3644 Widgeon Way - Zoning Permits & Plans City
Eaaaii
For Offlae Use
ofPermit*: /51/61 C
3630 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(861)675-5685
Fax:(651)6764684
Email:Dlannlnal9citvofeaaan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address: ?) 1J _C/ Wc y
Owner Name: G ` ±
Name: �
"' Ic)IIZ PPhone: Z" - "150S3b
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Address: 7 4 `S City/State/Zip: t-11 j i►
COMACT �lr•-�
Applicant Signature: '"r''�` ~ Date: `J !fci
Email address: , 5 ,c 'f.` k(a th?.c tea
O Retaining Wall<4 feet Driveway Other. �>
TYPE OP ' 0 Patio 0 Sport Court
0 Sidewalk � Fence
Description of work: 14F-fo f
Appro d-t?enied Date of Approval: '' ' -(� Staff W
Burr i1 120 - co !,r -�-
�S i S Li,/ k-o ey,4:its/e & a//iw J 1. /S �P� �•'c I , <i o� w, acrrq
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Revised Plans
Approved: Yea l No Date of Approval: Staff
i . ilk; : rim in the Ritiht4fWay,etc. I
Approved/Denied Date of Approval: — Staff
Notal: ••
- G
Revised Plans
Approved: Yea I No Date of Approval: Staff
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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.aoaherstateonecall.orst
G:18utldtrg Inspectlons\PERMIT APPLICATIONS12011 t2011 Permit Applications
ii-/s9-60
RICHFIELD — The Twin Cities Paver of Choice - RICHFIELD
BLACKTOP BLACKTOP
ESTIMATE By: jcc, #(p S/- 11- Va ?j/
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1V— 1
Date: I _
••2015•x` 6
Name: 6- r-y 1711 9 ci G P ❑ 'Angie%lisp
L LI Address:3 6j Y l/v t CC, tai ssRVi �, BBB
B U AWARD"_
City: +> 4 .5 '1 4'14 Zip: 55 1 3 ACCREDITED
P BUSINESS
❑ Phone 6s / -• Y3 y - 6 0 Gj J
// No Yes No Yes
is Phone Replace as is ❑ #]/ Water shut off Er' ❑
.,t Flares ❑ le New Cover [ - ❑
`- i'„.7) r, t- Stumps/Roots J ti Drainage Problem ' ❑
1ermit if needed j'` ,
J Design on separate copy ❑ Sprinkler heads? Property Line?
allemove Asphalt(Extra charge if over 4")
U Remove Concrete(Extra charge if over 4") (iakI V13
Apron removal 1 car 2 car 3 car U r,rt Q
iYCap Blocks a (Does not include foundation work)
J Reinpyre Gravel, Dirt or Sod 9,&s }
-yR -& Base,after compaction /// 0
Li Your existing base and ours IT I
U" e rade for proper drainage S
tl- � Hot Mix Asphalt compacted to a- .,1i
a�
_I Addition to drive
J Concrete, see concrete form) C c /a
D '1pproximate Square feet 1 5 / p
5 Yr.Warranty l� V� I
Ll--J.Yr.Asphalt Protection Plan (see details on back) C "'
< --"-1 �
Options: (Not included unless checked and initialed)
IT 1.1
Li Fabric Installation SF $ 0 3 .,.. A
J Permaloc LF $ `'J yT a
Customer Initial 1
a
:::ted
Cost: L • g/Q ,r �, r.,/ 0:7')�
a
,.. ‘J k\N
Balance y ,770 T
�v� ''
7
Custolber Approval 6 Date Av
I have read and agree with the terms and conditions on the reverse sid . �,i jar
et
SIGN AND RETURN WHITE COPY "` vr1 Vii.
1 St-t.-c--
7745 2nd Avenue S•Richfield, MN 55423•Ph:612-866-8836 •Fax: 612-866-8078 •www.richfieldblacktop.com
Licensed • Bonded • Insured