I hereby certify that this survey� plan, or Lot 2, Block 1�
report was p�epared by me or unde� my cfirect HIDDEN VIEW
supervision and that I am a duly Registered 5cott County� Minnesota
Land Surveyor unde� the Laws of the State
of Minnesota. Plat bearings shown
o Denotes iron monument
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Date Z�{'�`� 19�3__ Reg. No. 8140 � Existing j Proposed
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BRANDT ENGlNEERiNG & SURVEYING ,
1600 West 143rd Street, Suite 206 -�-�
Burnsviile, MN 55337
(612� 435--1966
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