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4172 Prairie Ridge Rd - Zoning Permits & Plans � For Office Use � � I ��i� of E� aIl � Pe��t#: �� . , 3830 Pilot Knob Road � � Eagan MN 5512Z j Date Received: j ' Phone:(651)675-5685 � �-----------------� Fax:(851)676-5694 Emall: Iannln cit .com ZONING PERMIT APPLICATI�N � ❑ Please ide.ntify improvements o� a scaled site pian drawing that shows lat lines, structures and existing conditions. P�O .0 � , Site Address: �� 7� /�' �� e � p:,�'fY� �...Infomn.atlon ' �� ' � Owner Name: � � ��'� ; , ~ ' Name: ''� � �G � `iL'S Pnone: (�p s �I 7 � . : �.� . .. Address; �� -� City/State/ZIP: �"� (��t,�.l . : COntaCt: � - . . ; ,,, , � . Applicant Signature: �_��.J ,..__ Date: � -rt�s �� • Emall address: 1,��' � , .1��1 , . � , O Retaining Wall<4 feet �iveway ��r � ' � � ❑Patio O Sport Court .T.ype.Of Work. ❑Sidewalk ❑Fence _1 ' � , � � Descriptfonofwork_ `�.'I^(1(�'� °�" I�'C..�' C�rl�/'�> Plan,ning �� Setbacks,hard surtace�coverage,shoreland zoning,bluff zone/setbacks,etc.� , , pprove /D�nled Dato: � �S'y�e� f-�' " No es: Revised Plans Approved; Yes I No Date: Staff: Englneering� ��rading,,drainage,utility easeme�ts,wetlands,erosion control,improvem�nts,in ihe,Right-of-Way,etc. Approved/Denied . Date: Staff: Notes: Revised Plans � Approved: Yes i No Date: Staff: Comments ' � � d CqL� BEFORE YOU DIG. Call Gopher State One Call at(6S1)454-0002 for protectio�against underg�ound utiliiy damage. Call 48 hours before you intend to dig to receive locates of Underground utilities. www.s�auherstateonecall.otct G:iBuilding InspactionslPERMIT APPLICATIONS � YroPosal i -3�-I� � 547 West Count Road E � r::�� Y °° '� A.C.T. p � S�oreview, MN SSX26 ,,,�f. Asphalt&Concrete�echnalogies � phone 651-484-1696 . fax 651-484-8063 A.s halt S ec�alties Co, � � p p BBg Servingthe Twzn Citie,r.(l�etro,,�rea since 1979 wwwasphalunn.Ct7m ��( (�G�� Licensed• Bonded • Insured d1 f�� Name: �� -� � G�� Email: Date: �'�y i' Street: �/7Z �✓� �� il'��_� �— City, Zip: , �'A6�+I`,� Sj�'i2.� Cell Phone:��Z��Z—'��,� Home Phone: Estimator:��Date Sold: Excavation 8 Base ❑ OK TO USE BOBCAT OR TRUCK IN YARD-CUSTOMER 18 ❑Asphalt sqft �J,s� RESPONSIBLE FORANY YARD DAMAGE AND RESTORATION � ❑ ill ❑Yes ❑ No . • � ,,take and string perimeter ❑ Replace as is � � � � O Locate sprmkler heads ❑ Drawing on separate sheet O Replace water shut off cover in driveway Cost: $ . . . . , . . . . . . . . . . . ❑;awcut �7 Tree stumps/T�ee roots �Excavate and haul away existing asphalt �Excavat�and haul away ex9sting concrete � • • • • - • • • • • • • • • • ❑ E vate apron, asphalt/concrete, Replace with . . , . . . . . . •. . . . . . .. ep�ir ma'or block damage, if necessary additional charge ,initial •`j�/G/Ii�R� Install recycled crush rock base as needed,for a fnished � • • � � • � • - • • • � • • • ickness of 4-6 inches, including existing base. . , , , , t grade and compact for proper drainage � nstall yard sign , � � � • • � Asphalt . , . . . . �� . . . - - �uch up driveway if needed prior to asphalt insxallation ' ' ' :� ' ' ' ' � �ave MN DotAPPROVED asphalt hot mix at • - - - . - • • • , �3�inches compacted to inches. Hand temp edges. ❑�ustomer to bac or 0 A.C.T.$ ��9Varranty for years,agsinsk settlement, edge breakoff and break up instructions on reverse side). . . . . , , . . . . . . . Concrete � � • • • • . • • • • . � . ❑Apron � Sidewalk . . , . . . . , . . . . . . . ❑Steps C] Patio O Driveway � O Stoop ❑ Curb 17 Other ' ' " ' ' ' ' ' ' ' ' ' ' ' D Garage Floor�JackhammerlBobcat � Door Height � • • • � • � • • � • � • • ❑Concrete sqft _ . . . . _ , , _ . . _ . _ ❑ Review footings,additional footing not included in price ❑ Install rebar 3 ft on center Cost:$_ Intitial ' ' ' ' ' ' " ' ' � ' ' ' ' ❑4500 psi concrete with fiber mesh, Color additional • • . • . . . . . . . , . . O Finish: � Broom O Smooth � Stamp ❑ Hand Tool joints ❑Sawcut�Other � � � � � � � � � � � � � � ❑Apply curing sealer • • • • • • • � • • • • • • • • ❑Customer to baCkfill or[7 A.C.T.$ . , . , . . . . . . . . . . C]W�rranty for,,,,,`years (instructions an reverse side) COMMITTED TO EXCELLENCE complete w�th abovetSpeclflCatlon�forthe sum�f�priCe$ � �2 b� r` PLUS ANY REQUIRED E MIT FE_ E$ � Deposit$ Z Z�j� `/' ompletion $ '?�.+��J Signature All meteriola ia guaranteed to be ss 9pgCified,All work is to be completed in a work- manshlp-IIKe mannar according to standard practices.Any alteration or deviation frorn Signature above specification involving eXtfa COsts WIII be eXeCu�ed 4��y up4n wrlsten Or4erS 1 have�ead and Agree wlth tNe fem�s and cand/tions on the reverse sids. and will become an extra charge over end above estlmate.All�greements contingent upon strikes,accidents or de�ays beyond our control,A,C,T.Asphalt SpecialHes is Coupons ean not becombinBd&must be prssented at fime of estimate futly covered by Workmans'Compensation and Generel Liablllty tnsurance