1521 Blackhawk Ridge Ct - Zoning Permits & Plans _______
For Office Use—----_—^— I
Permit#:
�
3830 Pilot Knob Road I I
Eagan MN 55122 �j`py 4 2 I Date Received:
Phone: (651) 675-5685 ----
Fax: (651) 675-5694
Email: planning0-cityofeagan.com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
i Property Site Address:
I Information
fi J
Owner Name CL
L..� L,� �
f Phone: �e / L I t � ;
Name: v
Address: b,. O 5h d Of U (a o PC.LC V-Aty/State/Zip:
Contact
Applicant Signature.�6 '1 ,��---' Date:
t
I Email address:
i
t �a
I ❑ Retaining Wall <4 feet nveway ❑ Other:
❑ Patio ❑ Sport Court
Type of Work ❑ Sidewalk ❑ Fence i
Description of work:
Planning Setbacks, hard surface coverage, shoreland zonin zon tba etc.
`Approve enled Date: `D Z Staff: h
t
Notes:
}
i
t Revised Plans
s Approved: Yes/No Date: Staff:
Engineering Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc.
f Approved I Denied Date: Staff:
Notes: --
i
Revised Plans
Approved: Yes/No Date: Staff:
Comments
CAL
L BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
G:1Building Inspections\PERMITAPPLICATIONS
k
Proposa
l' 547 West County Road E
<V.<T< Shoreview, MN 55126
aspl7r>]t&Concrete Technologies phone 651-484-1696 • fax 651-484-8063
Asphalt Specialties Co. Serving the Trvin Cities lllletrv.4rea since 19.79
www.asphaltinji.com Licensed< Bonded• Insured
'
Name: 194e - �C y 7't 14 f f Email: Date:
Street: 2 I l c City, Zip: `: I S 5 >
Cell Phone: (, 3 elY. ` l V Home Phone: Estimator: t Date Sold:
Excavation & Base ❑ OK TO USE BOBCAT OR TRUCK IN YARD-CUSTOMER IS
t3 As halts ft RESPONSIBLE FOR ANY YARD DAMAGE AND RESTORATION
P 9 —. -- 1
❑ Mill Yes ❑No
L7 Stake and string perimeter ❑Replace as is �} n /n
* Locate sprinkler heads 1:1 Drawing on separate sheet
❑ Replace water shut off cover in driveway Cost: $
❑ Sawcut ❑Tree stumps/Tree roots
19 Excavate and haul away existing asphalt
' 3 Excavate and haul away existing concrete . . .
❑ Excavate apron, asphalt/concrete, Replace with '
❑ Repair major block damage, if necessary additional charge
$ i't .<-,�$ , initial (�
Install recycled crush rock base as needed, for a finished
thickness of 4-6 inches, including existing base.
R Set grade and compact for proper drainage
❑ Install yard sign
Asphalt
LkTouch up driveway if needed prior to asphalt installation 5 '
0Tave MN DotAPPROVED asphalt hot mix at . . #
inches compacted to i inches. Hand tamp edges.
❑ Customer to backfill or❑A.C.T $
Warranty for /& years, against settlement, edge breakoff .
and break up(instructions on reverse side). .
Concrete <ar t�VIA
❑Apron ❑Sidewalk I.
• Steps P Patio [}LDriveway
• Stoop ❑ Curb Other eta r `a�
• Garage Floor❑Jackhammer/Bobcat ❑Door Height f
•Concrete sgft
• Review footings, additional footing not included in price
• Install rebar 3 ft on center Cost:$ Intitial
111500 psi concrete with fiber mesh, Color additional
E2-Finish:Q Broom ❑ Smooth ❑ Stamp
E�;Hand Tool joints ❑ Sawcut❑ Other
CApply curing sealer
❑ Customer to backfill or❑A.C.T. $
F�ktUarranty for /0 years (instructions on reverse side) COMMITTED TO EXCELLENCE
We Propose hereby to furnish materials and labor, r e^•
complete with above specification,for the sum of Price$.. ;,_ ? r 7>W
PLUS ANY REQUIRED PERMIT FEES Deposit$
1 Balance upon completion$ c n 4Y 6`tt, r J
Signature y v�T } All materials is guaranteed to be as specified.All work is to be completed in a work-
manship-like manner according to standard practices.Any alteration or deviation from
Signature � qj„ jam µ above specification involving extra costs will be executed only upon written orders
/have feaa and agree rnriff7 fhe terms and Con itinns on the reverse side. and will become an extra charge over and above estimate.All agreements contingent
upon strikes,accidents or delays beyond our control.A.C.T.Asphalt Specialties is
Coupons can not becombined&rrnust be presented at time of estimate fully covered by Workmans'Compensation and General Liability Insurance