3636 Ashbury Rd - Zoning Permit 07/16/2013 15:34 N0.265 9001
Fvr office Use
I
• ~~3
Permit
410. City of Eaell
3830 Pilot Knob Road
I Date Received:
Eagan MN 66122
Phone: (651)676-5685
Fax: (651) 675-5694
Email: Qlanning0citvofeagan.com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Ej
Slte Address: 3 (
2
Propt9rt
information ( ~
Owner Name: ` (G r
Name: Q Phone:
C ~
Address: G1 C) f-'> City/State/Zip P"'C-W
Applicant Signature: ) Date.
Email address:
❑ Retaining Wall <4 feet riveway Q Other:
Patio El Sport Court
`Type of Work_ ❑ Sidewalk ` Fenc
~ I
.
Description of work: 5 ` s
V
g .zgningr bttlCf ettks, etc
Pfattnin Sett~tcks, hdUrfee covers eitofeldrld
Approved 1 nied Date: 7'/~ " Staff e2~~~r
MocX (4C, Z z' a l/Duled e9 +V W- -F-f W 0✓Ki^,5 ;-*7 J210LA)
D b- h -4?-. per-evt i-E kaes- qs by
- lo-7s
Revised Plans
Approved: Yes 1 No Date: Staff:
Englrif rang GrSditrg, drainage. utility ~ t9-;W etland ' erosion control, Imprademen~ ire the F2ig~tt of-WaY etc.
Approved I Denied Date: Staff: br.'/ln,_.
Notes:
Revised Plans
Approved: Yes ! No Date: Staff:
Gbm rt►~ttts
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherlstateonecatLora
G:Neuilding Inspoctlon.APERMIT APPUCATIONW011\2011 Permit Applications
07/16/2013 1535 N 0 . 2 6 5 8002 3
gely
The Twin Cities Paver of Choice -
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ESTIMATE By: #
Date: I : A
Name: .„l> r5 ~
7745 2nd Avenue S.
Address:.,, s L Richfield, MN 55423
B Ph: 612-866-8836 - Fax: 612-866-8078
City: P www.nchfieldblacktop.com
No Yes ❑ Ok to use Bobcat
(c) _ Replace as is (3 in yard. Customer
Flares u repsonsible for any
(w) Stumps/Roots 16) G yard/landscaping repair.
Permit No Water shut off ~ ❑
Remove Asphalt Drive (Extra charge if over 4") New Cover 1~ ❑ Sign
O Remove Concrete (Extra charge if over 4") Dralna a Problem u O
❑ Apron removal 2 car.... 3 car ❑ Design on separate opy
U Cap Blocks...---(Does not incl. foundation work)
O Remove Gravel, Dirt or Sod " S
20 c/ Grbase, after compaction
E
U Your existing base and ours
Regrade for proper drainage
! Hot Mix Asphalt compacted to
0 Addition to drive
❑ Concrete, see concrete form
ja Approximate Square feet~~;5
E Yr. Warranty J
Yr. Asphalt Protection Plan (see details on back)
Options: c''on `°CIA p
~4- y !
* Fabric Installation SF
~/7 0 S 1 S~ -e V j?h.kX
O Permlock L$
Customer Initial
Z1L
Estimated Cost:'
Down
Balance ~
X ___x~' 7IL4Aa.13
Customer Approval Date
I have read and agree with the terms and conditions an the reverse side. Property lines to be verified
Property Line? by contractor/owner.
SIGN AND RETURN WHITE COPY
1 2 3 4 5 Circle One
Licensed • Bonded • Insured