HomeMy WebLinkAbout2000-Henn Co driveway permit ' HENNEPIN COUNTY ''
RECEIVED Transportation Department
1600 Prairie Drive-Medina, MN 55340-5421 Permit No.
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
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Field inspected byYlxeEt$r* 1"ORI a Date
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M.iy t
Location ,r6i # rlM+ k Speed zones A.D.T. f
a
Nearest Cross Street(if rural) ,
x'
Sight distance: Actual-Left Right
Minimum-Left Right
Curb to be removed to: ❑ Construction Joint ❑Sawed Joint
Recommended drainage: ❑ Surface ❑ Culvert Culvert length Culvert diameter
1.CONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type = _ Type 4341 SIT Type Type Type Topsoil
Depth 4* Depth to Niru Design Depth Depth Depth
2.TRAFFIC CONTROL REQUIREMENTS
3.SPECIAL PROVISIONS '
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DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL(612) 745-7643.
Diagram A Diagram B
R/1N IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO C/L IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM R/V11
PREVENT WATER FROM RUNNING DOWN SHOULDER.
DRIVE.
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2"Gutter 6"Swale
+ 1 `NaY 71—
oorivewaY .• ,,_ ,. _ al prove
Existing Roadway }
Shoulder Shoulder
Place culvert in existing ditch
Final inspection date
APPROVED/DENIED:
Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept.
❑ Unsatisfactory 7%
Inspected by By
Date 24
Curb Gutter
DRIVEWAY %"Expansion A.
r�ansion Expansion Joints at MY(Approx)
1/2"Expansion A. Joints <;maximurn interval.
.. ........
>
W
4"Walk i
6" W'Expansion A.
Expansion Walk
Walk Joints Square Panels 4" Contraction As.
Private Walk'
Curb and Gutter
6" Pav I t.
8" Pav't. ivate
Driveway
8 Pav
Pavedv
AIley
411 Walk 411 Walk '7"- 4"Walk
Contraction Joints
Prov ide intermed late jo int at
R 1/4' per ft. slope toward roadway squared end in sidewalk, when
sidewalk Is adjacent to curb 3
and gutter.
E
47/6"
Variable Width wj
SECTION THRU WALK
CONCRETE WALK 4*Walk
01
C7
45*
C & G
600 to 900
Ja
OCE
oloe
.31
• Driveway Pavement
Variable 'S' ;e 1/4" R7\ Length rks
1/4"R.
'04
5-10116des iraWa,
15%.nx. diff.
HO 5330 back(3/93)
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•. HC 5329(6/98) . e �.'� 7
HENNEPIN COUNTY
ENTRANCE Transportation Department Permit No.
PERMIT FEES Planning Division1 71,
1600 Prairie Drive
PRIVATE $50. Medina, Minnesota 55340
TEMPORARY $100. ,"# ,
COMMERCIAL $200. APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT
STREET $200.
(Read General Requirements" reverse side)
Name of applicant Phone '
q�ia.. —prt>ry'�^,h1..+� "+IEGC•...^S �u"�A'.�`I�''�E.IF!�Y�♦ °T.'�i' ,'K"' .M _b�F�",-4,,.�4
Address h,
(city) (state) (zip code) °.
¢ Name of Property Owner Address t`1
1. Contractor performing work (If Known) Phone
2. Application is hereby made for permission to construct and thereafter maintain: Driveways) Public Street(s) t +M,>
+ 3. Building to be constructed: L1 Yes ❑ No El Residence ❑ Commercial (Specify Type) AL
_
4. Driveway or street will be: ❑ Temporary ❑ Permanent Date proposed entrance will be needed. t
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5. Is the property: ❑ Platted ❑ Unplatted Number of present driveways or entrances to property:
6. Building Permit acquired: ❑ Yes ❑ No City Permit No.
7. Type of proposed entrance surface. ❑ Bituminous ❑ Concrete o Rock ❑ Other t
' tP`r *:,i,:
8. Location
(Address) (Co. Road) (City)
9. Location,if rural: Miles of "
1 (N.,S.,E.,or W.) (Road or street)
z Dated Applicant's Signature
Printed Name
TO HELP THE INSPECTOR, PLACE A STAKE WITH A CLOTH ATTACHED IN THE CENTER OF THE PROPOSED ENTRANCE,HIGHER THAN
a ti ANY SURROUNDING VEGETATION. b
+ APPLICANT'S DIAGRAM - (If plot or construction plan is not submitted) q> v
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Complete this form and send all copies to: Hennepin County
o Transportation Department, Planning Division, 1600 Prairie Drive,
Medina, Minnesota 55340. Phone: (612) 745-7643, FAX: (612)
1•., 478-4000.After approval, one
` pp copy will be returned to applicant.
HC 5329 back
Applications for commercial and industrial driveways or driveways servicing parking lots or garages with five or
more vehicular parking spaces must be accompanied by two (2) separate layouts. Such layouts must meet the
requirements of the Rules and Regulations Establishing Design Specifications for Driveways along Highway
Systems of Hennepin County,Minnesota.Copies are available at the Hennepin County Transportation Department,
Planning Division,1600 Prairie Drive,Medina,MN 55340.
2. Applications for entrances serving private residences, farms or parking lots of less than five vehicular parking
spaces need not submit a site plan,but shall make an appropriate sketch in the space provided on the front of this
form.Such sketch shall generally locate the entrance,indicate its dimensions and relate to property lines.
3. No work shall be started until the application is approved and the permit issued.
4. If the installation of this driveway makes it necessary to work on the roadway, traffic must be protected; lights
signs and proper barricades must be in place.
5. It is expressly understood and agreed that this permit is conditioned upon not placing any materials on the traveled
portion of the County roadway and that restoration of all disturbed areas becomes the responsibility of the
applicant.The areas disturbed must be restored to their original or a satisfactory condition.
6. After driveway construction is completed,persons requesting the installation must notify the Planning Division that
such work has been completed and is ready for final inspection and acceptance by Hennepin County.
7, No changes or alterations in entrances may be made at any time without written permission from the County
Engineer or Representative.
$, Approval of this permit does not deny the County Engineer the future right to revise,relocate or close any entrance
to expedite the movements of vehicular or pedestrian traffic.The County retains the right to close said entrance(s)
at its discretion,based upon the necessity for traffic regulation and control.
9. Existing driveways are not automatically perpetuated. In th event of a change in land use or a major change in the
traffic pattern of the existing facility,new driveway applications may be required by the County.