2. Project Information
4. Property Address*
6. Contact email*
8. Type of Property*

   1. Single-family residential

   1. Multi-family residential

   1. Commercial/Industrial
12. Applicant Information
14. Name of Applicant*
16. Address*
18. City*
19. State*
20. Zip Code*
22. Contact Person*
23. Phone
24. Cell Phone
26. Applicant type*

    1. Property Owner

    1. *Tenant/Occupant

    1. Contractor
28. Owner approval
    *Tenant/Occupant must submit written approval from property owner with application
29. Contractor name*
    (contractor name must be submitted if not applicant)
31. Applicant is responsible for all locations and Gopher State One Calls. Please describe and check all that apply. Include one scale drawing of the project area.
35. Driveway / Access Information
37. Type of Application*

    1. New Construction

    1. Replacement

    1. Alteration
39. Type of Work*

    1. Driveway

    1. Curb Cut

    1. Apron

    1. Curb/Gutter Work
41. Does Driveway Cross the Sidewalk*

    1. Yes

    1. No

    *see note below on sidewalk replacement
42. If yes, will the sidewalk be replaced

    1. Yes

    1. No
44. Description of project*
46. Existing Driveway*

    1. Yes
    2. No
47. Existing curb cut/apron*

    1. Yes
    2. No
48. Width
50. Existing driveway material

    1. Gravel/dirt
    2. Concrete
    3. Asphalt

    1. Pavers
    2. Pervious pavement
51. Proposed driveway material*

    1. Gravel/dirt
    2. Concrete
    3. Asphalt

    1. Pavers
    2. Pervious pavement
53. Proposed driveway width*
54. Proposed curb cut width*
56. Installation by*

    1. Property owner

    1. Tenant/Occupant

    1. Contractor
60. Driveway / Access Diagram*
    The following must be included on the drawing submitted.
    

    • Lot width and depth
    • Location of the house, garage(s), sidewalk(s), shed, or any other structures or hard cover with surface area indicated in square feet
    • Location of the existing driveway and curb cut (as applicable) with surface area indicated in square feet
    • Location of the proposed driveway and curb cut indicated in red pen/pencil with surface area indicated in square feet
    • Distance from the proposed driveway to all property lines
    • SIDEWALKS - driveways that cross City sidewalks must meet the following conditions: Sidewalk must be six (6) inch concrete and sidewalk cross slope cannot exceed two percent. FAILURE TO MEET CONDITIONS WILL RESULT IN REPLACEMENT OF SIDEWALK.
62. Specifications
    Concrete Walk and Curb Returns at Entrances
66. Acknowledgement and Signature
    The undersigned has read and agrees to abide by the city’s driveway/access/curb cut ordinance and regulations. The undersigned understands that this application will be processed in accordance with established city review procedures at such time as it is deemed complete and no work may commence prior to city approval. Failure by the applicant to supply accurate and necessary information as requested by the city may be cause for denying this application. The undersigned hereby understands that if the city finds that the driveway/access/curb cut is not in compliance with city ordinances, the city may require the work to be brought into compliance, upon notice to the property owner. The undersigned hereby applies for the work stated in this application form and declares that the information on this application is accurate and complete, to the best of their knowledge.
68. *Applicant Signature*
    *Actual signature (not electronic) will be required on the City's permit document
69. Date*
71. Once your permit has been approved by the City, you will receive an email with your permit number, which is required for online payments. Payment can then be made at the City's webstore, in person at City Hall, or with a check through the mail.
75. Approval

    1. Approved as submitted
    2. Approved with conditions
    3. Denied
76. Permit Fee
77. Permit Number
79. Approved by
80. Date
82. Staff review comments/conditions
84. Payment
    City of Brainerd Webstore

    The following link can be used for making payments online
Leave This Blank:


86. 1. Receive an email copy of this form.
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field