605 Thames Cir - Zoning Permits & PlansC!ty of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: planninaetcitvofeapan.com
L
For Office Use
Permit*
Date Received:
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
J
PROPERTY
INFORMATION
Site Address:
Owner Name:
Er)l< lec) vist
CONTACT
Name:
Address:
rcde One:
i " 3 City/State/Zp: 5J'I
Applicant Signature:
Email address: S of `J' `I)
Date:
-/z/-2,D
TYPE OF •
WORK
D Retaining Wall <4 feet L'4.Driveway
❑ Patio • 0 Sport Court
O Sidewalk
Description of work:
f2:7-FrfeQ,,V•e_t4)
❑ Other:
PLANNGIG .
Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. -_ f
pprov@stAenied Date of Approval: 9/1$r% Z t-3 Staff C S
(
Notes: UV-- CA-, 50%) lti+ k t3rt] '
Property lines to be verified 2Z' tnAc. X. ' Qc �k oc ..
• by contractor/owner.
Revised Plans
Approved: Yes / No Date of Approval: Staff. •
ENGINEERING
trading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way., etc.
Approved / Denied
Notes:
Date of Approval: Staff
' F
Revised Plans
Approved: Yes I No Date of Approval: Staff - R
COMMENTS .,
t
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.sropherstateonecall.ora
G:1Buiding Inspections\PERMIT APPLICATIONS12011\2011 Permit Applications
RICHFIELD
— The Twin Cities Paver of Choice
ESTIMATE By: K14.q # 6$7 1 V YO ±/
Date:r;L,
Name: j T % Hece9,viir
Address: 6 q%'l1 e i
City: L o f YJJ/7 41/2 Zip: 55 3
CI�n/Phone — ;) 3 _ V75-6
❑ Phone
Permit if needed
22emove Asphalt (Extra charge if over 4")
• Remove Concrete (Extra charge if over 4")
❑ Apron removal 1 car 2 car 3 car
a -Cap Blocks A (Does not include foundation work)
— Re oove Gravel, Dirt or Sod
t V-6 Base, after compaction
❑ Your existing base and ours
t7—R rade for proper drainage - Elevation die may be heeded. (See reverse)
co_ Hot Mix Asphalt compacted to 4) -,S5
4—Addition to drive t
❑ Concrete, see concrete form
a —Approximate Square feet 76_5
t - Backfill: Homeowner
C4-, 5 Yr. Warranty (see details on back)
Yr. Asphalt Protection Plan (see details on back)
Options: (Not included in esimated cost)
❑ Fabric Installation SF $
❑ Permaloc LF $
Customer Initial
Estimated Cost:
Down
Balance
y/ 7/zoLU
C mer Approval Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
L
B
P ❑
Li
Angies list
20i9
RICHFIELD
BLACKTOP
SUPER SERVICE
AWARD
BBB
ACCREDITED
BUSINESS
Replace as is
Flares
Stumps/Roots
No
LI
Ce-
Zfr-
Yes
No Yes
Water shut off ❑
New Cover lei ❑
Drainage Problem 4"--
❑
❑ Design on separate copy ❑ Sprinkler heads? Property Line?
A{r,/i
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
MIDWEST FENCE & MFG. Co,
CUSTOMER —LILIS 19 Af4 U
1^ FOR INTERNAL USE ONLY
ADDRESS Ic- I r—C le,
C17'y AAJ /?W 'CZ- K-1 _-7 2 SCHEDULE DATE:.. TIME
PHONE: (Hm)L-';'(- -'V7S4 (Wk) SET BK
51 aATE:
(Wk) Spouse COMPLETED BY:
)ill" DATE,
Salesperson AA40UNT DuE.- set
w A16'ey—
Locale ticket m, ff&7u Completion
Hudson page no. Hudson grid no. _ Intersecting S T
ha'me.y- A -Liu
WOOD FENCE DIAGRAM Th&rV5
vzcle
F rGood M Better L-1 Best rxl
ADDITION OR CHANGE
A
0 JOB ADDITION 01 JO CHANGE WE ARE SATISFIED WFH THE 'INSTALLATION
I OF OUR FENCE
SIGNATURE
General h7formation
1L72- hgt.F'_f_12!1 6 -26,V*le-spacing
ft.- hgt.
stylespacing
end posts
---end posts
wide gate
-_comer posts --wide
gate
comer posts
wide drive gate
,gate posts
wide removable panel
------gate posts
self closers
cement harfj holes
__-0asphall hard holes
r 3rdstringer
General InstructlonslObstructions
SIGNATURE
POSt Caps / Tops
Capper Board 1 x4 2x4 2x6 qLiMjft_QaQ
Fence Removal Type
Number of posts
Haul Awav
C_ 'C ct," 'e
*WWftdWeStlence.Co_m
CvPrtVhi Or 2012