4138 Wenzel Ave
INSPECTION RECORD ~
~CIT`r'OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 " • ~ • ~ ~ ~
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK: ,
INSPECTION
~~`~~i I 1~• I~ ir~i i
11~ I 1~~N I 1 1~
k
I I
~ ~
Permk No. Pwnit Holda Date Tdophans f
' ELECTRIC
I
~ PLUMBING 11 I
Hvnc q 9,~ _ I
Mspecdon D61 sp. Comments I
FOOTiNGS
I
FOUND
!
FRAMING
~
ROOFING
ROUGH r
PLUMBING ~ fp 3 - 30 -~0
PLBCi
AIR TEST
Rouc3H
HEATING
GAS SVC
TEST
INSUL L-4n(. - vak-s--
GYP 80ARD
FIREPLACE ~ L G ~
FIREPLACE ~
AIR TEST ~
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL ~
BSMT R.I.
BSAAT FlNAL
DECK FT(3
DECK FlNAL
Address 4138 wE= avEniUE Zip 5512 2
L.ot ' F' Blk a Sub wFpm.
THESE ITEMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPECTION.
Date: ~ 95 Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage) ~
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof tesl caps from the plumbing system and [he shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
~ White • City Copy Yellow - Resident Copy Pink - Contractor Copy ~j'J'
PERMIT CRo 9FI35-b
CITY OF EAGAN 3_16'-qT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 PermitNumber: BUILDING
(612) 681-4675 Date Issued: 0 2 5 2 2 9
03/15/95
SITE ADDRESS:
4138 WENZEL AVE
LOT: 6 BLOCK: 4
WENZEL
P.I.N.: 10-83570-060-04
DESCRIPTION:
Building Parmit Type SF OWG
Building Work~,Type NEW
' UBC Occupancy _ R-3 M-1
Construction Type..~ V-N
' Zoning PD R-1
6uilding Length ~ 70
Building Width - 64
, 8~611ding stories,:' 1
Squ"aYe Fes,t.'- ~ 2,729
l
.
• i . ~ -
REMARKS:
S& W PLBR - WENZEL PLBG
FEE SUMMARY:
VALUATION $166,000
Base Fee $870.50 MISCELLANEOUS $1.892.50
Plan Review $565.83 Total Fee $4,261.83
Surcharge $83.00
SAC $850.00
SAC % 100
SAC Units 1
5ubtotal $2,369.33
CONTRACTOR: OWNER:
- Applicant - ST. LIC.
WENSMANN HOMES 14231179 0001458 WENSMANN HOMES
3312 151ST ST W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
T hereby acknowledge that I have read this application and state that the
information is correct and agree to comply wiCh all applicable 5tata of Mn.
L Statutes nd City`of Eagan Ordinances. ~
APPLIC /PE ITEE SI~NATURE ISSUED Y: SI ATUR
' CITY OF EAGAN ~ ~
~ 3830 PILOT KNOB RD - 55122 ,
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements RemodellReoair Reauirements
? 3 registered site surveys ? 2 copies of ptan
? 2 copies of plans (include beam 8 window sizes; pourad fnd. design; atc.) ? 2 srte surveys (axterior edditions 8 decks)
? 1 energy calculatlons ? 1 energy calwlations for heatad add'Rions
? 1 tree preservation plan H lot platted after 7/1l93
requi2d: _ Yes _ No
DATE: 3/ 7/ 95 CONSTRUCTION COST:
DESCRIPTION OF WORK: RESIDENTIAL SINGLE FAMILY
STREETADDRESS: 4138 WENZEL AVENUE
sr
LOT 6 BLOCK 4 SUBD./P.I.D.
PROPERTY N8R1@: WENSMANN HOMES Ph0n2 423-1179
OWNER ~°r rnem
StreetAddress, 3312 isist sT. w.
CIty: ROSBMOUNT State: MN ZjP; 55068
CONTRACTOR COmpany: WENSMANN HOMES PhOnB 423=I179
StreetAddress: 3312 isist sT. w License#- 1458
CIty: ROSEMOUNT, MN 55068
ARCHITECT/ COmP8flY: WENSMANN HOMES Ph0112 423-1] 79
ENGINEER
Name: PER DAHLSTROM Registration 7991
StreetAddress. 331.2 151st sT. w.
Ciry; ROSMOUENT State: MN ZjP: 55068
Sewer & water licensed plumber: WENZEL MECHA[VICAL Penally applies when address change and lot
change are requested once permit is issued.
t hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aIl
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ECENED
Certificates of Survey Received _ /Yes _ No MAR 13 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ~ ~
''L^' ?
~
BUILDING PERMIT TYPE ~ ~
? 01 Foundation ? 06 Duplex ~ ? 11 Apt./Lodging ? 16 Basement Finish
X 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
,e, 31 New o 33 Alterations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) 0'-^/ Basement sq. ft. Z, ozz MCNVS System OY\
(Allowable) .Q-N Main level sq. ft. :7,ozz City Water C(
UBC Occupancy sq. ft. Fire Sprinklered
Zoning / sq. ft. PRV
# of Stories M~ sq. ft. Booster Pump
Length 7o sq. ft. Census Code. /ai
Depth V_ Footprint sq. ft. Z,-7z9 SAC Code o/
Census Bldg /
w15rr° -,?f Census Unit /
APPROVALS 744
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License ~
MCNVS SAC ~~x n.r = iss Z i.~~ x zy &7 - 6 y3
City SAC yx '~•r ` sy zo
Water Conn. zzasx c° '~~v°
•~1Y i~ - 6
Water Meter 3, 67 x 110.73 3
Acct. Deposit zx Zs,jy s 99 .
S/W Permit <zx>> _<iY 7 Io7Z K~6 '
S/W Surcharge
Treatment PI. Z,ozz xsY ~/~09, /Sfs /o,7sZ
Road Unit
Park Ded. nr~,T•
Trails Ded.
Other / F•,-. -
Copies py 2zs ~
,
Total: I, ~G
/L.i. _ /i.SarHo.33= y77
% SAC z 11, ~ S/ w
SACUnits ZKZS'3' ~ 17 ~ZO~
<2<>> <~y> 60
s» ,.s : s9s ~~5, 9
143 FO1 PIRR 14 "35 06:42
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91m.Z To aetse~EO a,s a I.
I~ RE"CAirJ iWC.i W A 1~1~
TOP 13I..oc.w ~4 al) Ga.a
AASEMENT EL, Cj0"I,;
i`3E YfF- BY
4139 W,
~NZrct- AVEN Vr'c .
REV 7~ ~ ~ .
)3y ~
D3t,_
DE SCR lPTION ~GAN ENGuNBLPJNG DEFT. .
Lor 6 , 01 oCK 44-
W E N Z E L NoR rH
FIRST ADDIrtaN ~ SCALE !"a30'
pAKOTA CouNTY, ALL LiLARlNBS ASStI149p
MlNNE SoT A e DENOrAS iRON MoNUM0N'r
I hereby certify that this sur.vey was prepared by me or
- , under my di.rect supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Mi.nnesota.
Date: Mq~<~i r/f (Ffs` /"~•e ~
LeRoy- H. ohlen
Registered Land Surveyor No. 10795
' LOT BIIRVEY CHEC3CLIST YOR RESIDENTIAL
~ BIIILDINO BERMIT 11PPLICATION
$ ~ BROPERTY LE6ALt 'L ZLIZ
Dat• of 8urveps
DOCIIMENT BTANDA 8 {
0 • Regietered Land Surveyor aignature and company
0 0 • Building Fermit Applicant
Vp D • Leqal description
~0 0 • l?ddreas
0~ 0 • North arrow and-baw scale
B' D 0 • House type (rambler, valkout, aplit w/o, aplit entry,
- / lookout, etc.)
~ 0 • Directional drainage enows with alope/qradient t.
0 •Proposed/existing sewer and vater cervices
0 0 • Street name
ID-'*0 G • Driveway
ELLOATZONB
Eaietiaa
@-,0 0 • Sewer aerviee
Q~ 0 • Lot corners
0 • Top of curb at the driveway
0 0 • Elevations of any existing adjacent homes
Froooaed
C9~0 D • Garaqe floor
0 • First floor
p0 • Lowest expoea8 elevation (walkout/window)
M~~n 0 • Property corners
i' O 0 • Front an9 rear of home at the foundation
PONDING 7?REAS (if aDOlieablef
C-7~ 0 • Easement line
S' ~ 0 • NWL
,D 0 • HwL
B~ 0 Z • Pond # desiqnation
0 iY0 • Emerqency Overflow Elevation
DZMENBZ0118
0% 0 • Lot lines
0~J3 0 • Riqht-of-way and street width (to back of curb)
3' O 0 • Proposed home dimensione includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
D,3 0 • Show all easements of record and any City utilities within
those easements
0-'13 0 • Setbacks of proposed structure and Betbnck of adjacent
existinq homes
~ Cd~6 • Retaining w 1 reguirements, if any
Reviewed:
Na e / ate
Oetober 1992
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T = 67.5ri
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4 . . ~ . ; P,VI = . 16+ ~ 5 . . ; ELEV; . ° 913.80
~ i ELEV. = 915:03 ; . : . . i . . yC. 50
VC = 60'! M ~0.101: I
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; SDR 35 ~ 1.30~ i _ SDR i35 V; 1:.30%rHE CLTX ~F EAGAN D~ES.RfOTt'aU I RAfVV'fEE--
' THE ACC RACY 051 UTILITY Lp ATIONS
AiVDIOR E~LEVA710NS. 1 THIS ; DATA ~IS : FOFi.
INFORMi4T ON PURP SES ON~ AND
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GENZ-RYAN CO. 6123226147 P.01
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12. TdTAI RDOF/CEILING AREA.....:... ft x "iJ"
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TOT.AL EXPOSED WALL AREA CA4CULATIONS: ~ ~
i Total axposed we11
1
~ erea above ftoor,,,,,,,, fq ft f !
, a) Total weil wTndow areas , ~
,~y j. ' ~"M" ~ gla:ld..,~~.. '~VZ 3q ft x.'lull ~~41 g}HYAd.....r sq ft x'lUil
b) Total door aree sq ft x"U" c
a c) Total sltdlnp qiat5 dopr araat
f
~ ~y-~ ,.y , 9~&2ld.'••. ~l~.J Ea ft X iiuii ..VF
=Q.ft X Ilull ' ~T'~' e i I
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d) Total ftrcplnce wail e;rpa ~ _tq ft x"U" • V
' ~ • n
' e) Total well fraMtng are'e )A i ~
(Avcraoe sq ft x "u"
• i
f) Total nat wall area a6ove
. . I A
fioor (InsulataE)..r.'.... sq ft x "U" TDtA) fi(~1 jollt 0fC4, :...:q ft x I~Vll ~
1_11*67841
Total foundatton ; ~ j~ ~ I I•
' erea (Exposed).,........ ~ sq ft ~
i
; h) Total foundetlon ' F
i xindow area,,--, v SQ ft X IIuU
70ca1 net fou9datlnn : 7 . sQ ft x "U
erea abov0 rade.,,;,,,.
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2 P?CAA 1.16008 A and 0.
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R°94%6t23226147 ~03-13-95 08:21A P 1x
.,"T I • GEN2-RYAN CO. 6123226147 , P.02!
YOl'qL gxpOS@D ft00F/CE14111A CALCUlA710NSa i ,
:
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: -oof/etlllnp area.... :...,r,~
Sq ft x
.i~ Totaf skyifoht area..~•... ~ ,
'k) Tetel Poof/eallinq freining~10± f ft x ~~v~'
~ area (AveCaoe 4
; . ~
~ ~ .
1) 7eta) net Insulated sq ft x"U".
TC7Al th ru, 1)
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;if in;ei ef ')1 is the Satne ds, ot lass than A2t yau heve meC the fntan.t 4f
A and 0.
I i
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A67ERtlA7E BUILDING ENVELQPE nES1rN
` Ta ~ti,llxe the totat envelope 3ystem method, the velues establlshed by the sum
of lkqmy dg anG R4 shati not'be greater than the sum of itams R1 and;:02. ; i
+ 2.
i 3. 4.
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: C~ariFIt ATInN ;
fiere6y certify that I1have caiculated cAe "U" Pactors ana '!a"
vatues heraTe anA thac the buE1d(nq here descrthed meets or ex~eeAs;the Sr.te
of Hlnnasnka [neray [onservacton Act. ~
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R=94% 6123226147 ~ 03=1;3-95 08:'2~A~S '~P062~~~L~ 9
CITY USE ONLY ~
L CO BL ~ RECEIPT#:3/4
SUBD. l,Llirvr.Z DATE:3 7 5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681 -1675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU /;?5. ~b , 24.00
Additionai 50 M BTU La,DOv j~~~~ 6.00 30 .00
? Gas Outlets (minimum of 1 required @$3.00 each) j ~
? State Surcharge .50
TOTAL
SITE ADDRESS: AI~~~~ WM7,6I MJ~fill~L
OWNER NAME: U IQ'~~CL~n l711/nLS PHONE q~2'3-~
INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING C0.
STREET ADDRESS: 14745 S. ROBERT TRAIL
CITY: ROSEMOUNT STATE: MN ZIp; 55068
PHONE ( 612 ~ 423-1144 _
lf
CITY USE ONLY
L ~ BL ~ RECEIPT#:3874
SUBD. DATE:3/°~7 ~15
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Snower 3.00 x j = ~p
Water Closet 3.00 x oo
Bath Tub 3.00 x
Lavatory 3.00 x i5 00
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x J =
Water Heater 3.00 x ~ -
Floor Drain 3.00 x 3•~
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x Oc?
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinklef ' home under const. 3.00 =
Alterations ` to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME: ~~~~~~-5[nifin
INSTALLER NAME: GENZ - RYAN PLUMBING R HEATING C.O.
STREETADDRESS: 14745 S. ROBERT TRAIL
CIN: ROSEMOUNT STATE: MN Zip: 55068
PHONE ( 612 ) 423-1144
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110383
Date Issued:05/08/2013
Permit Category:ePermit
Site Address: 4138 Wenzel Ave
Lot:006 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
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.
Contractor:Owner:- Applicant -
Robert Dennistoun
4138 Wenzel Ave
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110384
Date Issued:05/08/2013
Permit Category:ePermit
Site Address: 4138 Wenzel Ave
Lot:006 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
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.
Contractor:Owner:- Applicant -
Robert Dennistoun
4138 Wenzel Ave
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
4
Use BLUE or BLACK Ink
r---
I For Office Use
I 1375
City Ol jrJna o n Permit I Permit Fee: O
3830 Pilot Knob Road I I
Eagan MN 55122 Date:f;eceived:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
gg 2013 JRESIDENTIAL BUILDING PERMIT APPLICATION i ltj
Date Site Address: Z Unit
Name: _=c-A-7-'T sCJ Phone6~~~0
Resident/
Owner Address / City / Zip:
Applicant is: jf!:--_6wner Contractor
Description of work: Lea 60-~ A euK ~69I~ y- k 40_ C
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
Company: / / yf J-r Contact:
Contractor Address: City:
State: Zip: Phone:
I
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
g COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I 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. 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.gopherstateonecall.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 Minnesota S to Building Code must be completed within 180
days of permit issuance.
FO-6tt:r
Applicant's Printed Name pp i ants ignature
Page 1 of 3
Z113ff Wnz~r-l 4VY
DO NOT WRITE BELOW THIS LINE ~13o? 75
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation' Occupancy MCES System
Plan Review Code Edition ~Aew? SAC Units
(25%_ 100%L) Zoning- City Water
Census Code Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings t Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required _of Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
cr.
Base Fee '0Y I
Surcharge
Plan Review 31
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119707
Date Issued:12/13/2013
Permit Category:ePermit
Site Address: 4138 Wenzel Ave
Lot:006 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
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.
Contractor:Owner:- Applicant -
Robert Dennistoun
4138 Wenzel Ave
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature