EA182087 - Zoning - Residential - Issued Date 04/05/2023 PERMIT
City of Eagan Permit"': Zoning
3830 Pilot Knob Rd Permit Number: EA182087
Eagan,MN 55122 •• EAGAN
(651)675-5675 111111111111 IN 1111111111111111111111111
®,®
www.cityofeagan.com * E R 1 8 Z 0 B 7
Date Issued: 4/5/2023
Site Address: 3963 Thames Ave
Lot: 18 Block: 1 Addition: Perron Acres
PID:10-56975-01-180 11111111111 IN 111111111111111111111111111111111111111111111111111 11111M
Use: * 1 0 — S 6 9 7 S — 0 1 — 1 8 0
Description:
Sub Type: Residential Construction Type:
Work Type: Driveway
Description: R&R Driveway
Census Code: - Occupancy:
Zoning:
Square Feet:
Comments:
Fee Summary:
Total:
Contractor: _ Applicant _ Owner:
Richfield Blacktop Adam&Jodi L Husemann
7745 2nd Ave S 3963 Thames Ave
Richfield MN 55423 Eagan MN 55123-470
(612)866-8836
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
-----------------,
For Offlce Use
City of Eagan ,$2087
I Permft6: I
I i
3830 Pilot Knob Road I i
Eagan MN 55122 I Date Received: I
Phone:(681)6784885 L----------------J
Fax:(651)678-6l4
Email:alanninaftitvofeaAan.com
ZONING PERMIT APPLICATION
p Please Identify improvements on a scaled site plan drawing that shows lot lines,structures
and existing conditions.
pFC+C+C PGt Site Address: qal
Owner Name:
Name: tiL� <J Alez C C! U hone:
Address, �? �'�'� City/Stata0p:
.'�t31tilTACT
Applicant Signature: Date: J 2
Email address:`�� f�Jn 2. �[� •G�lyl
0 Retaining Wall<4 feet Driveway
0 Other.
0 Patio 0 Sport Court
0 Sidewalk Fce D a
Description of work:
PLANNING atioreland ening,bluff zQ seti des,etc. 6
A
Approved Denied Date of Approval: 4/4/23 staff:
Notes:
Revised Plans
Approved: Yes I No i Date of Approval: Staff.
EIC�111ii1 :'. lin „ ,e,t:rti�(y tlesnliaen�;Wetlands,erosion cmrttrof,Improvements in the Right-of-Way,etc. a5Q
Approved I Denied Date of Approval: Smft c
Notes:
i
Revlsed.Plans
Approved: Ves I No Date of Approval: Staff.
COIMII9 ,
CALL BEFORE YOU.DIG. .Ca11 Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call .
48 hours before you intend to dig to ne locates of underground utilities. www.aopherstatsonecall.om
0:1Buliding InspediortslPERMIT APPUCATIONS1201112011 Permit Applications
Home of the Craftmanship Guarantee11111111111M W11 11H L1 ei L11111�
ESTIMATE By: # . t
Date: -3 3 o �?o �3
L ❑ L ❑
Name:, ce 14 4B 0
�✓ `�J !� P ❑ TOTAL u'" s taM
PLAN
Address:
' 'ee 1;-7 Zip:55 � No Yes No Yes
City: Replace as is ❑ Water shut off ID,. 0
Flares dY ❑ New Cover W ❑
Phone ,q — . Stumps/Roots ®/ ❑ Drainage Problem 3 ❑
Text ❑ Design on separate copy ❑Sprinkler heads? Prc party Line?
it Permit if needed
remove Asphalt(Extra charge if over 4°)
0 Remove Concrete(Extra charge if over 4°)
❑ Apron removal 1 car 2 car 3 car
❑ Cap Blocks (Does not include foundation work)
❑ Remove Gravel, Dirt or Sod a
b-Tp to 6 inches gravel as needed
®l! a rade for proper drainage-swdm&mpnm r.(see revere) t
&,:-3 Hot Mix Asphalt compacted to —
❑ Addition to drive
—_� C{1
❑ Concrete,see concrete form
approximate Square feet L 3 &3
Ll�-Mckfill:Homeowner's responsibility
OCraftmanship Guarantee 4&
Qr-5 Yr.Total Protection Plan(see details on back)
Options:(Not included in esitmated cost)
❑ Fabric Installation SF $
❑ Permaloc LF $
sa
Customer Initial
Estimated Cost:
�cJ
Down
Balance (� t� REVIEWED
X 4/4/23
Customer Approval Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
7745 2nd Avenue S-Richfield, MN 55423-Ph:612-866-8836-www.dchfieldblacktop.com
Licensed - Bonded - Insured ,OTA.PLM
BBB