Public Works Procedures & Checklist Driveway Permit Application [City Staff Use Only] Site Address: Permit Approval The property owner or contactor must submit a driveway service permit. City Reconstruction Project Coordination - Project Engineer will handle all driveway permits related to annual neighborhood reconstruction work. Permit is required, a security deposit is not required. Security Deposit - Engineering staff will accept monetary deposit (business checks from contractor, cash, cashier s check, or bond). If bond is provided, place it with permit copies. If check or cash is provided, place in sealed envelope and properly label with address of permit location and have Finance Department place in City vault. Engineering staff to make copies of the permit for applicant (keeping original). File original in red folder (located in Maria s area). Inspection Procedures When applicant calls for subgrade inspection (763-569-3340), coordinate with inspector the date and time of inspection. Inspection Date: Time: Inspector must review subgrade and review the original permit application for compliance with approved permit. Inspector shall email publicworks@ci.brooklyn-center.mn.us inspection approval, and office staff to date and initial original permit. When applicant calls for final inspection (763-569-3340), coordinate with inspector date and time. Inspection Date: Time: Inspector to conduct final inspection of driveway. Inspector shall email publicworks@ci.brooklyncenter.mn.us inspection approval, and office staff to date and initial original permit. Permit Closeout Procedures When work is completed and meets the satisfaction of the department, the permit shall be closed and the monetary deposit returned to the applicant. City staff shall release monetary deposit. Personal checks can be mailed or picked up (check for preference). Cashier s checks should be picked up at the Engineering Office by applicant. Failure to comply with the Permit General Conditions may result in reconstruction of all or part of the project to the satisfaction of the City Engineer; or assignment of the project completion to a competent party with subsequent costs charged against the property owner. Scan and log copies. Date: Signature: Engineering Division
Driveway Permit Site Address: Applicant Name: Address: Phone Number: Email: Contractor : Address: Phone Number: Email: General Conditions 1. The applicant/contractor must provide and is responsible for maintaining traffic control as specified in the latest version of the Minnesota Manual of Uniform Traffic Control Devices (MMUTCD). If the applicant/contractor does not possess a copy of MMUTCD, one can be obtained from the Engineering Division. 2. Storing equipment and materials on the City street, sidewalk/trial or within public right-of-way is not allowed. Any damage to the City s public infrastructure (e.g. street, sidewalk, utilities) will need to be repaired at the applicant s expense as prescribed by the City Engineer. 3. The driveway subgrade must be inspected by the Public Works Engineering Division prior to concrete or asphalt placement. 4. The applicant must use the City standard driveway plate for all work with in the City right-of-way. 5. Contractor must use Minnesota Department of Transportation (Mn/DOT) concrete mix 3A32 on all concrete with in right-of way. 6. Failure to comply with these required General Conditions may result in reconstruction of all or part of the project to the satisfaction of the City Engineer, or assignment of the project completion to a competent party with subsequent costs charged against the posted monetary deposit or bond. 7. City Engineer shall release balance of monetary deposit against which it has no claim upon project completion and acceptance by the City. Required Inspections Date: By: Date: By: City Staff Use Only 1. Pre Pour The roadway pavement, concrete curb and gutter, driveway apron and sidewalk and trails must be inspected by the Public Works Department prior to placement of concrete or asphalt pavement. Call 763-569-3340. (See the General Conditions above) 2. Final Inspection Finished roadway pavement, concrete curb and gutter, driveway aprons and sidewalk and trails must be inspected by the Public Works Department following the placement of concrete or asphalt pavement. Call 763-569-3340. (See the General Conditions above) Applicant Signature Date
Sketch City Staff Use Only Restoration Bond or Monetary Deposit Bond Amount collected per Restoration Bond Schedule: $ Check or Cash Check or cash returned to applicant (date):, 20 Date Permit Closed by:
TOLEDO AVE N SCOTT AVE N MAJOR AVE N LEE AVE N Azelia Ave GRIMES AVE N EWING AVE N HALIFAX AVE N FRANCE AVE N A EWING AVE N DREW AVE N DREW AVE N BROOKLYN BLVD XERXES AVE N P NEWTON AVE N LOGAN AVE N MORGAN AVE N MORGAN AVE N KNOX AVE N IRVING AVE N FREMONT AVE N RESTORATION BOND AMOUNTS Brooklyn Center Public Works Department 6301 Shingle Creek Pkwy Brooklyn Center, MN 55430-2199 763-569-3340 763-569-3440 fax UNITY AVE N PONDS DR N 72ND C IR N 71ST CIR N 70TH CIR N TOLEDO AVE N SCOTT AVE N QUAI WIN G ARD PL L CIR W 71ST AVE N REGENT AVE N REGENT AVE N QUAIL AVE N 71ST A V E N PERRY AVE N 69TH AVE N ORCHARD AVE N Noble Ave NOBLE AVE N LEE AVE N KYLE AVE N WOODBINE LA N JUNE AVE N INDIANA AVE N 73RD AVE N France Ave N 69TH AVE N FRANCE AVE N WOODBINE LN 72ND AVE N VIOLET AVE N URBA N A VE N N PALM ER 69th Ave N L AKE DR W BEARD AVE N 69TH AV E N ZENITH AVE N PE NN AV OLIVER AVE N E N 73RD AVE N WOODBINE LN IRVING LN N 72ND AVE N AMY LN 71ST AVE N 69th Ave N IRVING PL Humboldt Ave N FREMO NT PL N EMERSON LN N Dupont Ave N 73rd Ave N WOODBINE LN BRYANT AVE N 72ND AVE N 70th Ave N HIGHWAY 252 HIGHWAY 252 RIVER RD W DALLAS RD LN WILLOW IVERDALE RD R WILL OW LN 68TH AVE N 68 TH AVE N Shingle Creek Pkwy 68TH AVE N VERA CRUZ AVE N UNITY AVE N INTERSTATE 94 HOWE LA 66TH AVE N WINCHESTER LN PAUL DR TOLEDO AVE N ELEANOR LN BOULDER LN 62ND AVE N SCOTT AVE N INTERSTATE 94 PERRY AVE N PERRY AVE N 63rd Ave N REGENT AVE N QUAIL AVE N QUAIL AVE N HOWE LN 61ST AVE N ORCHARD AV E N ORCHARD A VE N NOBLE AVE N NOBLE AVE N MAJOR AVE N 66TH AVE N WINCHESTER LN 65TH AVE N LEE AVE N KATHERIN E DR MAJOR AVE N LEE AVE N 58TH PL N 64TH AVE N KYLE AVE N JUNE AVE N June Ave N MARL I N DR Halifax Ave JO YCE LN 62ND AVE N JANET LN Brooklyn Blvd 58th Ave N Eckberg Dr France Ave N BEARD AVE N CHOWEN AVE N 65TH AVE N 53rd Ave N 63RD AVE N 61ST AVE N 61ST AVE N BASS LAKR RD HALIFAX AVE N H ALIFAX PL TW IN LAKE BLVD E OAK ST N 5 HALI FA X DR PEAR SON DR FRANCE 1ST AVE N PL 57TH AVE N BURQUEST LN 56TH AVE N ECKBERG DR 66TH AVE N COMMODORE DR ADM IRAL LN DREW AVE N 6 5T H AVE N FRANCE AVE N EWING AVE N EWING AVE N D MIRA L 55TH AVE DREW AVE N 58 1/2 AVE N N 54TH AVE N SAILOR LN 53R D PL N 52ND AVE N LN N NORTH P BEARD AVE N 62ND AVE N ADMIRAL LN N EWING A V E N 57TH AVE N THURBER RD 67TH AV E N POE QUARLES RD RD OHENRY RD 60TH AVE N ABBOTT AVE N 56th Ave ORT DR LAWR E N 55th Ave LILAC DR N BR OOKLYN BLVD OHENRY RD N 64TH AVE N XERXES AVE N MUMFORD R D ZENITH AVE N C E RD YORK AVE N 68TH LA N XERXES AVE N 67 TH 59TH AVE N LA N NASH RD Xerxes Ave N XERXES AVE N OHENRY RD 63RD AVE N NORTHWAY DR LILAC DR N 51st Ave VINCENT AVE N Bass Lake Rd 53RD AVE N BROOKLYN DR UPTON AVE N Freeway Blvd INTERSTATE 694 Shingl e Cre ek Pkwy BASS LAKE RUSSELL AVE N RD LILAC SHINGLE CREEK PKWY John Martin Dr DR N BROOKVIEW DR ERICON DR QUEEN AVE N PENN AVE N A RK W AY CIR HIGHWAY 100 L N JUDY OLIVER AVE N MORGAN AVE N NEWTON AVE N SHINGLE CREEK PKWY 57TH AVE N EARLE BROWN DR Summit Dr SUMMIT DR N HIGHWAY 100 JAMES AVE N JAM E S CIR N LOGAN AVE N Logan Ave N FREEWAY BLVD KNOX AVE N KNOX AVE N 56TH AVE N 53RD AVE N JAMES AVE N 54TH AVE N HUMBOLDT AVE N 67th Ave N 65th Ave N 59th Ave N IRVING AVE N IRVING AVE N GIRARD AVE N 58TH AVE N HUMBOLDT AVE N Humboldt Ave N GIRARD AVE N GIRARD AVE N FREMONT AVE N 63 RD LN N 60TH AVE N FREMONT AVE N DUPONT AVE N LILAC DR N 53rd Ave N COLFAX AVE N 64TH AVE N LILAC 62ND AVE N Dupont Ave N DUPONT AVE N 66TH AVE N 65TH AVE N DR COLFAX AVE N BRYANT AVE N N 61ST AVE N 66th Ave N 59TH AVE N 58TH AVE N 57th Ave N BRYANT AVE N BRYANT AVE N ALDRICH AVE N ALDRICH AVE N 55TH AVE N 56TH AVE N 5TH ST N BELLVUE LN N 4TH ST N LYNDALE AVE N WILLOW LN 65TH AVE N INTERSTATE 694 Lyndale Ave N 50th Ave N BEARD AVE N 50TH AVE N Legend TWIN LAKE AVE LAKEVIEW AVE N France Ave 48TH AVE N 47TH AVE N 49TH AVE N Schedule A Schdedule B County Road (County Permit Required) Restoration Bonds or Monetary Deposit Schedule A Schedule B Driveway Permit $2,500.00 $1,500.00 Water & Sewer Permit Street Cut $4,000.00 $2,500.00 Sidewalk Impacts Only $250.00 $250.00 June 2013