HomeMy WebLinkAbout2002-10-31 MNDOT Access Driveway Permit001 2 ?CM
Mn/DOT TP-1721 (3-96)
. • t r t Y 'C _� � s
NESOTA DEP' R M NT O 1 i A. O. �, 0
AITL4cTrw vott u . K(a mtivEwAy
APPLICANT
Go1dridge Group MN
PROPERTY OWNER
Denny Hecker
LOCATION OF PROPOSED DRIVEWAY
Neal Avenue Washington
T.H, in
LEGAL DESCRIVTION OF PROPERTY
Jacob 2nd Addition Lot 1 Block 1
❑ Temporary ❑ Proposed Public Street ❑ Residential
(Specify Type) van conversion center
EX.Cornmercial
PROPERTY IS IN P#.atted Area
PURPOSE OF DRL SWAY
WILL THE BUILDING BE ❑ Temporary
Permanent
NUMBER OF PRESENT DRIVEWAYS TO PROPERTY
0
GIVE EXACT LOCATION OF PRESENT DRIVEWAY(S) TO PROPERTY
i
Jb-
jT1U13UTION
3 original to Applicant
❑ Area Maintenance Engineer
0 Subarea Supervisor
0 Roadway Regulations Supervisor
DATE WORK COMPLETED
I�4 a+1/
County
0015
TELEPHONE
(763) 557 -9445
TELEPHONE
( 952)512 -8800
(CIRCLE ONE)
Miles 10)-S - E -W
0 Unplattcd Area
C /7
R.P.
DO NOT WRITE BELOW THIS LINE
AUTHORIZATION OF PERMIT
All Work to be Completed By
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ate
MINNESOTA DEPARTMENT OF TRANSPORTATION
State to Furnish
x
kw�,�u e I 4 2
District Permit #
(DO NOT COMPLETE THIS SECTION FOR OFFICE USE MY.)
)
. • , ... . - ...: - . :. ' PRaPaS�'D DRIVEWAYS, AND REL�4TIaN TO TRUNK HIGHWAY. SUCH
ATTACH � SKETCH OF THE PROPERTY, PRESENT AND PROPOSED
SKETCH ENGINEER. PRINT OR TYPE APPLICATION. SIGN IN
TCSHALL BE DRAWN TO SCALE WHEN REQUIRED BY THE L'NG TIaN.
TO LOCAL OFFICE OF MINNESOTA DEPARTMENT OF TRANSPORT
SPACE PROVIDED. SUBMIT ADDRESS (S t , Ci S
, tate Zi
HARB0 LANE STE. 206
3021
L MOUTH MN 55447
rorsFser % zip)
MINNEAPOLIS, MN 5542
(SPECIFIC ROAD, LANDMARK, OR ROAD INTERSECTION)
58th Street N
Is A BUILDING TO BE CONSTRUCTED?
❑ No ❑ Yes (Specify Type) commercial
DISTANCE FROM CENTER OF HIGHWAY TO FRONT OF
BUILDING OR FRONT OF PUMP ISLAND IS 211 FEET.
DATE DRIVEWAY IS NEEDED
10/23/0
GIVE EXACT LOCATION OF PROPOSED DRT EWA Y TO PROPERTY
800 feet North of 58th Street
[, We, the undersigned, herewith make application for permission to construct
the access driveway at the above location, said driveway to be constructed to conform with the regulations of the Minnessot
ogre
Lion ail to any special provisions included in the permit. It is agreed that all work will be done to the satisfaction of the Minnesota that Depa�ent t of Ir a th on.
ae approval of urthe
that of this that no woOrk Fk in connection Y mtection with this application will be started until the application is approved and the permit issued. It . ts fu : :.� regulations of the Minr�saia Eaviranmental Quality Board
city, village or borough authorities having joint supervision over said street or highway and subject to applicant's compliance $
and any other affected governmental agencies.
tgnature o
PP
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u on ngnature
DEPOSFF REQUIREMENTS
io Deposit Required
0 Deposit Required in the Amount of $
Date Deposit Received
Deposit to be returned upon satisfactory completion of all work. Bond #
(The date when the work is completed must be reported to the Area Maintenance Engineer.)
N0v r 1 ( f
SEE REVERSE SIDE FOR GENERAL
INFORMATION AND REQUIREMENTS
PERMIT NOT VALID UNLESS
BEARING SIGNATURE AND NUMBER
It is expressly understood that this permit is conditional upon replacement or restoration of the trunk highway to its original condition or to a satisfactory condition. In
to consideration
performed
ideation of
as applicant's
r is hereby granted for the
agreement to comply in all respects with the regulations of the Commissioner of Transportation covering such operations, pe
the above application, said work to be performed in accordance with special provisions as hereby stated:
SEE ATTACHED SPECIAL PROVISIONS
Culvert and . Aprons
Cashier's Cheek # „ r ,,,,
Certified Check #
Money Oriel #
DEPO TYPE
GENERAL INFORMATION
- Minnesota Department of Transportation in accordance with changes, a plat review shall be approved by the Mi p access permit. By this means
To minimize site p g .
Chapter 505 of .the Minnesota Statutes
and Minnesota Rule 8810 prior to the issuance of any p improved
. trunk highway under consideration may suggest alternate or imp
construction and maintenance plans for the portion of the g r lessee.
methods or standards of construction or reconstruction to the property owner and /o
REQUHOEMENTS
is until application is approved and the permit issued.
2. 1. No work under this application is to be started pn
'
Where work on or near the traveled roadway is necessary, proper signs, channelizing devices, warning lights, and barricades
evices and methods shall conform to the
traffic employees, ayees, and pedestrians. All traffic control 1ls Parts I , 11, � and
must be erected to protect � P Devices (MMUTCD), Minnesota Standard Sign Manus
Minnesota Manual on Uniform Traffic Control D �
Mi
Ill and the appropriate provisions of Standard Specification 1710.
p
be deposited or left on the road during the construction
material such as dirt, gravel, material shall p
3. No foreign mat rout =, or bituminous
of driveway or installation of drainage facilities.
4. Roadside must be cleaned up after work is completed.
the Area Maintenance Engineer or his authorized
5. After driveway
construction is completed the permittee shall notify the Minnesota Department
representative that the work has been completed and is ready for final inspection and approval by
of Transportation.
es or alterations in entrances may be made at any time without written permission from the Minnesota Department
No changes time �_ g
of Transportation.
side slo es shall be constructed 6d 1 (6' horizontal
to � 1' vertical) and shall be hand finished and seeded.
7. Driveway side
8. _
rom the shoulder line of the trunk highway for a minimum
distance off
Dzivewa�s s
hall be so constructed as to slope down and away from
� -..`' : a� � feet with a fall of at least 6 inches.
, east 15
y g
Permission
described in the above application, said driveway to be
is hereb ranted for the �canstructian of the driveway as ct to the above requirements and the special
constructed in accordance with MINNESOTA RULES 8810.41 - 8810.56 and subje
provisions.
insure restoration of highway surfaces and to cover payment for any
.. or Bond may be required to insure proper recto g
Certified Check .. incurred by the Minnesota Department al'Transportation
or State property. Additionally, any expense ill y
damage to highways p event that the construction has not been started by the
ant e
the posted deposit null and void and deposit refunded.
above th vsit will be assessed against the applicant. p p
"WORK TO BE COMPLETED ON OR BEFORE" date, this permit becomes ni and .. d . a ... re f.. ed . - -...
Mn /DOT TP -1721 (4 -01)
Page 2 of 2
ENERAL INFORMATION
the Minnesota Department o � Transportation in accordance with
minimize site plan changes, a plat review shall be approved by any access permit. By this means
n� y P
Chapter 505 of
.the Minnesota Statutes and Minnesota Rule 8810 prior to the issuance of ate or improved
Lion of the trunk highway p
construction and maintenance plans for the portion under consideration may suggest alternate
and/or lessee.
methods or standards of construction or reconstruction to the property ow
REQUIREMENTS
1. No work under this application is to be started until application is approved and the permit issued.
proper signs, channelizing devices, warning lights, and barricades
2. where work on or near the traveled roadway is necessary, prop g
'ans. All traffic control devices and methods shall conform to the
must be erected to protect traffic, employees, and pedestrians. Standard Sign Manuals Parts 1, II, and
Uniform Traffic Control g
NI
Minnesota Manual on Devices (MMUTCD), UTC D), M innesota S
III and the appropriate provisions of Standard Specification 1710.
. ., biturninous material shall be deposited or left on the road during the construction
No foreign material such as dirt, grovel, or bitum+nous m P
3. g
of driveway or installation of drainage facilities.
4. Roadside must be cleaned up after work is completed.
shall oats the Area Maintenance Engineer or his authorized
driveway construction is completed the permittee sha notify Minnesota Department
S . After dri y
and is ready for final inspection and approval by the P
representative that the work has been completed
of Transportation.
Y
6. No changes or alterations in entrances may be made at any time without written permission from the Minnesota Department
of Transportation.
7. Driveway side slopes shall be constructed 6.1 (6 horizontal to 1' verticals and shall be hand finished and seeded.
away from the shoulder line of the trunk highway for a minimum
I�rive�ra s shall be so constructed as to slope down and y
8. ; , � ��' with a fall of at least 6 inches.
distance : off' rat ,cast 15 feet
a as described in the above application, said driveway to be
Permission is hereby granted for the .construction of the driveway o the above requirements and the special
constructed in accordance
with MINNESOTA RULES 8810.41 -- 8810.56 and subject t
provisions.
• proper restoration of highway surfaces and to cover payment for any Check or Bond may be required to insure prop ed b th Minnesota Department of Transportation
to highways or State property. Additionally, any expense xncurT by t'vn has not been started by the
damage t
be assessed against the i •
above the posted deposit will b e applicant. In the event that the construe g ,�
{ date, this permit becomes null and void and deposit refunded.
"WORK TO BE COMPLETED ON OR BEFORE da p p s .. - . .
Mn /DOT TP -1721 (4-01)
Page 2 of 2
MAM2O821 CS8214 (TH5) Goldridge Group
THIS PERMIT IS SUBJECT TO THE FOLLOWING CONDITIONS:
The applicant, or their contractor, shall notify Mr. Keith Van Wagner, Mn/DOT Roadway
Regulation Supervisor, at 651- 582 -1443 at least 48 hours prior to starting construction so
State inspection may be arranged, and for approval of all highway materials prior to their
placement. All work authorized by this permit shall meet Mn/DOT specifications.
This permit authorizes the applicant to construct an access to Neal Ave. North, the access
is located approximately 800 feet North of 58`'' Street in the city of Oak Park Heights as
shown on applicant's plan sheet(s).
The applicant shall provide in -house inspection at all times while working on trunk
highway right of way.
The applicant shall furnish, install and maintain all required traffic control devices
according to the Minnesota Field Manual on Temporary Traffic Control Zone Layouts
dated January 2001 (see web page @ www .dot.state.mn.us /trafficeng /), while performing
the construction authorized by this permit.
All persons while performing authorized work on Mn/DOT Right of Way shall be required
to wear a Mn /DOT approved High Visibility Safety Vest and Soft Cap /Hard Hat. Any
authorized night work requires all personnel to wear a MnIDOT approved full night safety
suit (pants and jacket) .
It shall be the responsibility of the applicant to utilize the "Gopher State One Call"
excavation notice system as required under Minnesota Statute Chapter 216D, 48 hours
prior to performing any excavation (Phone 651-454-0002 Twin Cities Metro Area or Toll
Free 1-800-252-1166).
The applicant shall contact the owners of the in -place utilities and make all arrangements
for their relocation or revisions as required due to the construction authorized by this
permit.
No material shall be deposited on the traveled roadway.
The outside edge of the in -place bituminous roadway shall be saw -cut to provide a uniform
edge for the new construction to abut.
MAM2O821 C.S.8214 (T.H.5) Goldridge Group
All areas disturbed by the applicant shall be restored with a minimum of 6" of topsoil
(according to Mn /DOT Standard Specification 2105 Table 1 Topsoil Borrow), then
sodded or seeded. Seed or sod should be the same as /or compatible with the existing
turf cover. If the areas are to be seeded, a Mn /DOT seed mixture comparable to the
existing turf along with Type 1 Mulch and Disk Anchoring shall be used according to
MnIDOT Specification 2575.
The applicant shall perpetuate all existing drainage.
The applicant is required to preserve all existing survey monuments. If Mn /DOT
determines that monuments have been disturbed or destroyed during construction activities,
the applicant shall accept full responsibility for all costs incurred in the re- establishment
of the monuments.
It is expressly understood that this permit is issued subject to the applicant's compliance
with the Rules and Regulations of the Minnesota Environmental Quality Board and any
other affected Governmental Agencies.
Winter work shall be considered from November 1 through April 15, work during this
period shall be on a day to day basis at the discretion of the Roadway Regulation
Supervisor.
All work authorized by this permit and the restoration of the State's right of way shall be
satisfactorily completed by 2 -1 -03.
The applicant or his contractor shall notify the permit office at 651 -582 -1443 for final
inspection.