3823 Deercliff Ct - Service Permits
CITY OF EAGAN Permit No: Date:
3030 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: - Date:
Eagan, MN 55121
Owner.
Site Address:
Plumber.-
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordina es.
Meter:
Misc.: By
WATER SERVICE PE MIT
CITY OF EAGAN Permit No: Date.
Date:
3830 Pilot Knob Road B/P No:
P.O. Box 21199
Eagan, MN 55121
Owner r„
X84.. 3eer~ iff Cmtr 't1 M. j Site Address: n
t~ttt. _ & a..,.,
Plumber:
Zoning
City Chg: No. of Units:
Acct. Dep: I agree to comply with the City of Eagan
- It Permit Fee: Ordinances.
ip t
Surcharge:
Misc.: By G,-¢s
SEWER SERVICE P AMIT
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(@_cityofeagan.com
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For Office Use
I Building Permit #: I
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I S&W Permit #:
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Permit Fee:
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I Date Received: I
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I Date Issued:
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/30/2023
Site Address: Unit #:
Applicant is: ❑ Owner 0 Contractor
Name: Windcrest Twin Homeowners Association
Homeowner Address,�2�/ �'L�3Dezx, CC�kj�_ C.�-- city: Eagan
state: MN ZiD: 55122 Phone: Finail-
Description of work: Residential Re -Roof
Type of b�:
Work Construction Cost -
Type of building: ❑ Single Family ❑ Townhome, of units 0 Twin Home
Company: GCM Construction
Contact: Carter M
Building Address: 6438 City West PKWY city: Eden Prairie
Contractor State: MN Zip: 55344 Phone: 612-245-026E Email: cmelchert@gcmcompany.com
License #: BC766925 Expiration Date: 3/31 /2025
Sewer &
Water
Contractor
Required for
new construction
Company:
Address:
State:
Zip: Phone:
Contact:
Email:
License #: Expiration Date:
City:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
xCarter Melchert x—�
Applicant's Printed Name Applicant's Signature