1722 Cochrane Ave - Zoning Permit & Plans4 CityofEaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5685
Fax: (651) 675 -5694
Email: planninq(a.citvofeaaan.com
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address: /722- ('O 4 l'-an e t
Name:
Avg 4 iv? c//f y / 4 ve $uy e
Phone: 4
Address: 71 C 1 `t S iA) City /State/Zip: Zv i f t t L 12
Date: 1-11 11 112_
Applicant Signature:
Email address:
%Driveway
❑ Sport Court
❑ Fence /
Description of work: (PLO k in/C-0.... 82c (<51-7 GLrr li`L
❑ Retaining Wall <4 feet
❑ Patio
1 ESidewalk
RECEIVED
APR 1 6 2012
ZONING PERMIT APPLICATION
t
jvyr10445 Y @
t 1:i ors • Cowl
❑ Other:
For Office Use
Permit #: /0
Date Received:
L
Approved:
Notes:
/ No Date of Approval: t 2 .' Staff:
Revised Plans
Approved:
Yes / No
Date of Approval: Staff:
ENGINEE
Approved:
Notes:
Yes / No
Date of Approval:
Staff:
Revised Plans
Approved: Yes / No
Date of Approval:
Staff:
MENTS
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.aopherstateonecalt.ora
G:\Building Inspections \PERMIT APPLICATIONS12011\2011 Permit Applications
i
ASPHALT & CONCRETE BUY KNOX, INC.
Contact Pers_o�r i
Cross Street \'�� -� :R \c�‘ f ` '�.-• � Q- J Q.e ( 1 -IL
Site Address
C H e P on1e,� ,N
ZIP 1 Work Phone
Date Sold Cell Phone
Le ead Sotirca
p Co-o Salesperson 1- LilLt r 1 te'
Details Yes No
Cable ❑ ki
Drainage Prot'. ❑
Electnc Wires ❑ 2
Gas Line ❑.m
Grade Change 0 .1E1
Heaving ❑ In
Overhead WiresO Q
Phone Wires ❑ ❑
Roof Overhang 0121
Saw cut at streetD
Sprinkler Systerr❑ ❑
Tree Limbs ❑ ❑
Tree Roots ❑
Tree Stumps 01
Water Shut -off 0f1
•
J
4i
EXCAVATE Q
�L
BASE &
EXTRA
TRUCKS
IN /OUT
SAW
CUT
Little Bob
CLAY
BARRIER
1 t 5C. _Gust
Work
STEP
REMOVAI,
5 ' Prop.Dist. If
SP PT WL FT
A/C: 5" F . 21/2" O/L Partial
BASE: B1 ey, B3 B4 Other
REPLACE
WITH
WHEEL
BARROW
CUSTOM
WORK
Sir!eview
PERMIT l N ❑
r�
Date Applied:
• A/C
GOPHER: Y0 N
Approval: #
ta
' .d
-- --- - -- Existing
New
SIP on Site .
r�heduling Concerns:
None. as Listed
SPECIAL INSTRUCTIONS:
OFFICE
Office Use
CUSTOMER TO ADJUST SUR-
ROUNDING HEIGHTS TO MATCH
FINISHED EDGES AS DISIRED
CREW
Regarding this installation is everything you wanted in writing? Customer has received Instruction booklet Customer agrees to pay required permit tees. p r ES
If not, Please put it in writing, sign and attach. DO IT RIGHT ...THE FIRST TIME... BUY KNOX �� Initial C/�
176539
176539