HomeMy WebLinkAboutDriveway permit- Henn. Co. , HG,5330(7/S.i�• •� Z HENNEPIN COUNTY
Transportation Department ����
1600 Prairie Drive-Medina,MN 55340-5421 Permit No.
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
Field inspected by i.)d#i�' s G'�L@t'S�CT'`v'i': Date }%L4/_:�
Location_�g4 �� �i�+��b �Cx .+�s : Speed zone A.D.T.
Nearest Cross Street(if rural)
Sight distance: Actual-Left �"�� " Right �•�+� ►1.c1 1 tl��t"5cL'L1 u�t i�
� Minimum-Left ��Y� Right �5�
'" �� ,:�:i.:���. r�:�.wnmend�d mi ni:=��.�;:
Curb to be removed to: ❑ Construction Joint ❑Sawed Joint
� Recommended drainage: ❑ Surface [$ Culvert Culvert length Culvert diameter
;;..
� �. ... �.�;.'.�w.:.°7"s,s t s's:;:.:
1.CONSTRUCTION SPECIFICATIONS(WiYhlfl Rlght-Of-V`Jay)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type Type L� r���� Type Type Type Topsoil '�
Depth Depth ��� ���}� Design Depth Depth Depth 3`�
t �Y SOLi
2.TRAFFIC CONTROL REQUIREMENTS ��! . ,.^ ^
ctL� .:� ;rt" �`.: :�S f1�t�:I�U
3.SPECIAL PROVISIONS
One 14` �aini��w�u, 1l` �aaximu�a widt�h pr�vate �rivew�y p�r�9tt�+� as sketChi�d. ara�lnaye
provls4ona to be determined during grading.
���'������
OCT 0 b 1998
1ti y y (�)r CiF?E;F�C� 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
y R� IMPORTANT: TYPE "a"CONSTRUCT ROUNDED BERM TO C�� IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FRGM R�
PREVENT WATER FROM RUNNING DOWN SHOULDER.
DRI VE. I
�b••
2"Gutter 6"Swale
+ 1 Q`N aY
rivewaY � p�rv
,.a�D . _.. . •..� ��_�e. .....;t�.+:v:.... ,,.�..,
�/'L Existing Roadway f. � �
'�/�
Shoulder Shoulder '
� u
Place culvert in existing ditch
Final inspection date
APPROVED/9E#IED:
� Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept.
❑ Unsatisfactory
Inspected by gy
Date
Curb Gutter "'- � '
� DRIVEWAY y;'Expansion Jt.--:,
1/2••
Expansion � Expansion Joi�ts at 60'IApproxl
%i'Expansion Jt.� Joinu � � �maximum interval.
�
> ` � ,
l, . y, J'�,'
W t
.- •�'.:�. .. J �r: ' � -�� - . . -. .�.:... � ��
4"Walk� Q 1/2" ` �6•.Walk� \ 'h"Expansion Jt
Expansion �� 4"Walk
w Joinu \Square Panels Contraction Jts.
>
Q .�•.
a Private Walk�:;'
_., `.`':'-',''• �'' ►
Curb and Guttet
8" Pav't. 6" Pav't.
, ivate �
� Driveway '
�
,..--�-..�. � .
. I• � `�
Paved A I ley
�irrmr-r' :;:
4"Walk 4"Walk 4"Walk
Contraction Joints
Prov ide intermed iate jo int at
_/4" R. - 1/4" per ft. slope toward roadway squared end in sidewalk, nhen � •� ,� �
1 sidewalk ls ad)acent to curb E � �
—1 and gutter. - _
:e•: :'• a.: �. '.'.:�::;:;•., ;,::d:.:.•. '.:!': �o G to
� 4'%6"
�� Variable Widtn —�j .
SECTION THRU WALK
COW�RETE WALK 4"'"'"` �
,/ �..
.�' '
' ��, �' �� �� �
a�v- J�• �' ,� i .• i
5`aa��`�\ ;� ',� ��
�a� �0 45� A�
C & G "``,, ;:.,.Y,. . '
- - 60° to 90�
` ���
��a
; Ja
. _ s, A
3 f°pe
� ..1/4" R. Driver�y Pavement 1/4" R.
Variable � � ` Length rks
S/°pe
A� Q d. e o. p,s• ___
e °'
� �;
5'l 0�f.des inMe,
15�6 wx. diif.
HC 5330 badc(3/93)
�
'"""�- , Hc sa� i`s� HENNEPIN COUNTY
� ' Trans ortation De artment �
�� ENTRANCE P P Permit No. # �
"'""` PERMIT FEES Planning Division
'� 1600 Prairie Drive
� PRIVATE $50. Medina, Minnesota 55340
TEMPOFiARY $100.
COMMERCIAL $200. APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT
STREET $200. (Read "General Requirements" reverse side)
Name of applicant Phone
Address "
(city) (state) (zip code
{
Name of Property Owner Address
.. �
#° 1. Contractor performing work (If Known) Phone
�
� 2. Application is hereby made for permission to construct and thereafter maintain: Driveway(s) Public Street(s)
3. Building to be constructed: Q,Yes � No �,,Residence � Commercial (Specify Type)
i�` ,. -
~ 4. Driveway or street will be: � Temporary a,Permanent Date proposed entrance will be needed:
5. Is the property: ''� Platted � Unplatted Number of present driveways or entrances to property:
...
!" 6. Building Permitacquired: � Yes fl No City Permit No.
7. Type of proposed entrance surface. � Bituminous � Concrete �1 Rock � Other
8. Location
(Address) (Co. Road) (City)
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 ATTACHED IN THE CENTER OF THE PROPOSED ENTRANCE,HIGHER THAN
ANY SURROUNDING VEGETATION.
APPLICANT'S DIAGRAM - (If plot or construction plan is not submitted)
��, .
�� ,
. .,�.
�. ., , y . � .� ; ,� � . ;
:...
- �- • . .
. .; _.., __ _ _;. > . _
_
. � ,
. . :.� .... . .: .. , _ _� .� }.:, - • - - - --•
�'" - i ' " ` fi' '�, '� � � , �
� � � z ,.�. � ..� ,., ,
� � � q�
L..... . ,.. � � �.�,v�'� .`„..� . .
1 ��� �. . , _ �':
4.J. ��^ _'�u �__ ' ' �' _ �.} a
_.�l f '
;,
�� �!, ��;�� �- � � ,, .:...> . _.
. � . .
� � �� � �
_ ..� ..._� ..�___4.��.. . �
. �...�..:�- "^i�A .. i �.. �''+. �' t
__ � `'.
`. ,l r , : . . ____ . _
„ 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)
'`r 478-4000.After approval,one copy will be retumed to applicant.
�
y � ,
.,.
fic:;s,::,n:;�,�
�, Applications far commercial and industrial driveways or driveways servicing parking lots or garages with five or
more vehicular parking spaces must be accompanied by two {2j 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 avaiiable 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 perking
spaces need not submit a site plan,but shali make an appropriate sketch in the space provided on the frant 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#he applicatian is approved anri 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 traveied
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 satisfactary condition.
6, After driveway construction is completed,persons requesting the installation must notify the Planning Division that
such wark 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 clase 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 applications may be required by the County.
1�/16/9s o8:56 FA% 812 946 1580 BARNL�hf y� (J� Q/'� y s�� L- �v�0�
. , '
H�p3opro•i � � HENNEPIN COUNTY
7ransportaUon Department n ��c
1600 Prairle Drive-Medina,MN 55344-5421 Pertnit No. '3 U
� DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVIS/ONS
Fleld inspQctod by Dave Zetterstrom n,t� 9/24/98
�o�non #84 _�(E auad Co Rd 19 Speed zone 35 ao.T. 490
Nearost Cross Street(it rur�l)
siynt d�u��: Aa��i.��n 350* _ R�nt 200 (to 1 nter secti on)*
Minimum-Left 440 Rlght 350
* Below recommended minimum
Curb to be removed to; ❑ Construction Joint ❑Sawad Joint '
Recommended dratnage: ❑ SuAa� (� Culvert CuNert length Culvert diameter
To �be •dete►^mi ned
1.CONSTRUCTION SPECIFlCATIONS�thin Right-of-Way) '
@l� RFACE CURB sl SHou�oER B�TCH
Type Type CR Rock _ rypo 7yQe ' Type Topsoil X
Depth Depth �� Mi n pes�� Depth Depth �e th u
+ seed� or so
z,TRAFFIC CONTROL REQUIREMENTS p�ate #2 or �3 as needed
3.SPECIAL PROVISIONS
��e 14' minimum, 22' maximum width private driveway permit�ted as sketched. Drainage
provisions to be determined during grading.
DO NOT PLACE CONCRETE UN COUNTY RIGHT-0E-WAY WI7HpUT WRITTEN
PERMISSION. IF YDU HAVE ANY QUESTIONS,CALL(612)745-7643.
IDi�yram A I Diapnm■ I
IMPORTANT: TYPt"�"CONSTRUCT ROUNDED BERM TO IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM
�� PREVENT WGTER FROM IIUNNING DOWN ��� SHOULDER_ R�
DRf Vfi. I
"6••
2"Gutter 6"twal.
..��p►w�w'v f . , ,. • . ..,,..� 0`N�`"•� -%�
�`"'-'j'' Existinp Roedway ..-' '•.: ...,- •. . _%"�
\/ ��
Shoulder Shoulder I
Plece cuhert in e�cietinp ditah
�.n��tpea�o�daro
APPROVEDf�EN1EB;
Orivrroay was found to be ❑ SatafaGtory FiENNEPIN GOUNTY
Tnnsportatio Dept
❑ Unsatis£adory
Inspected by gy --
o,to /� --/ --9 d�
11/16/98 08:56 FAg 812 948 1580 BARNUM �004
, � , , . �
Hc�«�:� HENNEPIN GOUNTY
7
ENTRANCE Trenspoltdtion Department Permit No. �
PERMIT FEES Planning Divfsion
�• 1600 Prairie Drive
PRIVATE $50. Medina, Minnesota 66340
TEMPORARY �100.
COMMERCIAL $200_ APPLICATION FOR DRIVEWAY OR STREET EN7RANCE PERMIT
STREET $200.
(Read "General Requirements"reverse side)
Name of�ppliC2nt �Q E� �_1Q�n7� r1�1 Phone � ��' ����
�a c a ���x Rxg�/�/�
Address��s6y �A__ Ea�� �'�/a ���
e(tY rtate) ��p cod
Name of Property Owner �R e¢ +- � RN v v1 ._Address /0 ,'lr��R R�LEft �fL
Ew�S,.�� �Rw�Asq /NIN ss=y7
1. Contr�CtOr performing work (Ii Known) PhonQ
i
2. Application is hereby made for permission to construct and thereafter maintain: Drivewayls) PUb�it StrQot(s) '
3_ Building to be consvucted��Yes o Np �esidence ❑ Commercial (Specify Type)
4. Driveway or street will be: � Temporary �Permanent Date proposed entrance will be needed: 1� �v �Q y j
5. Is the property' �PlattEd � Unplatted Number of ptesent driveways or entrances co p�oper2y: ��P� �'
6. Building Permit acquired' o Yes �No City Permit No. 'I
7. Type of proposed entrance surince. � Bituminous � Conerete �Rock � Qther
� 8. Location � i2o^�- � � �QOIJ�
� ( ddnu) (Co_Rood) ity)
9. Location,if rural' Miles et 1
(N_,5.,E_,or v1�.� �nowd O�SVYYt)
pated 1 �� y 1 q �_ AppliCant's Signature
Printed Name V �"'�
TO MELP THE/NSPECTOR,PLACE A S1'AKE W/TN A CLOTH ATTACHED fN 1'HE CENTEA OF THE PROPOSED ENTRANCE,HIGHER THAN
ANYSURROUNDING VEGETA770N, � �
APPLICANT'S DIAGRAM- (If plat or const�uction plan is notsubmittedi
\ .
� � �z�X��
� SzTv
� �
$ � ��a Qo E�
� � �R �w.�y
/
� �y9 �� >
t�. � t C �
��y �4
Complete th�s form and send all coples te� Hennepin County
�y� !� TranspoRstion Departrnent, Plenninp Oivisfon, 1600 Preirie Drive,
Medina, Minnesota 55340. Phone: (61Z) 745-7643, FAX: {612J
47B�t000.After approval,one copy will be retumed to applinnt
� C/iy/T7 �
11/16/98 08:b6 FA% 612 948 1b80 BARNUM �OOd
� I �� -
��
. �\ � � .
Dny-tima 20a-20
�*ight 2L0-20 ;�;' ; ,/' .
� 4/
V
�/ �jI .
F� '• ,
. � _ � � .
' I �
v � .
• � �y , • �
#
0 5 C�es (IhyEEime) Kin. �
r� 5 li0o Type II 8arrir.ades
. �j— /� (Night) Psia. , ,
� -�-' N •
. � � - � �� .
� � � � �
. �
� _ .
��
�
. �
, � i � ,;
�
�
� . ��
� �
� � --
.
� �
�j r
� �
. �� � � �
`-� � � ' �!.� Dapt3�as 2oo-zo
Nig�1t �d-20
�� �I
A��Ed F�CAVAT� 21: SHO�L� (Z OA h I.F►tiE) Plste No.
(D� aR NIC�iT) 2
G/�✓/�� •
I �/�y/77 � � —�
11/16/98 08:66 FA% 812 946 1680 BARNL�t �J002
.•� � . .
�.
�� DO N�T �ILE T'HIS P�RM1T - READ IT!
♦ PERMIT MUST BE IN POSSESSION O� TME
CON7'RACTOR PERFORMING THE WORK.
a
e REQUIREI7 TRAF�IC CONTROL SIGNI,NG SHA�L
BE �N JOB SITE AND ��::���LY PLACED PRIOR
TO START OF JO�.
♦ DO NOT ALLOW MUD AND DE�RIS TO
ACCUMULATE ON R�ADWAY.
." i l- . - � .
,-
♦ PERMIT EXPIRE�� ��-is 9 � � �
-- _- � �.
- CALL PERMIT O�FICE 745-7643 PRIOR TO
��- � STARTING CONSTF�UCTION AND FOR INSPECTION.