Loading...
1377 Sigfrid St E - Zoning Permits & Plans . 69/17/2015 15:15 N0.564 #001 -------�--------� ' � For OfFice U6a � Citof� �. ; .: : ; _ ; P�n„�t�: ���a�J ; � � .� � � 3830 Pilot Knob Road I I Eagan MN 55722 rt�s�f a ;' ���� I Dale Received; � L______........'"�������J Phone:(661►675-6685 Fax:(651)678-6684 Emell:plannln��cilvofea:aan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site.plan drawing that shows lot lines,structures and existing conditions. , ,. ,.., Site Address: � J 1���r�v C���= .. , w^_ � Pro ert �...,� �... , p�;.,,,:,.�:;::;;,;;;;: �11�0'�'l11a'��QT1;:::�;> ' .:,�:.,.:�•.::.:.::.,.:•::•,:•.:...�..•.:. - (,� .,,,.,.,,::�,,,��,,,,,.;,,;,,,��,,,,,,,,,,,,,� �1 / �� '��+,� ...,.:,.:.:�•:�.;,;,.,,,,�..,....,,•..•.....;.. Owner Name: .. . 9.� . / V�' � __ 1 y 17 I�:�LJ�'/`� 7 , :";'�'•' Name: � .�� � � �� ,J Phone: �J�7`�. � �� ... .." �c,�,. 4.G-, .� , ' � • 'y � . ! ��� :.. ..::.......:..::.:.. r � ..,,.:,�.................. . , � �,� �i ., ,•....,,, � .� • �� � �,) C' /State/Zi �\�C c'., ��� • Address: , �t �l'V�� S �ty P� ,....:� � ....... ...., � •C011It8Ct;: c:�.. :-��.. — . � , _ „ •..;: ;,,;';::;� •• : .:.�:.-:.::,,,.,:��;::,; � ...........:..:..:�.;....�..::�.:...`,.. ' �' ��'•:';;'::„;:��•;:;�,....'...,:�.:.',.::•.: plicantSignatyre. �'�'' � 9 � ��' .,: D te:,��_...��! � . _ - ^,y �,'' . �•-�. 1 „ ,, ��, r ',�. . C" , �,�i:�i;�`�`'��:,;�,`;':',�'�� �•C�.� ... .,. .:::.:.:::::: :. ....:..::::::: ........ ..... ��,... . ,... . . ,.,.,,, .,; ......:..:..:•::�;:;::;:... ,:;�,,::>.,:.::�,::;,:::.:�;;;;;;;;;,,;,,,;;;,;;�:;,:,:. � .�j .. .__. Emaii address• � a1 t�� � • �� . r'4L�` 1 : ..:,.,,�r.:�:�.:.;:::;,:�t:::::::::::..••:. , �..:�..;.. ••.�;:.:•;:�:;:•..:.:......:: :: ❑ g all 4 feet ❑O h ..,.. , , �� ;:,. Retainin W � � �e�Y t er. � ... . � ,�;, � ,, ., .... .::�• � •�Y;pe,!.t�t;'�lI+DXki:`.::� � a C7-,�ence ourt �a . .........:...........:.....:.:.. ...�...,, a io . . .......:..:.�,•,.. , D S'dew ik r�,, i . ...,•..,<,�,::�;:::�;,.,,.;,;;�........:::::�. , _ :...:.:.::.:..................... ..: ;�:.;:::�..:,,.,;;::�.:��::�:;.:,,:.,.�.:,:..,,�,,, � - r . � �� Description of work; l ` ��- 5�,'��•�� �' �"��'�� �' ��'�" ,.•'�� � •,,,,,� � .���:.;,:�.,::��::.:...::::....:.::. _... _ . - ,; :�...� :�.,,;:,;:�.;;:.'.;ki;;:;i;i:i:'i:.::i:;;t;:.;. .. ..r. ......: ......:.....:........:.:•,,:•..::...,.;:,,;;.,,,,;;. • .. :::+t�::¢t;;i:r;:;::?,;::::•.:;;:,;+;,•.,;:••:., , . ."+::E,:�i:'�`:ii;t:t:::a.,.., ... ... ,. . , • ....;;...,,•':,:•, •+;:•�,,..:':::'`.�.`:!:.;•.. .•. : .,.,:>:Pl��r�il�,.,;���:;E;:::;-�Setbadcs,ha��l�'s�iface�:� .: ���::�toiela�d;z�n.l�t..,.:b►.���vne%set4��s;:;etc�:�„���..,��:�.:;,::::��.��,�,�';;°...,:•,;,,:,::���..::::........ ..:: .,.... �. ..�..,. ...a.�... ,:r,. ���� � . ,..:. . ,,,,..,,�:....:: ...:.:..::..:..:.::.::::................. ;.:,::: .: .::,::.� ;...,:,.,,,..: ..............,... ...............,,...... .:...�.....::..::.:.: .: ::::.:.:. � ..... . .. .................... ..., . � _._,�.�...... , � Approve�Denied Date: (S r`S_._,,_ staff: ��I�`�`;;�-�`��- � �., �.�. Notes �l.(�-1(.�`.C.k_.. .�...��rS`f�✓�� G�.,fl.i_V-�'4.�C.%t� �...J . . .�...,.,.,.�,.,..,....�,�..,w.. Revised Plans Approved: Yes I No Date: ._ ,. �taff: • .. „�,..,..:-:,�.r.._._ .,._ :r::;::.;::;::1;:::;.,,:::!i:i.,�i�;;'",;::;;,'....::.........:.......:::,:•.�•:. . •- , . :. . .. � .;:,,• �,,:t:t::t�: ... ...:::...::t+.,•�. :.:. :.; . :�.t:�: ��... �;. ' �. � ' '•' • ,: .:;•..,,,,.� .,,.. . .:. 't:�:�r•.t:+: .. :.� . :.... . , , ,.. • . . . °;,Eng�t;i;�eitih'�;:�,�, :Gr�dFAg,drAi�age.util�t�,ea�sement�„��we#dands,,erc�Slat��,�on�IrQl.,.iniprpvement�an;th,Q!�R':�ht-of.�fJ.�,,;.,etc.�:;•:, � .�A y '.•. ••.... ��:;�..�..,.�, . , Approved/Denied' Date: ;:• Staff; Notes: �......,,�..r.�,. _.....�..�.., Revfsed Plans •� Approved: Yes l No Date: � Staff: .,,,., ,,. .., ', . ..„ .. ........: :....... ..,. . --..�..^^- ,.. ,. ... i .;,:::;..,:•�;,..::,.•..�,�...,. ,.,, ••.,:�;�.,;�:..�•..:... , , , ,. . .. ..„. .:.....:....... ... ....:........:....:..:::..::...... . ... •., . .:.�:;.�•:r.�.,f,:d.'r�.it:�;,.�.�;.�::r,.,::;•:irfi•fi:::i.�.;r..;;r..:;.;��l: � Co • �� � m . . ,, . .., . � � .m�nts�:.;�.: ....: ....:....,, . ...,;......:,;::.........�..�.,,,�.., . . , ... ................................:...: ........::.:..:�::... . . .. . . .. . ......... .. . . .... . . .. ,�.,... . ,...�.:.,,,.:� ._ — - - - _..�....._..�.�..r,. ... ,. .. �....<.,�.::. ...., ._....,. :..;:;::,.: . ; . _ ..��,�., CALL BEFORE YOU DIG. Call Gopher State One Call at(851)a6a•0002 for protection against underground utility damage. Cali • 48 hours before you intend fo dig to receive locates of underground utilifies. www: onherstateonecali.orn G,1Builtlinglnspectlons\PERMITAPPLICATIONS12011t2011 PermitApplications . 09/17/2615 15:16 N0.564 #602 2 / J ����. � • •I Y • �� •�• ��a r �y • w • �• �. +.• � • � � ! ' . • M � '� � • - ESTIMATE sy: /''��I� #����,�1�l�%��� � _ .. l., .,, (: S ��I, .��,N�! Date: "' � � ° '' � � ., � �J, P L; I�wr� ❑ ;,;;',�. �,;;;: � Name: ���� ��-� _ � � :.i e.:a,.:: 3 ' 1 �►''l G �- �"!�'''�� O ��ill� �. Address- � � w � '�tl' =: BBB� �. l B �„�� � Cily: '.'�•S'�l•✓1 J'�?_.� Zip:55G� P V � ..,� i.J Phone � -, �— 'Z � �� ..,. _, _......p No Yes � No Yes C! Phone ___ � Replace as is �.� Water shut off �" � � Flares � u � New Covpr �^� O StumpslRoots �" � ' f� Drai�age Problem j(1�' u �@rmit - ��! No ❑ Design on separate copy � 1�emove Asphalt(Extra charge if over 4"� u Sprinkler heads? II O Remove Concrete(Extra charge if over 4") I i� Apron removal 1 car 2 car 3 car , i� l"EN'Cap 8locks�.(Does not include ioundation work) � ', � ove Gravel, Dirt or Sod � ' �� � I��.,�Base,after compacEion � � '� O Your exis6ng base and ours , ', �]�Regrade for proper drainage � cr ' �..�„_Not Mix Asphaf compacted to,,,�= �Addition to drive�,� .�� • 0 Concreie, see concrete form , �a ����� �Approximate Square feet , , �f� � q�,��Yr.Warranty ��U � ���,"� ; �-,�Yc Asphalt Protection Plen (see details on back) � � � � �� �[ ��� . Optlons:(Not included unless checked and initialed)"!""'••, r�� , • �T �'e � V �.I Fabric Installation SF � '� 1�� O Permaloc LF $ �' +' � � � 'al lr� .,� � 9 Customer Initi . �����' ' 1 ,r� � J , � Estimated Cost. �' C1'' " � . Down � � � r� � � : � ' Balance � � ' " , / o�l . �� , ,� .,....., '7 ,��°+'� � •Cu merApproval�' Date �' I have read and agree with the tem►s and conditions on the�evetse side,. 31GN AND RETURN WHItE COPY . P�operty Line? � � � ❑ Compd , ❑ Subpd 7745 2nd Avenue S•Richfield, MN 55A.23 �Ph;612-666-8636•Fax:612-866-5078�www.richfieldblacktop.com Licensed � Bonded • Insured