Fillable CURB CUT / DRIVEWAY PERMIT APPLICATION SITE INFORMATION (City of Yukon)

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CURB CUT / DRIVEWAY PERMIT APPLICATION SITE INFORMATION (City of Yukon)

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The CURB CUT / DRIVEWAY PERMIT APPLICATION SITE INFORMATION (City of Yukon) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Yukon

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P. O. Box 850500 Yukon, OK 73085 T: 405.354.6676 F: 405.350.8929 www.cityofyukonok.gov
CURB CUT / DRIVEWAY PERMIT APPLICATION
SITE INFORMATION
Location of Work:_______________________________________________________
Applicant:___________________________________Phone:____________________
Address:_______________________________________________________________
City:____________________________ State:___________ ZIP:_________________
E-Mail:_________________________________
Subdivision:______________________Lot:_________Block:____________________
Owner:______________________________________Phone:____________________
Address:_______________________________________________________________
City:____________________________ State:____________ ZIP:________________
REQUESTED PERMITS:
Curb Cut ☐ Driveway ☐
TYPE OF PROPERTY AND FEES:
Commercial - $150.00 ☐ Industrial - $150.00 ☐ Residential - $75.00 ☐
MATERIAL TYPE:
Concrete ☐ Asphalt ☐
CHECK ALL THAT APPLY:
New ☐ Alteration ☐ Repair ☐ Addition ☐
ESTIMATED COST OF IMPROVEMENT $______________________________
CONTRACTOR’S INFORMATION:
Name:_________________________________________Phone:_________________
Address:_______________________________________________________________
City:____________________________State:___________ZIP:___________________
Contractor Registration #:______________________Expiration Date_________
Project Supervisor:_________________________ Phone:_____________________
E-Mail:________________________________
P. O. Box 850500 Yukon, OK 73085 T: 405.354.6676 F: 405.350.8929 www.cityofyukonok.gov
INSPECTIONS:
An inspection request shall be made at least 24-hours prior to pouring concrete, after the
proposed work has been formed and made ready to pour. For curb cut and driveway
inspections please call (405) 354-6676, state the job address, the type of inspection you are
requesting and when you will be ready for inspection. Inspections are to be called in after
excavations are made and form work is in place, but prior to pouring concrete.
It shall be the contractor’s/owner’s responsibility to ensure that all work is done in a professional
manner with all curb cuts to be saw cut. The contractor/property owner is responsible for
ensuring that barricades or other warning devices are placed where necessary and that the site
is left clean upon completion of the work. Any sidewalk or other public improvements must be
repaired or replaced if damaged during construction.
A SITE PLAN IS REQUIRED TO ACCOMPANY APPLICATION SHOWING EXISTING BUILDINGS, FENCES
AND OTHER STRUCTURES ALONG WITH THE DRIVE LOCATION AND THE LOCATION OF OTHER
DRIVES, STREETS, AND ALLEYS.
DRIVEWAYS AND CURB CUTS LOCATED ON STATE HIGHWAYS REQUIRE THAT THE APPLICANT
SUBMIT A COMPLETED STATE OF OKLAHOMA, DEPARTMENT OF TRANSPORTATION DRIVEWAY
PERMIT APPLICATION WITH THIS DOCUMENT.
APPLICATION MUST BE SUBMITTED TO THE DEVELOPMENT SERVICES DEPARTMENT AND APPROVED
PRIOR TO WORK BEING STARTED
CITY OF YUKON INSPECTOR MUST INSPECT ALL WORK.
PLEASE CALL (405) 354-6676 FOR INSPECTIONS
APPLICANT CERTIFIES THAT ALL INFORMATION GIVEN IS CORRECT AND THAT ALL-PERTINENT CITY
ORDINANCES WILL BE COMPLETED IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED.
I hereby certify that I am the owner of record of the named property or that the proposed work
is authorized by the owner of record and that I have been authorized by the owner to make this
application as his/her authorized agent and I agree to conform to all applicable laws of this
jurisdiction. In addition, if a permit for work described in this application is issued, I certify that the
code official or the code official’s authorized representative shall have the authority to enter
area covered by such permit at any reasonable hour to enforce the provisions of the code(s)
applicable to such permit.
Signature:______________________________________________________________Date:________________
For Office Use Only
Single Driveway Approval Required Yes ☐ No ☐
Reviewed_______________________________ Date_____________
Staff Approval Required Yes ☐ No ☐
Reviewed_______________________________ Date_____________
Development Services Director ☐_______________________________________________
Public Works Director ☐_______________________________________________
City Manager ☐_______________________________________________
Planning Commission Approval Required Yes ☐ No ☐ Date_______________
Approved ☐ Denied ☐
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CURB CUT DRIVEWAY PERMIT APPLICATION SITE INFORMATION (City of Yukon)

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Completed 2 August 2020

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