1298 Berry Ridge Rd - Zoning Permits & PlansPLANNING
Setbacks, hard surface coverage, shoreland zoning, bluff zone /setbacks, etc.
/ Denied
Notes:
Date:
Staff: • / A
Address: 7 y d e ),,L 5 111 City/State /Zip: L- d (co 55-w
,
Revised Plans
Approved: Yes / No Date: Staff:
ENGINEERING
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc.
Approved / Denied
Notes:
Date: Staff:
Revised Plans
Approved: Yes / No Date: Staff:
COMMENTS
PROPERTY
INFORMATION
Site Ad ip2 ? y 8err\( i -
Owner Name: C n bOL\(
CONTACT
Name: . e�� f .X q � I` 1 Vp Phone: Ci'�01 `Z a - -- %
Address: 7 y d e ),,L 5 111 City/State /Zip: L- d (co 55-w
Z---
Date: 2_ i -
Applicant Signature: " ■A 5
Email address: f11' R,,CJ1 rf() 61gd ?4 . 1oM
TYPE OF
WORK
13 Retaining Wall <4 feet Vgtpriveway Q Other:
0 Patio 0 Sport Court
❑ Sidewalk ' ❑ Fence c f
Description of work: ' t`� 5 i c e / c Q / f L t-G/i/C
4, City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5685
Fax: (651) 675 -5694
Email: planningacitvofeacan.com
RECEIVED AUG 0 2 2012
For Office Use
4 ��
Permit #: 0
Date Received:
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
L
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Ca
48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orn
G •\Building Inspections\PE RMIT APPLICATIONS12011 12011 Permit Applications
ESTIMATE By:
Date:
Name:
- The Twin Cities Paver of Choice -
# )
(h)
(c)
(w)
(fle)
Estimated Cost:
Down
Balance
•
•41 4
•
Address: • •
City: -
0, Permit :Yes)/ No
.5-Remove A‘S456alt Drive (Extra charge if over 4")
ID Remove Concrete (Extra charge if over 4")
CI Apron removal 2 car 3 car
Cap Blocks (Does not incl. foundation work)
O Remove Gravel, Dirt or Sod
Base, after compaction
O Your existing base and ours
.0' Regrade for proper drainage
Hot Mix Asphalt compacted to
O Addition to drive
O Concrete, see concrete form
• Approximate Square feet
Yr. Warranty
Options:
• Fabric Installation
• Permlock LF
Customer Initial
1 2 3 4 5
• .!
X
Customer Appitay.i I Y Date
I have read and agree with the terms and conditions on the
reverse side.
SIGN AND RETURN WHITE COPY
Licensed • Banded • Insured
P
L
B
P
Replace as is
Fares
Stumps/Roots
Water shut off
New Cover
Drainage Problem
Heaving
No
0
0
Yes
O • .
OK to use Bobcat
in yard. Customer
repsonsible for any
yard/landscaping
repair.
Sign
Cross Street
Design on separate copy
Property Line?
RICHFIELD
BLACICTOP
7745 2nd Avenue S.
Richfield, MN 55423
Ph: 612-866-8836 • Fax: 612-866-8078
www.richfieldblacktop.com
Circle One
179686