HomeMy WebLinkAbout2003-Henn. Co. driveway permit t �
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HC 5329(9/00) PERMIT NUMBER
HENNEPIN COUNTY ���
ENTRANCE Transportation Department
PERMIT FEES Planning Division
PRIVATE/ 1600 Prairie Drive
RESIDENTIAL $50.00 Medina, Minnesota 55340
TEMPORARY $100.00
COMMERCIAU APPLICAT/ON FOR DRIVEWAY OR STREET ENTRANCE PERMIT
STREET $200.00 (READ: "General Requirements" on the Reverse Side)
NAME OFAPPLICANT TELEPHONE PAGER FAX
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MAII DRE CITY STATE ZIP CO �
s z3S ��Gc- ��i.� ��,,. s� �
NAME OF PROPERTY OWNER STREET ADDRES CITY STATE ZIP CODE
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CONTRACTO PERFORMING WORK(IF KNOWN) STREET ADDRESS CITY STATE ZIP CODE
�.
2. APPLICATION IS HEREBY MADE FOR PERMISSION TO CONSTRUCT AND THEREAFTER MAINTAIN DRIVEWAY(S) � PUBLIC
STREETS
3. BUILDING TO BE CONSTRUCTED: NO ❑ YES ❑ RESIDENCE ❑ SPEC FY TIYPE)
4. DRIVEWAY OR STREET WILL BE: ❑ TEMPORARY PERMANENT DATE PROPOSED � /�` ��
ENTRANCE WILL BE NEEDED (
5. IS THE PROPERTY: �PLATTED ❑ UNPLATTED NUMBER OF PRESENT DRIVEWAYS
OR OTHER ENTRANCES TO PROPERTY
CITY PERMIT NUMBER
6. BUILDING PERMIT ACQUIRED: ❑ NO � YES ���j ,
7. TYPE OF PROPOSED ENTRANCE SURFACE: ❑ BITUMINOUS ❑ CONCRETE ROCK � OTHER
LOCATION-STREE RESS COUNTY ROAD CI
s. �l c� / //�r�� , ���' l7a
LOCATION-RURAL ROAD OR STREET
9' ON RURAL ROAD MILES ❑N �S ❑E W❑ OF
DATE PRINTED NAME APPLICANT'S SIGN T iR�-
_ _.._______
�1�-- �� �Y�-,� ���,��
TO HELP THE INSPECTOR, PLACE A STAKE WITH A CLOTH ATTACHED, IN THE CE ER OF THE PROPOSED
ENTRANCE AND HIGHER THAN ANY SURROUNDING VEGETATION.
APPLICANT'S DIAGRAM (IF PLOT OR CONSTRUCTION PLAN IS NOT SUBMITTED)
Complete this form and send all copies to: Hennepin County
Transportation Department, Planning Division, 1600 Prairie Drive,
Medina, Minnesota 55340. Phone: (763) 745-7643, FAX: (763)
478-4000.After approval,one copy will be returned to applicant.
HC5330(6/00) ` HENNEPIN COUNTY
Transportation Department 4�;e�
1600 Prairie Drive-Medina,MN 55340-5421 Permit No.
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIDNS
Field inspected by
David Zetterstrom Date 8-07-03
�ocation #151 (1101 E1 mwo�d AvP_) sPeed zone 30 A.D.T 2475
Nearest Cross Street(if rural)
Sight distance:.Actual-Left 350+ Right 30�t
Minimum-Left �� Right 30�
Curb to be removed to: ❑ Construction Joint ❑Sawed Joint
on-site
Recommended drainage: ❑ Surface � Culvert Culvert length Culvert diameter
1.CONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type Type CR Rock Type Type Type Topsoil X
Depth Depth 4�� Mln Design Depth Depth Depth 3��
2.TRAFFIC CONTROL REQUIREMENTS P1 ate #2 OY' #3 as needed
3.SPECIALPROVISIONS �i1e 14' minimum, 22' maximum wiath private driveway relocation permitted
as sketched, approximately centered on property frontage. Existing
unauthorized entrance to be obliterated and restored with seed or sod.
Existing northerly entrance should be obliterated subject to city
approval .
DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY W�THOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL (763)745-7643.
IDiagram A I Diagrem B i
R� IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO C�� IMPORTANT: CONSTRI?CT SWALE TO DIVERT WATER FRGM R�
PREVENT WATER FROM RUNNING DOWN SHOULDER.
DRIVE. I
�b�•
2"Gutter 6"Swale
,,p�ivewaY + . , . ... . •.,c� •.,_�,. � .. .. �r��e�aV
„a .. ..,... • � ;,w,w..'.. :....... '.:. :.,•-,.,.
�'1 Existing Roadway �.��
Shoulder Shoulder f
Place culvert in existing ditch
Final inspection date
APPROVEDlBEhdfEB:
Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept.
❑ Unsatisfactory
Inspected by BY
Date �� � `� �D�
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f i
• Curb Gutter
DRIVEWAY �f,"Expansion Jt.—�._,,
1/2.. :; : ..
Expansion � � , Expansion Joinu at 60'lApproxl:::�:�}
'/z'Expa�ion Jt.� �o��� .!.i;�. � � �maximum ieterval.
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4"Walk Q 1/2" •_ �. ; ;
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w Joints Square Panels Cootraction Jts. �.;�•,;;;,,•
a Private WaIkI` / .. . . ►
Curb and Gutter
8" Pav't. 6" Pav't.
ivate �
� Driveway ;
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:,:� Paved Alley
4"Walk 4"Walk 4"Walk
Contraction Joints
Prov ide intermed iate,jo int at
-/4" R. 1/4" per ft. slope toNrard roadway squared end in sidewalk v.hen � •� � r%
sidewalk ls adJacent to cu� '
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and gutter. �
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HC 5390 badc(3/93)