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886 Hyland Ct iir 1 Ill111 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 551 22-1 897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ‘,5-1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. , H 0 o W W T{ HO Dm m2 m0 m Mm z Z 22 2 G w my IJp > 0 0mm O 20 m O O g < o OT. m m HT, �o Em HLA mm o Hm rD Hm v m c H� HS Ho Ko Om K z O-1 a D C �t 7 2 w 0 �2 2� 2� H 2 v Wr r 0 < Z2 W2 Z Z z (7 co z Z _ D -I Z H r HD > > C) G H Z O O 0 co 0 H� < O O O 03 m m o 0 cn z Z ‘ * ,.,::t1.1 s., A -........r .4-- i.--!--- --„----1 -:-- ..„,, .. ......,, ......, A..,, 4,, \r, k... t....,, 74\ -,. , t „,:.,:, -c), ---A k 'N.c-,-)• -b,,,, , ,, 44.. ,.: --„, , , .., ....,, .. .t., ,,, , c, � _ v CI i a 01.3 4 Z!o oN t li s , o ji gf.... Del -¢ y d V ;e*tif icate o CccuLalictj witjj o Wagan Ze$rtment of Znitbing anocction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification; SP DE Bldg.Permit No. Q% Occupancy Type 83/111 Zoning District R I Type.Const. W owner of Building D R }EMI INC Address345Q weaunCON rwIr Wal Building Address 8886 IMAM !COURT Localit4.15, RI, GAS MOS 9m2 // Building*fficial f)- POST {`POST IN A CONSPICUOUS PLACE Address SF FRG 886 HYLAND COURT Zip 5512 3 Lot 15 Blk 1 Sub CARDFNIMOr PONDS 2ND THESE ITEMS WERE/WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 00/99 Yes No Inspector: 4,44_ Final grade(6" from siding) Permanent steps(garage) L./ Permanent steps (main entry) Permanent driveway f� Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the 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 C«1 � r For Mee Use City of EaaaliPermit:ee fI Permit : ,• L 3830 Pilot Knob Road P } Eagan MN 55122 Date Received: / 7 Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 'i- Site Address: 53,8.L- Ihly 144y1 A c+• Tenant: Suite#: RESIDENT I OWNER Name: � � �- N"S f,bLer/ Phone: 16/ Address/City/Zip: , ;f,�r, W, ?yl 4 C-' Applicant is: i/ Owner Contractor TYPE OF WORK Description of work: , pis wry-,k beitorLVY) ,1 i\ ‘/)A i e?i‘te. Construction Cost/LS/66K) Multi-Family Building:(Yes /No CONTRACTOR Name: ei.k, License#: Address: City: State: Zip: Phone: Contact Person: 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 (1 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 they are trade secrets. 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, S tt ` r Applicant's Printed Name/ E© 17 f LS Applicant's Signature �"J Page 1 of 3 MAS a. 9 2008 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation 0 05-plex 0 16-plex ❑ Accessory Building 0 Pool ❑ Single Family ❑ 06-plex 0 Fireplace ❑ Porch(3-season) ❑ Ext.Alt.-Multi ❑ 01 of_Plex ❑ 07-plex 0 Garage ❑ Porch(4-season) ❑ Ext.Alt.-SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch(screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex 0 10-plex eT Lower Level ❑ Storm Damage ❑ 04-Plex 0 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement 0 Siding 0 Demolish Building* El Addition El Move Building ❑ Reroof D Demolish Interior 1A Alteration 0 Fire Repair 0 Windows 0 Demolish Foundation ❑ Replacement ❑ Egress Window 0 Water Damage *Demolition(entire building)-give PCA handout to applicant DESCRIPTION: Valuation "2j t' /6 Occupancy / G-( MCES System Plan Review Code Edition o a r;. SAC Units (25% 100% ) Zoning City Water Census Code I( Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Const. _ ' —(3 Width REQUIRED INSPECTIONS Footings(new bldg) Sheetrock - F• ootings(deck) F• inal/C.O. - F• ootings(addition) y Final/No C.O. Foundation a- HVAC Drain Tile Other: Roof: Ice&Water Final Pool:_Footings Air/Gas Tests Final v- Framing S• iding: Stucco Lath _Stone Lath Brick Y Fireplace: it R.I. Air Test I incl W• indows y Insulation Retaining Wall Reviewed By: 3"Z ` D Building Inspector RESIDENTIAL FEES: Base Fee - 4 3 O e') Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies Total Page 2 of 3 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan :J 1J 3830 Pilot Knob Road,Eagan MN 55122 Telephone#651-675-5675 Please complete for: single family dwellings&townhomesicondos when permits are required for each unit Date 0 3 / 1 3 / 0 8 Site Address 886 HYLAND CT Unit# Property Owner SCOTT SIBLEY Telephone#(651 ) 406-8394 Contractor GENZ-RYAN Street Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 Telephone# (952 ) 767-1000 Bond#:929298827 Expires: 08/14/08 The Applicant is Owner X Contractor Other Fire repair(replace burned out appliances,ductwork,etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace Additional Replacement New air exchanger air conditioner heat pump X other FINISH LOWER LEVEL, SUPPLIES, DUCT WORK, RETURNS State Surcharge $ .50 Total 5 50.50 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes;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 puns KIM RENVILLE Applicant's Printed Name p cants gn re CITY OF EACAN CA2H7ER: S TERMINAL NO: 918 DATE: 10/05/98 TIME: 15:52:25 ID: NAME: D R HORTON INC 2256 900i 886 HYLAND CT 5,007.71 ipt Amount: 5,007.71 C"0900~2 USER ID: NANCY , ^ ********* ****** FERM1'1' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 033490 (612) 681-4675 Date Issued: 10 /Os/98 SITE ADDRESS: 886 HYLAND CT LOT: 15 BLOCK : 1 GARDENWOOD PONDS 2ND DESCRIPTION: BuildingP«,Permit Type SF DWG i .ding Wo4r.k Type NEW €3BC Occupanc , R-3 , U 1 : nstru ion VN o R-1 Buildint . g h 70 Buildin Widt : 35 lui la � or es 2 �5treet 2 , 450 Ceksisfiv .,,m,a. 101 1 — FAM . DETACH REMARKS: PLAN REVIEWED BY CRAIG NOVACYZK . S & W PLUMBER IS M & W WATER AND SEWER PHONE#753-4383 . FEE SUMMARY: VALUATION $203 , 000 Base Fee $1 , 402 . 25 MISC . FEES 1592 . 50 Plan Review $911 . 46 Total Fee $5 , 007 , 71 Surcharge $101 . 50 SAC $1 , 000 . 00 SAC % 100 SAC Units 1 Subtotal $3 , 415 . 21 CONTRACTOR: — Applicant — ST. LIC . OWNER: HORTON INC OF MN , 0 R 14544663 20005657 D . R . HORTON INC . 3459 WASHINGTON DR 204 3459 WASHINGTON DRIVE EAFAN MN 55122 EAGAN MN 55122 (612) 454-4663 ( 651 ) 454-4663 I ' Brea - . „ . .• .that; i have r i` t~h. a splic t r aid' :hat h e in orr atio i corr ctw a;nd agree: 't o co p:l ` wi ht 'all applicable; State oaf n . totes and City ::of Ea€,ar .: rd na ce 1 14�'/r APPLICANT/PERMITEE SIGNATURE 46 ISSUED BY:SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 76. _ °I v 681-4675 , 'j C; ( \-1 I New Construction Requirements RemodeVRepair Requirements C 9 _ , 1 ♦ 3 registered site surveys • 2 copies of plan • 2 copies of plans(include beam&window sizes;poured fnd.design;etc.) • 2 site surveys(exterior additions&decks) • 1 energy calculations • 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes No DATE: 0C)5-fY CONSTRUCTION COST; /3-a7 ;35- DESCRIPTION OF WORK: Akw STREET ADDRESS: 116 Wyho2 �- LOT: 1_° BLOCK: I SUBD./P.I.D. #: (46,..r,,,,.r v� )? IIs Name: Phone#: PROPERTY Last First OWNER Street Address: City State: Zip: Company:b.12.PL., frJ edilz. in,GleePhone#: LJ ' j fir//,Z79 CONTRACTOR sit?.Street Address: � License# City �;C u� State: Mit,/ Zip: 5,5702 07 ARCHITECT/ ENGINEER Company: Phone#: Name: Registration#: Street Address: City State: Zip: Sewer&water licensed plumber(new construction only): in4- . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ,�..ke � �L,, OFFICE USE Y 1VED Certificates of Survey Received Yes No BY: Tree Preservation Plan Received Yes No Not Require. OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation 0 06 Duplex 0 11 Apt./Lodging 0 16 Basement Finish ❑ 02 SF Dwelling 0 07 4-plex 0 12 Multi Repair/Rem. 0 17 Swim Pool ❑ 03 SF Addition 0 08 8-plex 0 13 Garage/Accessory 0 20 Public Facility ❑ 04 SF Porch 0 09 12-plex 0 14 Fireplace 0 21 Miscellaneous ❑ 05 SF Misc. 0 10 _-plex 0 15 Deck WORK TYPE ❑ 31 New 0 33 Alterations 0 36 Move ❑ 32 Addition 0 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy %-j sq. ft. Fire Sprinklered Zoning sq. ft. PRV #of Stories '. sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review • License MC/WS SAC / /1 City SAC `t. Water Conn. 16// X .R6/ qiV�__ Water Meter Acct. Deposit Q.S�3K 5- - SZ7g2. SAN Permit SAN Surcharge S 3 Lx t 6 =- 71-12 --- Treatment Pl. Park Ded. Trails Ded. Other • Copies Total: % SAC SAC Units f LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION t PROPERTY LEGAL: X/ i1iC / -e DATE OF SURVEY: /1 c/ 7/P.-- N ,N , 5 LATEST REVISION: F DOCUMENT STANDARDS F a g /°z I: ❑ 0 • Registered Land Surveyor signature and company 1::]/O 0 • Building Permit Applicant tib❑ ❑ • Legal description 6 ❑ 0 • Address [ate ❑ 0 • North arrow and scale ti ❑ • House type(rambler,walkout,split w/o,split entry, lookout,etc.) 0' 0 0 • Directional drainage arrows with slope/gradient% EK--0 0 • Proposed/existing sewer and water services&invert elevation BD 0 • Street name �--❑ 0 • Driveway ELEVATIONS Existing 6070 0 • Sewer service (or Proposed) C9'/0 0 • Property corners M- ❑ 0 • Top of curb at the driveway e 0 0 • Elevations of any existing adjacent homes Proposed IV 0 0 • Garage floor l7(13 0 • First floor , , 0 0 • Lowest exposed elevation (walkout/window) or" o 0 • Property corners O 0 0 • Front and rear of home at the foundation PONDING AREA(if applicable) ' 0 ❑ • Easement line Cr ❑ 0 • NWL ❑ 0 • HWL C�❑ 0 • Pond#designation ❑ V 0 • Emergency Overflow Elevation DIMENSIONS 0710 ❑ • Lot lines/Bearings&dimensions .E 0 0 • Right-of-way and street width (to back of curb) 0- 0 0 • Proposed home dimensions including any proposed decks,overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) t: 0 0 • Show all easements of record and any City utilities within those easements 0' 0 ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures o ❑/O • Retaining wall requirements,if a, i -- (/// Reviewed: Na e r AS-7 F,, .- / a January 1996 CRAIG1Q 6 LOGPRMT.FM r 1 ENERGY CODE 1 WORKSHEET FOR 1 & 2 FAMILY DWELLINGS SITE ADDRESS �G t`-.LG.C?!'.`+p, ,! ! 1 IQ , CITY w COMPLETED BY: b, ' N$ � DATE • ' BUILDING CLASSIFICATION: LIategory 1 (standard) or ^category 2 (must include ventilation) MINIMUM CRITERIA Foundation Insulation-R10 Walla & Windows Roof Attic Insulation: (See table on reverse side Slab on Grade Insulation-Rle forallowable percentages) R44-With Attic No Heel Floor over unheated spaces-R24 • R38-With Attic Raised Heel Foundation Windows 1/2" R38 & R5-Solid Rafters insulated Glass. -Wood or Vinyl Frame • STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall A., Total Window & Door Area in Sq. Feet WINDOWS (Including Foundation Windows) : WINDOW MANUFACTURE NAME: r^ C. From Step 1 divide box A (Window & Door � /T pe N Area) by box B (total wall area) times 100 WINDOW MANUFACTURE TYPE: G-54\ equals the window and door area as a WINDOW MANUFACTURE U FACTOR: : 3 percent of wall area (box C) R. O. Quantity sq.f1 .AYea @OX A 467 X 100 a Dimensions C Box B 3(,LA 1 1 ' N "� Z1JN X 5 .1r vit-1 t'j STEP 3 Design Features • is. c. x , 1114, cif X bk ASSEMBLY017 FRAMING TYPE: . 2.)L01•1 kii4‘064 ii ItO STANDARD FRAMING' ) studs 16" o.c. 7/KjN. X 3 (.,014 )(l I ADVANCED FRAMING studs 24" o.c.• `.1) R T"&14 M -1-2, z,Z CAVITY INSULATION R 1 1 p X 1 N Z -0 �/ D SHEATHING TYPE: X LESS THAN < R-5 X R-5 > OR MORE X U-FACTOR U DOO 2.R, : Lam' ) is From the table, (reverse side) determine the maximum percent window & door area for. the ,d) X /.B design options selected and enter the t value Crl '0 in Box D below based on the window mfg. U- factor: 6/11 X (11- / ' qD ii -jD . Total Area of A= 1q.ft. Windows & Doors - B. Total Wall Area in Sq. Ft. The t value from the table in Box D shall be equal to or greater than the t in Box C Wall Total Height Area Perimeter 17P /0.4,7 _ -- (1 7.' - f'?Z g. e3, l • Total Area of Walls 0;%2Aq.ft ,i. 0 ONE- & TWO-FAMILY RESIDENTIAL BUILDING PRESCRIPTIVE (COOK-BOOK) AP1'ROACI1 MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA ExamItunnatgrauartzpssuigtort 2. item, ---- Cavy Exterior Wtndow U•Fac�or Framing Insulation Sheathing 0.49 0.36 0.31 0.27 STANDARD R-13 Z R - 7 13.4% 17.8% 21.3% 24.3% STANDARD R-13 R 5 12.4% i 16.4%e 19.7% 22.5% STANDARD R-15 > R - 5 12.9% 17.1% 20.1% 23.4% STANDARD R-18-19 < R - 5 12.1% 16.0% 18.8% 22.0% STANDARD R-18-19 R 5 14.096 18.6% 21.8% 25.3% ADVANCED R-IS < R - 5 12.9% 17.1% 20.1% ADVANCED R-18-19� 5-R> 23.4% 14.5% 19.2% 22.5% 26.16/0- STANDARD R-21 < R - 5 8% 17.0% 19.9% STANDARD R.21 y 23.1% ADVANCED K-21 < R - 5 13.6% 18.1% 11.2% 26.1% ADVANCED R-21 � 24.6% a R - 5 15.0% 19.9% 23.2% 26.9% AsislifigngsAkigakiv jun STANDARD R-17 < R - 5 11.9% 15.7% 18.4% 21.5% STANDARD R-17 Z R - 5 13.8% 18.4% 21.5% 25.0% ADVANCED 11-17 < R • 5 12.6% 16.8% 19.6% 22.9% --ADVANCEDR-17 R - 5 14.396 19.0% 22.2% 25.7% Notes: Window area equals rough opening minus installation clearances. Window U-factor must be determined by either the National Fenestration Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. Poet-11'Fax Note 7871 Dale lis m �► -Pro CoANS Co. �. r+a+.. n P -moi. CITY USE ONLY L /5 BL / RECEIPT#: / �5 3/ SUED. `c-te C?e,7 GY '--- RECEIPT DATE: Ie)//e0 t 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 m Please complete for: in le familydwellin s > townhomes and ondos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x 'J Water Closet 3.00 x = CID Bath Tub 3.00 x = Lavatory 3.00 x _ Kitchen Sink 3.00 x = d. Laundry Tray 3.00 x _L = „s.06 Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3.ob Floor Drain 3.00 x = 0 622 Gas Piping Outlet *minimum-1 3.00 x 1 = .eZ) Rough Openings 1.50 x _ /A Ob Water Softener *for dwellings under construction 5.00 x = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler *for dwelling under const. 3.00 = U.G. Sprinkler *for existing dwelling 20.00 = Alterations *to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems *Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 52/3t) I hereby acknowledge that I have read this application,state that the information is correct,and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ?-3 (.0rr t,c0 'w/ai L ai OWNER NAME: e kJ/or-hi) INSTALLER NAME: 6k/'2Z- ,,b< QAC TELEPHONE#: 42-3-04q- STREET 2-3'0STREET ADDRESS: /4-"745 ' . 'RD b erC -7.):-.I CITY: 405-ern ou nL STATE: ' ZIP: 5 56/ 4 ATUSIGNRE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT(RESIDENTIAL)1998 TD!; OAME;! a f ..,. , f{� t 1,�.3..NDECKS i 896 H i{ f NO CT [0 900.F. 086 i YL(7:lj; O7'4_..j 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN --�°' 3830 PILOT KNOB RD - 55122 -1 (�0 �� -�rj 651-6814675 e2--��-gt.9j New Construction Requirement is s Remodel/Repair Reau�rements • 3 registered site surveys showing sq.ft of lot sq.ft of house ♦ 2 copies of plan and all roofed areas (20%maximum lot coveraee allowed) • 1 set of energy calculations for heated additions • 2 copies of plans(show beam&window sizes;,poured fnd.design;etc.) • 1 site survey for exterior additions&decks 1 set of energy calculations • 3 copies of tree presery tion plan if lot platted after 7/1/93 DATE: K Zd q9 CONSTRUCTION COST: -. ®d DESCRIPTION OF WORK: 7ec(.( e °11,1.71--1--61 G Ke,-`,) STREET ADDRESS: v 3‘ /7/X4 C 4 cef LOT: IS BLOCK: I SUBD./P.I.D.#: Q U C\ ,/J 4 r Name: 43L- .. �(/'4/' Phone#. 1a PROPERTY Last First OWNER Street Address: ,Q,(? 77/y4 h e City � � ,`l State: ItefZip: cel/- 3,?-1e - �3- Company '',/,- l /2 6'/' -e�G I S �-� C Phone#.•t✓/'.Z le 7J `6-"1 3 CONTRACTOR /i 7 ,o2D0 47.24 . c, . /A- City Street Address: G r -- 7�' Lcense#/f l /ff7 State: 1I Zip: 5---S--- 3 G'' ARCHITECT/ ENGINEER Company: � l/y1 e Phone#: Name: Registration#: Street Address: C• ity State: Zip: Sewer&water licensed plumber(reauired for new construction only): Penalty applies when address change and lot change is requested once permit is issued. 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 Ordinances. c Signature of Applicant: S ' �'' e' r OFFICE USE ONLYt) 1 1� Certificates of Survey Received Yes No APR 2 01999 I i, , Tree Preservation Plan Received Yes No Not Req •, .......-,All, V OFFICE USE ONLY BUILDING PERMIT TYPE El 01 Foundation 0 06 4-plex 0 11 10-plex 0 16 Fireplace 0 21 Porch (3-sea.) • 02 SF Dwelling 0 07 5-plex 0 12 12-plex7 Garage 0 22 Porch/Addn. (4-sea.) O 03 1 of plex 0 08 6-plex 0 13 16-plex 18 Deck 0 23 Porch (screened) O 04 2-plex 0 09 7-plex 0 14 Apartments 0 19 Lower Level 0 24 Storm Damage O 05 3-plex 0 10 8-plex 0 15 Lodging 0 20 Pool 0 25 Miscellaneous WORK TYPE 31 New 0 35 Tenant lmpr 0 39 Gas Line Only 0 43 Siding/Soffits/Fascia • 32 Addition 0 36 Move Bldg. 0 40 Gas Insert 0 44 Windows/Doors • 33 Alteration 0 37 Demolish Bldg. 0 41 Wood Stove 0 45 Fire Repair • 34 Repair 0 38 Demolish (Interior) 0 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 039 (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs 6 #of Stories sq. ft. MC/ES System Length sq.ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review 1 'Z ,V License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY USE ONLY L / BL l 9D /� 47/ SUBD. RECEIPT DATE: 34 C'/9 9 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3M30 PILOT KNOB RD EAGAN,MN 55122 (651)661-4675 Please complete for: ➢ single family dwellings > townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system Alterations to existing residence 30.00 = 0 Water Turn Around 30.00 Private Disposal System * MPC lic. 75.00 _ (new and refurbished systems) Private Disposal Systems Abandonment 30.00 = RPZ (new installation/repair) 30.00 = FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet *minimum-1 3.00 x = Rough Openings 1.50 x Water Softener * for dwellings under construction 5.00 x U.G.Sprinkler * for dwelling under const. 3.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners,alterations,etc. C,� TOTAL 02 I hereby acknowledge that I have read this application.state that the information is correct,and agree to comply with all applicable City of Eagan ordinances, It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facili les constructed under'this permit within City property/right-of-way/easement. SITE ADDRESS: 8� OWNER NAME: 5-1-6, 5e . INSTALLER NAME Vie,//o.07 7 / ".z3,z.. TELEPHONE# '7?<- /—,2) 37 STREET ADDRESS: i ge/ .S f -,,, L/ CITY: STS E: f mfr/ ZIP: j P1 40 t,ez4„ H ,,, r SIGNA RE REOFMITTEE'RMITTEE CD/PERMIT FORMS/RPLBG PERMIT(RES)-1999 CITY USE ONLY LOT /5 BL / d RECEIPT#: YBS,/-7 SUBD., K/tL9),K- 63-- ( f RECEIPT DATE: /07/P t 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner/occupied • HVAC: 0-100 MB TU $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) b,Qo • State Surcharge: .50 • TOTAL: 3b-SO Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: EecoOLANi OWNER NAME: C` � �. e PHONE#: ''4- 4(ck INSTALLER NAME: c O 4 �, � r PHONE#: (OL'(00 STREET ADDRESS: ` CLC- /' \\ Os CITY: V- OccC- 'C(\\'C\ ,c;ter 1 STATE: N1 I U. ZIP: 5o:). -L-, > �r S ATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT(RES)-1998 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone# 651-675-5675 FAX# 651-675-5694 New Construction Requirements Remodel/Repair Requirements Of£tee liseOaly 3 registered site surveys showing sq.ft.of lot,sq.ft.of house;and all roofed areas 2 copies of plan Cart of sy Reed Y JN (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Fres Plan•Reed Y N 2 copies of plan showing beam&window sizes;poured found design,etc. 1 site survey for additions&decks Ire$Pres Require s -y N 1 set of Energy Calculations Addition-indicate if on-site septic system On-site Septic Systaiii>>> Y;;._;N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date I L! / / 0 vl Construction Cost 3 ON Site Address c� 40Unit/Ste # Description of Work 7c�CkC \ `�cc-r\('� (\( oic LK)l f'1 �Q �t , Open, (\ • Multi-Family Bldg — Y N Fireplace(s) — 0 1 — 2 Property Owner () S t Telephone#((p,s I ) t�r�(g – ?39 C RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 55113 City State 651-264-4777 Telephone#( ) LICENSE#20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING — Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet ('I submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _Y _ N If so, 25% plan review fee applies. Licensed Plumber %° Telephone #( ) Mechanical Contractor �1 o�C \ 6 Telephone #( ) Sewer/Water Contractor Telephone #( ) s3y I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 appr al of plans. CSC 050(� gieA( Applicant's Printed Name Applicant's Signature .8.4.Ott rtta. (Qo o i J. '4400 =NUM <Ur EINIRSIG114N ' . cue • . • • . - re ri e w a.l. .• • . - . BYANDERSIN* - -e . -• . .. .. ..., --.• • • • - • . • Tune-7,2001 . .- City of Eagan 3836 Pilot Knob'Road - • Eagan,MN 55122 - - , • .. To Whom It May Concern: . . • Elder Jones is authorized to poll building permits for Renewal by Andersen. Please allow Elder Jones to provide this sperice for us in Eagan. This tmthorization is Valid for any date beyond 616/01; until a kenewal by Andean manager expressly revokes it in writing to the'City. . , . I request this autliotization be accepted-expeditiously,as to not delay in the proiessing of our building permits any further. Please call mc If them arc any quesdona..I can be contacted at 763-502-4706. -• _ ,.... ., I Your immediate attention to this matter is a.. Mated. • SinCeiely, - - - .• i . / 1 - 1/17 . • '• •ymondll.Rau • - ustallation Manager Renewal by Andersen Corporation . Cc: Knra-Rlder Innetc . - . • .- ,. . . : CZeit.ose i 4 2.1edlit cs4.4-2.44:2 - -:.-- - 4 e . . • • /;-41 ' „____ minnesota . my,...41,44E.okti J4.31,2005 • Received Time Jufi. 7. 107P • , .l" TIF1CATE of SURVEY M 3 2— 1812— 9 8 for JOE R HOMES Top curb to Gar slab = _ _ 7- \ ,moo fr/r..‘ Top block = ` ,_L_ \-92N bsmt flr = S/4_39 .,,, CY 9� \ ,A r by z \,,:5:,---..52...., • "S)%5•,- 6> ? ik, N. ‘---- (.77,-, 1 . 5--X.-/,1<-6"1-'\\ -"a r/✓/<-61'\\ 4 7 •,,N, \ /• . -coe,t). • / .6.64) ,,tN 1 N UJ7 A ‘,,,i4 c.§) o • / I L._ tS (��,, es�A°sea, / FQof•0 8 7 N e/ h o / 7 65 ob 14 - N ,^c�,,, . G9i,�se, s4��0 •)N 6199 > O .;(4),,i7� \ `,,/ ,, 4). -9 r' ' \ c5'9 Ci oo 2 -4 u:9 694 c53 e�--..� r //S16>\ o 6j ! Q11 ' \ 89 • co �V1japt ilir6" \ ��'9S� / 0h1 o9 \ / p Oh'. / 4t,9 yt \\ t \ Ip v //// Sem I. � - / g..) _...., .. A , p 30,c , /,, / / tiw L �'i��J 1 �':��` \� / I}W L X8$.7 <8�6 sh 4.*44,�ry / "`S90�Op - ko� o � / . b <19., .,/ , i)\ac, 4‘‘, 'b / ` /J C� "d93 '21 / ( / 89ji - PIP' / 1f` 7F--r . // IC' '1 / "Y ' T('i TS .LSIry ' Pf' SS 886 Hyland Court Scale: 1 " = 30' DESCRIPTION , I hereby certify that this survey, plan, or Lot 15, Block 1, report was prepared by me or under my direct GARDENWOOD PONDS SECOND supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the Laws 'of the State plat bearings shown o64.innesota. o Denotes iron monument r� cii42; Existing j CProposecD Dated J "Z2.. SEP (998 Reg. No. 8140 • BRANDT ENGINEERING & SURVEYING 1600 . West 143rd Street , Suite 206 Burnsville , MN 55306 - . ( 612) 435 - 1966 M32- 1812- 98 ID A "Th, 1--- Ar_— h IT \ A / A I I F--.r- C' I ( • R ► L) /-\ OL_ IVIL_ I N I V V /—\ L _ L L I \ 7I V 4 tm I- I '-)' I N A ° III i \ ) I r' ) / \ Inr- ) C ) \. } 1c / IVIIiI / I r1 } 111 ), ,.. ) NOTES 1. Maximum wall length without a control Joint o 50'. 2. Floor system to be In place or wall braced before backfilling. H = 8' 0" High Wall 3. Special review required for higher walls. T 8" 8" 8" 12" 12" 12" PCF 35 45 85 35 45 65 4. Walls with equal back fill on both sides require no reinforcing Vert steel None None #4 0 12" None None #4 0 16" ' for wall lengths less than 25 feet and horizontal reinforcing only for walls longer than 25 feet. Load (PLF) 257 330 476 257 330 476 Concrete shall be 3000 PSI O 28 days. Reinforcing steel shall be ASTM A615 Grade 40. H = 9" QPr High Wall Soil types: T 8" 8" 8" 12" 12" 12" 1009, granular: Equivalent fluid pressure = 35 PCF PCF 35 45 65 35 45 65 Vert steel #4 0 24" #4 0 16" #4 0 8" None None 14 O 9" Granular de light clay Equivalent fluid pressure = 45 PCF Load (PLF) 339 492 720 339 492 720 Heavy clay: Equivalent fluid presure = 65 PCF Pilasters shall be used at 20-foot spacing for walls exceeding 40 feet In length. o.v}ns'7rtasq x 1lr sat T ; s.U*,d it r.d,.,do M w.hw I — -- "/..1,I; io I ID I '� • .A.: . J 4 I" I / C �v ___) TPas. V baa �Q H I �t \ } ` f A_.v,rtbd be., (2 dwr) ,I I A C -I E D "" I 1 IL_r'1 I L_I \ ,•. 1. , , F4 K r Done, 5ntor (2. cl.er) ..41► cone floor CIZ -I:. ..4 i erdn a.O"e.'sn mna+d) e" x 20' rootlnp r (Site mey be lorpmr a \\ I war lllL�dnbn• eC\ 1 A i A I I 111111111 ' ^r-r,-V I r1 t\ I �° CC\ Qi 2—#4 ban (extended 2' Into wail V Y r \L.L. ,L... _., I M V I ;t� Compacted rAI hereby certify that this plan, specification or report was prepared by me or under my direct Footingsupervision and that I am a duly Registered Professional;_ Engineer under the Laws of the State of Minnesota. ( ) A r�r_- ter- A A ,1 /; -r r-r) r-nrvT i,\ IC\ ►��Y'�Kh \7I \/\VL_ L�L_r�Ivl/ 1 L_i I \./\../ I Ii N\7 - 0 2 ►-r Date I Oct' 19.9J- Reg. No. 8140 BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street , Suite 206 Burnsville, MN 55306 ( 612 ) 435 - 1966 TIFICATE of SURVEY M32- 1812- 981 h for JOE R HOMES Top curb to Gar slab = _3_15. _ N ✓'/ 0 Top block = 3 Q9l <51,-- C7'/-2 S� Lowest bsmt flr (39 �9 Si :$ s` 1 � s % y y'-� , / e7,*44 's >� .C)? �' "rte! _._ r � NN ' 1 A 6-e964). .. 4 ,..s, 4,, ,. ., _,- 4,. ee 1„N )< N r I S (o, • es?j1ose / FCoi 8 7 N 640(V4)4(c!./7"/ , 096"6136 77.00 6:„ ..,...1.6 N s,-'..s.s.,__) ‹i 94,1ye 6)99 > . N • 67-. I. '. \ ma' .Wi � s SioK , r .,,,,, __ u ° N _ 7 ,--- -...- r /1/,76, 2 , 0 , -.) � 49:5''."2 \ �'\. Vpr ,6,, 4 / 43. � j / (%•0/.. ------. c� � • 4j� / ei y0 #t / ,;(0;)'. v // Bov�- se ie // tiwL ?a7,0 / / H-W L. Ua.7 r,,,5:,6,..,- 6,.6 8 �� 4 40.AI / &) /,/s�1?o 00 Of �n,� b. s.,,,„ " / • .,, ii, \`' q-- V ik , ) , / (t) , ..L. •,,„,,, / , . , Iv9___ ____ , / O „, 993' / / 2. ,s, —Y /' .7 ' Js 886 Hyland Court Scale: 1 " = 30 DESCRIPTION I hereby certify that this survey, plan, or Lot 15, Block 1, report was prepared by me or under my direct GARDENWOOD PONDS SECOND supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the Laws of the State of innesota. Plat bearings shown o Denotes iron monument c-- Existing QroposecD Date Z Z s–ep (998 Reg. No. 8140 — BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street , Suite 206 Burnsville , M \ 55306 ( 612 ) 435 - 196 M32- 1812 - 98 CO\It For Office Use r r �Y r rr Permit#: E AGA N Permit Fee: Date Received: q"-/, 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspections(c�citvofeaoan.com MAY 0 4 2018 L J 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-4-18 Site Address: 886 Hyland Court Unit#: Name: Tricia Wallace Phone: 651-238-3985 Resident/ 886 Hyland Court, Eagan, MN 55123 owner Address/City/Zip: Applicant is: X PP Owner Contractor +/ Type of Work Description of work: Railing and decking replacement Construction Cost: $4,800 Multi-Family Building:(Yes /No X ) Company: Self Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: $iWA, T 'i 97 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 X No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions ifthe information qy far classified as non-public if you provide specific reasons that would permit the City to conclude that they areae secret,*. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaaan.com/subscribe. 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. 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.orq 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 approv I of plans. _ xTricia Wallace X ri . ),/- Applicant's Printed Name Applicant's Signature eeo Nq/ "46el' / 9/ 7 DO NTWRITE BELOW THIS LINE 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 AReplace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 6VI9 Occupancy JAG -1 MCES System Plan ReviewCode Edition Ari- SAC Units (25%_100% li ) Zoning A-1 City Water Census Code A/3 K Stories — Booster Pump -- #of Units / Square Feet "- PRV #of Buildings / Length Fire Suppression Required — Type of Construction li Width --- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ili Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: s / I , Building Inspector RESIDENTIAL FEES Base Fee 7 3 2i Surcharge Plan Review 4" -1- MCES 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:EA155074 Date Issued:04/26/2019 Permit Category:ePermit Site Address: 886 Hyland Ct Lot:15 Block: 1 Addition: Gardenwood Ponds 2nd PID:10-28801-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott J Sibley 886 Hyland Ct Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169973 Date Issued:06/16/2021 Permit Category:ePermit Site Address: 886 Hyland Ct Lot:15 Block: 1 Addition: Gardenwood Ponds 2nd PID:10-28801-01-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott J & Patricia W Sibley 886 Hyland Ct Eagan MN 55123--246 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172054 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 886 Hyland Ct Lot:15 Block: 1 Addition: Gardenwood Ponds 2nd PID:10-28801-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott J & Patricia W Sibley 886 Hyland Ct Eagan MN 55123--246 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature