1220 Town Centre Dr - Zoning Permits & Plans For Office Use41,1° `
City of Eagan Permit* /'// /
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5685
Fax: (651) 675-5694
Email:planninn(@citvofeagan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
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Site Address: 1224-`_ f a 0 !a�v n L-�r1 �/�
Property _-- _ _
Information
Owner Name: Lakc 5;dd `PQ! n/ a0Ieeir ila0dr
Name: ' f holt/-]
Phone: 6/5/-412q /6296)
h y p:S \Or'eV ( C IA J 1 1 k1
Address: � U _shorty V If',( a
.�.� r {�t� Cit fStatelZi _�
Contact Zi 55‘,4k,
Applicant Signatur• ��� � `'L __m___ Date:
Email address: v -R1 Ce— e ( 2 r' n! (�,C) �_ —141��V
o Retaining Wall<4 feet -ir-Driveway 0 Other:
❑ Patio ❑ Sport Court
Type of Work 0 Sidewalk ❑ Fence
Description of work: rerr.aye- Y' f e())OC,e C 1 IrC.Ve. 9v 1U-e.t..0
Planning Setbacks, hard surface coverage, shoreland zoning, bluffzonels-tba,ks, etc.
c_____Dapprovedenied Date: ,Q itUStaff: 1 �I /s:
O.
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:
Notes: Staff:
Revised Plans
Approved: Yes 1 No Date:
____ __� Staff:
Comments `�--- --
1
i
CALL BEFORE YOU DIG. l
Call Gopher State One lb at(651)454-0002 for protection a i
48 hours before you intend to dig to receive locates of underground utilities. www.
gainst underground utility damage. Call
o herstateonecall.or
G:1Building InspectionstPERMIT APPLICATION(
=_ Proposal
/5/770� N�1!�L ,; 530 Shoreview Park Rd
=00 1 , - �' '•T' 0 Shoreview, MN 55126
Asphalt&Concrete Technologies phone 651-484-1696 • fax 651-484-8063
Asphalt Specialties Co. BBB Serving the Twin Cities Metro Area since 1979
wwwasphaltmn.cotn ^ Licensed • Bonded • Insured
Name:4,,, esti,i9c.,,?t•->< aL� 4€5 /.�?r y., Email: Date: 2` '—/c�'
City, Zip: -s12?
Street: / -2-41—/Z 7e ' Ce 'frr /i4 tY � E /�.•
Cell Phone: Phone: Estimator: f Date Sold: 22—AP-
Home
Excavation & Base ❑ OK TO USE BOBCAT OR TRUCKAIN GE YARD-CUSTOMER IS
RESPONSIBLE FOR ANY YARD DAMAND RESTORATION
❑Asphalt sqft .?_off' Concrete Total cF '�
❑Stake and string perimeter „el
0 Replace as is r ,O
❑ Locate sprinkler heads
❑ Replace water shut off cover in driveway Cost: $ 0 Drawing on separate sheet
O Sawcut 0 Tree stumps/Tree roots MAP CO-ORDINATES X-STREET
0-Excavate/haul away. Asphalt 0 Concrete 0 Grass-Dirt .
❑ Leave apron _ •
❑ Remove apron, Replace with ` 5'...-o
❑ Repair major block damage if necessary-additional charge /� l
$ , initial L'--
❑ Install recycled crushed rock base class 5 as needed, for a
finished thickness of 4-6 inches, including existing base.
❑ Set grade and compact for proper drainage
O Install yard sign
Asphalt
IgTouch up driveway if needed prior to asphalt installation
le-Pave MN Dot APPROVED pai'le_. UrrvQ asphalt hot mix at
3 /y inches compacted to..3 inches.Hand tamp edges. . . K . . . . . . .. .. .
• .
❑ Warranty for years,against settlement,edge breakoff
and break up.As per warranty booklet Y�
Concrete �.
3 Apron 0 Sidewalk 2 r
:Steps 0 Patio 0 Driveway
❑ Stoop 0 Curb 0 Garage Floor dcfr CV
3 Jackhammer/Bobcat 0 Door Height
]Concrete Total sqft IL el . . . . . .
3 Review footings,additional footing Cost:$ . . . .
3 Install rebar 3 ft on center Cost:$
D 4500 psi concrete with fiber mesh, ❑Color •2-6 . • > .
D 4 inch thickness 0 5 inch thickness
3 Finish: 0 Broom 0 Smooth 0 Stamp _____. T/� •
] Hand Tool joints 0 Sawcut 0 Other 5 - . .
]Apply curing sealer
] Warranty for years, against settlement,edge breakoff • • • • • .
and break up. As per warranty booklet. -- •
COMMITTED TO EXCELLENCE
to Propose hereby to furnish materials and ,
)mplete with above specification,for the sum of Price$
r - /hQG/, ! 4 -
c.../1,7
Ce,,,-....,ANY REQUIRED PERMIT FEES 50% Deposit$ --
#0" Ohl
Balance upon completion $
ignature
All materials is guaranteed to be as specified.AI!work is to be completeef in a work-
ignaturea
manship-like manner according to standard practices.Any alteration et deviation fn>m
b
gave read and agree with the terms and conditions on the reverse side. rgabove speccioficationn involving extra costs will bev eexecuted only upon wrilt�n orders
)upons can not be combined&must be nresentwri at tima n ems.,,. ..
upon strikes,accidents or delays beyondur Conren aar,��a9�ements conn nt