2100 Viburnum Tr - Zoning Permits & PlansFor Office Use
City of Eatali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-0694
Email: planninq(& citvofeagan.com
Permit #. 1 4 41'L
Date Received:
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
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PROPERTY
JNFORM*TION`
Site Address: (Dv ��� l/ r t v• tik( e L
Owner Name: r � � Gc E' J 5 C � {
{ \ -e-•2IC/t4ne: C P( `C4
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Address: � i C' /State/Zip:
Date:
CONTACT
Name:
Applicant Signature:
Email address:
Ca'-dvi
TYPE OF
WORK
0 Retaining Wall <4 feet
❑ Patio
0 Sidewalk
Description of work:
.Driveway
❑ Sport Court
D Fence
❑ Other.
::PLANNING .
Setbacks; ;hat d surface coverage, shoreland zoning, bluff zone/setbacks, etc..
Date of Approval 9/28/2020 Staff lsl 3'a zai 2Zekm.i
Approved )Denied
width at right-of-way is 22 feet. Okay as presented.
Notes.
Maximum
Revised Plans
Approved:
Yes / No Date of Approval: Staff.
ENGINEERING
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right of -Way, etc:
�1
Approved / Denied
Notes:
Date of Approval: Propertyilines to be
_.
verified by Contractor/
• Owner.
Revised Plans
Approved:
Yes / No Date of Approval: Staff
COMMENTS .:
`
a
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.aopherstateonecalLorq
G:1Building Inspections\PERMIT APPLICATIONS1201112011 Permit Applications
RICHFIELD``
— The Twin
ESTIMATE By: ji/LCL (* #I
Date: -- 1 `7 _ Q ) t2
Name:
Address:
City:
❑ Phone
Cities Paver of Choice —
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fir, l
711 /% Zip: 55 l
❑ Phone
t Permit if needed
-Remove Asphalt (Extra charge if over 4")
❑ Remove Concrete (Extra charge if over 4")
L -Apron removal 1 car 2 car, j/r 3 car
'Cap Blocks _(Does not include foundation work)
13'Remove Gravel, Dirt or Sod
[ZL Base, after compaction
❑ Your existing base and ours
-Regrade for proper drainage - Elevation cna a may eeoeeded. (See reverse)
p - Hot Mix Asphalt compacted to - 'j
8-Addition to drive /
D Concrete, see concrete form
U-"Approximate Square feet %/0;
9^Backfili: Homeowner
Yr. Warranty (see details on back)
e1 ' ) Yr. Asphalt Protection Plan (see details on back)
Options: (Not included in esitmated cost)
❑ Fabric Installation SF $
❑ Permaloc LF $
Customer Initial
Estimated Cost:
Down
Balance `f
x-� z/%z.,
Customer Approval
Date
I have read and agree with the terms and conditions on the reverse side.
P ❑
L ❑
B ❑
P ❑
SUPER SERVICE
RICHFIELD
BLACKTOP
BBB.
ACCREDITED
BUSINESS
No
Replace as is
Flares
Stumps/Roots
Yes
❑
No Yes
Water shut off Li-- ❑
New Cover CLI,❑
Drainage Problem C ❑
❑ Design on separate copy O Sprinkler heads? Property Line?
7
t]&y.
A-41l
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Property lines to be
verified by Contractor/
Owner.
SIGN AND RETURN WHITE COPY
5. { E QX%`
7745 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8836 • Fax: 612-866-8078 • www.richfieldblacktop.com
Licensed • Bonded • Insured