1648 Oackbrooke Dr - Zoning Permits & Plans For Office Use \
41116'
Permit#. 1/3,53
City of
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
L J
Phone:(651)675-5685
Fax:(651)675-5694
Email:planning@citvofeaaan.com
2017 ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property Site Address: ilp U O ki;, C4 t o 6
Information ! ,
Owner Name: /Ve t '1 l I JIfS'T(A �.04S
Name: /6✓1 L t<E' 4 f; Phone: 6'.-1 _a T
Address: /C$[ Oct fb b k( D% City/State/Zip:
Contact
Applicant Signature: ��^ Date: 7 — b i/ 7
Email address: �%e !S t on S✓i - (r}.0't
❑Retaining Wall<4 feet )t Driveway 0 Other:
❑Patio 0 Sport Court
Type of Work ❑Sidewalk )) ❑ Fence
Description of work: OVii' If >ecQe- Ctr-q)e
Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks,etc.
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Date: 7-6 Staff: ,••Y4- �/r•�d,�[�
Notes: O Y d S 54,0,,,,44,
Revised Plans
Approved: Yes I No Date: Staff:
Engineering Grading,drainage, utility easements,wetlands,erosion control,improvements in the Right-of-Way,etc.
Approved/Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes I No Date: Staff:
Comments
CALL 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.00pherstateonecall.org
G:\Building InspectionstPERMIT APPLICATIONS
RICHFIELD — The Twin Cities Paver of Choice - RICHFIELD
BLACKTOP BLACKTOP
ESTIMATE By: T5 10 # 61 ) - -7' 3. ‘ O t 3 q5-3
Date: 61)6 )11 I ❑ 0
Name: /CM L f k I f P ❑ Anc, ies1iis#
Address: IVIF -v BBB®
City: tj&O Zip: 55 f) P ❑ Aeus NEssD
1 ] Phone 675- 1 - )47S - 01 4 1
❑ Phone No Yes No Yes
Replace as is ❑ Water shut off a ❑
❑ Flares 52 U New Cover V ❑
Stumps/Roots ❑ Ccii Drainage Problem r ❑
KI Permit if needed ❑ Design on separate copy ❑ Sprinkler heads? Property Line?
Cl Remove Asphalt(Extra charge if over 4") — __ —1
❑ Remove Concrete (Extra charge if over 4")
U Apron removal 1 car 2 car 3 car
❑ Cap Blocks (Does not include foundation work) ,
La Rerpove Gravel, Dirt or Sod
11 15�f Base, after compaction t- ✓4 f t )/' I
U Your existing base and ours `!
41 Regrade for proper drainage ,
V] 3`' Hot Mix Asphalt compacted to J.S I
123 Addition to drive 3O '1 i !'
❑ Concrete, see concrete formX
® Approximate Square feet 36 9.
® . S Yr. Warranty /
S Yr.Asphalt Protection Plan(see details on back) , / ibbi–
ty
1
Options
: (Not included unless checked and initialed) / / I
❑ Fabric Installation SF $ I
❑ Permaloc LF $
Customer Initial
Estimated Cost:
31Cv ` 6
Down —it 13-6.0 ` ° 0
Balance # r I SO <v
X
Customer Approval Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
7745 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8836 • Fax: 612-866-8078 •www.richfieldblacktop.com
Licensed • Bonded • Insured