1613 Norwood Dr - Zoning Permits & PlanstyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 875.5694
Email: planningtitcitvofeagan.com
For Office Use �j
Permit #: YJ ✓4 Ci
Date Received:
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
J
PROPERTY
INFORMAIION
CONTACT
Site Address: f
Owner Name
Name:
Address: -7-7
Applicant Signature:
City/State/Zp: 45S-
Date:
Email address: .s 01,
ir`i t QCi47r3 d Csii
TYPE OF
WORK
❑ Retaining Wall <4 feet Li.Driveway
❑ Patio ❑ Sport Court
0 Sidewalk RR 0 Fend
Description of work: t�Q_In/ _ si
❑ Other:
Woe-
Setbacks, biled-Sur a coverage, sho►eland zoning, bluff zone/setba et
Approve enied Date of Approval: q o7Cb?O Staff: 777
Notes: f y1 OQ(/ fl1 ow) fit/id C + n
9h7L -0-1- �� � s as �ee,�-.
0 I� % 1 o,s pre r-i.+ec) I r
p'�v4--c-� ► c.0 L-1-i,t in ShoPcar d OUrr-k 1 ID i St 'c - o "V 6-I tlYI� U I � Si-- L o, Ke .
Revised Plans vY\oX i vvt o vy>, a.6 1. ` yy‘ p ey u ; o u , 1g( --- c
Approved: Yes / No Date of Approval: �' Staff.
ENGINEERING
Grading, drainage, Utility easernents, wetlands, erosion control, improvements in the Right-of-Way,.etc.
Approved 1 Denied
Notes:
Data of Approval: Staff:
Revised Plans
Approved: lies / No Date of Approval:
Staff:
Property
tines to be verified
by wiliraotorlovvnCr.
COrdWIENTS ..
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orn
G:1Building Inspections PERMIT APPLICATIONS1201112011 Permit Applications
RICHFIELD
BLACKTOP
- The Twin Cities Paver of Choice -
StS,9 14 yq/cf
ESTIMATE By: C. r_rt #12' 11-' 0 7Y
Date: 9..- rQ d 0 1 91 ❑
Name: 5941 C qte /je f
Address: ` 6 d 3 /r9r L() o& q p r
City:/f1
Zip: 55 6 (22
❑ Phone Wi" 6'b !�(//`// '' 13 4l 9
❑ Phone
-Permit if needed
d -Remove Asphalt (Extra charge if over 4")
❑ Remove Concrete (Extra charge if over 4")
-Apron removal 1 car 2 car t/ 3 car
lid -Cap Blocks (Does not include foundation work)
3—Remove Gravel, Dirt or Sod
G]. �aBase, after compaction
❑ Your existing base and ours
lLkRegrade for proper drainage - Eton . (See )
a. 3 Hot Mix Asphalt compacted to• Imo
Addition to drive
❑ Concrete, see concrete form
r-Approximate Square feet b6O
CQBackfill: Homeowner
j Yr. Warranty (see details on back)
fa/ 5- Yr. Asphalt Protection Plan (see details on back)
Options: (Not included in esitmated cost)
❑ Fabric Installation SF $
❑ Permaloc LF $
Customer Initial
Estimated Cost: 45—(2.?
v n
Down p� G C C
Balance
X
(814 2-
Customer Approval Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
L ❑
P ❑
SUPER SERVICE
AWARD
RICHFIELD
BLACKTOP
BBB.
ACCREDITED
BUSINESS
No
Replace as is
Flares
Stumps/Roots
Yes
11/
No Yes
Water shut off II- ❑
New Cover Or ❑
Drainage Problem ❑
❑ Design on separate copy ❑ Sprinkler heads? Property Line?
\A
51Y4-1,
00,0
Property 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