HomeMy WebLinkAboutHenn. Co. driveway permit-2003 HC5t?0(610o) HENNEPIN COUNTY
Transportation Department "
1600 Prairie Drive-Medina,MN 55340-5421 Permit No. �*
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
Field inspected by Dave Zetterstrow, Date :%°..r`''
Location , 1's 4753 N. Shore Dr Speed zone A.D.T
Nearest Cross Street(if rural)
Sight distance:,Actual-Left Right
Minimum-Left Right
Curb to be removed to: ❑ Construction Joint ❑Sawed Joint
Recommended drainage: [J Surface ❑ Culvert Culvert length Culvert diameter
1.CONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type CL 5 Equiv Type ':341 BIT Type none Type Type Topsoil
Depth 4' Min Depth 2" Min Design Depth Depth Depth
2.TRAFFIC CONTROL REQUIREMENTS Plate #2 or #3 as needed
3.SPECIAL PROVISIONS
Une driveway reconstruction permitted as sketched. Approach area to be all
hard-surfaced to enable turnarounds on-site. Profile to be similar to Diagram 'A',
type 'a' blow.
DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL(763) 745-7643.
Diagram A Diagram B
R/V11 IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO CSL IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM R/V11
PREVENT WATER FROM RUNNING DOWN SHOULDER.
DRIVE.
2"Gutter 6"Swale
:C),-,vewj3`y
} Existing Roadway } \
Shoulder Shoulder t
Place culvert in existing ditch
Final inspection date
APPROVED/[aE#IED:
Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept.
❑ Unsatisfactory
Inspected by By
Date
Curb Gutter
D�VEWAY /_'Expansio/Z.. xpansion Joints at 6(Y(Approx)
Expansion i m
%i'Expansion Jt., aximum interval.� Joints ,
>LU
, .J
J
4"WalkJ 1/2" 77
6"Walk fJ"Expansion Jt
Q Expansion q^Walk
LU Joints Square Panels Contraction As.
a Private Walker k4k
Curb and Gutter
8" Pav't- 6" Pav't.
ivate
Driveway
. Paved A l ley
4"Walk 4'Walk 4"Walk
Contraction Joints
Prov ide intermediate joint at--",A
R. — 1/4" per ft. slope toward roadway squared end in sidewalk ashen
1 sidewalk is adjacent to curb E
_] and gutter. E
4"/6"
F----Variable Width
SECTION THRU WALK
CONCRETE WALK 4"W'"`
1010.1 01 jo, Of 01
�ao yo 45* q�
C & G
60° to 40°
.. a
s�°pe
.31
. 1/4" R. Driveway Pavement 1/4"R.
Variable �
Length rks
S�OAle —
4-qL/
e
5-10 6 des•iratile,
15)6 max. diff.
HC 5330 back(3/93)
�t
5329 HENNEPIN COUNTY PERMIT NUMBER
ENTRANCE Transportation Department `t"f
PERMIT FEES Planning Division
PRIVATE/ 1600 Prairie Drive
RESIDENTIAL $50.00 Medina, Minnesota 55340
TEMPORARY $100.00
COMMERCIA / APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT
STREET $200.00 (READ: "General Requirements" on the Reverse Side)
NAME OF APPLICANT TELEPHONE PAGER FAX
MAIL ADDRESS CITY STATE ZIP CODE
NAME OF PROPERTY OWNER STREET ADDRESS CITY STATE ZIP CODE r
CONTRACTOR PERFORMING WORK(IF KNOWN) STREET ADDRESS CITY STATE ZIP CODE
1.
2. APPLICATION IS HEREBY MADE FOR PERMISSION TO CONSTRUCT AND THEREAFTER MAINTAIN � DRIVEWAY(S) ❑ PUBLIC
STREETS
3. BUILDING TO BE CONSTRUCTED: ❑ NO ❑ YES )Q RESIDENCE _ COMMERCIAL
4SAE-61FY T*PE)
4. DRIVEWAY OR STREET WILL BE: ❑ TEMPORARY K PERMANENT DATE PROPOSED
ENTRANCE WILL BE NEEDED
5. IS THE PROPERTY: XPLATTED ❑ UNPLATTED NUMBER OF PRESENT DRIVEWAYS
OR OTHER ENTRANCES TO PROPERTY
CITY PERMIT NUMBER
6. BUILDING PERMIT ACQUIRED: [:] NO X YES 00/-)D
7. TYPE OF PROPOSED ENTRANCE SURFACE: BITUMINOUS ❑ CONCRETE F—] ROCK ❑ OTHER
LOCATION-STREET ADDRESS COUNTY ROAD CITY
-.J
LOCATION-RURAL ROAD OR STREET
9. ON RURAL ROAD MILES ❑N ❑S [E] D OF
DATE PRINTED NAME APPLICANT'S SIGNATURE
` t
TO HELP THE INSPECTOR, PLACE A STAKE WITH A CLOTH ATTACHED, IN THE CENTER 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.
R=2802.15 ,
L=29.7mil-'3_.
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FENCE I L w`EkE I I
RETAINING WALL RETAINING WALL
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20 sq. 10 sq.ft I I
I ft. I
37 0sq.ft" i I
X75.0 FT t I
QH
1
DECK
I I
EXISTING
STAIRS
1 248 sq ft I I
'ortion of Lake I k -
1
treet proposed i <
be vcccted. - FOUND 112-
I
--50.00-- ExisnNG — — —— — — — — — — —-�►
S 89'2250" E
DECK I! /—Y/T7 I
FF� i 11-F
EROSION
ORDINARY HIGH -� - � ~�-
WATER ELEVATION �
929.4 L1 j SHORFIINE AS OF
---72j5/2001
TOP OF WATER ELE-VATION=928.3 D#267 01161 Z