HomeMy WebLinkAboutEntrance permit from Henn. Co. t -
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Hcsssop�sa> r..,,.,�.. ,...� HENNEPIN COUNTY
— � -- Transportation Department - ���ry
1600 Prairie Drive-Medina,MN 55340-5421 Permit No. f
MAR 1 5 1999
GITY OF ORQ�VEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROV/S/ONS
Field inspected by DaVB Z@tt@t'�tl"Orn Date 3/1/59
Location�� 3��0 68yS�d@ Rd. �� J �� �,�6 zone ylA A.D.T.
Nearest Cross street(if rural) �a��rk DP.
Sight distance: Actual-Left Right
Minimum-Left Right
Curb to be removed to: � Construction Joint ❑Sawed Joint
� a
Recommended drainage: O Surface f� Culvert Culvert length 2 Culvert diameter 12
1.CONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type CL J EqU�V Typ��l BIT Type NOCi@ Type Type Topsoil ��
Depth �p �in Depth 2a Min Design Depth Depth Depth
+ seed or sod
?.TRAFFIC CONTROL REQUIREMENTS p�ate �� Ol" �3 dS needed
3.SPECIAL PROVISIONS
One 18' minirou�, 24' �aximum width shared private drive�ay reloeatlon perYaitted as �requested
(see skeich�d). Approach to haave IO' f 1 ar2s ar�d profi l8 si�ni 1 ar to d1 agram 'B' bel oar.
�1tch to be gr�ded to enhance�drainaga througt� culvert.
DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL(612) 745-7643.
IDiagram A I Diagram B I
R� IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO C�� IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM R�
- PREVENT WATER FROM RUNNING DOWN SHOULDER.
DRIVE. � I
•b��
2"Gutter 6"Swale
+ t e'NaY
..a•p�ivewaY . , . .� . •�c� .,-"' � . --..• ... pnv
.. .......: • • � �.sN: ' + :?....,
Existing Roadway �''
\�t t�:�j
Shoulder Shoulder
}
Plaee culvert in existing ditch
Final inspection date
APPROVEDi�NfE9�
Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept,_
� Unsatisfactory �� '� __
aected by g �� ���`
Y
r . � � _ f )
Date �� i
Curb Gutter
DRIVEWAY y,"Expansion Jt.--.
1/2" �: -,; .
, Expansion :' � , Expansion Joinu at 60'lApproxl�:;�.�'•
/i'Expansion Jt.� �a��� .',�;,�, i i Cmaximum interval.
�
�-� W �•,_ ��i.. J t , ��1_ �
J ��
4"Walk� Q 1/2", � --6"Walk� \. ,. ' ,f�'Expansion Jt
Expansion �""""
wJoinu Square Panels 4"Walk Cootraction Jts.
a Private Walk� •.��
., `;:�:��':�': ►
Curb and Gutier
8" Pav't. 6" Pav't.
, ivate �
� Drlveway �
� :•�... ' ' ���
Paved Alley
4"Walk 4"Walk 4"W�Ik
Conbaction Joints
Prov ide intermed iate jo int at
-/4" R. 1/4" per ft. sfope tovrard raadway squared end in sidewalk, v,hen � .� A r
� sidervalk Is adJacent to cutb E � �
and gutter. - _
:a�•�. •..a : �: �.::•�::�.�•.':'.•:'e:•�•�•�:�•:!•� �o c` co
� 4"/6"
I I
,• VariableWidtn --�
SECTION THRU WALK
COPl�RETE WALK 4""',�` :�
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e 6 : ,, ./
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- ' 60° to 90�
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' � �` 1/4" R. Driverray Pavement 1/4"R.
, , f :.: � Length rks
Variable • S� J�
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5-10X des irade,
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HC 5330 badc(3/93)
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wHC 5329`ce,sa> HENNEPIN COUNTY " r
ENTRANCE Transportation Department PermitNo. -.�3 S 7
PERMIT FEES Planning Division � .
, - 1600 Prairie Drive r'-�W f�
�,-.,
� PRIVATE _$50:� Medina, Minnesota 55340 • �t .' _
TEMPORARY $100.
COMMERCIAL �200. APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT
STREET $200.
(Read "General,Requirements" reverse side)
�, � -� �� ,� �
`�, , ,J �.
Name of applicant - � � � J � ' ` � Phone '
Address �
(city) (state zip code
Name of Property Owner Address " "" ' "�' " "
1. Contractor performing work Qf Known) Phone .
2. Application is hereby made for permission to construct and thereafter maintain: Driveway(s) Public Street(s)
3. Building to be constructed: � Yes ❑ No � Residence ❑ Commercial (Specify Type)
__ = -- _ - _ _ _- .. . . �. ;
4. Driveway or street will be: ❑ Temporary o Permanent Date proposed entrance will be needed: " '
5. Is the ro ert o Platted � Un latted Number of resent drivewa s or entrances to ro ert " �, � '�
P P Y� P P Y P P Y� '
6. Building Permit acquired: � Yes ❑ No City � �� � � Permit No.
7. Type of proposed entrance surface. o Bituminous ❑ Concrete ❑ Rock o Other
8. Location '
(Address) (Co.Road) (Ciry)
9. Location, if rural: Miles of
(N.,S.,E.,or w,) (Road or Street)
Dated Applicant's Signature
Printed Name
TO HELP THE INSPECTOR,PLACE A STAKE WITH A CLOTH ATfACHED!N THE CENTER OF THE PROPOSED ENTRANCE,HIGHER THAN
ANY SURROUNDING VEGETATION. `
. . . ..
APPLICANT'S DIAGRAM - (If plot or construction plan is not submitted) .,
L .
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Complete this form and send all copies to: Hennepin County
Transportation Department, Planning Division, 1600 Prairie Drive,
Medina, Minnesota 55340. Phone: (612) 745-7643, FAX: (612)
478-4000.After approval,one copy will be returned to applicant.
,, rt .
HC 5329 back '
�, Appiications for commercial and industrial driveways or driveways servicing parking lots or garages with five or
mors vehicular parking spaces must be accompanied by two (2j separate fayouts. 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 tines.
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 restoretion of alt 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.
g, 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 applicatio�s may be required by the County.
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