4867 Safari Ct N - Zoning Permits & Plans FROM ASPHALT SPECIALTIES (WED)JUN 8 2016 12:59/ST, 12:57/No. 6801440344 P 2
I For office Use
City of Ea p I Permit#: ! I
t
3830 Pilot Knob Road I
Eagan MN 66122 j Date Received: j
Phone:(661)675.5685 ———
Fax:(661)675-5694 � `+ U ZQ
Email."I nnlnae-cltyofeagan.com
ZONING PERMIT APPLICATION
❑ Please identify Improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property Site Address: �-r�irl IV
Information
Owner Name;
&X'�
Name:
5 —" 4
Contact Address: -� �((e„e,U �i/' ��Ity/Stale/Zip: {ew
Applicant Signature Date: U - L C�
Email address: a wt Q!5 V��-}w )n N' t C�� -
D Retaining Wall<4 feet XDriveway ❑Other.,
❑Patio O Sport Court
Type of Work p Sidewalk ❑Fence
Description of work: a Ct a
Planning Setbacks, hard surface coverage,shoreland zoning,bluff zone/setbacks,etc.
t Z ved-r6enied Date: �� ( Staff:...' i r iCGC
cz
Revised Plans —
Approved: Yes/No Date: Staff:
Engineering Grading, drainage, utility easements,wetlands,erosion control,improvements in the Right-of-Way,etc.
i•---
Approved/Denied Date: Staff. _
r Notes; — -
Revised Plans ----------•
? Approved:
Yes/No Date: Staff:
i Comments
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage, Call
46 hours before you intend to dig to receive locates of underground utilities. www.00eherstatconecall.ora
G:lBuilding Inspeclions%PERMITAPPLICATIONS
FROM ASPHALT SPECIALTIES (WED)JUN 8 2016 12:59/STr12:57/No• 6801440344 P 3
/ �� 0 77
Tot 16514848063 From: 19524317894 Data: 06/03/16 Timat 6x43 AM Paga: 01
86/03/2016 08:43 952--431-2016 FEDEX OFFICE 0705 PAGE 01
r PC*81
•r 547W ist C aunty Ra a4 E
Shourview.MN 55126
Aephak&Concrete Terbnoloet phom 651-48 1645 6•fax 651-4M-8063
rAsphal�t Specialties Co., Servingrhe;rw in Gti r MatsoAses.rinue 1979
www.tsp)(131Cm n.com Licensed•B,nded•Insured
Name' c { Email: Date � �
street �✓a a CnA Zip: A��_� Sys"%_,Z•-
'Cell Phone:05 410 '1455 Home Phone:(49 !eW,0 4191♦' Estimator _bete Sold:
ExmWtion & 88se ❑ OK TO USE BOSCA OR TI:UCK IN YARD-CUSTOMER IS
13 Asphalt aqR 0 RESPONSIBLE FOR AM YARD DAMAGE AND RESTORATION
❑Yea❑ No
OSta
•Stake and sMng,perimeter Q wevIVA+rs io
D Locate sprinkler heads 0 Brewing on separate shi wt
❑Replace water shut off corer In driveway Cost:•$ . . . . . .
❑ awcul O Tree stumps/Tree roots! • _
.OlExcavata and haul away exlsdng asphalt
0 Excavate and haul away existing concrete . . . .
A cavate apron,asphalt/concrete,Replace with
epair major block damage.If necessary' addttlonal charge
,;'Install recycled erueh rock base as needed,for a finished
thickness of 4.0 incites,Including existing base.
Set grade and coMpect for proper drainage / r
0 Install yard sign
MOM . . . . . . .
01�5uch up driveway If needed prior to asphalt Irietsllation
,W Pave MN Dot APPROVED CN*" 40%. asphalt hot mix at •
f;l�_Inches compacted to ._inches,Hand tamp edges,
0 Customer to back-fill or❑A,C,T,$ !
;Warranty for /0 years,against settlement.,edge breakoff• •r'
and break up(instructions on reverse side), . �. . . . . .
Concrete-
0 Apron 0 8ldewallc . . . . .
0 Step__ ❑Patio 17 Driveway
❑Stoop 0 Curb ❑Otther,
O Gerage Floor 0 Jackhammar/Bobcat O Door Height s,p•rj•
O Concrete agft
❑Review footings,additional footing not included In price (,4- '
*install rebar 3 ft on center Cost:$ Intitial
O 4600 pel concrete with fiber mesh,Color additional
*Finish:O Broom 0 Smooth❑Stamp ,
❑Hand Tool Joints 0 Sawcut 0 Other
0 Apply curing sealer
❑Customer to backrill or O A.C.T.$ -.
❑Warranty for_ears(Instruction on reverse side) COMMIT EDT i EXCELLENCE
=P1 possha apo mol4rlot su�M Price
$
pla wttn dboVe Ifloedlon,for
PLUG ANY REQUIRED PERMIT FEES Deposit S
Galan up mpletlon$
Signature All mWeriale Is guarantee4 to b ae epee W.All work le to be completed In a work-
manshlpolka manner according to eland Ad pWces.Any akeration or dwWoom Ram
Signature above spoOkKan imrnlrnp oeek MIN bs wAawted only upon wrim ardwa
1 have mdd and egme with the termir and earWRions on Ift reverse side. and will become an extra ctre over en f above aelrrrete.All agreert►errb eontlnpent
upon sWkw,aodoe ter or b"m our om trol.&CA.Aapha l 8pedarylee le
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