604 Autumn Oaks Ct - Zoning Permits & PlansEAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5685 i TDD: (651) 454-8535 i FAX: (651) 675-5694
planning (aicitvofeagan.com
r-
For Office U e _
Permit #:�'� C�
Date Received:
Staff:
2019 ZONING PERMIT APPLICATION
o Please identify improvements on a scaled site plan drawing that shows lot lines, structures and
existing conditions.
Property
Information
Site Address: (061-1 ' — lb (in C6 frS Lir
Owner Name: l� -
/
J / t S & e s Phone: r 51 - `ig7r 'Vq
Contact
Name: haft ,
s1
3itaoU 3P� City/State/Zip: Shore- viee-1-) ✓
Address: )
Date: U/fJ ///
44
Applicant Signatu :Val _4
,,,
Email address: fZ e I aS / t m h ` 6.41-1
Type of Work
❑ Retaining Wall <4 feet riveway ❑ Other.
❑ Patio 0 Sport Court
❑ Sidewalk 0 Fence
Description of work:
Planning
Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
.! 10 /I 11 Staff: E i r is e 144_ x(
Date:
--.Approi►.9d:lQenied
i / / 4
Notes:. 2 1 f �)`,'u.A. v r., (A) f°4` t, c. 0 ,"la J I -0 D Ab' / PLe..�li vt. 4116v -es .
i I ! Property titles to b rifled
b_y ir, 03110Wrtar
Revised Plans
Approved: Yes I No Date: Staff:
Engineering
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc.
Approved / Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes / No Date: 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.aopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.com/subscribe.
Asphalt & Concrete Technologies
Asphalt Specialties Co.
www.asphaltmn.com
Name:
-rc�
Street: r" Oil ut i t. ) 1 n (i °A" G'
Cell Phone: 6751 117 d ' 3 "LI Home Phone:
�t33 R
Excavation & Base
)
sphalt sqft / 3 7.5 Concrete Total
Stake and string perimeter
0 Locate sprinkler heads
0 Replacewater shut off cover in driveway Cost: $
stumps / Tree roots
0 Excavate/haul away Asphalt 0 Concrete 0 Grass -Dirt
0 Leave apron
0 Remove apron, Replace with
or block damage if necessary - additional charge
, initial
nstall recycled crushed rock base class 5 as needed, for a
Jinished thickness of 4-6 inches, including existing base.
zdiSet grade and compact for proper drainage
.El install yard sign
Proposal
BBB
WES
Email:
530 Shoreview Park Rd
Shoreview, MN 55126
phone 651-484-1696 • fax 651-484-8063
Serving the Twin Cities Metro Area since 1979
Licensed • Bonded • Insured
Date: Y� '
11/
City, Zip. .a /\-./ j C I Z
Date Sold:
❑ Sawcut 0 Tr
Asphalt
Touch up driveway if needed prior to asphalt installation
Pa e MN Dot APPROVED asphalt hot mix at
�j i inches compacted to 3 inches. Hand tamp edges.
Warranty for /) years, against settlement, edge breakoff
and break up. As per warranty booklet.
Concrete
in Apron 0 Sidewalk
0 Steps 0 Patio 0 Driveway
O Stoop 0 Curb 0 Garage Floor
0 Jackhammer/Bobcat 0 Door Height
0 Concrete Total sqft
0 Review footings, additional footing Cost:$
0 Install rebar 3 ft on center Cost:$
o 4500 psi concrete with fiber mesh, 0 Color
0 4 inch thickness 0 5 inch thickness
0 Finish: 0 Broom 0 Smooth 0 Stamp
0 Hand Tool joints 0 Sawcut 0 Other
['Apply curing sealer
0 Warranty for years, against settlement, edge breakoff
and break up. As per warranty booklet.
We Propose hereby to furnish materials and labor, 6)1)
complete with above specification, for the sum of Price
$ q ! "
PLUS ANY REQUIRED. PERMIT F 50% Deposit $
Signature
Signature �/ iJ t/k- l,'
I have read and afire: 'th the terms and conditions on the reverse side.
Coupons can not be combined & must be presented at time of estimate
mpletion $
an po
It---�-`
Estimator:'
REOK TO USE BOBCAT OR TRUCK IN YARD - CUSTOMER IS
RESPONSIBLE FOR ANY YARD DAMAGE AND RESTORATION
O Replace as is
❑ Drawing on separate sheet
MAP CO-ORDINATES X -STREET
70-
i]no.o to ba v3^rink
ri:ractar/trvdrier.
COMMITTED TO EXCELLENCE
All materials Is guaranteed to be as specified. All work Is to be completed in a work-
manship -like manner according to standard practices. Any alteration or deviation from
above specification Involving extra costs will be executed only upon written orders
and will become an extra charge over and above estimate. All agreements contingent
upon strikes, accidents or delays beyond our control. A.C.T. Asphalt Specialties is
fully covered by Workmans' Compensation and General Liability Insurance