3842 Denmark Ave - Service Permits
CITY OF EAGAN Permit No:
3830 Pilot Knob Road Date:
P.O. Box 21199 Meter No:
Size:
Eagan, MN 55121 Reader No:
Date:
Owner:
Site Address:
Plumber:
Conn. Chg:
Acct. Dep: Zoning:
Permit Fee: No. of Units:
Surcharge:
Tr. Plant I agree to comply with the City of Eagan
Meter: Ordinances.
Misc.:
By ~ c ~
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner: 'r L
Site Address:
Plumber:
MWCC: Zoning,
City Chg: No. of Units:
Acct. Dep: 1 agree to comply with the City of Eagan
Permit Fee:, Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT?
� 1 I r
I 1
1
I-1 %� V -•
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 ( FAX: (651) 675-5694
buildinginspectionspcityofeagan.com
------------i
For Office Use _
I j I
I Building Permit #: 1 0
I I
I I
S&W Permit #:
Permit Fee:
I I
I I
Date Received: I
I I
I I
I Date Issued:
I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/30/2023 Site Address:
Applicant is: ❑ Owner 0 Contractor
Homeowner
Type of
Work
Building
Contractor
Name: Windcrest Twin Homeowners Association
Address.3e V_J /,j,917 t✓ L1,h-1Q �, Au city
MN 55122
State: Zip: Phone: Email:
Description of work: Residential Re -Roof
7 >✓ L',
Construction Cost: � t� �' .
Type of building: ❑ Single Family
Company: GCM Construction
it #:
Eagan
❑ Townhome, of units 0 Twin Home
contact: Carter M
Address: 6438 City West PKWY city. Eden Prairie
State: MN Zip: 55344
License #: BC766925
Phone: 612-245-026E Email: cmelchert@gcmcompany.com
ration Date: 3/31 /2025
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction i
License #: Expiration Date:
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 plan
xCarter Melchertj�,� _
Applicant's Printed Name Applicant's Signature