DRIVEWAY / SIDEWALK/CURB APPLICATION

DRIVEWAY / SIDEWALK/CURB APPLICATION

Village of Minerva Park 2829 Minerva Lake Rd. Columbus, OH 43231 www.minervapark.gov
614-882-5743 www.minervapark.org
PLEASE NOTE: This application is not to be considered complete until all documents are received and approved by the Village Staff/Planning & Zoning Administration.
Project/Property Address or Location*
Work to be done:
(e.g. replace driveway, install sidewalk)
NewReplacementChange (please specify materials, width, or location ________________________
DRIVEWAY WIDTH
PROPOSED DRIVEWAY MATERIAL
CurbLength
SIDEWALK WIDTH
PROPOSED SIDEWALK MATERIAL
SIDEWALK LENGTH (in entirety)
SIDEWALK LENGTH ACROSS DRIVE
CURB REMOVAL? # OF FEET
Additional Information (if applicable)
APPLICANT Name (primary contact) do not use a business name*
APPLICANT ADDRESS
APPLICANT EMAIL*
example@example.com
APPLICANT PHONENUMBER
Format: (000) 000-0000.
CONTRACTOR Name
Contractor Address
Contractor Email
example@example.com
Contractor Phone No.
Format: (000) 000-0000.
PROPERTY OWNER (if different from applicant)
Property Owner Contact Information (phone no./email)
Format: (000) 000-0000.
SITE PLAN REQUIRED!(upload below)

Please show property lines, all dimensions of existing structures, any proposed structures, and how far structures are from one another, and dimensions from the property lines (you may use graph paper, or any other site plan showing this required information).
File Upload*

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APPLICANT SIGNATURE BELOW CONFIRMS THE SUBMISSION REQUIREMENTS HAVE BEEN COMPLETED

I certify that the information on this application is complete and accurate to the best of my knowledge, and that the project as described, if approved, will be in accordance with the conditions and terms of that approval.
Applicant Signature*

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FEES

DRIVEWAY NEW INSTALL (Residential $25)

DRIVEWAY NEW INSTALL (Commercial) $100

DRIVEWAY RESURFACE (Residential) $25

DRIVEWAY RESURFACE (Commercial) $100

SIDEWALK NEW INSTALL (Residential) $25

SIDEWALK NEW INSTALL (Commercial) $100

SIDEWALK - REPLACEMENT (Residential) $25

SIDEWALK REPLACEMENT (Commercial) $100

CURB NEW INSTALL (RESIDENTIAL) $25

CURB REPLACEMENT (RESIDENTIAL)$25
REQUIRED INSPECTION
Please call 614-882-5743 for inspections

1. Rough Inspection The final grading and any forms must be inspected and approved before any concrete is placed. The correct expansion material must be on site in sufficient quantity

2. Final Inspection: A final inspection shall be scheduled upon completion including removal of forms, completion of backfill, and seeding/sodding.
AUTHORIZATION CONSENT FORM
AUTHORIZATION TO VISIT PROPERTY-Must be completed by property owner

I, the owner or authorized owner's representative of the subject property listed on this application, hereby authorize City representatives to visit, photograph and post notice (if applicable) on the property as described in this application.
PROPERTY OWNER SIGNATURE*

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AGREEMENT TO COMPLY AS APPROVED-Must be completed by property owner

I, the applicant of the subject property listed on this application, hereby agree that the project will be completed as approved and any proposed changes to the approved plan shall be submitted for the review and approval to the Planning and Zoning Division staff
Applicant Signature*

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AUTHORIZATION FOR OWNER'S APPLICANT OR REPRESENTATIVE(s):if the applicant is not the property owner, this section must be signed.

By typing the representative's name in the box and signing below, the signee authorizes the representative to act on the signees behalf, and agrees to be bound by all terms and agreements made by the designated representative.
REPRESENTATIVE NAME
Signature

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Credit/Debit Card: Select your project type and complete CC payment formCash/Checks may be mailed to/dropped off at 2829 Minerva Lake Rd. 43231

STAFF USE ONLY-PERMIT #,
STAFF USE ONLY: PMT INFO; DATE; INITIALS
Should be Empty:

DRIVEWAY / SIDEWALK/CURB APPLICATION

REQUIRED INSPECTION

AUTHORIZATION CONSENT FORM

Payment Methods