4754 Beacon Hill Rd - Zoning Permits & Plans411P City of Ea&all
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 675-5685
Fax:(651)676-5694
Email: plannincifikitvofeapan.com
For Office Use
Permit# /6-(
Date Received: zll/!to / ZO
--.J
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PROPERTY
INFORMATION
Site Address: LA-194 6eskc.or, (J, f "
Owner Name:
1l. S0+I1.0,
CONTACT
Name: 1 L\- \ .3. CQ.GI hone: Cs062`46
�� 3 ! Address: Clay/Stete2ip: j
Date: 1f -'
Applicant Signature:
Email address:
TYPE OF
WORK
D Retaining Wall <4 feet MDriveway
D Patio D Sport Court
0 Sidewalk 0 Fence
Description of work:
0 Other.
PLANNING
I Setbacks, hard surface coverashoreiand zoning, bl zone/setbacks, etc.
Approved / enled
Property
Date of Approval: '1r I 470 Staff C5
1
lines to be verified
by contractor/owner. :in 5 re]rn[. 1-cM r - Z
,.
Revised Plans
Approved: Yes / No Date of Approval: Staff: •
ENGINEERING
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc.
Approved / Denied
Notes:
Date of Approval: Staff:
y
Revised Plans
Approved: lies 1 No Date of Approval: Staff:
COMMENTS
w
CALL BEFORE YOU DIG. Call Gopher State One Cell at (651) 4544002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.orq
t3:18ulldinglnspectlonssPERMITAPPUCATIONSi201112011 PennitApplications
RICI-(FIELD
BLACKTOP
- The Twin Cities Paver of
ESTIMATE By: iinCtiK #6511- r'- %O9
Date: S- a 1 •0k2
Name: Doi VQ.Ccirkels
Address: q7 y 4C oA /l
cr
City: .g',1 Zip: 55
CI Phone ('$/- 7 '30?7!
CI Phone
O
Ilegrmit if needed
b-Remove Asphalt (Extra charge if over 4")
O .Remove -Concrete (Extra_charge n over 4'
Cl Apron removal 1 car 2 car 3 car
a -Cap Blocks bi (Does not include foundation work)
CI Remove Gravel, Dirt or Sod
£$-y4 Base, after compaction
CI Your existing base and ours
1 l-Re rade for proper drainage - Berationchairsqben . (Seerevelsel
�-- Hot Mix Asphalt compacted to 0,4
CI Addition to drive
O Concrete, see concrete form
IL/ -Approximate Square feet 7 0 ,)
fr-Backfili: Homeowner
Yr. Warranty (see details on back)
tom-Yr. Asphalt Protection Plan (see details on back)
Options: (Not included in esitmated cost)
fr,,e.CI Fabric installation SF $
Permaloc LF $ tom,± li% 0/
4
Customer Initial
Estimated Cost:
Down
E
CustanerApproval
$y go
aa50
'rf'7 /i1
Date
have read and agree with the terms and conditions on the reverse side.
*tie, Coupovv
SIGN AND RETURN WHITE COPY An G1u.dec1-
Choice -
/Gasa/
RICHFIELD
BLACKTOP
k, SUPER SERVICE „d
,AWARD
-„r
BBB;
ACCREDITED
BUSINESS
No
Replace as is CI
Flares 0
StumpslRoots O
Yes
Cr
No Yes
Water shut off El, CI
New Cover fa- a
Drainage Problem Z14° CI
0 Design on separate copy CI Sprinkler heads? Property Line?
4611- ,,-
9-040'
gar
Aird.
of1rat°(,,, gasidC
M1 o'
eXceec> Property lines to be verified
22' @ Curb by contractor/owner.
REVIEWED
FOR CfP COMPUMI W
7745. 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8836 • Fax: 612-866-8078 • www.richfieldblacktop.co
Licensed • Bonded • Insured BY.
OF EAGAN-CODE ENFORCEMENT