HomeMy WebLinkAboutHenn. Co. driveway/street entrance permit-2008 � ' `' 2�� c� L ► ,-n� �►ec-►+�n.� ✓�e a�
HC5330(6/00)
HENNEPIN COUNTY
' Transportation Department
1600 Prairie Drive—Medina, MN 55340-5421
Permit No. 4�37
DR/VEWAY OR STREET ENTRANCE PERMIT AND SPEC/AL PROV/S/ONS
Field Inspected By: Dave Zetterstrom Date: 04/30/08
Location: #84 NW of Little Orchard Road Speed Zone: 30 ADT: 1825
Nearest Cross Street:
(If Rural)
Sight Distance: Actual - Left 350+ Right 300
Minimum: Minimum -Left 350 Right 300
Curb to be removed to: � Construction Joint � Sawed Joint
Recommended
f�rainage: X Surface ❑ Culvert Culvert Length _ Culvert diameter
1. CONSTRUCTION SPECIFICATIONS (Within Right of Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD/DITCH
Type Type Type Type Type Topsoil X
Depth Depth Design Depth Depth Depth 4"
+seed or sod
2. TRAFFIC CONTROL REQUIREMENTS "Trucks Hauling"
3. SPECIAL PROVISIONS
One 20'—30'wide temporary construction access permitted per sketch. Applicant to restore ditch/boulevard upon project
completion. Permit expires June 30, 2008.
DO NOT PLACE CONCRETE ON COUNTY RIGHT OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL (612) 596-0355
I �iagrem A { Diagram B �
{
R� IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO C�� IMPORTANT: CONSYfilfC7 SWALE TO DIVERT WATER FROM ��
PREVENT WA7ER FROM RUNN{NG DOWN SHOULDER. I
OR1 VE.
'b,.
2"Gutter S"Swale
pr�ewsY
,�a•privewnY . ...,......: . � ..r . . �_:� • .• .• 4w: . :!.,.. �:.;...,,.....,:
`' •'' /`+ Ezisting Roadway �.
Sh luo der Sh��d
�
Place culvert in existing ditch
Final Inspection Date: APPROVED/D�#�D:
❑ Satisfactory HENNEPIN COUNTY
Driveway was found to be: ❑ Unsatisfactory Transporta '
Inspected By: BY�
Date: � Z—v�
„ �
iC5329(9/00)
ENTRANCE IiENI�EPIN COUNTI( PERMIT NUMBER
PERMIT FEES Transportation Department ��
PRIVATE/ Planning Division
RESIDENTIAL
TEMPORA �-$�oo.op.. 1600 Prairie Drive
coMnnERciau � Medina, Minnesota 55340
STREET $200.00
APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT
. (READ: "General Requirements”on Attached Page)
AME OF APPL T � TELEPHONE PAGER FAX
C��. -'�. '' � 9s2�'�-�8�t — 9SZ-qvo-��z�r
AILADDRESS CITY STATE ZIPCODE
�o�� �`6. , �►IdD S�,lo�..� �.�� � �Z-�
AME p�F�PROPERTY O NER STREET ADDRESS CITY STATE ZIP CODE
��►� ��^'�� ' �`'lO (�,�1c Or C�'c �� 5S3"I�
CONTRACTOR PERFORMING WORK(IF KNOWN) STREET ADDR S CITY STATE ZIP CODE
,. (d� Ox�9 �-� �. (.n:.S��l� �,� �z�.
2 APPLICATION IS HEREBY MADE FOR PERMISSION TO CONSTRUCT AND THEREAFTER MAINTAIN lJ`t�RiVEWAY(S) ❑ Pi1BLIC STREETS
3. BUILDING TO BE CONSTRUCTED: �l0 � YES � RESIDENCE � COMMERCIAL
(SPECIFY TYPE
4. DRIVEWAY OR STREET VI�iLL BE: �TEMPORARY ❑ PERMANENT DATE PROPOSED
ENTRANCE WILL BE NEEDED 1���
5. IS THE PROPERTY: �PLATTED ❑ UNPLATTED NUMBER OF PRESENT DRIVEWAYS `
OR OTHER ENTRANCES TO PROPERTY
�y CITY MIT NUMBER
g. BUILDINGPERMITACQUIRED: ❑ NO r51 YES „�, fyg�,
7_ TYPE OF PROPOSED ENTRANCE SURFACE: � BITUMINOUS � CONCRETE ��OCK . �OTHER
LOCATION—STREET ADD ESS COU TY ROA,D,� CITY
s. ��►.�ti e9S e� O� � � 1�
LOCATION—RURAL ' ROAD OR STREET
9' ON RURAL ROAD_� � �?/ MILE� � OF � � �/
�ATE PRIN NAME APPLICA
y-�-� � ��
TO HELP THE lNSPECTOR, PLACE A STATE WITH A CLOTH ATTACHED, IN CE R OF THE PROPOSED ENTRANCE
4ND HIGHER THAN ANY SURROUNDING VEGET,4TION. �
APPLICANT'S DIAGRAM (IF PLOT OR CONSTRUCTION PLAN IS NOT SUBMITTED) �
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RECEIVED
MAY O 12008 ���E � -��
BY:
Complete this form and send all copies to: Hennepin County
Transportation Department,Planning Division,1600 Prairie
Drive, Medina,Minnesota 55340. Phone: (612)596-0355,
FAX: (763)478-4000. After approval,one copy will be
retumed to applicant.