HomeMy WebLinkAboutHenn. Co. Driveway permit-2003 HC53:h(6N0) HENNEPIN COUNTY
Transportation Department 4631
1600 Prairie Drive-Medina,MN 55340-5421 Permit No.
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
Field inspected by Dave Zetterstrom i I Date 9/15/03
Location #19 330 N. Shore Drive W ' Speed zone 50 A.D.T
Nearest Cross Street(if rural)
Sight distance:.Actual-Left 740+ Right 700+
Minimum-Left 740 Right 700
Curb to be removed to: ❑ Construction Joint ❑Sawed Joint
Recommended drainage: ❑ Surface IKCulvert Culvert length A- inctnIIPd Culvert diameter
1.CONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type CR Rock Type 2341 Bit. Type None Type Type Topsoil X
Depth 4"Min. Depth 2"Min.. Design Depth Depth Depth 3"
+seed or sod
2.TRAFFIC CONTROL REQUIREMENTS Plate#2 or#4 as needed
3.SPECIAL PROVISIONS
One residential driveway relocation permitted as sketched. Approach to be 14' wide with 5' flares,less than 2%grade,and 6:1 side
slopes.
DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL (763) 745-7643.
Diagram A I 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
orivewaY
„a•Driveway .n. ,. ,� ��w., ...
f Existing Roadway }
Shoulder Shoulder }
Place culvert in existing ditch
Final inspection date
APPROVEDFBEidtED:
Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept.
❑ Unsatisfactory
Inspected by By
Date
Curb Gutter
DRIVEWAY y;'Expansion
1/2"
Expansion Expansion Joints at 60'(Approx)
Expansion Jt.� Joints - i <maximum interval.
_ J :
>
4"Walk -� f 6'Walk \ 3T'Expansion Jt
Q 1/2" irmnn
Expansion 4"Walk
w Joints Square Panels Contraction Jts
Private Walk
Curb and Gutter
8" Pav't. 6" Pav't.
ivate
Driveway ,
Paved Alley
4"Walk 4"Walk 4"Walk
Contraction Joints
Provide intermediate joint at _
i/4" R. 1/4" per ft. slope toward roadway squared end in sidewalk ashen �^
sidewalk Is adjacent to curb
and gutter. E '-
E
4'%6"
I
-Variable Width .y
SECTION THRU WALK
CONCRETE WALK 4"W'"`
ofA
ol
45°
C & G
600 to 900
�a
Jai a
s/ope
31 f
. 1/4" R. Driveway Pavement 1/4"R.
Variable �
Length ries
S/oAe ----
A�
5-1016desimWe,
1516 wx. diff.
HC 5330 back(3/93)
HQ 5329(9'.Yd) PERMIT NUMBER
HENNEPIN COUNTY
ENTRANCE Transportation Department
PERMIT FEES Planning Division
PRIVATE; 1600 Prairie Drive
RESIDENTIAL $50.00 Medina, Minnesota 55340
TEMPORARY $100.00
COMMERCIAL/ 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
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
COMME
3. BUILDING TO BE CONSTRUCTED: ElNO ❑ YES ❑ RESIDENCE ❑ SPECIFY TIYPE)
4. DRIVEWAY OR STREET WILL BE: ElTEMPORARY ❑ 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: F] NO F] YES
7. TYPE OF PROPOSED ENTRANCE SURFACE: [—] BITUMINOUS ❑ CONCRETE ❑ ROCK [—] OTHER
LOCATION-STREET ADDRESS COUNTY ROAD CITY
8.
LOCATION-RURAL ROAD OR STREET
9. ON RURAL ROAD MILES D 0 D OF
DATE PRINTED NAME APPLICANT'S SIGNATURE
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.