4729 Pebble Beach Way - Zoning Permits & Plans City of
Office Use
EagAit
Pe It
/Alii 1
1:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received, _^
Phone:(651)6755-5685
Fax:(651)6755694
Email:planninci/licitycifeattartcorn
ZONING PERMIT APPLICATION
0 Please identify improvements on a scaled site plan drawing that shows lot lines,structures
and existing conditions.
pRopifftTy Site Address: L. f f —, V ' 7 z
,tiew, 1,,,,v,
iv-Le ! I 0
- s
Owner Name: J
Name' , „ s 1P,��r
�Z`= Phone; '/2.-% `'-
Address. 1 = __ .,., �, 'r` City/State/Zp. i 6, '1 _3 °It
CONTACT _.
/MIN, ,r (i's
Applicant Signature: !ZtLlr4llIllP Date:
Email address: ''. els --<..„4"
6(1t ,, _ , i
❑Retaining Wall<4 feet Pitriveway w Other-
TYPE OF 0 Patio 0 Sport Court
WORK 0 Sidewalk 0 Fence ;
Description of work _.
PLANNING iG Sehacks,hard surface-coverage, aland zoning,bluff zone/setbacks,etc, ;
-
Rprevec Deni �C
Dented Date of Approval: � I r .
Staff: .,
II
'dates. Property lines to be verified
by Contr .ctcr/ :tin r.
Revised Plans
E Approved Yes 1 No Date of Approval: Staff.
ENGINEERING • Grading,drainage,Utility easements,wetlands,erosion control,inyrovernents in the Right-of-Way,etc.
* Approved!Denied Date of Approval. Staff.
Notes:
Revised Plans
Approved= Yes I No Date of Approval: 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,gopherstateonecall.orri
G:\Suiiding InspectionsTERt41TAPPLICATtONS\2011\2011 Perrot Applications
1 1ELc - The Twin Cities Paver of Choice - RICA = )
ESTIMATE By_ /'` 1 ; #i ii W� 67
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Mame.
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�, . � ��1191,i � ' s ..mow
Address: ----; - 4 J s og :..
City: , 9 `.'7 Zip:55 1: f, J i ACCREDITED E
No Yes No Yes
J Phone ; Replace as is .,+ J Water shut off J
p
Flares , J } New Cover - J
,,, ' Stumps/Foots J 1 Drainage Problem 14-`1'' J I
J" Permit if needed
J Design on separate copy J Sprinkler heads? Property Line?
.Zk R"emove Asphalt(Extra charge if over 4")
J Remove Concrete(Extra charge if over 4")
J Apron removal I car 2 car 3 car
J Cap Blocks _ . .(Does not include foundation work)
ove Gravel; Dirt or Sod ;° _
f base,after compaction
..;1 Your existin: base and ours ct
Le-'R rade for proper drainage si" 3 i, ,
L ~ �... Hot Mix Asphalt compacted to
"Addition to drive. _.., ,„ / ''
J Concrete, see concrete form
ie-Approximate Square feet_... ... (-I r
4(;)"—_5 Yr.Warranty 10' , t1 14/
--j Yr.Asphalt Protection Plan (see details on back)I S�'`) ,i ,\ tisil\''
Options: (Not included unless checked and initialed) ; -
J Fabric Installation SF_ 5 ' W
J Perrnaloc LF . __ Property lines• be vl
key ntr ct rto�rrrtr.
Customer initial
c,
"w
Estimated Cost:
Down
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to
Bala e � �e n_ ,.�1.1:1L,,,--7) .� __ ____.�_ i
IL„
—1 Attii-
c starror ApproveDate ' V
_
have read and agree with the terms and conditions on the reverse side,
SIGN AND RETURN WHITE COPY
5,:_k___iii-ti-'t,
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7745 2nd Avenue S •Richfield, MN 55423 , Ph:6I2-856-8836=Fax:512-885-8078 •ww+rw,richfieldblacktop.corrt`
Licensed , Bonded A Insured