4651 Wildwood St - Zoning Permit & Plans 05/29/2014 14:01 N0.848 #001
For Office Use 4b~l~City of EaRan I Permit I Z~' l
RECEIVa D I I
3830 Pilot Knob Road I I
Eagan MN 5'5122 MAY 2 g 2014 I Date Received; J
I
Phone: (651) 675-6686-----r
Fax: (661) 675-5694
Email: planning0ci vofeagan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address: ! L~ I tv
Infof-tnaf~~~r rn~ ~ .
Owner Name:
Name: ) (E JI »Phone: c-
a, ~ '
Address: City/State/Zip:
Contact
Applicant Signature: Date;
arc- ' ; 1
Email address:
❑ Retaining Wall <4 feet riveway ❑ Other:
❑ Patio ❑ Sport Court
Type of Work, 11 Sidewalk ❑ Fence
a 1: Description of work:
Rt ritnrng 5etbaakt;, hatd surface coyers~~; sttoretart~ Bonin t~]wff iv aback.. etc
Approv / Denied Date: Staff
Notes: r, i VV/ _ V t~~•- (,J i C~ ~-tn O"~ a o
G ~ - wax-,-1 ~''<<C.~. ~t~ aS Sib V►~.t ~ 9 I!
Revised Plans
Approved: Yes I No Date: Staff:
rrw. ...w+ww.wwrw. .~nr t... r- M..~+•
r 1
Gradrrlg, dralrtege; `utility8~54?metYt5, wetlands eroslen control improvernlsrs in the F21ghf bf 1Nay etc.
Eiiglneering ti f
Y
Approved / Denied Data: Staff: _
Notes: rope in s to be vst'illed--'
by contractor/owner.
Revised~Plans w-..
Approved: Yes ! No Date: Staff: . .
Comments'
CALL BEFORE YOU DIG. Call Gopher State One Can at (661) 454-0002 for protection against underground utility damage Call
48 hours before you intend to dig to receive locates of underground utilities. www.gooher9tatp2necall.ora
G:Sullding Inspections\PERMIT APPLICATIONS12011~2011 Permit Applleations
05/29/2014 14:01 N0.848 #002 )2-3)43
The Twin Cities Paver of Choice - -
SURE We
ESIMATE By:
Date: 0
P El
Name:
MIW
Address:
BBB.
B ❑
City: zip: 55 f
64 P ❑
0 Phone
1, L'c~l No Yes No Yes
7 Phone Replace as is O `@ . ; 'Vtlater shut off :d
U Flares O @ New. Cover i~
- ` - Stumps/Roots 0 Drainage Problem Z ❑
ermit Yes / No on separate copy
_J,.fi Remove Aspha t Extra charge if over 4")
❑ Sprinkler heads.
O Remove Concrete (Extra charge if over 4")
* Apron removal 1 car,,.,,; 2 car 3 car_
lJ Cap Blocks (Does not include foundation work)
❑ Remove Gravel, Dirt or Sod I
',Ids '"Base, after compaction ~
❑ Your existing base and ours
f5 Regrade for proper drainage
22- Hot Mix Asphalt compacted to LT.
❑ Addition to drive
O Concrete, see concrete form 1
U Approximate Square feet___ :5 ( ~2
Yr. Warranty
/zl Yr. Asphalt Protection Plan (see details on back)
options: (Not included unless checked and initialed)
0 Fabric Installation SF $ _
❑ Permaloc LF - $
Customer Initial
Estimated Cost:
_
e,/r .
Down
Pcopedy lines to be verlfie
iown
Balance by contractor
X ILL.
~CustomerApp val Dale
c: .
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RE rUAN WHITE COPY Property I_ln.e?
❑ Compd ❑ Subpd -
7745 2nd Avenue S Richfield, MN 55423 • Ph: 612-866-8836 - Fax: 6.112 8078 - www.richfieldblacktop.com
Licensed B;pndlad • d+lr ~.~.~:._.,T