4288 Beaver Dam Rd - Zoning Permits & Plans 9
1
For{7ffice Use
id,°` i.s-7K
City of Eapil
Permit#:
3830 Pilot Knob Road
Eagan MN 56122Date Received:
Phone:(651)675-5685
Fax:(651)675-5694
Email: lannin elcitvofeapan.com
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ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
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PROPERTY Site Address:
I .2•.. :C.1. ��/
INFORMATION ,
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Owner Name: _Pvt.
Name: . t `C.;- t (C:"C one:
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Address: L �. �S .�l't c_1...: d--1".s....---- City/State/Zip: i , 1 eco; ..- 112
CONTACT -gem1 r
Applicant Signature: --iimo. \, Date: `- i
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Email address. f c'' - , ( U C. t t C C. (43.---)
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❑Retaining Wall<4 feet • Driveway 0 Other:
TYPE OF 0 Patio 0 Sport Court
WORK 0 Sidewalk 0 Fence
Description of work:
PLANNING . Setbacks,hard surface coverage,shoreland zoning,bluff zone/setba«.j: C. � !
Approved .enled Date of Approval: ; / Staff: 40 014A114- 1 1
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`p rS1rY14.4.1rn L,t4., w i d,+-k 6•,.4 17.9 14--a`fi-w
15 OD -E-4 _.
Revised Plans
Approved: Yes/No Date of Approval: . Staff: •
ENGINEERING Grading,drainage,utility easetrients,wetlands,erosion control,improvements in the Right-of-Way,etc
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Approved/Denied Date of Approval: T fowner/ap lcar]is
4
Notes: - responsible for compliance with .
4
. applicable construction codes.
Revised Plans s
Approved: Yes/No Date of Approval: _ Staff: �� ^M M,Qt
COMMENTS
1
• A,
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'todig to receive locates of underground utilities. www.Ropherstateonecall.orq, t
G:\Buiiding Inspections\PERMIT APPLICATIONSt2011\2011 Permit Applications
Property lines to be verified
by contractor/owner.
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RICHiIELD - The Twin Cities Paver of Choice — RICHFIELD
BLACKTOP BLACICTOP
ESTIMATE B : )'')iar
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Date: / 47 I D
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440
12018 .
Name: 6 !2 q 4 / v P u
Amies list
Address: Li W 13 -eq i`{,- P.047 iccp L ❑ .SUPER SERVICE
tB ❑ '"::AWARD BBB.
City: =. / j Zip:55 -_L- ACCREDITED
P U
LI Phone 67 id,- Y 3 a- l 50 7
No Yes No Yes
❑ Phone Replace as is U 11--1 Water shut off (tL. ❑
U Flares ❑ [.i v New Cover a ❑
Stumps/Roots ` D Drainage Problem C/ 0
U. 'ermit if needed
3--Remove Asphalt(Extra charge if over 4") ❑ Design on separate copy D Sprinkler heads? Property Line?
D Remove Concrete(Extra charge if over 4")
U Apron removal 1 car 2 car 3 car
LI--'Cap Blocks A(Does not include foundation work)
❑ Re► ov2 Gravel, Dirt or Sod
,.. - Base,after compaction
❑ Your existing base and ours I
E on change--Regrade for proper drainage-Elevatchangemays
Y ae(See reverse) I
el-- 3 Hot Mix Asphalt compacted to 01
A
U Addition to drive
LI Concrete, see concrete form
ti-.-Approximate Square feet c3 ( ICI.
❑ Backfill: Homeowner
Ce--- Yr.Warranty(see details on back) '�
LL-- Yr.Asphalt Protection Plan(see details on back) g V\
�.� p � rye, ...�
Options: (Not included in esitmated cost) Et)
❑ Fabric Installation SF $
❑ Permaloc LF $
Customer Initial
41'
gifC(0 %/1-*
Estimated Cost: L
V \\
Down
tiy0 ,,.
Balance4/1? CPYr -- 4.
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. / /Pi
Gusto r Approval Date
Property lines to be verified
I have read and agree with the terms and conditions on the reverse side. by rontractorlowner.
SIGN AND RETURN WHITE COPY
A-d?VanCe4) 5-lid .--ii c So
7745 2nd Avenue S•Richfield, MN 55423' Ph:612-866-8836' Fax:612-866-8078•www.richfieldblackto•. .1
#'' ,n..-- Licensed • Bonder -
7>& - ) oi- If ju Teo 1 erf applicant is
spoble fioco�r�pliawit
reapplicablnsie constrrUCtion codesnce .h