Sidewalk/driveway Construction Permit Application Form - City Of Waterville
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1City of Waterville
Department of Public Works
25 N. Second Street
Waterville, Ohio 43566
®
(419) 878-8100
SIDEWALK/DRIVEWAY CONSTRUCTION PERMIT APPLICATION
(Codified Ordinances Chapters 913 & 917)
Property Owner __________________________________________________________________________________
Address of Proposed Sidewalk/Driveway_________________________________________________________________
Mailing Address of Owner (if different)_ _________________________________________________________________
Phone Number ___________________________________________________________________________________
Legal Description of Property _________________________________________________________________________
Sidewalk Contractor _________________________________ Address _______________________________________
Square Feet of Sidewalk to be Constructed (in public right-of-way) ______________________________________________
Driveway Contractor ________________________________ Address _______________________________________
Phone Number _____________________________________ Bond on file with City? Yes _________ No _________
Width of Driveway at Edge of Street or Alley (including taper) _________________________________________________
Driveway Material (e.g. concrete or asphalt—must be impervious and dustless) ____________________________________
Thickness of Driveway (minimums—6” concrete or 2” asphalt on 6” stone base—primed) ____________________________
Use to be Served by Driveway (residential, commercial, industrial, other) _________________________________________
If not Residential, Give Specific Type of Business or Industry __________________________________________________
LOT LINE
CURB LINE –OR– EDGE OF PAVEMENT
PUBLIC STREET OR ALLEY
The property owner does hereby agree that in consideration of the granting of the requested permit the City of Waterville will be
held harmless from any and all damages. That construction will be in full compliance with Ordinances of the City of Waterville
and the Laws of the State of Ohio and that all statements made herein are true and correct.
__________________________________________________________
____________________________
Applicant (Property Owner)
Date
CITY OF WATERVILLE USE ONLY
Permit Approval
By
Approved
Disapproved
Date
Application No. _____________________________
Zoning Inspector
_____
_________
_________
_______
Date Received ______________________________
PW Service Director
_____
_________
_________
_______
Work Completed in Accordance with Chapters
913 &
917: Inspected By: ___________________________________
_______
Date
Sidewalk Permit Fee: $ ___________________
Driveway Permit Fee: $ _________________
(Cost: $25.00 + .05/sq. ft in excess of 200 sq. ft.)
(Cost: $25.00 + $2.00/ft.)
TOTAL FEE PAID: $ _______________________ DATE: _______________________ RECEIPT # ____________________
2-15
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