1644 Boardwalk - Zoning Permits & Plans4,11 C!ty of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675-5685
Fax: (651) 675-5694
Email: pianninpecitvofeagan.com
For Office Use
Permit*:
Date Received:
to
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 / 1 L(
Owner Name:
GlI
CONTACT
Name:
Address
77
Applicant Signature:
GIC&C/04hone: Cor,V--s6
/f " S City/State/zip L,,.1,� Ve
Date:.- S— (6
Email address 'J ot 5 4t
❑ Other:
TYPE OF
WORK
❑ Retaining Wall <4 feet MDriveway
❑ Patio 0 Sport Court
❑ Sidewalk 0 Fence
?pp -c:
Description of work.
La.S% qc'
PLANNING
p ne a11
Setbacks, hard surface coverage, shore land zoning, bluff zonelsetbacks, etc,
m A_pprovedipenied Date of Approval: Staff of �.
Notes:
Property lines to be verified
. by contractor/owner-
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 Date of Approval: Staff:
Notes:
Revised Plans
Approved: Yes / No Date of Approval: Sta{t
COMMENTS
CALL BEFORE YOU can Call Go he► state o C
at (851) 4S4 0002 for protectlan against underground u61lty damage. Call
48 hours before you intend to dig to receive locates of underground utilities www.gopherstateonecall,ora
Gaeuilding Inspections\PERMIT APPLICATIONS120111201 1 Permit Applications
RICHFIELD
- The Twin Cities Paver of Choice -
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City. B LI
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ESTIMATE By: %
Date: 7-1, < 'd d
Name: ev%%/
Address: 16 v y�z�
U Phone
lielc:rmit if needed
LJ'temove Asphalt (Extra charge if over 4")
Li Remove Concrete (Extra charge if over 4")
L] Apron removal 1 car2 car_ 3 car
--Ir.eiwhr' ..JJ wu _rk►
-1 eriove Gravel, Dirt or Sod
I/- J. Base, after compaction
0 Your existing base and ours
GYR rade for proper drainage - E►, may,(See rerr-rv)
Hot Mix Asphalt compacted to__
Ca. -Addition to drive ice
O Concrete, see concrete form
CBrApproximate Square fee
4-Backfill: Homeowner
ID- Yr. Warranty (see details on back)
@- '" Yr. Asphalt Protection Plan (see details on back)
Options: (Not included in esitmated cost)
U Fabric Installation SF
O Permaloc LF
Customer Initial
Estimated Cost
Down
Balance
r Appmval
75
1 have read and agree with the terms and conditions on the reverse side
SIGN AND RETURN WHITE COPY
/2018
Angie list
SUPER SERVICE
'AWARD
BBB.
ACCREDITED
BUSINESS
No Yes No Yes
U Water shut off U
L1 Cl, New Cover Lk—
U Drainage Problem CA, C
Ur-
Replace as is
Flares
Slumps/Roots
U Design on separate copy
U Sprinkler heads? Property Line?
T,rl
Pr• perty lines to be verified
by contractor/owner.
7745 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8836 • Fax: 612-866-8078 • www.richfieldblacktop.com
Licensed • Bonded • Insured