3794 Greensboro Dr - Zoning Permits & Plans For Office Use
City 4111/1' of Ea Permit : ��6
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
4... J
Phone:(651)675-5685
Fax:(661)6754684
Email:planninoinicitvofeaoan.com .
11
ZONING PERMIT APPLICATION
p Please identify improvements on a scald site plan drawing that shows lot lines,structures
and existing conditions.
PROPERTYSite Addres7s ? e:›4---Qta,vts ['\g-b
I INFORMATION
Owner Name: .L t s I/1% C St''', F
' "'Z7.36-;
Name: -,iC�, l one: 6/2 4.i► w
Address: �,, ,;,�, 1i-�t CitylStatelZip: i 'M� VD.... _
'CONTA` �. -'
Applicant Signature: "'ft..—"'2 �. Date: r
•
Email address:"' yr 70 i "t.. i COc
❑Retaining Wail<4 feet riveway ❑Other.
'TYPE OF LI rat* CISport Court
WORK •: CISidewalk ❑Fence
Description of work:
__
',rite . I St hard coverage,ah� bluff zonzone/zoning, „ :Moto.r•®' oto. ,
Approved/ nied Date of Approval: ?°t ' Staff: ; L4LIa
Notes. �p� - G4_ `�
\N\O-.1 w\.v %M 'W 1 d :Q-k -lc-► °' CLA-1 _ 3:
5 9- • r> . o,k vO O - _�.
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Revised Plans
Approved: Yes I No Data of Approval: . Staff: •
ENGINEERING• Grading,drainage,utility easentants,vtetlattds,erosion control,improvements In the Right-of-Way,etc.
Approved 1 Denied Date of Approval: Staff:
Notes: •
•
Property lines to be verified ,
<
Revised Plans
Approved: Yes/No Date of Approval: Staff
COMMENTS • •
,
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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.000herstateongcall.oro
G:%Building InspectIons\PERMIT APPLICATIONS1201112011 Permit Applications
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Ric} Ii SIL LD — The Twin Cities Paver of Choice - 1-mmmlF ILI...C.J
BLACKTOP MBLACKTOP
ESTIMATE By: 194, A # b . /�-� .1'iv-Ye Ty ,
. ,,,,, _
Date: 7— 1-- j I u .„..- 7 ?/2-
Name: Lis ct S)ts04 P ❑ x , 2018
Angus list 00
C3
Address: 771Eee6arc 0 r• L
sum SERVICE
B AWARD
BBB.
City: , ,,, / zip:55 .2� ACCREDITED
P U BUSINESS
❑ Phone (ai 7. 7— '777
No Yes No Yes
❑ Phone Replace as is ❑ 17.Y' Water shut off ((i''' ❑
❑ Flares ❑ lid'' New Cover fir ❑
Stumps/Roots ❑ tV Drainage Problem lam''{ ❑
teiCermit if needed
Remove As halt(Extra charge if over 4"} U Design on separate copy U Sprinkler heads? Property Line?
phalt.::. . . .. ....
O Remove Concrete(Extra charge if over 4")
❑ Apron removal 1 car 2 car 3 car
❑ Cap Blocks (Does not include foundation work) _ t
O mov a Gravel,Dirt or Sod
Base,after compaction
❑ Your existing base and ours
D-'R rade for proper drainage-a • i..mayreded.(seem se)
6/ ,Hot Mix Asphalt compacted to• - `
U Addition to drive eci fith 4€qut , —).
❑ Concrete,see concrete form/ t 4
(Approximate Square feet Ca 01 o<
U Backfill:Homeowner f ,�,
di---_,c,Yr.Warranty(see details on back) OD
`�.
--r tNik,.>
a- Yr.Asphalt Protection Plan(see details on back) 6 A 51i1,4i\--"
Options:(Not included in esitmated cost) 3g (-----5
„Iztmop1o(I(_
❑ Fabric Installation SF $
I
❑ Permaloc LF $
Customer Initial
Estimated Cost: 4?-0 3 '°
Down t�� 5 / 7 i5
Balance445- 4 17415
X 7/2_2://2571-7.e
stonier Approval Die
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.richfieldbIacktop.com
Licensed • Bonded • Insured
oed
ProPertv
rsevdcoiner.