4850 Rusten Rd - Zoning Permits & Plans I —For 011iceUse--------- 1
Eap City Ol f km Permit d:
3830 Pilot Knob Road
t
Fagan MN 55122 AR 1 2 2��6 f Date Received:
Phone:(651)675.6685 —------------�
Fax:(651)675-5694
Email:olanning0citvofeaaan.com
ZONING PERMIT APPLICATION
p Please identity improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
property Site Address:
Information
° Owner Name: - C 1° -tc,
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o -
Name: S eC`affi C- Phone:
Address: S f e '-,o �d City/State/Zip:aarev►Gt.I
z Contact
\ �lo Applicant Signature: ��^� Date-
Email address: Q- s
i
Cam,, 13 Retaining Wall<4 feel riveway O Other:
a D Patio O Sport Court
Type of Work ❑Sidewalk 13 Fence.
°
0
Description of work:
N
N
"' Planning Setbacks,hard surface coverage,shoreland zoning,bluff zoneisetbacks,etc.
0
ac
-- pproved enied Date: v� V Staff:
Notes:
i Revised Plans
I Approved: Yes t No Date:
Staff:
1 Engineering Grading,drainage, utility easements,wetlands,erosion control,improvements in the Right-of-Way,etc.
Approved I Denied Date: Staff:
i Notes:
Revised Plans
a = Approved: Yes I No Date:
Staff—s 1
Comments
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call
4f3 hours before you intend to dig to receive locates of underground utilities. www aopherstateonecall.org
a
G.18uilding InspectionslPERMIT APPLICATIONS
Proposal
oi%6 ", 547 West County Road E
`` A'C'T' ,L Shoreview,MN 55126
Asphalt&Concrete Technologies S phone 651-484-1696.fax 651-484-8063
Asphalt Specialties Co. eea Serving the Twin Cities Afefro Area since 1979
wwimasphaltmn.corn ® Licensed• Bonded• Insured
Narne: Senn+fk r (�G u-2}k Email: Date: 4• \L
Street: "� S SO CX City,zip: C—A 6 P`/`*"
Cel I Phone: Home Phone: q-q Sir Iaa7 Estimator: -e-- Date Sold:
Excavation & Base ❑ OKTO USE BOBCAT OR TRUCK IN YARD-CUSTOMER IS
®Asphalt sgft I've 5 RESPONSIBLE FOR ANY YARD DAMAGE AND RESTORATION
❑ Mill❑Yes❑ No t
r' R Stake and string perimeter lace as is
Locate sprinkler heads ;?09 rawing on separate sheet
❑ Replace water shut oB cover in driveway Cost$ . . . . . . . . . . . . . .
o ❑ Sawcut 0 Tree slumps/Tree roots
Eill Excavate and haul away existing asphalt . . . . . . . . . . . . '
o ❑ Excavate and haul away existing concrete • • • . . • • • • . •
❑ Excavate apron,asphalt/concrete, Replace with ��b # .
z i�Repair major block damage,if necessary additional charge
N $ % 50 ,initial
o %Install recycled crush rock base as needed,for a finished
thickness of 4-6 inches,including existing base.
MtSet grade and compact for proper drainage .. . . . . . . . pr
0 Install yard sign • . • • • •
° Asphalt
o �:(Touch up driveway it needed prior to asphalt installation Zt5`I . ' ' ' ' • ' ' ' ' ' ' '
0 Pave MN Dot APPROVED asphalt hot mix at . . . • . . . . . . .
cli ?, �inches compacted to `t inches. Hand tamp edges. I
N❑ Customer to backfill or O A.C.T.$ . . .
Warranty for 1_years,against settlement,edge breakoff
and break up(instructions on reverse side). . . . _ . , .
Concrete . . . . . . . . . .
❑Apron 0 Sidewalk . . . . . . .
:1 Steps 0 Patio ❑ Driveway �i�
D Stoop ❑Curb ❑Other
:1 Garage Floor O JackhammerlBobcat 0 Door Height
❑Concrete sgft M
3 Review footings,additional footing not included in price
:1 Install rebar 3 ft on center Cost:$ lntitial ' '
:14500 psi concrete with Fiber mesh,Color additional . . . . • . . . . . . . . . .
7 Finish: ❑ Broom ❑Smooth 0 Stamp
7 Hand Tool joints❑Sawcut❑Other . . . . .
:3 Apply curing sealer • • . • • . • • • • • .
Customer to backfill or❑A.C.T.$ .
D Wafranty for_years(instructions on reverse side) COMMITTED TO EXCELLENCE
Q Ve Propose hereby to famish materials and labor,
c� omplete with above specification,for the sum of Price$ (�
'LUS ANY REQUIRED PERMIT FEES Deposit$ "o 15p(j
Q
letion$
Ngnatu s is guaranteed i'o be as specified.All work is to be completed in a work-
s ,. nnanshipaike manner according to standard practices.Any alteration or deviation from
>Ignature above specification involving extra costs will be executed only upon written orders
a and will become an extra charge over and above estimate.All agreements contingent
have r and agree with the feints and conditions On the reverse side. delays beyond oar control,A.C.T.Asphalt S
upon strikes,accidents or dela b ph pedatt es is
capons can not becombined 6 must be presented at time of estimate fully covered by Worlrmans'Compensation and General Liability Insurance