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3543 Widgeon Way - Zoning Permits & Plans FROM ASPHALT SPECIALTIES (�ED)SEP 23 2015 9.30/ST. 9 ,29/No. 6801440070 P 1 I For Offic�Use � � I C�4Ol L� �11 � Pcrmit#: �5< �� I � � I 1 3830 Pllot Kndb Road Eagan MN Sb122 ���.. ��.;.� j Oate Received: j Phone:(B51)6y5•5665 � �-----.—.-__________� FBx:(651)6T5-5B94 r`; ` °�i ��-,��' s � .,.i!� Emall:plannino�cltvoteaqan.com ZONING PERMIT APPLI�ATION ❑ Please identify improvements on a� scaled site plan drawing that shows lot lines, structures and exlsting co�ditlons. � P�Op@I'hl . Site Address: ���.,����n `,,,� . .. Informatlon Owner Name: �(,���i r� � Name� � �,�►1� S � � ��-�!�_� Phone: �j�" t,.0 ' ,�� � �..I Address: �t�.�_(,,� �1 �� � Ci�y/StateiZip; �(�(-E t/(Q�,(�, 1 �(� Contact • .. c7�.Y�S-C�y`, 55 I a:� 3 Applicant Signature: Date: � Email address: .�j . (�j� �yy.,. � /�'�'/�� . O Retaining Wall�4 feet �Oriveway O Other: ❑Patio 0 Sport Courl � Type of Work O Sidewdik 0 Fence � Description of work: =g���,E,,,�...m I �. ,.��'� ..�� 1� - �,� � Planning Setbacks,har�su�face coverage,shoreland zonfng,bluff zone/setbacks,etc. . � ppro nied Date: ��Z� '".0 Staff: �'�i�l� �� �C+Qe► �� Notes: '� n l � �y� y cc S s4e a.�. � � � REsvised Plans Approved; Yes I No Date: _ Staff: � Engineering Grading,drainage, utility easements,weuands,erosion control, imp�ovements in the Right-of-Way,etc. � App�oved/Denied Date: Staff: A , ...��. . . � � �.�. ....� .� 3 Notes: k ; ---•--�--�- �,.T.._..,�.,.._._.____. �------�____..._ --�-- Y__.,.�,_._. ___�.�..., Revlsed Plans � Approved: Yes/No Date: StaH: I„� ... � . .. . ; Comments � ; if ;,,.....�_....�__. � •---.�.t CALL BEFORE YOU DIG. Call�Gopher State One Call at(651)a5d-0002 for protection against underground uiility damage. Caif 4�ha��rs before you inlend to dig ta receive locates of underground utililies. www.aooherstateonecall.or� G:lBuiiding I�spcctlon8lt�ERM►T APPLICATIONS FROM ASPHALT SPECIRLTIES (�ED)SEP 23 2015 9:30/ST. 9;29/No. 6801440070 P 2 P�Po�I �.�.�i�- � A C T. ��'�=� �47�esc Counry Road E ° `` • • Shorevi�w, MN 5 S 12b Asphalt&Concrete Technologies � phone 651-484-1696 . :fax 651-484-8063 A�sphalt Speeialties Co. 6B� Serving the Twin Cities 1Vletro,�1rea,rince 1979 �a ph mn.COm � ' Licensed • Bonded • Insured Na me: h r+�� �'h i�a Email: Date: �j � ! �^ �t��t: �] t O�h Ci�i, ZIp: l� p rD Ir il.� ��� Z 6etr Phone: gs�-�2 9'3'�3K hiame Phone: � ����"�� Estimator:�,Date Sold: Excavation 8� Base O OK TO USE BOBCAT OR TRUCK IN YARD-CUSTOMER IS CS�Asphalt sqft�� RESPONSIBLE FOR ANY YARp DAMAGE AND RESTORATION O Mill �Yes� No � � � � (�Stake and string perimeter 0 Replace as is ❑ Locate sprinkler heads O Drav�nng on separate sheet O Replace water shut off cover in driveway Cost: $ . . . . . . , . . , . . . , • , ❑ Sawcut O Tree stumps/Tree roots . . _ . , . . . , , , �lExcavate and haul away existing asphalt ❑ Excavate and haul away existing concrete � • • � • • • � � � � ' ' ' � I� Excavate apron, asphalt J.concrete, Replace with , , , , , , . . . . . . . . �'$ep�r ma)or block damage, if necessary additiona)charge ., � """"'— �, initial . C�'Install recycled cn�sh rock base as needed,for a finished � • • • • : ,y�i • • � • • thickness of 4-6 inches,inciuding existing base. , , , , , f , , , , , �Set grade and compact for p�oper drainage ❑ install yard sign . . . . . . . . . . . . . . Asphalt . . � . . . � . . . . . . � . �Touch up driveway if needed prior to asphalt installatio� � ' ' ' ' ' ' ' ' ' ' ' ' ' ' �'(r�'Pave MN Dot APPROVED asphalt hot mix at ; ; . . i • : : : : : : : ; ; 3�L i�ches compacted to '��mches. Hand tamp edges. ,. � C" ustomer to backfill o�O A. .�T.$ �� ��'GVa�ranry for�years,against settlement, edge breakoff • • � • • � • • and break up(insfrucfions on reverse side). , . , . . , , . . . . . . . . Concrete � � • • � • • • • • • � • � ❑Apron � Sidewalk . . . . . . . . • • • D Steps ❑ Patio �Driveway �2 . . . , , , , , O Stoop L7 Curb ❑Other ' O Garage Floo�0 Jackhammer/Bobcat O Door Height � • � • • • • • � • • • � • • • • D Concrete sqit , , , , . . , . . , . . . , . . O Review feotings, additional footing not included in price 0 Insiall rebar 3 ft on ce�ter Cost:$ Intitial ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' O 4500 psi concrete with fiber mesh,Color additional • • • • • • • • • • • • • • • • D Finish: ❑ Broom 0 Smooth O Stamp , , , , , , , , , , , , , , , , ❑ Hand Tool jolnts L7 Sawcut�Other i G ❑Apply curing seater � ( a ' ' ' ' ' ' ' ' ' ' ' ' � ' ' ' ' O Customer to backfill or�A.C.T, $ ,. y ��U . . . . . . . . . . . . . , , ❑Warranty for! years (instructions on reverse s' e)� COMMITTED TO EXCELLENCE Wo Pro ose hereby to furnlsh materials and labar, complePe with above specification,for the su�n of Price$ PLUS ANY REQUIRED PERMIT FEES Deposit$��G O a nce upo mpletion$ � �D � � Slgn8tUf2 �� � � �� All materials is guaranfeed to be as specified.All work is�o be campleted in a wo►k- manship-like manner according to slandaro practices,Any a�terelion or devlation from Signature above apec'fiisation invoivin9 eztre costs wi11 be executed only upon written orders !have�ead and agreo with the terms end condRlons on lhe ieverse sida, and will beoome a�eactra charge over and above estimate.All agreements co�Gngont upon strlkes,acelasnts or delays Deyond our control.A.C.T,Asphan Speclaltiee ie Coupons can not becombined d must be presented at tlme of astimale (ully covered hy Workmans'Compensation and General Liabiliy Insurence