Laserfiche WebLink
APPLICATION FOR CONCRETE PERMIT <br /> CITY OF WINONA - ENGINEERING DEPARTMENT <br /> 207 Lafayette Street, PO Box 378, Winona MN 55987 <br /> (507) 457-8269 (507) 452-1239 Fax <br /> This application must be approved by the Engineering Office <br /> and the permit received before work begins. <br /> Applicant Date <br /> (City of Winona Licensed Concrete Contractor) <br /> Property Address Property Owner <br /> SIDEWALK-$10.00 DRIVEWAY APPROACH -$10.00 <br /> New Construction New Construction <br /> Replace Replace <br /> Replace-Sidewalk Project Replace-Sidewalk Project <br /> Repair Repair <br /> Other Other <br /> HANDICAP RAMP-$10.00 CURB&GUTTER-$10.00 <br /> New Construction New Construction-Including New Curb Cut <br /> Replace Replace <br /> Replace-Sidewalk Project Replace-Sidewalk Project <br /> Repair Repair <br /> Other Other <br /> Additional Information: (New Construction for Driveway Approach, Curb & Gutter only) <br /> Rental Property: 0 Yes 0 No Estimated Start Date: <br /> Proposed driveway approach is needed for: <br /> Requirements: <br /> 1. No work under this permit application is to be started until application is approved and the permit is issued. <br /> 2. Concrete construction within the street R.O.W. is governed by Chapter 25 of the City of Winona. Work being done in the <br /> right-of-way is to be done in strict conformity with all City ordinances and under the control and supervision of the City <br /> Engineer or his designee. <br /> 3. In requesting this permit, it is understood that it is the Contractor's responsibility to locate the existing utilities. The <br /> Contractor shall call Gopher State One-Call at 1-800-252-1166 for underground location. A 48 hours' notice is required by <br /> Gopher State. <br /> 4. It is further understood that the City is not responsible for their exact location. <br /> Permit No. Permit Cost <br /> Sidewalk or Ramp $ Receipt No. <br /> Driveway Approach $ Receipt No. <br /> Curb & Gutter $ Receipt No. <br /> *Delay Penalty $ (Master Card or Visa Card only) Pymt: <br /> Total Charges: $ Cash Check Credit Card Debit Card <br /> Approved by: <br /> Engineering Department <br /> *Delay penalty of$300 will be charged for doing work without a permit. Revised 1113117 <br />