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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