3789 Greensboro Dr - Zoning Permits & Plans For Office Use
1011/11
City Eaof Permit 4: / 6:, �
3830 Pilot Knob Road Date Received:
Eagan MN 55122
Phone:(651)6754686
Fax:(651)675-5694
Email:plannlraicitvof taapn com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines,structures
and existing conditions.
• i
Site Address: 3'7'6 ,, '. c.2,(2..-0 PROPERTY U` r�-•� .ice-0 �
INFORMATION
Owner Name: 5(/E...._, , ..a°
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Name: ?1/4.1‹... � one `� i
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Address: Hyl ,. e") i5 City/State/Zip: : 'C 1 e . A
'CONTACT
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1 2(.' ' -
' •- Applicant Signature: '+►'��:i��� �� Date: �" '""'
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Email address"'`jy� "r 1 ►411r 1 C
❑Retaining Wall<4 feet �� riveway ❑Other:
TYPE OF 0 Patio E]Sport Court •
WORK 0 Sidewalk Cl Fence
• Description of work:
PLANNING : Setbacks,haat surface coverage,shoreland zoning,bluff zone,- —MFG.
Approved f 1 Hied Date of Approval: 9 ' staff. j
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Revised Plans
Approved: Yes/No Date of Approval: . Staff: •
ENGINEERINGGrading,drainage utility eas+ encs wetlands,erosion_ control,improvements In the Right-of-Way,etc. E
Approved 1 Denied Date of Approval: — Staff
Notes: -
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Revised Plans
Approved: ?'es I No Date of Approval: Staff:
COMMENTS
• •
CALL BEFORE YQU 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.aopherstateonecall.oru
G:\Building InspectionssPERMIT APPLlCATIONS12011\2011 Permit Applications
\�eS 0 1040
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: IFIn ED — The Twin Cities Paver of Choice - _ Huct IFIELD
BLACKTOP BLACKTOP
ESTIMATE By: ince r K #6 c1... W9o ( / ' '
Date: 7--r -t 7 I 00
Name: ...5-iiC,t r6 Angiie's list
1/241184\
4
SUPER SERVICE Address: 3 7 6i-et") &,-o p 0 L 0 BBB,
B C3 r ;,AWNARD,,
City: +G �f f ♦ Zip:5j2.3 ,;a ACCREDITED
&..57--
r-� P ❑ BUSINESS
0 Phone c� 70 '" SYk1 7
No Yes No Yes
O Phone Replace as is 0 0' Water shut off VA., 0
❑ Flares U 74. New Cover (fr' ❑
�' Stumps/Roots U Drainage Problem C34 Kermit if needed ❑Design on separate copy ❑ Sprinkler heads? Property Line?
W-Remove Asphalt(Extra charge if over 4")
O Remove Concrete(Extra charge if over 4")
O Apron removal 1 car 2 car 3 car
3--Cap Blocks (Does not include foundation work)
U Remove Gravel,Dirt or Sod
t'V-e.
Base,after compaction
O Your existing base and ours <
- Rerade for proper drainage-Bevaion thermal.tea.(See ) iC
0Y- Hot Mix Asphalt compacted to ol-
C3 Addition to drive Se\N 1
O Concrete,see concrete form
71,-Approximate Square feet /d 7 gut
❑ Backfill:Homeowner a 11
L.7- Yr.Warranty(see details on back) 1:,
Yr.Asphalt Protection Plan(see details on back)
Options:(Not included in esitmated cost)
O Fabric Installation SF $ (i3
❑ Permaloc LF $
Customer Initial ,,- i
7'.
Estimated Cost: Y4 ,._
Down '9 C 1/° i
Balance T1 Y0 .
5+1c.e-et--
X "7/?- 11. 1
Cuss • :I Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
77AC 7nri nvA11IIA S 0 Richfield,MN 55423•Ph:612-866-8836•Fax:612-866-8078•www.richfieldblacktop.com