4295 Eagle Crest Dr~v CASH RECEIPT
CITY OF EAGAN
• 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1"? f 19
RECEIVED .I
FROM
AMOUNT / V I G,.)
f-
? CASH W CHECK
DOLLARS
loo
:2'f K) 1y?ss ?lZ.Gz4,.
?.F N CODE AMOUNT
LO ZLs` ? YU aft
3 3 ?v o ?
37y o
z
Thank You
BY White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
' ! n ,i I ;.I i ICI w:111 i
,ltt 11 Ii i 1 1 it i ;: ti ,?,. 1
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
rill I
V f MARKS; `aFPARAI I 1•I "MI" N(, J? F 111: 11t I 1- Al I,I 11-Mil 1-. 11( W1 114f C1
MRMM"I
------------------- ---------
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRI ,47' 70
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Mg.
Isul.
Fireplace
Final Mg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. lisp.
CITY OF EAGAN
Addition SUN (T,TP FOURTH Lot 13 Blk 2 Parcel 10 72978 130 02 ?C
Owner Street 4295 Eagle Crest Drive State Eagan+ MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
ggj?
1985
303.92
20.2
15
STREET RESTOR. -!' 1622.20 324.44 5 dq? Q O 1130 b
GRADING
1986 502.5 100.52 5 O O i
SAN SEW TRUNK n 1 70
0
--
42-52
1.70
-Z5-
SEWER LATERAL 1985 218-56 43-73
Water LateralZ 0- (u 198 582.46 116.49 5 L'0 /l
WATERMAIN 1985 57-95
WATER LATERAL
WATER AREA
190/ 1973 58-78 3.93 15
ja5 197 27
R 9
.2
STORM SEW TRK 9
STORM SEW LAT
94 -
? 7.3 S 4, W 1130
c 2 %('G U. I - i ?:?
. 5
SIDEWALK
STREET LIGHT
L.3 /
ervices 2??7 1986 529.15 105.83 -
WATER CONN.
BUILDING PER.
SAC
PARK
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE: 454-8100
Site Address -
Lot Block
Name
Adore
c City C
Name
W Addre
p City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
"7 ?_ M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL-
BLDG. TYPE WORK DESCRIPTION
Res. X?l Now
Mutt Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - SO
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMfTTEE
FOR: CITY OF EAGAN
Site Address
Lot Block
m Name
a Addre
c City _
PLUMBING PERMIT RECEIPT #`? 1
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Q
PHONE: 454-8100 -
BLDG. TYPE WORK DESCRIPTION
Sec/Sub
New
Mult Add-on
Comm. Repair
Phone Other
Name
3 Address
O City -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE _$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF
N9. FIXTURES
$
C TOTAL
$
water
loset -
3.00
Bath Tubs - $3.00
?-Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
__..,-Private Disp. - $10.00
'
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL 77 ?'
+ t147R 681-0640 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 b 12002
PHONE' 454-8100
BUILDING PERMIT Receipt # ( ?)r ' 1
To be used for SF DWG/GAR Est Value $60, 00U Date .4A Y 22 19 $?
Site Address 4295 EAGLE CREST DR Erect 11 Occupancy R3
Lot Block 2 Sec/Sub. SUN CLIFF 4711 Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
Name :icYLAND HOMES ?:.• Move ? Length 3S
W
Address 3471 14 173RD ST Demolish ? Depth 4 2
c Int Impr. ? Sq. Ft.
City -01-WAN Phone 435-3323 Install ?
i o Name Sr12• P ? Approv;
Q Address Assessment _
~ Citv Phone Water & Sew.
0 W HALLQUIST Police
L UM Name Fire
a Address 50105 W 80TH
Eng
M W City E3F,fi 1 Phone 31- 1 8 7 5 Planner
Council
I hereby acknowledge that I have read this application and statethatthe Bldg.Off. 5/21/8(
information is correct andpgree to comply with all applicable State of
Var.
A Building Permit is issued to: AZXIAAtYU MUP'll'b on
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan
Fees
Permit 313.001.
Surcharge 30.00
Plan Review 156.50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit. 290.00
Tr. PI. 156.00
Total $2,084.00
he express condition that
Permit No. Permit Holder Date Telephone M
Plumbing S 3 ? t? ?'? C t? .? 44s
1 H.V.A.C. 7 `I jo Yti? O r^ O
//O
Electric I
r z J a y b a
SOIIMeI'
inspection Date Insp. Comments
Footings 1 ! ?'6
Footings II
IFoundation
Framing
Rooting
bough Plbg. -
Rough Hill. Aw.1-1-f ad
Insul. !o
IFIreplace
Final Htg.
Final Plbg. O
Bldg. Final
IC&rt. Occ.
Deck Fig.
Deck Frmg. '? 2 7 & 40 Q 77S G
Well
Pr. Disp. _ aF? ?? Cov?i
? GA"? ? cl?+d-t o c.O a vT ? T
Pilot Knob Road
Box 21199
i, MN 55121
SEWER SERVICE PERMR
PERMIT NO.:
DATE:
No. of Units:
"c 7land Ho7 -:;
Site Address: ::agle Gres! -
Plumber: _'C t'avle a'
1 some to em* with the CRY of Ileoss
Cedisaseu,
By
Dote of Insp.:
Connection Charge:
Account Deposit:
Parmk Fee:
Misc. Changes:
Total:
Dote Paid:
CITY OF EAGAN WATER SERVIC E PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.,
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
n
O
w
er:
Add
ress:
Site Address:
-
Pl
b
um
er
Meter No.:
Connection Charge:
Size: Account Deposit:
Reader No
: Permit Fee'.
.
1 agree to me 0115 wkh the City of lsoee Surcharge:
Grahmmem Misc. Charges:
Total:
Dote Paid:
Dote of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pi1pt"Knob Road
P. C. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of units:
Owner:
Sift Address:
Plumber. S;
Meter No.: ne rfle•
!Size:
N t:
1n t
-
?Reoder
o.: ?
a
-
:1 some to wlfh
-
T,
'IDd
tX
- SVt1
By .X-kjZ-6
Dote of Insp.:
(^ Sllnrl of ..?
Paid:
/o - jo --?
CITY OF EAGAN A?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 12002
PHONE: 454-8100 ?' w,
BUILDING PERMIT Receipt ff ,71f
To be used for SF DWG/GAR Est Value $60,000 Date MAY 22 •1986
Site Address 4295 EAGLE CREST DR Erect Occupancy R3
Lot 13 Block 2 Sec/Sub. SUN CLIFF 4TH Remodel ? Zoning R1
Parcel No. Repair ? Type of Const Vn.
Addition ? No. Stories
wW Name KEYLAND H014ES Move ? Length 38
3471 W 173RD ST Demolish ? Depth 42
it Address Int Impr. ? Sq. Ft.
city JORDAN phone 435-3323 Install ?
i o Name SAME Approvals Fees
u < Address
city
Phone
W W Name HALLQUIST
ua Address 5005 W 80TH
a W city BLMTN Phone 831-1875
I hereby acknowledge that I have read this application and state that the
information is correct an ree to comply with Al applicable State of
Minnesota Statutes an i of Ea an O a.
Signature of Permittee
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all applicableState&Minnesc
Assessment _
Water & Sew.
Police -
Fire
Planner
Council
Bldg. Of
Permit $ 313.00
Surcharge 30.00
Plan Review 156.50
SAC 575.00
Water Conn. 500-00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Var. Date I Copies
Total $2,084.00
- on the express condition that
of Eagan Ordinances.
Building Official
??/97 ? REQUEST FOR ELECTRICAL INSPECTION
pp 2498 1i See instructions for completing this form on back of yellow copy.
CV "X" Below Wdrk Covered by This Request
EB-00001-08
9
New Add Rep. Typeof Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks: ] t ?O/"
Compute Inspection Fee Below: //\ ?i?
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee .
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL a a
Irrigation Booms /bi 60 01/0 ?
special Inspection
Alarm/Communication THIS INSTALLATION M E O E ONNECTED IF NOT
Other Fee COMPLETED WITHI ON
I, the Electrical Inspector, hereby
if Rough-in r Dare .- f
cert
y that the above inspection has
been made. Final Date
OFFICE USE ONLY
This request void 18 months from
R 02 98
Request Oele
?1 /'U
it o . Rough-In I bn Required
(you mu inspector when ready) Inspection Other Tha qugi
? R
N
III N
til
I
t
o/ ?/-//
yes ? No or
ow
o
nspec
eady
y
Dale Read
I Ll licensed contractor owner hereby request inspection of above electrical work at:
Job Addre s Israel. Boa or Rote No.,
a 45
? City
a e e
Section No. Township Name or Range No. County
Oc up nt (PRI ;TI
? Phone No.
G n
e? o
Power Supplier Address
Electri G ntractor ICompary Name, Contractors License No.
ornEOwn zr
Mailing Ad sS Contractor or Owner Making installation)
oJL
Authorize oaWre 1Conlr NOwner M nslalist, Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOyraT WILL NOT
Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(642)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
See instructions for completing this form on beck of yellow copy.
Jr 1 q ? ' R "X" Below Work Covered by This Request 3S o
w4 r
A,Adl _.
Rep. ---
Tvpe of Building
Apptignces Wired
- -
Equipment Wired
Home Range Temporary Service
Duplex. Water Heater Lighting Fixtures
" -Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bilk Milk Tank
Farm Cher pec$y - the, ISpnc Iyl
t er unm Y Other Other
!e l,.°nnr Nnn r--
#
&I r Fe I
AV Service En trance Size
U to 200 AMPS h Fee Feeders rSubfeedera
0 to 30 Amps p Fee
,?G Circuits
0 to 30 An?
Above 200 Amps 31 to 100 Amps 31 to 100 A S
Swimming Pool Above 100Amps Above 100 _Amps
"
Transformers Irrigation Booms Partia
Signs Special Inspection' s rD T T'v
Remarks # i /.J Rough-in D`ato t curcal
6 P 6-? Inspector- hereby
fYYV// cartily that the above
Final OH1e inspection has been
J / do.
This request veld 18 months Imm
This request void 'j y
1B months from
X 1933,6 C13,6a cep ?? ? c{?-
Request Oate Fire No. Rough-in Inspection
Requrt
?fleatlY Now mifV InsPec-
?
es No for When Ready
kcensed/ectric% Vontractor I hereby request inspection of above
?Owner electrical work installed at:
Street Address, Boa or Route No. City
ection o. Town ip a or No. Range No. Count
OccuPant(PRINT Phone No.
Power Supp er
G Address
Electrical Co tr ctor ICompa ny Namel
O n'?
ae Conn t is LicNo
G
Mailing Address (Contractor or Owner Ma king tallaG OnI
?.
Ul
Authorized Si ure (Con ct Owner Maki 1 latignl Ph n Number
MINN6137 STATE BOtt. OF ELEC[RIGITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSED.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4295 EAGLE
SUN CLIFF ATH
PERMIT SUBTYPE:
BASEMENT FINISH
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LOT.- 13 BLOCK:
CREST DR
2 APPLICANT-
ANDERSON
(612) 688-9461
TYPE OF WORK:
BUILDING
022941
02/11/94
GALE
ALTERATION
INSPECTION TYPE
FRAMING DDATE INSPTR. INSPECTION
INSULATION DATE INSPTR.
ROUGH IN PLBG FINAL
REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED
7
C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
022941
02/11/94
SITE ADDRESS:
4295 EAGLE CREST DR
LOT: 13 BLOCK: 2
SUN CLIFF 4TH
P.I.N.: 10-72978-130-02
DESCRIPTION:
Building',.Permit Type
kuilding W6,rk Type
J
BASEMENT FINISH
ALTERATION
REMARKS.
SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED
FEE SUMMARY-
Base Fee $35.00
Surcharge _ $.50
Total Fee $35.50
CONTRACTOR:
OWNER: - Applicant -
NOERSON GALE
295 EAGLE CREST OR
AGAN MN
61.2}688-9461
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 Mn.
Statutes and City of Eagan Ordinances.
AP LI ANT/PERMITEE SIGNATURE SUED BY. SIGNATURE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work a?oo
Site Address: 9+q_1A0
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. aftr,r
!J P.I.D. #
Description of work: L? T 200
The applicant is: 1A Owner ? Contractor ? Other (Describe)
Name Atieeeso ?a?ar Phone 466T'4' y?l
Property LAST FIRST
Owner
Address y?9.s ?Ar cf _ CeES? ?a.
STREET
STE #
/
City E,g6l7r State Zip SSo2?
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all ap licabl tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -t
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
04 SF Porch ? 09 12-Plex ? 14 Fireplace
905 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New H 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
?.Site
? Wallboard
?5 Tenant Finish
? 36 Move
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
)Sr Final
Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Valotion: $ 41- 40
#16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code d
Census Bldg
?-
Census Unit
Assessments
SAC %
SAC Units
/,; oo?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
?7??ooo-1 SET OF ENERGY CALCULATIONS
To Be Used For ?uation:'3 Date: S?IJ
Site Address: %.S OFFICE USE ONLY
Lot: &- Block c;L-Sect/Sub ' Erect Occupancy
Remodel Zoning!
Parcel # Repair Type of Const :r(/
r_ Enlarge # of Stories
Owner Move Length
Demolish Depth
Address y%I CL! /73-4 S %_Grade Sq Ft
City/Zip Code SS3?
Phone 3 3 3 APPROVALS
Contractor Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC S 7$r
City/Zip Code Engr Water Conn SOD
Planner Water Meter 3, 0
Phone _ Council Road Unit Z O
Bldg Offf. - Park
Arch./Engr. APC Treatment P1
Address Variance n (J
TOTAL u u
City/Zip Code
Phone !1 P-31-
J,??
J 2??
b x 20
Y,? 777,D,
rOge 1 UT 4
EXTERIOR ENVELOPE AVERAGE "II" COMPOTATION
OWNER:- DATE - --- ?r
SITE ADDRESS: PHONE:
CONTRACTOR
Determine working square footage of each
1. Total exposed wall area..... sq. ft. x .11
2. Total roof/ceiling area..... '1?nI sq. ft. x .026 =
Total exposed wall area above floor=_??e??-
a. Total wall window area ........................................... 11
b. Total door area.................................................. L.
c. Total sliding glass door area .................................... ::
d. Total fireplace wall area.......... ...........................
e. Total wall framing area (average 10H) ............................ I031
f. Total rim joist area..
g. net wall area above floor .....................................
h. wall area above floor .....................................
i, wall area above floor .....................................
3. frame wall area at foundation ...................................
V
Total exposed foundation area=_
k. Total foundation window area ....................... ^ -
1. Total net foundation area above grade .............. ?v
P Determine "u" value
(e.g. window, door,
a. I,:!> I X 11 U.,
b.? X ,lull
C. -?(I x hull
of each wall segment
each separate wall section)
d . -- X ll u ll
e. 10( X
f. k-lee X
g. 13270. X
h. X
i. X
?. X
llull , = I? S
1
Mull
(lull , v.`? _-(
IV. = -
11VI1,,- _
_
IV,
X 'lull =
I. 74l r?mj X ll u 11-?
3 . .................................Total = F 1
r ?.
{
'.t. i
If item 03 is the same
as, or less than item
dl, you have met the:;
intent of SBC 6006 (c;
a : '.'INS
1 rI.Y.iAA
Ex tttrior Envelope Average "U" Computation Rage 2 of 4
Total exposed roof/ceiling area
M. Total skylight area ............................ `J
n. Total roof/ceiling framing area (average 10%.)... '-1`7
o. Total net insulated roof/ceiling area........... y /E,
Determine "U" value for each roof/ceiling segment
M. x „U.. ---
'4 ........................... Total
If total of #4 is the same as, or less than 92, you have met the intent of
SbC 6005 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sam of "
items #3 and #4 shall not be greater than the sum of items #1 and #2.
'4 7
+ 4. rJ2, OF
A
PLA Q *k:
® Li N F 4 FT. exposEb WALL
BL 0G K. ?`? j' '-'7 -'- l €q -1 +- 10- -t- I c-? a v = /?/ /
k l l?E r( --f ILe L- ?c +- 1", 14
WOO 4
F U L L 2.: ?---
T:t 2.EPLAC.E ; -
¦ sk.i5oseb
t3Loc.le.', r--ii x , s =
V-N EE oLP x. 5 =
w.o x g =
PULL I x. 8 =
FULL L % -- x 8
WALL
?-ate
r
AzEA
r
M
To -rA L. _ S u l ? ?h
0SQ,Ft. +KaaSED
'1-7:?
W DWS U
oho/3G- -- ilia l ter'
I?/fin - l? l
Y
ll
'
o? ?v _ I l I ?`.'
07 ?
GEI LIuq
® D oo I?.s ?
® ?A-ri O DRS
® ?SM-+ Uui+5
T1
6
10
Corr:trur.tinn R -Valw:
S.
6. F:r•t.eriur ai,: (i1u, 0.17
'ru u, l ? Z, Z?
u=.?a
INSIOU.
1. TntorIov it ir film D, 611
6. Ex Loriov air li1L., 0.11
Totol 2D,1
L3 p ?v
Z
(
c
V
M
ic
,
ni.r film
Di 0, 6!1
2. J?14st1.
3`?'8 /3.P
a . .._.
... ... ___ .._
........... - ....
? t o_T ? _ ? `s .
._._
l.$R
-.TG -0
6. Exterior nir film 0.17
't'otal ZZ.3v
U=.o9
Lk*nir f, I!,
O.Gn
2. •_?..!`__? __....... ..tea .l
L 23
•r« La
U
1. 1]
u,
,I AME
?,(lF?f=lii
rt
} IN
etc. 114 7rt ?; :, --
pJ'Pg; Indicate t.y"c, "it" value, dcoLli rind
placor,ant of insulation.
' V7A1.L Sf:C'1'.ON3
E: We 11,•t of 011xtu4 Wall area for
Pram,; ronntruct ion
t,
Heat: flow
up
:rated
rSG. 95* ;
Heat floe up,
.
rvnll'/rrar.••v
1
.
-vented
• HO:i-VI2SLZD • •
• Heat
• flow up
PIG. t7 .
u
Construction
R-Vallee
1. Interior air film .0.61
2. -7,B-1-6-7P 'f3P
.?R
3- 1,u5u4__. 44.ap
4. Exterior air file (still) 0.
- Total 2 ,46
V-" Oz
F1 «1+rt o: ,
1. Interior air film 0.61
rG
3_ ? UL, 38. 3?
4. or air fiUa
P.xtcri (stil
_ Total 2 G,O.?S
U = OZgv
CCIA.lirlt i?CT/ AP .. ..
1. Inside air film 0.61
2.
3. '
4
.
5.
outside air film
0 I
i
. Total
.•r E
1. Inside air film 0:61
3.
4.
5. outside air film 0.17
Total
1_ Inside air film 0.61
2. ,
3. '
4-
S.
outside air film
0.17
TO tat
ote, Use additiona l sheets if more spaeo
N peeded for de tails and calculations.
¦
• I
lTG. i6:. _
9
dtVcFaaqcn
3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQUIST
EAGAN. MINNESOTA 55121 - MW
PHONE: (612) 454$100 THOMAS EGAN
JAMES A SMITH
DATE: January 28, 1986 JERRY THOMAS
THEODORE WACHTER
Ccu g Member
THOMAS HEDGES
cry A r snofw
EUGENE VAN OVERBEKE
SPECIAL ASSESSMENT SEARCH Cey Clerk
UNIVERSAL TITLE INS CO RE: Sun Cliff 4th
14500 BURNHAVEN DR #159 Lot 13 Block 2
IBURNSVILLE MN 55337 4295 Eagle Crest
'
NON
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement v__ _ Beginning Original Amount Balance Due Tnatal1
Street Surf 15 1985 $303.92 6263.40 $50.04
San Sew Trunk 25 1970 42.52 13.62 2.92
Sewer Lateral 5 1985 218.56 131.14 62.06
Watermain 15 1985 57.95 50.22 9.54
Water Area 15 1973 58.78 4.04 4.54
Storm Sew Trk 20 1971 185.27 37.11 12.96
Storm Sew Trk 15 1985 _96.03 83.23 15.82
Storm Sew Lat 15 1985 78.08 67.68 12.86
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been-approved and are now in the process
of planning or completion.
Kind of Improvement Approximate Date of Completion Approximate Cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or it;
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideration
of any nature whatsoever, any claim against the City or its employees rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121.
Very truly yours,
SPECIAL ASSESSMENT DIVISION
THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTICN:
IF T?"iIS 110 STR C71MiE, DATE Off' OiR G^AL BUILDING PEP-'.jIT
PPxS= Z:"NIZZY-VIDROPOSED USE:
12r,R-1 SZZLE FAMILY
? R-2 DUPL. M% O LJTIITS)
Q R-3 Ta,7N ICUSE (TTn--- + UNITS) !, Tc)
? R-4 APAR2!E* 1,T/CC ma.j SII[ ?,1 ( UNITS)
? CCMSQERCIAL/RETAIL/OFFICE
? 'DUSTRIAL
? INSTI•ILTIC2AL/GGVE'TL1ng„:NT
2) AaPLIC %T (PLEASE PRINT)
NAFIE: 15LU 1 GYl r?
ADDRESS:
CITY, STATr--, zip: (1r'r1(?.fl In, 5535
PHONE:
Q-?D?y ,
3) PLL,^IBEq (PLEASE PRINT) _Ae NAME: 7CJ t hc?n?cc?1
ADDRESS:, 'Y:1) !tf
CITY, STATE, ZIP:
PHONE: 99 ND .n
--(4 ? 7 751 PLUMBER LICENSE H-3 'Y?
4) OCCUPANT/Or.,jN R (PLEASE PRINT)
---- NAME: Same rtis
ADDRESS:
CITY, STATE, ZIP:
PHONE:
FOR CITY USE ONLY
PLUMBERS LICENSE:
Active
Q Expired
Q Not of Record
a r r nitia
Z1 J-NDICATE WHICH PERMIT IS BEING REQUESTED:
E CONNECTION TO CITY SEWER
CONNECTION TO CITY WATER
? OnIER (PLEASE DESCRIBE)
C\
• ?+•?a?iar. V?J:.i
7) SIG ATLREa
? PLEASE HOLD APPROVED PERMIT FOR PICT;-UP BY ONE OF ABOVE
PLEASE I11AIL APPROVED PERMIT TO 1, 2, 31 4 ABOVE
(Circle one)
-- ---- DATE: g!5
(PLEASE PRINT)
?f wO1:RMIFAIifs l?gf!!?!!He ' ^, .-.
LW?
F OR C
PERMIT °- ISSUED
T Y U S E O N L Y
FEES : $ /b - 5-1:1
$
$
SEWER PERMIT (INCLUDE SURCHARGE):
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ZS O-fl =r C :i'T ?GSI - c_:..R
S /S.o-o
' ACCOUNT DEPOSIT - WATER
$ or-f C?
`i WAC
$ X75 -,(,20 SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK' WATER
$ /5-Z' t? C)
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ Z Z AMOUNT PAID/RECEIPT J
4? -5
DOES UTILITY CON NECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: p
DATE: Li6
?!sf?itsw i?!!1w.ww,wZ1, w:,w!!wwf:po w"VlLaw:WwW:pQwfw wawF=f!Wiq lt+e w:•la fiaw
I
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIWT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES ¢z n? EACH TOTAL
SHOWER- ?? 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY- 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nasty. iia 20:00
U.G. SPRINKLER • home umda cont. 3.00
ALTERATIONS • to adstiog 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: {{?
SITE ADDRESS: `/?? ?ligG c L? r f(12. Syc,J
OWNER NAME INSTALLER:
ADDRESS: Y?9??g aFeGr1 R
CITY: STATE: .d/ ZIP CODE:
PHONE #: (la/at) 9 ?i? p??
?-e-
SIGNATURE OF PERMITTEE
y
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE $ 25.00
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
PHONE #:
STATE: ZIP CODE. .
FOR:
CITY OF EAGAN APPLICANT
1994 PLUMBING PERMIT (COMMERCIAL),
CITY OF EAGAN
3830 PILOT KNOB `RD
EAGAN MN SS122
(612) 681-4675
ic? yD939 ?.7o-SSyBy ydgS/mar 33 s7
- :. .A BUILDING VN DEVELOPMENT. 1. ,. «+. ... .. : .. ...
NSPECTION DIVI51 DEPARTMENT OF
WaE1T OLD SHAKOPEE
HEAT LOSS CALCULATIONS ROAD, BLOOMINGTON, MINNESOTA 55431 'KO 71
Weatherstrips A Guide Construction No. INSULATION Bloc 11111-I I
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof floor Kind How Applied
Yes- Imo I Yes-No I 19_'
LWI 44c l Po'-in Length /J1- Width Height ?I "IFI-1 !&/ora- R"ILength 14, Width /o-6 Height
Windows a nd Doors- --Crackage and Area L 13
No. Width
of peke Height
of Den. No. of
light. Lineal it.
of track Area
Q. it,
O - / 93 O r.
0 1 r y Coef. Btu
Infiltration
- Gists 1/ O .3 -;tS
Fsp. wall y+-
Net exp. wall' ,258,3 - 1 O
-I„r. watt. ?, + + +i!- .'tso
Ceiling
'
Roor-
Total Btu. Total Btu 44 13
Required sq. it. E.D.R. or sq. ins. W.A. Leader area
Reviled. sq: ft: ED R or aq. ms. W.A. Leader area ..
.
15"IF1•1 Room Length' : "Width f .Height $ . :arks FLI -fi7i;54eR Room'1:Length 10-4,Width :-4 Height
Windows and Doors--Crackage and Arca - W and Drbn:?Crackage and Area `
-
No. width
of here Height
of Pane No. of
' lighu loml It.
o[ crack . Arm
eq. TL
,
No.
ldtk
of man
8elg t
a[Aae_
a of N.
lights
Llaul t.
of-lack
Ana
.ep. [L
p q
Coef. Btu Coef. Btu
In6luation 3, -' 1as?9 Infiltration a S
•Class ( - 591 50 a99D
.
- Gass
.,. O dyS
Exp. wall :0/ f- -t, ed !dtllv . U
Exp. waD 14-
y. ej V d -
Net exp. wall _ 'bs 45Jr '; -Net e>cp. wall .. !$7 t 7 1 1 O
+W-vat- e 9 +L-L
Ceiling -L 47 y/SJ Ceiling -. r a
Total Btu. S 4 Total Btu.. 'E
'Required sq. ft. E.D.R. or sq. ins: W A Leafk rhrea '
-
Required n .'ft ED R or sq. ins WA Leader arelk
L%vtas Rooni lLeiisih-/(o'-"Width . ' 'Height: fil
liooa llenseh Width .b -,'Height Q
Windows -and Doom--Crackage and Area - - - ,: .Viadom4xid Doomm- 'ckage and Area '
Xa. Width
of pane Height
of pare 11: M
light. seal rL
oT pnek : Area
sq. it.
'.. ?. Nd . Width
at sae - eight
!M mac e. o[ -
31gaa real ft.
of enck Arm
ga. ft
-
Coat. an lCoefj Btu
lnbleration ''> :yN.l ' O /D'? In6ltratiori : , ;: x:
Glam O rGlsm :a .
Exp. wall t a .Z? Exp. wall A; h: - / 11 fr _ e '
Net exp: wall Y9/ / Net e'" hill
Rer'l ff .. f O
Ceiling - Ceding . _ u
.Total Btu. r Totd'Btit.
:`:Required sq: ft. E.D.R. at sq. ins: W.A:'I:eader are: ;Reyilued sq lt::ED R or w as ;?V A 'Lcader,area',. ,
Windows saw Dada- .'racka ge ana Area
. No. Width.
of an"* Height
of pan Na o!.
11gkt. Lineal ft.
o! crack felt
eq. it.
41 4 ? , 7 S".fl
Coef- Btu
- lnfiluation - p?,.?,7 e?y S?/
tlas '?? d So, 4iS
Fap. wall= x gy g ;
Net exp.`vall .. h?,'sy 7 yLS
anMwlL . , ry /O,G' !o
Ceding ;, Na 4/
f s?? !
• - BUILDING AND INSPECTION DIVISION DEPARTMENT
DEPARTMENT F
COMMUNITY DEVELOPMENT 2215 WEST OLD SHAKOPEE
COMMUNITY -
LOSS CALCULATIONS ROAD, BLOOMINGTON. MINf3ESOTA 55431 881.5811
Weatherstrips A Guide _4 Construction No. INSULATION ploiwrWungeon
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yea-No ( Yes- o II 19-
oond Length lei -(? Width Height If' FI.1 Room I Length Width Height
Windows and Doors-Craekaae and Area II Windows and Doom rue ka and Area
No. Width
of pane Helght
or Dane No of
liairta Lineal ft.
of Crack Ana
p, it.
b
Coef. -Btu
Infiltration
;Lt/ '
9!
Glass -5-01
/ o0
Exp. wall -: ! -IdtS x ab8.$
- Net exp. wall a4?,4 77a D
-Eriti?g
Floor _(e a74 1953
Otal Ctn. - (o
Required sq. ft. E.D.R. or sq. iRL WA. (seder area ' .
3 •I )3"e hin-FRoomjLength p 'Width ?4;- Heigh0g
Windows and Doors-Crackage and Area
Na' Width
of Pend Height
of vane No. of
light, Lineal ft.
of crack Ana
"
64.1t.
?y f
/ ?4 v
COCCI 1W
Infiltration p Y` y O
Glass - 6.v
Exp. wall (J? !
Net exp. wall
7
4sit,walF- .
Floor G !b
ge
No. Width
of pane Height -
of pane No. of
lights Lineal It..
of erect Area
q. n.
'
Coef. Btu
Llfiltration
Glair
Fsp. wan
Net exp. wall
Int. wall
Ceiling ' -
Floor
Total Btu. .
Required sq. ft. ED.R. or sq. ms. WA. Leader area
FLI , Room I Length Width Height
- WlnAows area Yoors--a.racaa ge area we e '
-Na Idlh
'of aka 'Holght
of Pam No. of
light Limal It.
of erect Ann
q. ft .
nkiltration `
Glaze .
Exp. wall
--Net exp. wall
Lit. wall
.-Ceiling
Floor" .
Total Btu. : Total Btu.' -" -
_ Required sq. ft. ED R. or req. ios' W.A .Leader area ' Requited sq; ft. 6DAL or sq.,ins. WA. Ieeader am
F7. I 1601t6 Width / l .Hlight,`t/! Fl. :. Room I Length Width
Windows and Doors--Craekage and Area . 777 " . ` -Windows and Doom-Craekage and Area
Na. Width
of pone Height
of mat No. of :
II[ht, Llmal rL
of creek ArN
q tt - lath
of paoa a1[ht
o! pane a or
14ht, Lineal n.
at creek Area
q, ft
Coe£ ;Btu C
Infiltration .:Infiltration
class i --a
air
Exp. wall ' 4?i 12 y 14 v r Exp.'Wall
Net exp. waU _Net up. wall
UL wall"
Leiliag- :' Ceiling''! ',
Floor y 39fc 7 (Floor
Total Btu:' Total Btu
Required sq. ft ED.R. or sq: ins WA fLeader area .. Q a Required sq. ft EA.R. or [q ms. WA. Leader area
_. ii Ben
1__'
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5694
-------
I For pff c"e Use ---------
Permit #:
I
I Permit Fee:
I
R
i
d I
ece
ve
Date :
I
I
I Staff: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: % -.3 ` K?2,g? Site Address:
Tenant: ?'C /v/ 1 izi ?f Suite #:
RESIDENT 1 OWNER Name: ( n Phone: 7 -7-G 7? _C7// z
1
Address l City /Zip: ?/?2 9 5 S /? (>Z'/
Applicant is: _ Owner X Contractor
TYPE OF WORK
_L
Description of work: f4- ?-
Construction Cost: ?• 7, Ci- Multi-Family Building: (Yes _ / Now:?
CONTRACTOR Name: License #: S(-j
Address: 5 f "2 /-?r! /?
City: ?-11rL State: °i Zip: `? S 3Z
?
J
/ / 2 Contact Person:
Phone: 7k 3
/ 71 -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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:
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 the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in'confonnance 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.
Ap)fiicant s Printed Name Applicant's Signature
Page 1 of 3
FOR: KEY-LAND HOMES
NOTE:
o Denotes Wooden Stake
Proposed Garage Floor E1. 915.6
( 915.-3) Denotes Proposed
Finished Ground E1.
a - Denotes Direction
of Surface Drainage
Vertical Datum - N.G.V.D. 1929
(900)
I ?ra?naye
l
f r9??8
to -
to F
I -
L-I?
(q?0.
I ?
C. A. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Tit 645-3646
1361 EUSTI$ ST., ST. PAUL, MINN. 65106
Scale: 10-30'
e Denotes Iron
Monument
Bearings Are Assumed
1e Gras! :Arive
?f,;;>y Eas?.n??f
b
a .
N
?S.00 ,
_ .17) --+ u1 0
!413
f _ li 90kn4p?; C3"
373 h a 10
4
a Pi'oPosea - y
House __ 87
d 30 -}I
5.00
"30-25"W
10
W
I?q,a?6? 0
0 m W
ON
N U
.413.5 w
Q
V
a
.I
IW
Lot 13, Block 2, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF All BUILDINGS, LF ANY.
THEREON, AND All VISIBLE ENCROACHMENTS, OF ANY, FROM OR ON SAID LAND.
Doted this 31" do, .I DeAttr,6rrA.D. I985 C. R. WINDEN d ASSOCIATES, INC.
-Revised 4-14-86 A /J
?Ravlsed
Surveyor. Minnesota Rpistrotian No. 772 G
NMI*
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit
City of EaRd I . s
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: J
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: _62&/z 7~' G/ tit E' d c7vt Phone: "2 0~ 10d
Resident/
Owner Address / City / Zip: fC%c/!~ r~B Pis
Applicant is: Owner a/ Contractor
Type of Work Description of work: JPLP ye cr rats /a c d=
Construction Cost: '2$-00 _302M Multi-Family Building: (Yes / No -&Z)
Company: ~Ql tt, 5kc 74 E f~ Contact: ,A"5 ` J) I4 ~ G 9~ f
Contractor Address: q*6 4 0 Aue -S- City: ,~1DL>AwH-~' `L'"
State: MY2 Zip: S54 .15 Phone: L 14- o l
License C- 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:
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. 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 State Building Code must be completed within 180
days of permit issuance. R
X__#2 C e_- , lY x
Appli nt's Printed N e Applicant's W nature
Page 1 of 3