HomeMy WebLinkAboutHenn. Co. driveway permit HC5339(6100) — HENNEPIN COUNTY
Transportation Department 1 ►Q
1600 Prairie Drive-Medina,MN 55340-5421 Permit No. 7 �
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
Field inspected by Dave Zetterstrom 1 l Date 11/13/03
Location # 19 980 North Shore)kj�e Speed zone 50 A.D.T 3475
Nearest Cross Street(if rural)
Sight distance:.Actual-Left 740 Right 700+
Minimum-Left 740 Right 700
Curb to be removed to: ❑ Construction Joint 0%awed Joint
Recommended drainage: IN Surface ❑ Culvert Culvert length 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"
+see or sod
2.TRAFFIC CONTROL REQUIREMENTS Plate#2 or#4 as needed
3.SPECIAL PROVISIONS
One 14' minimum,22' maximum width private driveway permitted as sketched. Profile to be similar to Diagram"A",type`B",below.
Bit curb to be cut minimum 20' across, and bit apron butt-jointed at back(similar to typical on reverse side of permit)with flares.
Approach grade to be 2%+/-to property line.
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 C/L IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM R/V11
PREVENT WATER FROM RUNNING DOWN SHOULDER.
DRIVE.
2"Gutter 6"Swale
OrivewaY
privewaY ,- ,. w: .. . ,,....
Existing Roadway
Shoulder Shoulder }
Place culvert in existing ditch
Final inspection date
APPROVED/D,INtED:
Driveway was found to be ❑ Satisfactory HENNEPIN COUNTY
Transportation Dept.
❑ Unsatisfactory
Inspected by By
Date
•x
Curb Gutter
DRIVEWAY 1/2"Expansion Jt.
1/2"
Expansion Expansion Joints at 60 (Approx)
%z"Expansion A.� Joints . „ maximum interval.
y
4"Walk /2" _ f 6'Walk \ '%"Expansion Jt
Q 1/ �
Expansion 4"Walk
US Joints Square Panels Contraction Jts
Private Walker
Curb and Gutter
8" Pav't. 6" Pav't-
ivate
Driveway
Paved Alley
7777777-1--7,
4"Walk 4"Walk 4"Walk
Contraction Joints
Prov id Intermed late j int at _
:/4" R. - 1/4" per ft. slope toward roadway squared end in sidewalk when m T
sidewalk Is adjacent to curb
CU
and gutter. E
E 'Z
47/6"
Variable Width —�
SECTION THRU WALK
CONCRETE WALK 4"W'"`
00
00
aka � q
450
C & G
600 to 400
-N
s/0pe
34" R Driveway Pavement 1/4"R.
)eLength ries
Variable S/
q�/ Ope v s.
5-1016 des►stile,
1516 max. diff.
HC 5330 back(3/93)
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
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
3. BUILDING TO BE CONSTRUCTED: F1NO ❑ YES ❑ RESIDENCE ❑ COMMERCIAL
(SPECIFY TYPE)
w RATE PROPOSED
4. DRIVEWAY OR'STREET WILL Bt: ElT5WbRARY -- ❑ PE`RMANEN_r ENTRANCE WILL BE NEEDED
5. IS THE PROPERTY: F-1PLATTED ❑ UNPLATTED NUMBER OF PRESENT DRIVEWAYS
OR OTHER ENTRANCES TO PROPERTY
CITY PERMIT NUMBER
6. BUILDING PERMIT ACQUIRED: ❑ NO F1YES
7. TYPE OF PROPOSED ENTRANCE SURFACE: [:1 BITUMINOUS ❑ CONCRETE ❑ ROCK F] OTHER
LOCATION-STREET ADDRESS COUNTY ROAD CITY
8.
LOCATION-RURAL ROAD OR STREET
9. ON RURAL ROAD MILES D D 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)
s
y
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.