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4659 Kingsbury Dr - Zoning Permit & Plans 07/23/2013 19:12 N0.290 #001 For Office Use My of EaRan Permlt o 33 3630 Pilot Knob Road I 1Ij I Eagan MN 55122 I Date Received: C! T i--_______--- I Phone: (651) 675-5665 Fax: (651) 675-5694 Email: piannina#Dcitvofeaoan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. r Site Address: " Property X ' Inforrtatlo.... Owner Name: C'U4 (A - L Name: ~L. 1l''_~ ` _•~1CC.~-. Phone: Address: City/State/Zip: Applicant Signature: Date: r~ I C 4\il~~ Email address: I'b~h ICtt_ t F.~C1 Q Retaining Wall <4 feet ,Driveway p Other. 0 Patio ❑ Sport Court l~/pe,4f Wark ❑ Sidewalk ❑ Fce Description of work: Plannt 9 Setpacks hi~ird 94. Pce cov.0r.0 , ho la>P~d omnn , bluFPzonelsetpacks ;etc / Denied Date: - -CStaff: Notes: Revised Plans Appr o ved. Yes/No Date: Staff: ngltfs1er111g' Grading ..r gel Atillty easomo.11t8 ;W9Claftds eTOSbn control Improvements in theRight-of-Way, etc: _ . I Approved / Denied Date: Staff: Notes: Revised Plans Approved: Yes / No Date: Staff: Comtnents 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.org G:1Bullding InspecgonsTSWIT APPLICATIONSU01112011 Permit Applications 07/23/2013 19:13 NO.290 #002 -0-~o 3 The Twin Cities Paver of Choice - p ssa - a(I, ae V WARM •~II va eaNkld Aw "c: ESTIMATE By: # C~ / 0 Date: P Name: L 7745 2nd Avenue S. F Richfield, MN 55423 Address: Ph: 612-866-8073 - Fax: 612-866-8078 : - _ S+~/••) . L P www.richfieldconcrete.com City c _ (h) No Yes ❑ Ok to use Bobcat (c) -~.•.~i - Replace as is L"l, El in yard. Customer Flares `'D- repsonsible for any (w) - - Stumps/Roots q ❑ yard/landscaping repair. Water shut off Cit. ❑ New Cover a ❑ Sign Premium Concrete Services Drainage Problem 'IQ 0 Li Apron - ❑ Patio Li Driveway.~a ? ❑ Design on jseparate copy ❑ Sidewalk Li Steps ❑ Garage Floor ❑ Stoop ❑ Curb u Other -ali r*mit -Yes-1 No ,Zf Remove Asphalt (Extra charge if over 4") ❑ Remove Concrete (Extra charge if over 4") + f LJ Extra charge for imbedded rebar per SF 1A Remove Gravel, Dirt or Sod p 1~: 'A , ,l ddition to driveway f ' l - 0::~'Basework as needed u to 4" p-_Regrade for proper drainage 13F 318" Rebar 4' on renter 'SUPER EXTERIOR CONCRETE MIX x:'1 4~ 4500 PSI u~. Micro Fiber ?Ffinish, Broom/Smooth/Exposed Ve c /Q~6aw Cut 1 Hand Tool joints 1 Zip Strip (10 feet or less) - Cure Agarit/ Sealer Cl Backfill: Hortaeowner 4 Contractor P ~p . !%k-- rQq Grass Repair: Homeowner 1 Contractor ,gyp AYR Warranty , Estimated Cost: Deposit = Balance V c~ w Customer Approval date Property Line? 1 2 3 4 5 I have read and agree with the terms and conditions on the reverse side SIGN AND RETURN WHITE COPY Licensed - Bonded • Insured --------------�_.�, { For G�ffice Use � � �� D� ��: �� ; ����t� ,����� ; � � � � � , 3830 Pilot Knab Roact I t'� i Ea an MN 55122 1 Date Received: �,�_ (� i ..J.. . . (......����T._........_�.��. _.........__.......J Phane: (651}675-5685 Fax; (651}675-5&94 Emai1: pianninc��acitvc�feaqan.carn Zt)NI�IG PER�'lIT APPL.ICATI�[� ❑ Please identify imprQV�ments c�n a scaled sFite plan drawing that shows (t�t lines, strt�ctures� ant! existing conditions: �.�.. . _.. ��_. � M ,�,�..M ...� .,�a��„��,��d��,��;.�.,��..�:.,�. �M�.,��.a.���,r�� .�._.,,�,�.�w�.�,����,,,�,�.�..�.���.,�..��. � � � � � PRQPERTY : Site Address; _'����;......_��,'1 Jt,"�-,�.��!�?l�' �/ �l _ ` , _�........ --- �. _.._ � IN�C?RM,4TIt�N ° �� � � _ � , _ � OwnerName; Jj`6����, ��� ��.���� _ _ _ � _..._ _' �.�.�._.,� �.,. .�..._.� ��.�,,,�-�,„� �K...,.��,.,..,. ,��,.,�„���.��wa.:�.��.����.,....,�,�v.�:.�.�.,�.,�,��..�..� ���.��.�<�.�. ...�,����������.��,...,.,.�„«��,;�,�..,�� �����,..r� � . � �� ; � Name: j�:�i��,' -- ���1�� C7.n.} Phane: �,��_�' t���� r ; � � � i „ ° Address: �-�,�'1 ��t��.� t..�f�7"` �� C;itylState2ip:�J���9�r 1�1�) '�����G� _ ` - CC)NTACT J '�_.. _�—___.....__ — - — --- tt , . _. p,�r � A Applican#Signature: __�,����%���, � __ ..:.: Dat�: _l.._`�"�_— ; � x ; � p ; Email address; ��'��a.�� � �,��!��. � ��_ ` ,, _ — _—� � �. � ^� CI Retaining Wall<4 feet� �� �Cl DEiueway�,�_����� flther' {I i 1�F`�" 5'}-��1,�����.�� � ��%.�.� , � � TYPE��OF � � ❑ �'�tio C}SpQrE�ourt � li WQRK R � Sidewa(k � � Fence � � ` " Description o#work: "� �.�t� f����.l ��' S"I��f� s __ _ � ._ _ � n.�.,�.r ..�..,,_.:,.�..N,�.,,�m..��,�,�� .,,,,��.., aw,.._�.��,, .�.w,�m� ,�,��,��.����,,,,.w.�,.=m�. .,���..�... .�,����,..s� �e� ��.�.,...�� .»��,�...�w .�,����.�aw�.���.�,�..�,���,�,,,��.�_�.� �,�,�..� _d,�.....�_�. �°e.� ���...�..�� _a w� .�W,,�„�.,-.� „�.� .�:.�.,M�-�.���.,,.,�.�.�,�M � }.. : ° PL/ANNING' Setbacks, hard surface couerag�, shoreland zoning, bluff zonels�tbacks,<�tc. ` � _� �. ,?'��t?prove�/ Denied W�� .mm �R � Date of Approval:� ���� ��� Staff: _ _ P. m �, .� � 5 "{��� The awr�erfappiicant is : Property lines to be verified responsik�le for compliance with � � by contractor/owvner. � ' a lica��� cons#ruct�on c d � § ����,�� ,��:.�.�� ��. _� �� , ,.�, .., � � �� m,A��a�,�� ��,��� �ww.��,.w���.�, � �����.n� Revised Plans ; APproved: Yes/No Da#e r�f Approval: StafF: r _ _ _� _.. —; ,���..a.._a .� .�...�. ,.�.�_....... �....�.:�_...,� �.� �_.�. �,.. � u��..;,,x, �,.�,���� ,,.�.,��.��x..,�..,.�._„�,,�.�,�;�,��� ��.>,,.a,.�,..��.,� � E�IGIN�ERING � Grading tlra�nage utility e�sement�, wetlan�s erc�sion�antrol irs5pro�ements in!the Right-of-IN��y, et�.�' ;: �..R�,�� ,���.m...�:,��..w�,�..,�. ,_�,�..��.,���b ..�,,�a� �.�..,�,�... ����..�.�,�,�.,.�,�v��,�. .,�.,,.�,N.�.,���....,,���.,,.� ..�..��..� � .�. ' Apprt�Ved/Deniecl [3ate of Apprnvai. Staff; i __._.._._ _.__... �._. _._ �.._...--.�� Notes: : ; 4 ..�„>-..<.+. .�.. �....rm w.iu..�.... «�mmi-'v. .,-a+..anwxm.........:., �,.: :�....w.n ..�: :.-�m v�� .�._:.,,,....a �...+....-e.m m.��.mMrv+.w�.d.. .wa�-v�..nvrm R..i�m,.�m+... �.....�r ..e. ..�++xxre--.....w.e-..�..v.t',ktmwwMw.-=.,,w . .. . Revised Plans : Appr�ved: Yes!No Dats of Apprr�val; Staff: ' � � .�.,. __�. �— � - - -_. � „C4MMENTS�r ... .,,.�., , � �.�.��.. ,...� � �P��;���..�.�..�.��Wrr�.�„�..�..,.t���...�.,�,,,�,,.�.�«������__. ,.�,� �� „����„��.���n,;,.�� �,���,.�.�,..,w,.�,_...�.�w��.,,,.,�...��,���.�,.,.�a� � �...,� _ �.a._....a � _�. .�. �.���_�.� ..,...� ��,��.�. <.� ����...._�_._xM �.��.,,��� .�..,.�,...,. �x�� w..��...,�.� ,,..� .,,,.����.��e. ����.�. ���,� _ � . ..�. CALL BEFOR� Yt�U DIG. Gall Gopher State One�al!at(651)454-0002 for proteetian against underground utility�iamage. Call 4$hours before yau intend to dig to receive It�cates af undergrnund utilities. www.qopheFStateonecall.orcl G:tE3uilding lnspections\PERMlT APPLIGAI'fC5NS1201112011 Fermif ApplicatiUns � . �aU �a� .-��.����.�� r��: 'P��� �� �� _ ,�� ��.�.��� ����������.�� ���� 18�33 Ge�ar �tv�n�� �c�uth Far��,n���n, I��.nr��sc�t� , � �S�J�� : ���.��� �. ���"���►�� ' �►��:�,���xoRe�, �nc. �Q�i�EK�efs�/!l4�H�ei�Mi���'��Il.�}���$}M61�1flYt0�# �'1@—1+46'P1�#STf'�EET'1At.^�tl3C#A fl#��MR7UF1'�`.i�1�il�TJ�� P!lii�NE!1'�+`�&1�'a SUFt1/�Y{!ii`'S C�.F#'1`1�1�A'1`E F 1 '� GB�rsg� ��oUZ' 8�.t�trat�,.�n {�����• �,' � ���1� -'�� ��� �op o� block �levat�r�n ".�'j ���� 1� ��s�zn��� �`lc�or e2evatit�n .�+�,�„g, ;�, � �`� �� �����"i'� ��.� t �, � �' ��;��j,r �' ��� ���. T�e own�r/applic t s � �, � ,,� �� respon�6bie for co lance w0�h ,� �� � ;.,` �" applicable constrc ti n �odes. t� � ���� � �� `�,,, ,� Prope �r���� �, �. �` , � nY lines to� �z.ra r� =�Cr i. �Y contr ��'� ��� �� �'� BCtor/t�,��N � �'� t� �-���a.�, � � '�I.�tf.+���1.� �,a � � ,� t� ?3�n+�t�� ircan �i�e `3�� � � �� ����n "" `�.,��;� � . �Sr�3�ume�nt � �, �� � � �`� �f� � �' �'', t'`�'�r �� .s � , � ��c�t+�s �et�a�k mo�en� �� ,� At��tt� ��� �' �'�Z.t� I�ent�t�� existir�g �levat�.on � �`�� `� �,t�� ��� ��� � .� � 3t� I}snc��es p�t�pr���t3 �1eua�ic�� /�� �. �� ��`�� '�,"�� � ��Irr f ' I)cn�t�s c��.r�eetic�� c�f' �ur�ac� `�� . ,,'��"�` ,.�,� � drainage ''� ��` ,�� �'� ��,��� ' �� ;��' 't� � ���� � �3Y � ��� .�,«�,�_ �,�c�`� ��T� �''+�� Q�,` ��`+ Z h������t ���������:�'a tru� a�� cd�rr�+�'� repre�e�nta��.o� �� a �urvey +�t th� t��i��ar3e� oP Lot 22, ��.�k �, B�A�{}� �I�, a�cordin� �o the rccorded pla� t1�er�oY', Z��r�ts C�►ur�ty,� l�#.nt��st�t�* Al.�c� ah�w�.n� th�: �ropc��ed lr�a���an �f a hca�u�+� �.4'� 8�ke+d ther��ar�. T3�,t�ed: 14la�ch 3, I 18�« , . � � : � , .�,�",�i�"`` ���r��sc�ra� �ts�-����c��n►r�,es�