4632 Beacon Hill Rd - Zoning Permits & PlansCity of Ekan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: planninqacityofeagan.com
r 1
For Office Use
Permit #:
107-134
Date Received: /f -S -1.?"--
2012 ZONING PERMIT APPLICATION
✓ Please submit a set of scaled drawings with the application.
Site Address: 1-10").. 1-'� `1 t i-1111
Address:
1136 [d(;(1.;
_64)-6er 3Q.14 all
City/State/Zip: G/d
Applicant Signature:
Date: !-
❑ Retaining Wall <4 feet 0 Driveway 0 Other:
❑ Patio 0 Sport Court
❑ Sidewalk *Fence
Description of work: 11;5G, A/4, Lc
Approved: No Date of Approval: / 3 t Staff:
Notes: 1 r.;2tict L.-t-uzc 1-0 ri Suc5 riof- rt,S
Revised Plans
Approved:
Approved:
Notes:
Yes / No Date of Approval:
Revised Plans
Approved:
Staff:
No Date of Approval: 2A,
Yes / No Date of Approval:
Staff: (7))-7,--2.,
Staff:
G:\Building Inspections\PERMIT APPLICATIONS \2011\2011 Permit Applications
coo w Ioctotian of Pr of -, Ot and proposed buildings,
too ' .talcru by pprmsat is r tecd.)
C ^.}_ '� b4.4.1Gyoss Vvtcch
(58a 04(47
Ccs , - saa- 344
d �vO55 w44-" h
City otEaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: planning{a)citvofeagan.com
RECEIVED
JUN U 82012
ZONING PERMIT APPLICATION
For Office Use
Permit #: /U4/7 /3
Date Received:
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address:
Name:
TYPE OF
WORK
Address:
1Ek�ir/ _ g(Q('3
�"D3�
Nre-e-ro1 � (_PrCK�oP Phone
: l G
-17 5 a_ rJ n P) c
Applicant Signature:
Email address:
Rt.�"'r°'�zF 23
City/State/Zip.
t( icecAQ Date:
❑ Retaining Wall <4 feet Driveway
0 Patio 0 Sport Court
❑ Sidewalk 0 Fence
0 Other:
Description of work:
backs, hard surface coverage, shoreland zoning, bluffzone/setback
Approved:
Notes:
Revised Plans
Date of Approval:
Property lines to be verified
by contractor/owner.
Feb 7MIT
uaie or Approval:
Staff:
ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, imp
Approved:
Notes:
Revised Plans
Approved:
COMMENTS
Yes / No Date of Approval:
Yes / No
Date of Approval: Staff:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
G:\Building Inspections\PERMIT APPLICATIONS \2011\2011 Permit Applications
ESTIMATE By.#0\-) cilqkl
Date:
Berne 7 -win clue Paver tit -
Name:
Address: k4.)Z UOrsY \'•
City: Wo S 3% 1�"'
1 Permit / No
0 Remove Asphalt Drive (Extra charge if over 4")
❑ Remove Concrete (Extra charge if over 4")
❑ Apron removal 2 car 3 car
❑ Cap Blocks (Does not incl. foundation work)
Remove Gravel, Dirt or Sod
IAA."' Base, after compaction
4 Your existing base and ours
Regrade for proper drainage
Hot Mix Asphalt compacted to )iy'L
❑ Addition to drive
Cl/Concrete, see concrete form 1
. proximate Square feet 1
A�5 Yr. Warranty
Options:
❑ Fabric Installation
❑ Permlock LF
(w)
(f/e)
Customer Initial
Estimated Cost:
Down
Balan
x
r Approval Date
I have read and agree with the terms and conditions on the
reverse side.
SIGN AND RETURN WHITE COPY
2 3 4 5
Licensed • Bonded • Insured
P
L
B
P
RICHFIELD
BLA CICTP
7745 2nd Avenue S.
Richfield, MN 55423
Ph: 612-866-8836 • Fax: 612-866-8078
www.richfieldblacktop.com
No Yes
Replace as is �' ❑
Flares ❑ S
Stumps/Roots S9 0
Water shut off Q ❑
New Cover ❑
Drainage Problem 44 0
Heaving b
❑ Ok to use Bobcat
in yard. Customer
repsonsible for any
yard/landscaping
repair.
Sign
Cross Street
❑ Design on separate copy
Property Line?
5%4
'lr
i
,8__8
Circle One