4596 Horizon Cir1 0 /1 ' City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 / "0 - ^ Site Address: - 9 (5 ?6 6 A6 /..ZCS4) g Ret
may' J q, �1 /
Name: —4) AA , 2 -A / � eg 1`J Phone: 25°4 , P / o+ /gyp
Address / City / Zip: � �'/ > �� � �ienv /9r/4P 4k2 U /Z.? .gA)5,s
Applicant is: Owner Contractor
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Multi - Family Building: (Ye
Phone:
Phone:
Phone:
Description of work:
AA.
Construction Cost: d I — / No )
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Mi
days of permit issuance.
x
Applicant's Printed Name
,„k/
r
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Use BLUE or BLACK Ink
/637:SID
/640.
Prcl
tate Building C -d = must be completed within 180
Page 1 of 3
SIDING REBATE NOTICE - on 10/10/11, the Ches Mar East Board of Directors has approved the
siding rebate stipulations as follows:
There has been a revision of the siding rebate policy; this is to install vinyl siding and wrap instead of
current wood. The rebate amount is $4,000 for vinyl siding. There is no longer any rebate for windows
or doors of any kind. To qualify, homeowners must get prior approval from the board, prior to
installation. Wrap must be done completely on the entire unit. Once siding is completed, the
homeowners must contact the C.G.T. Limited office to schedule an inspection. This rebate is subject to
change based on market conditions if necessary. Also, the rebate will always be effective at the rate of the
rebate at the time the homeowner applies for the rebate even if the work is not completed. All units will
have painting completed by the end of 2012 if unit repairs are complete. If you intend to add vinyl siding,
please notify the C.G.T. office as soon as possible. We will be sending a notice out in spring of 2012,
asking for the remaining units to select their painting colors. As of May 31, 2012 the siding rebate will
end, so if you intend to do this you must have your request in by that date with completion no later than
12/31/2012.
If you wish to do siding:
• Talk to your neighbor; you and your attached neighbor must agree on a siding color and wrap
color. Please remember that we want to be sure the "Earth Tone" rule is ALWAYS kept in place.
Wrap must be done completely on all units.
• Submit siding color and wrap color sample to Kimberly Bache, Board Member @ 4591 HORIZON
CIRCLE. (651) 882 -5192 email (kbache @comcast.net) - please let Kimberly know prior to
dropping off samples.
• Fill out this form (with attached color samples of trim and house) and drop at as directed above.
• The C.G.T. Office will contact both homeowners to notify them of the Board's decision.
• Once siding is complete, homeowners will contact C.G.T. Limited to schedule an inspection.
• If inspection passes, rebate will be issued.
If you have any questions or concerns, please feel free to call the C.G.T. office @ 952 - 469 -3714. Both
homeowners must sign below to acknowledge you have read and understand the above information.
`j/
Homeownr
ddr ?4-
Board Approval:
EA) cJ&)
e3cizoAd
Date
Ches Mar East HOA
PO Box 490, Lakeville, MN 55044 -0490
952.469.3714 cgt @cgtlimited.com
• Selected siding and wrap colors must be aled by both homeowners and attached to this signed
agreement. You may choose your own c . ntractor for siding installation. Wrapping must be
completed in full.
Thank you, Ches Mar East Board of Directors and C.G.T. Limited (Management Company)
(6)
v►e1r
Homeowner
gnatu = " Date
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Date: 2j2_5 2—
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err '''"r►N WAT#t SERVICE PERMIT
379,Sip Knob Road PERM' NO.: 4 ; F1 °
Eon MN .55122 DATE:t 10-21-P
Zuni No. of Units: 1
Owner: o ph,1-N er Con t-r-
Address:
Site Address: /696 }!orison Circle T.l n .131 (i1o
Plumber: BILL ALMS
Meter No Connection Charge:
Size: Account Deposit.
Reader No Permit Fee: ,`,,
agree to comply with the City of Eagan Surcharge: .50' i kti
Ordinances. Misc. Charges: "
Total:
g Date Paid:
Dat Ins p.: /6 insp.:
CWT O ��. Flat 4 A r' 1 E PERMIT
31951 Plat = Knob Road PERMIT NO.: 5319
Eagf'(n, MN 55122 a E' Y DATE: \'''''' t\I i 10 -21 -82
Zoning: R2 No. of Units: 1
Owner: Joseph Miller ..,pnstr ._
Address:
Site Address: 4596 Horiion' Circle L10 B1 tomes Mar E. 4th
Plumber. BILL ADAMS
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k, ". }
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I agree to comply with the City of Eagan Connect n..Ciiae:
Ordinances. Deposit:
Peron t fee: 10.00 pd
Surcharge: .50 pd
By Misc. Charges:
Date of �_ Total: Insp . 76 -- -F .L Date Paid:
Use BLUE or BLACK Ink
r————————————————'�
I For Office Use �
� � Permit#: ����� � j
City of E��a� � � .� s �
� Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (657)675-5694 � Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
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�jWp�� Address/City/Zip: �� z J y�j,�f,�"'� �a����''
' Applicant is: �Owner Contractor
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' Description of work: ���'t ���"
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1 Construction Cost: "�` ��`� Multi-Family Building: (Yes � �/No_�
' Company: Contact: '
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� ���'. � � ! State: Zip: Phone: Email:
ei'q�_,f.- u .
'y; License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes �No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
i1�C1TE:A/ans a�,�f sup��rtrr��;�1c�'cr�rrt�r�ts it �t�rvu�a,�su5rn�t are co�sl_�r�it�c�be p��fl����n,f�ma�ti�r�. Fc�r�i�r�s of
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' C�n���id"e th�t the ; ara trade-����e�s. :
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.qopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conforrnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minne Building Cod t be completed within 180
days of permit issu
sc�ll� � � �
X
Applic t's Prin ed Name ppli ignatu
Page 1 of 3