1019 Savannah Rd - Zoning Permits & Plans41111/'Cityof Eta
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: planninatdicitvofeaaan.com
For Office Use
Permit#: I T l e
Date Received:
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PROPERTY
INFORMATION
lot
( s
Owner Name: (/'1 9t �r
Site Address:
CONT
Name:
ACT
Address: -7-7
• Applicant Signature:
Email address:
TYPE.OF,
WORK
❑ Retaining Wall <4 feet
❑ Patio
❑ Sidewalk
Description of work:
/t t 11 e: 61l2`1 � - 'w
f I 0 5 City/State/Zip: £%J / C 3
t.Driveway
• 0 Sport Court
Fel�2 Pce
Date:
Q
4/_ f2 -2
C. qfl
PLANNING :
Setbacks, hard surfacecov$rsge, (Moreland zoning, bluff zone/setbacks, etc.il
Approved Denied
Date of Approval: 4/13/21 Staff: /S//Oa PGr i
otes:
r
•
Revised Plans
Approved: Yes I No
Date of Approval: Staff:
ENGINEERING#
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc. N
Approved / Denied
Notes: V
Date of Approval: Staff:
—
I�I
Revised Plans
Approved: Yes / No
�.
Date of Approval: Staff: 'I
COMMENTS, j
_ =_
CALL BEFORE YOU DIG.
Call Goober State One Call at /5511454-0002 for protection aaainst underaround utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orq
G:\Building Inspections\PERMIT APPLICATIONS\2011 \2011 Permit Applications
RICHFIELD
BLACKTOP
Name: (�
Address: (9G ! J:v9414/7 fY
4 /W it Zip: 55 ,23
- The Twin Cities Paver of Choice -
ESTIMATE By: MC? r K / - V —Y
Date: 3 6-` ‘2. ° J
4ad/ew Q9d a I a/'z.
City:
❑ Phone 1 1? 3 �� Y 3 Y 7
❑ Text
hermit if needed
,Remove Asphalt (Extra charge if over 4")
❑ Remove Concrete (Extra charge if over 4")
❑ Apron removal 1 car 2 car 3 car
ejYCap Blocks A (Does not include foundation work)
❑ Re ove Gravel, Dirt or Sod
[pease, after compaction
0— R rade for proper drainage - Elevadon changeenmay be read. (See )
Hot Mix Asphalt compacted to -
❑ Addition to drive
❑ Concrete, see concrete form
'Approximate Squar feet 7 a (or
ceBackfill om
,rw" Yr. arranty (see details on back)
r5" Yr. Asphalt Protection Plan (see details on back)
Options: (Not included in esitmated cost)
❑ Fabric Installation SF $
❑ Permaloc LF
Customer Initial
Estimated Cost: S7 8'' yv
Down j a $ 7 C --1 � �i.
Bala ce 0
X ����
Customer •D' al ate
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
I ❑
P ❑
L ❑
B ❑
P ❑
RICHFIELD
BLACKTOP
BBB.
ACCREDITED
BUSINESS
No
Replace as is
Flares
Stumps/Roots
Yes
❑
No Yes
Water shut off ❑ IZY'
New Cover ❑ FY
Drainage Problem V ❑
❑ Design on separate copy ❑ Sprinkler heads? Property Line?
•
Ny
max 22 ft. wide
at rjght-of-way
7745 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8836 • Fax: 612-866-8078 • www.richfieldblacktop.com
Licensed • Bonded • Insured