604 Autumn Oaks CtSE,WER.& WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
C--27--_R0
OFFlCE USE ONLY
ME-rER # y3 756 S 78 PERMIT DATE 03 f 05 / 9C
CH?P # bI JTl 8 361 PERMIT # 11253
METER SIZE oC B.P. RECEIPT # C 6611
_ ISSUE DATE B.P. RECEIPT DATE 03 L02.L9fl
SITEADDRESS?
LOT BLOCK ^ SECISUB rountrC ?-?a1' ,TG
APPLICANT:
ADDRESS:
C1N. STATE ZIP
PHONE:
PLUMBER: TQir Y snigin P 1 tirniiina
ADDRESS: 121 T,edt,'ood Dri ve
'r' n1Q t?'111eN?, •,,T CITY, STATE !` ZIP 7,5124
PHONE:
OWNER: To TMii 1 1er Nnmp n
ADDRESS: 127,31 (L'1 r AvP- `'n
CITY, STATE ` .'' i r''t on , ' '?? ZIP F-5,0"'
PHONE:
:? , , .
,
X PRV - BOOSTER PUMP
PERMIT REQUESTED
- SEWER - WATER - TAPS
_ COMMIIND - RESIDENTIAL
? NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be gi, n for Deduct Meters.
if
I AC.,r EE TO COMPLY WITH CITY OF
EA AN ORDINANCES
? -
';?4 - ?',
SIGN?rTtfRE ETER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROGE§SING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,
J
SEWfiA MMATER PERMIT
CITY''OF-EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
. .. ,, r-, ,..
DATE -
OFFICE
METER #
CHtP #
METER SIZE
ISSUE DATE
PERMITDATE ( ?I019C)
PERMIT # 1125a
B.P. RECEIPT #
B.P. RECEIPT DATEU3 0 %'?j
JL PRV - BOOSTER PUMP
SITE ADDRESS
LOT ?BLOCK SEClSUB
L'
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PERMiT REQUESTED
r SEWER - WATER - TAPS
_ COMM/IND - RESIDENTIAL
_ NEW - EXISTING
_ Lawn Sprinkler Meters are to be Installed
PLUMBER: ' jnr. T?1ii-O-. n; Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILI. NOT be given for Deduct Meters.
CITY, STATE ZIP
PHONE: '' 32 63= "l ? • ?" i
I AGREE TO COMPLY WITH CITY OF
OUVNER: ?? ?' ' ' ' • r T? ^-• = EAQAN ORDINAMCES
ADDRESS:
CITY, STATE ., . ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCES5ING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEW6R PERMITS, CONTACT ENGINEERING DEPT.
" l:l I Y Vr tAtaAl
3830 Pilot Knob Road, P.O. Box 21-19
PHONE: 454-8100
To be used for SF DWG/GAR Est. Value $111 ,OC
Site Address (c 0 y
Lot -7- Block
Parcel No. AMVMN 0AKS CT
Sec/Sub. COUNTRY
bOWAW
Name ??IO E !lILLER HOlRES
W Address 18 133 CEbAR AVE S
0 City ?ARMI NCTON Phone 431 "2001
a Name sA ME
Ov
a
Address
U
? City Phone
W Name
W
s= Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and CiN?ef Eaoari Ordinances.
Signature of Permitee /`" A euilding Permit is issued to: J08 tlILLER H0!!E$
on the express condition that all work shall be done in accordance wfth all
applicabte State ot Mmnesota Stalutes and City of Eagan Ordmances.
Building Oflicial
7567
ag?n, MN 55121 1
...?' , . ! 1
Receipt #
Date 1990
OFFICE USE ONLY
R!3 I
Occupancy
Zoning ? i FEF S
i
'
?? 678,00 i
(Actual) Const V_-N Bldg. Permil
(Allowable) Surcharge ss, 50 I
# of Stories
Plan Review ?
??1 •00 J
length ? ?
100•00
Depth SAC, City
S.F. Total - gAC, MCWCC 600`00 '
S.F. Footprints - 625,?Q ?
On Site Sewage _ Water Conn
On Site well Water Meter 90• 00?
MWCC System ?
30• 00
City water ? Acct. Deposit ,
j
PRV Required xx S1W Permit 30•00
Booster Pump - SrW Surcharge .50
?
'
252.00
Trealment PI +
APPROVALS Road Unit 3?5.? ,J
?
Planner
Counctl - Park Ded. ?
BIdg.OH. _ Coples
3,257.00
?
Variance ? TOTAL .
Permit No. Permit Holder Date Telephone #
1MATER ??.?s.?? l 2 L / ' .1GCi?i ? T775,7
SEWER
PLUMBING
H.V.A.C. ? ? !7
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing J?Tj,/0'?' (?••pC/L ?L. ?y? ?
Roof,ng ,s- 7 90 -Pr?
Rou9h Plbg. - y-,C
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. '277"i
Const. Meter Plbg. Inspector - Notity Plumber
Engr.lPian
Bk1g. Final
Oeck Flg.
Deck Final
Wetl
Pr. Disp. L tSX,q.Af- cVt
gov ZQ 'c
, 0
'
. &
(Etrfi#iratP uf (Orrupttnry
titp of (ilagan
301,,prar#mmt u# liuilbutg jmvrrtinn
This Certifrcate issued pursuant to the requirements of Secuon 306 of the Uniform Bt?lding
r
Cale cerlifying t/tat at the time of issuance this structure was in compliance with" the ous
i
ordinances of the City regulating building construction or use. For the followtng
Use Qassifinaae SF DW/GAR BldB. PEtmit No. 17567
Occup--y Type R3/M I 7.omng Distriq R i Type Conu. VN
o,,,ner of a,,;,ft JCE M.iEEt 112CS Add,,. 18133 DEAAR AVE S, FAIdgMILN
ew?604 A[TtIZN QAKS OOIJRT Low;ty L7, B3, 00[JNTRY tCl.iDW
oaa: JUIE 27, 1999
Haading offiam
POST IN A CONSPICUOUS PLACE
Cities Digi
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
For OfNce Use Only: .
PERMIT #
MECHANICAL PERMIT
CIT1I OF EAQAN RECEIPT #
3830 PILOT KN09 ROAO, EAGAN, MN 55122 ?
DATE: i-
CONTRACT PRtC PHONE: 454-8104
Site Address `IV I gLp(;, TypE WORK DESCRIPTION
Lot,Z Block Sec/Sub Res New
Name . Mult Add-on ,
m Comm. Repafr
y Address
c City Phone Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
?
c AddreSS ADDITIONAL 50 M BTU - 6.00
p Ciy Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK ,
` COMMIIND FEE -1°6 OF CONTRACT FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outleta #i (AOD $.50 S1C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMR FEE: ' " - -
51GNATURE OF PERMITTEE
S/C:
TOTAL: FOR: CITY OF EAGAN ?
.? . ,
PLUMBING PERMIT
, ? . CITY OF EAGAN
>NTRACT 38,30 PILOT KNOB ROAD, EAGAN, MN 551
PRICE /0 0 , , pHONE 454810o
.ot ? Bfock ec/ Res. of"
Mult.
Name Comm.
?
? Addr s ? ?r
? Cit??-? • ? ' ? , `° ? Phone _ RES. PLBG. ONL
Tubs
FEES
COMM./IND. FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PEFiMIT .50
(ADD $.50 5(C PER EACH $Ud00 OF PERMIT FEE)
.
FIXTU R ES
_L, Kitchen Sink - $3.00
UrinaVBidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
-? Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Oudets - $1,50
(MINIMUIII -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 .
? Rough Openings - $1.50 '
U. G. Sprinkler System - $12:0
PERMIT F :
STATES S/C:
GRAND TOTAL:
Add-on
Repair
TOT{? ?
$
?i
?
-? - --- -- ? - - 1
?
;j
--?.---r•t??-"*1
r?? r
?
?
11!t DATE:
RE: ?p C1 -t AUTUHN OAKS CT
03/os/90
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:6,) ?
' Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WQRNING: BEFORE DtGG(NG, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Boilding Inspecyons Dept.
illp ,wk* f DATE: 03/05/90
RE:
OAiCS CT
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above properry cannot be completed for the following
reasons: :/
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
r be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELEGTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH RECEIPT
.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
DATE ? 19 _L?L {
nECerveo
fROM + .l
?
AMOUNT $
& DOLLARS
tm
? CASH 6fCHECK
C YVhita-PaYem CaPY
Yen---Poserkg Covr
Pink--File Copy
Thank You '
8Y -?
T
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
1 .1Y. 1N ? !N_'l+ti-
Od AF
l111N11rti" 1??11 1 I
L 0 {•. 7 11L i11' Y r
PERMIT SUBTYPE:
nP +I s: F' E A rif arvj i i It, u sv nRa_f ' ci??
I F-
APPLICANT:
TYPE OF WORK:
ni rt Nn I ruw
If'''*C17'I'F' 1' 10 N fX 1 1 MI1 fwA 1 N i t
-1
?
?
Permit Holdar Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFlNCi
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINf3
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE II
FIREPLACE
AIR TEST
FINAL PLB(3
FINAL HT(3
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIdATION
METER
RUSH
MAINS
CONOlIC7tvm
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
??1?JjN CITY OF EAGAN U
?f ?/ 3830 PILOT KNOB RD - 55122
651-681-4675 ? ?J^• ? O
NewConstructionReauirements RemodellReoairReauirements "'?
• 3 registered sAe surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas • 2 copies of plan ?A I I?
(20%manmum lol coverage allowed) . 7 set of Eneigy Calculations for heated additions
• 2 cnpies of plan showing beam & window sizes; poured tound desyn, elc ) . 1 site survey for ezlenor additions 8 decks 10 ,
• 1 sel of Energy Calculalions . Indicale if home served hy sepOc system for additions ?
• 3 copies o(Tree Preservahon Plan if lot platted aher 711193
• Rim Joist Detail Options seledion shee[ (hldgs with 3 or less units) i-?
£'S7 rW? TE ? Cas-t" ? 5
DATE 3/13I oa VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS &0¢ A1P7I}9N DqrtS G-C :?'RCtW MN 55123
IF MULTI-FAMILY BUILDING, HOW MANUNITS?
PROPERTYOWNER II?CHAP? IA75A?
TYPE OF WORK r,
APPLICANT
'cHAa?o
FIREPLACE(S) _0 _1 _2 _3
PHONE # 4,57I - 69!-$6a6
ADDRESS 604 A?rTv.K N UA?GS L"C £h6-4/v ZIP CODE 5>> 2-3
PAGER # CELL PHONE # C S l- y5 G? 37°l 7- - FAX # "45_?'-J?0(i8
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includcs:
Mechanical Contractor:
Mechanical System Include:s:
Sewer/Water Contwctor:
Phone #
All above information must be submitted prior to processing of application.
? ?? F? U T ?
I II mavdc?-? ?
By
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinance(? -
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received
Water Soltener
Watcr Healer
No. of Baths
Phone #:
I.awn Sprinkler Fee: $90.00
No. of R.I. Baths
Phone #
Air Conditioning
_ Heal Recovery System
_ Not Required )Y
Pce: $70.00
Updated 1101
OFFICE USE ONLY
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened)
? OS 03-plex ? 11 10-plex Jb 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
l?7 31 New
[
?
32 Addition
O 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy
Census Code ??y Zoning
SAC Units . ?? Stories
Nbr. of Units Sq. Ft.
Nbr. of Bldgs l Length
Type of Const $?-/1J Width
_ Foohngs (new bldg)
_ Footings (deck)
_ Footings (addi[ion)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace R.I. Au Test Final
?J Insulation
?
REQUIRED INSPECTIONS
Final/C.O.
? FinaUNo C.O.
_ Plumbing
HVAC
MC/ES System
City Water
Baoster Pump
PRV
Fire Sprinklered
_ Other
_ Pool _ Ftgs Au/Gas Tests _ Final
_ Siding Slucco Stone
_ Windows (new/replacement)
Approved ByZ?x_, Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, A '/I
z9o
96 9o y'
0 36744?.?
Request Date Fue No R -in Inspedion
4/2 7/
9 Q e0,
v ? Aeatly Nmv Wdl NotAy Inspedor
R
l
Ves G No hen
eady
Aicensed contracror ED owner hereby request inspection of a6ove electncal work at:
Job Atltlress (Street. Box or RoNe No I Crry
604 Autumn Oaks Court Eagan
Sec4on N. Township Name orNo Rarge No Gounty
D Dakota
OccuPanl(PRINT) PM1one No
Joe Miller Const ruction Co. 431-2001
Power Suppliar Adaress
Dakota Electric Farmington, MN 55024
Elenncal Comractor(GOmpany Name) Conlraclor's L¢ense No
Midland Electric Inc. 041610
Matlmg Adtlres5(ConVactor or Owner Makmg I nstaliation)
14055 Grand Ave So, Suite E, Burnsvi lle, MN 55337
mmo (Canlractor10wner Makm slauao n) Phone Numoer
892-6688
MINNESOTq STpTE BOAflD OF ELECTPICITY THIS INSPEGTION REQUEST WILL NOT
GrlggsMiEwey Bltlg - Room S-179 BE ACGEPTED BY THE STATE BOARD
1821 Unlveraky Ave.. SI Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) fb24800 ENCLOSED
*Cso
0 36744
REOUEST FOR ELECTRICAL INSPECTION
? See msluecbons for campletinq IMS form on batk ol yellow copy
"X" Below Work Covered by This Request
???:?•`?'??. E0-00001-0]
ew A08 Rep TypeoiBmitling Apphanws0red EqmpmentWrted
Home Range Temporary Service
Duplex Wa[er Heater Electnc Hea[ing
Apt. Building Dryer Other (Speciy)
Comm./Industnal Furnace
Farm Air Conditioner
Olher(specity) Conrcactor's Fema(ks
Compute Mspechon Fee Below:
# Other Fee # SernCeEntrance5ize Fee # Cirwrts/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps e Amps
Siqns inspecror's Use Only TO AL
Irrigallon Booms 3
Special Inspection
nlarm/Communica6on THIS INSTALLATION M ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, the Electncal Inspector, hereby
cerhty that the above mspection has
been made. Finai oate
J?
OFFICE l15E ONLY
This reQUest vortl 18 monfhs Irom
?owz 2007 RESIDENTIAL PLUMBING PERmir aPPUCarIoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to ewsting residential dwellings.
/ s so
Date /0 1 _5? ! 07 Richard Vatsaas
Site Street Address 604 Autumn Oaks Court Unit #
Eagan, MN 55123
6514703434
Property Owner
Telephone # ( )
Contractor NO/?/om P!L!M?b/,1144 Teiephone# (Glt) ?Z7-U033
?
Address City o% State .4??,iV Zip s.fyo8
The Applicant is: _ pwner ? Contractor _Other
Septic System 4 New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace hurned out fixtures, etc.) $ 90.00
Alterations to ezisting dwelling $ 50.00
_ Add plum6ing fuctures. This fee inGudes installation of a water softQtter-_and/or water
heater at the same tlme. If you are insta/fing only a water soffener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/$" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn_Irrigation _RPZ _PVB new _repair _rebuiid $ 30.00
State Surcharge $ 50
7ota1 - - $ /S. SD
I hereby apply for a Residential Plumbing Permit and acknowiedge thaf the informafion is co r e
?
work will be in conformance withthe ordinances and codes of the City of Eagan and , I
?
understand this is not a Dermit. but onlv an aoolication for a oeuuitt work is not to start withou ermit and warls..wiif n
T 1 2'LU
accordance with the approved plan in the event a plan is requ' d be reviewed and approt
U/ J?? ,?o,?b1e?
ApplicanYS Printed Name Qlicant's Signature
k
.?
?*:*Mfi(???M?????*?????.????N??????:?yF???k????•R
rTTY OI- '-hGAN ?
f;A`_3!-I."=.ER*r S 7CRMINA!.. AOe 748 l
Df:TF.;; 10/23/9E3 'T'1'MC. 0:0054
?
.N t
NaMF.,, r.HFRvi_ MAi_tr-r..R vaTSr,as "
?c^_1.0 `?O(Ji. 604 AUTI.)MN pAl!S 21.00 t;
205 9f1Dl. t,.^,4 A41111MN QF1K!3 C1oi0;'p
loP.al
Cf'09R
I.ISf-fi
**#*I•
. . ,.
PERMIT
,CITY OF EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: auzLoING
Permit Number: B 3 3 7 7 4
Date Issued: 10 / 2 3/ 9 8
SITE ADDRESS:
609 AUTUMN OAK5 CT
LOT: 7 BLOCK: 3
COUN1"RY HOLLOW
P.Z.N.: 10-18275-070-03
DESCRIPTION:
EXTEND DRAIN TILE
k3u1-1ding'-Permit Type MISCELLANEOUS
BLIilding Wo'rk Type ALTERATION
,Census Code ti 434 ALT. RESIDENTIAL
/ e
i
?
-•.. ;=r
?
.
REMARKS:
PLAN REVIEWED BY DALE SCNOEPPNF.R.
FEE SUMMARY:
VALUA7ION $iem
Base Fee $21..00
Surcharge ? $.5@
Total Fee $21.50
CONTRACTOR:
?
?
OWNER: - Applicant -
VATSAAS RICHARD
609 AUl'UMN OAK5 CT
FAGAN mN 55123
(651)651-8606
I hereby acknpwledqe that T have read this applicaCion and sCate that tMe
information is correct and aqree to comply with a11 appLicable 5tate of Mn.
Statutes and City o'f Eagan Ordinances.
m4tN?1
APPLICA /PERMITEE SIGNATURE
?? "' -'(:?O
VESUED BY: SIGNATU E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PII.OT KNOB RD 65122
681-4675
New Construction Reauirem nts RemodeUReoair Reauirements
? 3 registared site surveys ? 2 coDie$ of Plan
? 2 copies of plans (incJude beam 8 window saes; poured fnd. Cesign; etc.) • 2 sRe surveys (exterior additivns 8 decks)
? 1 energy calwlations ? t energy calwlations for heated add'Rions
? 3 copies of tree presenation plan if lot platted after 7/7/93
required: _ Yes _ No
DATE: IO .?'. 9U CONSTRUCTION C05T; ? r ov ,°?
DESCRIPTION OF WORK: I nS'?allp.-?? ot" dryinleU
STREET ADDRESS:
u4um? oak5 C+. e7ct.qaa, Al? 515)1V3
LOT: '7 EsLt7c:K: ?SUBD.!^.i.^. 9:
Name: VR.iSaQS ?i ChA.'-d ?Che.y I Phone #: (091
PROPERTY Lest First
OWNER
Street Address: L?, C)? k5 C-4 -
City ?aG?Cv? State: Zip:
CONTRACTOR
Company: J'j Phone #: _
SReet Address: License #
City
State:
Zip:
ARCHITECT/ ,I
ENGINEER Company: Phone
Street
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
56r,;Z3
Penalty applies when address chanc
1 hereby acknowledge that I have read this application and state that the information is cortect and agree to compy with all applicab
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
, Registration #: __
State: Zip:
.
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweiling ? 07 4-plex
? 03 SF Addition O 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
OFFICE USE ONLY
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Pubiic Facility
? 14 Fireplace I? 21 Miscellaneous
? 15 Deck
WORK TYPE f-fle S?,s f?.
n 31 !'ieiu 33 A"zrp,ians u 36 NIUVB
? 32 Addition 0 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
Basement sq. ft
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft,
sq. ft.
Footprint sq. ft.
Building
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
-7-77
Census Code.
SAC Code a
Census Bldg
Census Unit 0
Engineering Variance
Permit Fee
Surcharge
Plan Re"ie!v
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposk
S/W Permit
SNN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
11?dtV oF eagan
THOMASEGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Special Assessmant Search Councll Members
THOMAS HEDGES
DSte: jpgj], q, 1995 C1ryAdn-Jnlsttator
N OVERBEKE
Requested By: Re: Country Hollow CNyCerk
Lot 7 Block 3
Progressive Title Inc
On the reverse aide or attached form is the City's response to your search
request on the identified property. The information includes the original amount
of the assessments and the payoff amounts of the asaessments on the parcel. In
addition, pending assessments are included for improvement projects that have
been ordered to be installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the complete asaessment
obligation based upon the parcel's current use or zoning. Certain parcels have
not been assessed at the appropriate rate per their zoning/use. The City's
policy is to review the assessment obligation of parcels at platting, replatting,
rezoning, waiver of platting, and prior to the issuance of conditional and
special use permits and certain building permits and in other unique situations.
A condition of approval requires the parcel to assume its additional assessment
obligations that have not previously been levied for existing public
improvements. The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCIAIMER:
Neither the City of Eagan nor its employees guarantees the accuracy or
completeness of the information provided which was required by the person or
persons indicated. Nor does the C1ty or its employees assume any liability for
the correctnass thereof. Zn consideration of receiving and using information on
the attached form and for sll other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
denied. Pending assessments cannot be paid until levied. Levied assessments can
be paid to the CITY OF EAGAN.
Very truly yours,
??11J??N••- ?-
SPECIAL ASSESSMENTS
MUNICIPAL CENiER
8830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122•1897
PHONE: (612) 6814600
fA7C (612) 681 •461 Z
TDD:(612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTN IN OUR COMMUNRY
Equal OpportunNylAfBrmailve Actlon Employer
MAINiENANCE FACILITY
3501 COACHMAN POINT
EAGAN. MMNESOTA 55122
PHONE: (612) 6814300
FAX:(612)681•4360
TOD:(612)45448535
AS OF: 04/04/1995
PROPERTY ID: 10-18275-070-03
S/Al ASSESSMENT DESCRIPT. YEAR TM RATE
101473 STREET W199 1987 OS 9.0000
101605 SLTK505 1988 15 9.0000
101607 WLTK505 1988 15 9.0000
101609 SSTK505 1988 15 9.0000
101610 SSLTK505 1988 15 9.0000
101684 STIC491 1988 15 9.0000
101685 SLTK491 1988 15 9.0000
101686 WTK 491 1988 15 9.0000
------ SLTMMARY OF LEVIED
****** 1995 P&I CERTIFIED
------ SUMMARY OF DEFERRED
------ SUMMARY OF PENDING
------ SUMMARY OF CLOSED
SEE COMMENTS
TOTAL ANN.PRIN. PAYOFF CD
112.62 0.00 0.00 PP
449.06 0.00 0.00 PP
100.77 0.00 0.00 PP
770.49 0.00 0.00 PP
330.21 0.00 0.00 PP
433.86 0.00 0.00 PP
456.36 0.00 0.00 PP
417.17 0.00 0.00 PP
0.00 0.00 0.00
0.00
0.00 0.00 0.00
0.00 0.00 0.00
3070.54
Press ENTER; or F1, F4, F5, F7, F8
da-?"l,•itil?;,C? L3,?3, Cn-ui?? ??FEAGAN ?
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?p
?
"
BUILDING PERMIT PHONE: 454-8100
Receipt # `- (}''
&U + i
usedfor SF DWG/GAR EscValue $111,000
1940
Site Address (o 04} AUTi1MN OAKS CT
Lot 3 Block 3 Sec/Sub. COUNTRY HOLLOW
Parcel No.
w Name JOE MILLER HOMES
3 Address 18133 CEDAR AVE S
° City FARMINGTON Phone 431-2001
.o Name S?
g?4 Address
? City Phone
1 Name
Address
City PhOne
I hereby acknowlege that I have read ihis application and state that the
inbrmation is correct and agree to comply with all applica6le State of
Mmnesota Statutes and Cityql Ea OrdyqAnces. '
iC/ d
Sgnature of Permtlee ,9K/
A Bwlding Permit is issued to, JOE MILLER HOMES
on the ezpress condition that all work shall be done in accortlance mth all
appliwble State ol Mmnesota Stalutes and City of Eagan Ordmances
Budding OHicial .Ol fl,? I
"1 s I c1
OFFICE USE ONLV
Occupancy R-3 t'-1 FE FS
Zoning R-1
(ACIuaqCons( V-N BIdg.Permil 678.00
(Allowable) V-N
Surcharge 55.50
# 01 Stories
$?F?
Plan Review
441. 00
Length
Depih 39 ' SAC. Cily 100. ?0
S.F Tolal - SAC, MCWCC 600.O0
S.F Footpnnls -
On Ste Sewage _ Water Conn b 2 5_ 00
on Ste Well - Water Meter 90. 00
MWCC System $X
$]{
Accl Deposit
30-00
CityWater
PRV Required xx S/W Permil 30.00
BoosterPump - SiWSurcharge .50
Trealment PI 252. 00
APPROVALS RoadUnit SS.OO
Planner - Park Ded.
Counctl _
Bltlg Otl. _ Copies
Variance - 70TAL 3,257.C0
e?4 ciiA -,? + s C)•oG
17567
.. ? G?
?
1990 BOILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APPLIES WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
fE8 2 8 RecQ
To Be Used For: Valuation: Date:
Site Address
Lot Block 3 .
Parcel/Sub
Owne r
Address
City/Zip Code
Phone
Contracto
Address
City/Zip Code
Phone ?? -r)M I ?
Arch./Engr.
Address
City/Zip Code
fit I 0a)!
OFFICE USE ONLY
Occupancy IZ3 M_
Zoning K-I
Actual Const V-N
Allowable v-N
# of stories
Length S ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ??
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 78.00
Surcharge SS•.S?
Plan Review ,J 0
SAC, City ino, Do
SAC, MWCC O'OD
Water Conn $ 00
Water Meter 90,00
Acct. Deposit 30,00
S/W Permit 30.0 o
S/W Surcharge ,5??
Treatment P1. 2 S2,v0
Road Unit 3Sy,0u
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
?•J
,/s ? JAI
Phone #
VA L u,4-TI ?',J•? _ ?
C'A2ACTE
_ `7Xc)
I! Y. 2, = CZ Z'
9xc-??
??Q??S? lo6s'b
1315 MT.
13 *yN = s72
Ci X6= Ny
.?---
`18D >c 14= 13?Zp
1ST PL,oOf't
$SwIT = ?}fJ
35'
.._..--
IDIS' X 50=. 5075-0
XZy' ?s72..
? y X l'/L = ? I
?"zK IY = 2-
?ly u?=
35?oa
?---
) I
a ?
r
678 • 00
55 •50+
441•OU+
2,032•50+
3, 257•00*+
' 67a•oo+
55•50+
441•00+
2, 082•50F
3,257•00=k+
~ ' • .i
1032- -345-90
CERT/F/CAT£ Of
G6U¢r(
D?
F?U7?M? °E
, o
,3?r •r.,:
001 p= ' .
----- --?
I
?
I
I
------J
N
l
o
,
1
8?? • _-? 4
3,67 -
i
o '--
° PrzoPosEo
I ,v 4OvS6
44,Do
su4vEr
.53)
?64,$ s ?, o
(L ' ,Lo 5915
0
lo
S L °-
-
L----
0 o,o
M
I
I
3
N N
r?
.o a
N 0
Z.
?
T
I
I
,
- - -- - -] 1;
-- o a
(21t,cFT oF ?ac.cESS? gS,tlo
N 29°SS'08"E
l NfREBY CEf777FY TNAT TH/S SU4VEY, PCAN A4 REPART
Wi7S PRfPAqEO BY ME OR UNDER MY D/RECT SYApERV/S/AN
ANO rHAr I AM A DULY REG/STERED LANO SURYEYqR
UNDER THE LAIYS OF THE STATE ar M/NNf50TA.
DATE S? I 99d MRM NO. 8140
0
- o-
DESCRIPTIOTI
Lot 7, Block s,
COUNTRY FIOLLOl9
Dakota County, Minnesota
?
G DEPT
Plat bearings shown
o Denotes?iron monument
? -- -
LExi-stin?
? Proposed
PoRoVa REWWED
brandt anginaaring P. rurvayfng
2705 woodi lroil
buinivilla, minnaioto 55337
(bIR) 435-1966
f
N?
?
Scale: 1" = 30'
?
/V13Z-3 45-90
. • , CITY OF BUILDIN(i DEPAR7MENT
t . .. F:7CCERIPR ENVII.OPE AVERAQE rrUtt COMPOTATIODf
, (To be suhmitted with building permit applica'ticn)
Oue or Txo Femlly Dwelling ? Oxner
All Other
Contractor
Site Addreea LnT -3? h(?
I
Date Phona
LII4EAL Fk:ET OF 1 9•
EXPOSED 1'lALL NCI.?o,e,C. ??}E,Ef 1I ft. above grade _ ??1 ;c?c, ?T
TOTAL LXPOSED WALL AREA SQ. FT.
0?„QUE WP.LL CONSTRUOTION: "U" Value x Area
?RArv 6 rlp ° • 0T-3, x SQ.
De tall
d-OA ' °U" • 07[?
r x SQ.
reference
?lYl -
liUlt .040 x SQ.
from IIUII x SQ.
attached npll x SQ.
shoeta uUu x S
Q-
:':IIdDOWS: "U" Value x Area
FT.,,J$,z•48 - 77-93 M(A)
F'T._ 7648 = • 7i(U) (A)
FT. Zo . = U)(A)
FT. =?U)($)
FT. - (U) (A)
FT. - (U) (A)
Pia;te & Type W'F+uL. C'r-YryT "Ul' - 6Z x SQ. FT. 6 •Zo= So•1$(U)(A)
i u nUn x S@. FT. _ (U) (A)
It upu x 5@. FT. _ (U)(A)
u n npn x SQ. FT. _ (U)(A)
?OORS: "U" Value x area
i•Iz:te & Type ?57-L, fIV?zJL• "U" .('t x SQ.
?? ?? ?ta-rro iluit .47 x SQ.
flUti x Sq.
n n uUn x SQ.
ToTai.s 359•64sq.
avsxnaE tro"
TOTAL (U)(A) V/.LUES zOO 7-7 = ,O
DIVIDED SY TOTAL eIpzL axEn 13SY.64
AVF;RAaE I'Utl , 9 r less for 1&2 family tlv=ngs
RooF/CEILING:
TOTAL AREA: 1417-
FT. 47,00 = 6•8? (U) (A)
FT. qz•ov = l9.74 (U)(a)
Ff. - (U) (A)
FT. - (U) (A)
t'T. Zoo.Z7 (U)(A)
Detail reference ofUll soZ 1 x SQ. FT. 14/z - 19•e4 (u)(A)
from flUre x SQ. FT. . (U) (A)
aLtached sheeta. flUff x SQ. FT. a 0)(A)
Deecribe onenings $lUll x SQ. FT. a (0)(A)
iri TOOr. 11(J11 X$Q• p1T. a (V)(A)
TOTAL (U)(A) VALUES DIVIDED BY Z9 (? _ '4i'?-?Q.Ff Z9•(oSCUYa>
7'0TP,I, ROOF/CEILII:G .',REA J412. '?Z1
AVk;RpGE "ll ,025 r ventilated roofa.
--wat.L sECliox--
Determining l'II" valuee at Roof, YVall. Rim, and Conc. Block
ROOF/CEILIN(i
1.) Interior Air c'i1m
2.) 5/81, ayP. sa.
3.) Insulatioa 4.)
5.) Exterior Air Film
( STII.L )
iOplt _ 1/R= •OZI i'OTAL (R)= 45•7Fj
WALL
6.) Interior Air Film
7.) }n C3YB. Bd. .
8.) Insulatlon
9.) l9/6Z° gou.`( P-1'fF
10.) Mdeonite Siding
11.) Exterior Air Film
uUn = 1/R= TOTAL (R)=.'lz?b1
?
RIM
12.) Interior Air Film
13:) Iasulation
14.) 211 Fir Rim Joist
15.) 151?' Evl??`P1'Te
16.) MQeonite Siding
17.) Exterior Air Film
nUll _ 1/R= TOTAL .(R)-l4-4f
.
FOUNDATION
18.) Interior Air Film
19.)
20. ) ? ll ?1PP?b WA.L-
21,) 12" Concrete Block
22.)
23.) Exterior Air Film
npff = 1/R= • 07(o
?--
R VpLUE
0.61
.56
4'Q: DD
.61
R VALII
0, (>$
.45
I 9• CV
Z.o 9-
. 67
.17
(R) VALUE
0, 6$
15,00
1.88
2.674
.17
(R) VALUE
0, 6H
//. o0
t . 28
.17
TOTAL (R) = 13.I3
,
? .
.
. . . . . ..,?.. : r
• ? ? ? . ' ?f . • ?
&c?7e? ExP?.w?L-c_..
IB,33 X C 98+4? t24rZ4? =
9. 5o X( Zo+ zo) _
I,9 79•lv?4
3$O•? ..
, ? -
.83x?5b+s?+48t-4S+?? = 7?5-4-? ?
(.?111?A?w5
toX3lo = 5.0o X Z= fl? vo
Z4xL4 = 4•0o X g= l?o•oo
74x48 =
S.oo
x
?;
5lfl.oo
z?tl o=. 8•9' X 3= Z5•Zo
3m• o0
Z4Xfoa =
= Ia.oo
?•g X
X ? ='
5'
o0
/7.
? i8
V IS¢. 20 -;?
?
35!
SiL? V??.L. = ZS•oo
Z? ?u. ?. _ zl.oo
(,° Pq-c?a = 4Z•oo ?
N?'r &t?
6:)F? wAL(,
G?ss e?. 9?,4s
u ??/11 205•4$
u WDa:yS r59.za
h brveS 91•oa .
Poa .. .
13xzv=
?
7-1(0
1, s ix.9-S ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConsWNion Reauirements
• 3 registered site surveys showing sq. ft. ot IoL sq. N. oF house; and all roofed areas
(20% maximum lot coverape allowed)
• 2 copies of plan showirg beam &windows¢es; poured found design, etc.)
• 7 set of Energy Calalations
• 3 copies of T2e Preservation Ran if lot platted aRer 711/93
. Rim Joist Detail Optians Selection sheet (bldgs vrilh 3 or less units)
DATE
• Residential Ventilation Category 1 Worksheet Submilted
. Energy Envelope Calculations Submitted
SITEADDRESS _IOIJ`I" MML)Mf'1 G(.X? ?` MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ! ??????? ?????? & Rellng, DIlVT.
STREET ADDRESS 49 SOlllh OW8SS0 B1Vd.
_
Liltle canada, MN 55117
TELEPHONE# ? ((oG,?i1"(C1? _
Phone #
PROPERTYOWNERTELEPHONE# f0n ? o (o
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIN,VESOTA RLJLES 7672
(J submission type)
Plumbing Contractor: ____
Plumbing syslem includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery 5ystem
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eaggin Orc
Signature of Applicant
OFFICE USE ONLY
Water Softener
SNater Heater
No. of Baths
1 ?-?-as
RamodaUReoalr Reauirements
. 2 copies of plan
. 7 set of Energy Cakulations for heated additions
. 1 site suney kr exlerior additiore & decks
. Indiwte H hame served by septic system for additions
!? ?
VALUATION ?Z?v v <
CITY STATE_ZIP
FAX #ke)E?A
. New Energy Code Worksheet Submitted
Iawn Sprinkler Fee: $90.00
No. ot R.I. Baths
0
AUG 2 3 2002
is correct, and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 604 Autumn Oaks Ct
Lot: 7 Block: 3 Addition: Country Hollow
PID:10- 18275- 070 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Richard D Vatsaas
604 Autumn Oaks Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA085381
08/19/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-123$45$,+
-./$%'63/7-.1 89:;?;M
=*%-'!>>3-519?@A;@?A9B
-./$%'#*%-+(.&1- -./$%
C$%-'855.->>1''<A;''83%3/,'H*T>'#%''
9"# $% &&H())* * + &&, =+ /@&_ ## C
234 5675!'9V76H7696&
:;-
=->D.$0%$(,1
<=>&?@A- B*+) C;D4 /;, +; /=$ * +&?@A-
B /%&?@A- E-A#.$-
4-;$/*A * + ?C & /&T /-&B*+) C;D4 /;
,-+;=;&, )- GHG&7&F$$=A.+$@
I +*+J
<K=./-&L-- 6
3MA/ 1-M-+ ;& & N-&N M-&/-K=*/-&;M %-&)- -$ /;&*+&.##&>-)/ M;O&3P&.# -/*+J&C*+) C& A-+*+J;& /&*+; .##*+J&".@& /&" C&
#(//-,%>1
C*+) C;Q&$.##&P /&P/.M*+J&*+;A-$ * +O&,.##&P /&P*+.#&*+;A-$ * +&.P -/&*+; .##. * +O
,./> +&M + R*)-&)- -$ /;&./-&/-K=*/-)&C* N*+&56&P-- & P&.##&;#--A*+J&/ M& A-+*+J;&*+&/-;*)-+ *.#&N M-;&ST*++-; .&< . -&
" &7&".;-&L--&WG^W56HO'V&6!65OG6!V
E--'C3//*.&1
<=/$N./J-&7&".;-)& +&U.#=. * +&WG^W'O66&X665O'5XV
U.#=. * + &&GQ666O66
"(%*41F9ABG?B'
#(,%.*D%(.1HI,-.1
7&&(AA#*$.+ &&7
2-##.&Z / N#.+)E*$N./)&4&U. ;..;
5VH66&'V N&(1-&Z&&c56686G&(= =M+&F.%;&,
2#@M = N&TZ&&VVGG9Y.J.+&TZ&&VV5'H
S98H\\&HVV75H66S8V5\\&G967HGHH
3&N-/->@&.$%+ C#-)J-& N. &3&N.1-&/-.)& N*;&.AA#*$. * +&.+)&; . -& N. & N-&*+P /M. * +&*;&$ //-$ &.+)&.J/--& &$ MA#@&C* N&.##&.AA#*$.>#-&< . -&
P&T*++-; .&< . = -;&.+)&,* @& P&Y.J.+&F/)*+.+$-;O
(AA#*$.+ D2-/M* -- &<*J+. =/-3;;=-)&"@ &<*J+. =/-