3666 Woodthrush Ct -Zoning and Permit app
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
1
Permit 55 j
City of Ea(ion ; a S
Permit Fee.
3830 Pilot Knob Road ;I~3
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10 Site Address: 3LLL Wood.+\gr-sk Unit
Name: 6hv► +-Uo./`) Z OtA Phone:
Resident/
Owner Address/ City/ Zip: 3 b~ ~/tJoD~ ►'lJ v S GT: ~~..G~,G.G,v~ Z
Applicant is: Owner ,Contractor
Type of Work Description of work: re"(-o O-
Construction Cost: Iy, oC)o Multi-Family Building: (Yes / No )
Company: _ i-.ejCtut~h+~UOT1~tc,~at,~l Contact: A I !Vc„+6_
Contractor' Address: 1- krtLWcut )Nt.- City: "Iyyie w
State: oml Zip: ~U12 b Phone: (p '37I - 7i-Y~i • g d L~
License ,JC= ~o sU~ I y Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. ch~
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Applicant's Printed Name Applica ' 's ignature
Page 1 of 3
•
, CEIV" ' ,
For Office Use
MAR 0 9 2020
CityofEaau Permit*: / Lt /
7
3830 Pilot Knob Road
Eagan MN 55122L Date Received:
Phone:(651)675-5685
Fax:(651)675-5694
Email:planningc cityofeagan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PROPERTY Site Address: , (-j LA 000 /i (1./Th C—INFORMATION Q.I_�
Owner Name: `"�0 �
Name. i� G% i_ one: 6
•
Address: 17 L� � (', t � City/State/Zip: )
Q
CONTACT
Applicant Signature' o►- Date:
; i
I Email address. --7 c" � t s Igag ��1%----t..._..-q.,"1/ 1
O Retaining Wall<4 feet riveway 0 Other:
TYPE OF 0 Patio ' 0 Sport Court
WORK 0 Sidewalk 0 Fence
Description of work: t
r
PLANNING Setbacks,hard surface coverage,shoreland zoning,bluff zone/ -�i'-iii etc.
111.1,
ppwed ed Date of Approval: 3! 4/?0 10 Staff: ,e, ,/,,/ If //
enayiW1vwi wid-iii + ✓iiht- or-ktiai I S 4.2o1-beef-,
014.9 a c ..p resen-Ecc9 . #
Revised Plans •
Approved: Yes/No Date of Approval: . Staff: •
ENGINEERING Grading,drainage,utility easements,wetlands,erosion control,improvements in the Right-of-Way,etc.
Approved/Denied Date of Approval: ! Staff:
Notes: - - t
t
Property lines to be verified c
Revised Plans rt - 4 •*r ,Or. r
Approved: Yes/No Date of Approval: Staff:
COMMENTS
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P
i
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.gopherstateonecali.orq
G:Building Inspections\PERMIT APPLICATIONS1201112011 Permit Applications
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RICHFIELD — The Twin Cities Paver of Choice - RICHFIELD
tLiJ• A• •=' 41-
ESTIMATE By: mctrk #(9 /-?//-V2 7y _
Date: ? -- /6- / l I t 6---r
Name: J 7h4 6 o tPe r P U , 2018
Angst
4
Address: 3 6.6 u)0,049-krus-A c1- L U x SUPER SERVICE y BBB
B CI , AWARD '
City: JQ'9Q/2 414 Zip: 55 1 L 3 ,.„: ACCREDITED
/ / P ❑ BUSINESS
❑ Phone 6S t`_ -7 L k� 5-
"700„ `Tpil4
6:-Ci — 76 — 7� 3 L3�cr� Replace
p No Yes No Yes
❑ PhoneRe lace as is ❑ 67 Water shut off LI--, ❑
❑ + _ - Flares U ®'' New Cover fid--- ❑
7C Stumps/Rootsl ❑ Drainage Problem ❑
hermit if needed
❑ Design on separate copy
❑ Sprinkler heads? Property
Line?
remove Asphalt(Extra charge if over 4")
U Remove Concrete (Extra charge if over 4")
❑ Apron removal 1 car 2 car 3 car
L'Cap Blocks 2 (Does not include foundation work)
❑ Repo ve Gravel, Dirt or Sod
te--y-6 Base, after compaction 64//,.....(2
❑ Your existing base and ours
4:-Regrade for proper drainage-Elevation charge may reded.(See reverse)
i_- Hot Mix Asphalt compacted to oZ-
3 P P
❑ Addition to drive
❑ Concrete, see concrete form �0
approximate Square feet kAol V ��
❑ Bac ill: Homeowner /A5V14q
Cts-- Yr. Warranty(see details on back) W�,.�
L11.-- .4-Yr.Asphalt Protection Plan (see details on back)
Options: (Not included in esitmated cost)
❑ Fabric Installation SF $ Cj
❑ Permaloc LF $ i�J
Customer Initial
Estimated Cost: 15Si-C
Down 1 Ow--
Balance 1 '73
g 0 _
X � /°,/,‘34 1 $
Clio edAPPval Date 5A/T4'e '— '
1
I have read and agree with the terms and conditions on the reverse side.
r try}4�!•'r`#�"+n he veriti d
SIGN AND RETURN WHITE COPY by,contractor/wilier.
7745 2nd Avenue S • Richfield, MN 55423•Ph:612-866-8836• Fax:612-866-8078 •www.richfieldblacktop.com
Licensed • Bonded • Insured