17072 Driveway Permit 7373 Memory Lane NEReceipt #tt* 1110 Pennit No. I D ✓`
Fee:
fpm �R.K.T
CITY OF FRIDLEY
RESIDENTIAL DRIVEWAY PERMIT APPLICATION
APPLICANT /V Tel. #_
Contact Person Email:
Address 737-T irr o,�� L.4i✓C� c -C
CONTRACTOR -AVO .5 (191V(f&��_ =T"C- Tel. #
Contact PersonTSp K/ Email:
Address c%/� X20 7 4t/E. ✓V r.J%
}� PROPERTY OWNER(S)
NAME �IAV\!� 9 W�S Tel. # 7(a 3 -790-6-
Address
LEGAL DESCRIPTION OF PROPERTY
Lot: Block: Addition:
Address: 7373''aE'ti`'"`y A rAwr NE
DESCRIPTION OF WORK
Value of Work: $ Starting Date: Completion Date
Dimensions of Existing Driveway:D+p—&-1p4>£ L 1�eLpcc S,t1STT&VL ✓Ardf-to4y � 0—ci<t3
Dimensions of Proposed Driveway:,
11Page
ATTACHMENTS TO RESIDENTIAL DRIVEWAY PERMIT APPLICATION
Include the following information if applicable. Contact City Engineer for questions regarding applicability.
@(� Sketch of property showing existing and proposed driveway, and all adjacent property indicating the existing buildings
/ and/or structures.
[ ] If proposed driveway is less than ten feet from property line, a current survey of the adjacent property line is required
with dimensions to proposed driveway.
[ ] If changing grading of site, show plan existing and proposed finished elevations of driveway.
[ ] Signed statement from the property owner accepting responsibility for the operation and granting permission for land
alteration/mining operation.
[ ] Copy of local watershed approval or correspondence for work within Rice Creek Watershed District (763 398-3070) or
Coon Creek Watershed District (763 755-0975)
Permit fee together with Escrow check in the amount of $500.00. Escrow returned upon final inspection and
acceptance of curb and bituminous street patch.
[ ] Other
X31 Ctfved
2 1 P a g e
RESIDENTIAL DRIVEWAY PERMIT APPLICATION STIPULATIONS
READ BEFORE SIGNING APPLICATION
1. Operations shall be limited to lam to 7pm and shall not interfere with the health and safety of surrounding residents and
the premises shall be maintained at all times so as not to create a nuisance.
2. At the end of each day's operations, the site is to be left in a neat and orderly condition, and all adjacent streets swept
clean of dirt.
3. Curb placed in City ROW must meet the requirements of the attached standard detail.
4. The Contractor completing the work must be registered with the City of Fridley. Call 763-572-3604 for more
information on registration.
4. The Contractor, or Owner, will call the City at 763-572-3552 to arrange for an inspection of the forms prior to placing
concrete or asphalt on site. Twenty-four hour notice is required for inspections and will be provided between 8:30 am
and 2:30 pm Monday through Friday.
5. Repair to the bituminous surface on the roadway side of the curb will be the responsibility of the owner/contractor.
Bituminous pavement removed will be saw cut and the replacement area sub -cut two feet and filled with class V
aggregate compacted in six inch lifts to 95 percent standard proctor density. Sub -cut area must be inspected by City of
Fridley prior to placement of class V aggregate. Call 763-572-3562 to schedule the inspection. Bituminous patch will
match the existing pavement, or a minimum of 3 inches compacted wear course bituminous.
6. Erosion and Sediment Control is required during work. Streets and gutters are to remain free of dirt at all time. Street
sweeping required each day and all disturbed areas planted with suitable vegetation and protected to prevent erosion.
7. Upon completion of paving operations or expiration of this permit, an inspection will be made by the City of the
premises and adjoining treets. Any damage found to have been caused by these operations will be corrected by the
applicant j1pon noti* tion by the City.
— Date: —L—J
Signature
Property Owner's Signature
Property Owner's Signature
Date:
Date:
FOR CITY USE ONLY
C
Recommended for Approval By Date:
Approved By: � Date:
PERMIT EXPIRATION DATE: 40�G
3 1 P a g e
RESIDENTIAL DRIVEWAY PERMIT FEES
No curb or sidewalk replacement........................................................................................... No Fee, No Escrow
Concrete curb with bituminous apron ...................................................... .............................................. 4n�
Concrete curb with concrete apron........................................................................................................... $ 75.00
Concrete curb with concrete sidewalk in driveway................................................................................. $ 150.00
Escrow(3)................................................................................................................................................ $ 500.00
Note (1): Land Alteration Permit required separately in moving more than 10 Cubic Yards of dirt with project.
Note (2): Commercial Driveway requires Land Alteration Permit.
Note (3): Escrow to be returned if work is completed according to the permit requirements. If City is required to complete,
repair or replace any of the work, the escrow will be forfeit.
41Page
WIDTH (MIN. 12' - MAX. 22')
' 7PROPERTY LINE
CONCRETE OR BITUMINOUS
/ -
Jw
arpaen<rcnaa a„rwr.nmmawr
,, � GUTTER LINE
/ (TYP.) EXPANSION JOINT WHERE NEW CONCRETE
DRIVEWAY ABUTS EXISTING CURB OPENING
CONCRETE CURB & GUTTER
PLAN
1" LIP EXISTING OR FUTURE
(SEE DETAIL) BOULEVARD AREA SIDEWALK AREA (6')
GUTTER LINE 1/4 "/FT. SLOPEDz
CONC. CURB
& GUTTER
EXPANSION JOINT WHERE NEW CONCRETE
DRIVEWAY ABUTS EXISTING CURB OPENING
SECTION ON DRIVEWAY
I- T (SEE NOTE 2)
LIP DETAIL
NOTES:
1. WHERE EXISTING CURB, CURB & GUTTER OR SIDEWALK SECTIONS ARE
REMOVED TO FACILITATE CONSTRUCTION OF NEW DRIVEWAY, SAID
SECTIONS SHALL BE REMOVED TO THE NEAREST JOINT. WHERE SAID
NEAREST JOINT IS MORE THAN THREE (3) FEET BEYOND THE PROJECTED
EDGE OF THE NEW DRIVE, A CLEAN SAW—CUT WILL BE PERMITTED, A
BONDING AGENT APPLIED TO THE CUT FACE, AND THE NEW SECTIONS
POURED.
2. DRIVEWAY THICKNESS (T) SHALL BE 6" FOR CONCRETE WITH 4" CL. V
BASE. AND 2 1/2 " FOR BITUMINOUS WITH 6" CL. V BASE.
3. EXPANSION/CONTRACTION JOINT REQUIRED ON DRIVEWAY CENTERLINE
WHEN WIDTH EXCEEDS 16 FEET.
DATE, DEC, 201
o DRIVEWAY ENTRANCE DETAIL NOT TO SCALE
Fridley
NORSK CONCRETE CONSTRUCTION, INC.
915 207TH AVENUE NE
EAST BETHEL, MN 55011
CorTrustBank .N -A.
mrtruatbank.mm
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DATE
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