876 Betty Lane
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 7 4
(612) 681-4675 Date Issued: 10/01/97
SITE ADDRESS:
li 876 BETTY LANE
LOT: 3 BLOCK: 1
WESSEL BOND
P . I . N 10-83623--030--01
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy R'-3 U-1
Construction Type V--N
Zoning R-1
Building Length 74
Building Width 94
Building stories 2
Square Feet 3,533
CensusCode 101 1 - FAM. DETACH
REMARKS:
S & W PLBR - BREDAHL PLBG
FEE SUMMARY:
VALUATION $237,000
Base Fee $1,572.25 MISCELLANEOUS 1 539.50
Plan Review $1,021.96 Total Fee $5,207.21
Surcharge $118.50
SAC $950.00
SAC 100
SAC Units 1
Lic. Search Fee 5.00
Subtotal $3,667.71
t
CONTRACTOR: - Applicant - ST. LIC OWNER:
WEIKLE & SONS, EARL 17243961 0005889 WEIKLE & SONS, EARL
2514 24TH AVE S 2514 24TH AVE S
MINNEAPOLIS MN 55406 MINNEAPOLIS MN 55406
(612) 724-3961 (612)724--3961
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.
APPLICANT/PERMITEE SIGNATURE - k8b SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' ~Q•
CITY OF 3830 PILOT KNOB RDN 55122
681-4676
New Construction Reouirements RemodelReggir Reoulrements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured find. 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
G y
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ~frtJ /°LC'Strtf ~Pn"h 1. UY1 S~ S.TfRa~
STREET ADDRESS:
LOT BLOCK ~L-• SUBD./P.I.D. #:e.°`~.dl.t ~t+4 ti,~ L/`,~' T•
PROPERTY Name: e ro o c H V i (UGW1 Phone ~g aid 1,
OWNER LAV
street Address: 3 o to .R:, a" r-6 o N Ave, City: (fPG A N State: Zip: 55 Idol
CONTRACTOR Company: Earl WejKle, So A~ S Phone 3 9 to
-er3~3i 1~
Street Address: 65 14 " a t4t 1Ue • So • License
.5
City: s• State: rn n Zip:
ARCHITECT/ Company: _ Phone
ENGINEER
Name: Registration
Street Address: ,try
City: Am/.J- State: j ' Zip:
Sewer & water lic ginned plumber (new construction r 4•~ l /M,~/~ h
only): L Penalty applies when address change
and lot change are 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 applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
~c~c~adc~
OFFICE USE ONLY D
Certificates of Survey Received Yes No SP 2 6 07
Tree Preservation Plan Received Yes No Not Required L:7"*
OFFICE USE ONLY
BUILDING PERMIT TYPE
01 Foundation a 06 Duplex ❑ 11 Apt./Lodging o 16 Basement Finish
02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. o 17 Swim Pool
0 03 SF Addition ❑ 08 8-plex a 13 Garage/Accessory o 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex o 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. fl 10 _-;plex ❑ 15 Deck
WORK TYPE
31 New ❑ 33 Alterations ❑ 36 Move
n 32 Addition o 34 Repair ❑ 37 ,Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 1 61
Depth Footprint sq. ft. .2252f-T SAC Code 01
Census Bldg L
Census Unit
APPROVALS,
Planning Building_ Engineering Variance
Permit Fee Valuation` $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
p~
Water Meter
Acct. Deposit S7X = 13a7
S/W Permit I
S/W Surcharge ~T 1=►~sHD ~`10 x >l~~D~b,~d
Treatment PI. I y 2as7 3~/53~, So
Road Unit
Park Ded.
Trails Ded. ' (,VNFpl' 1 D
Other
Copies $ X 1 S'= ®~S tX~ " 1"p7r--
Total:~
% SAC `
SAC UX*. -1- 7
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: J "Z lr~tj
DATE OF SURVEY:
LATEST REVISION:
~d
H DOCUMENT STANDARDS
a x
E' ❑ ❑ • Registered Land Surveyor signature and company
tz" ❑ ❑ • Building Permit Applicant
D" ❑ ❑ • Legal description
❑ ❑ ❑ • Address
[3-"❑ ❑ 0 North arrow and scale
ems" ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
Er' ❑ ❑ • Directional drainage arrows with slope/gradient %
E3--'' ❑ ❑ • Proposed/existing sewer and water services & invert elevation
CT' ❑ ❑ • Street name
Er' ❑ ❑ • Driveway
ELEVATIONS
Existing
❑ • Sewer service (or Proposed)
'0 ❑ • Property corners
❑ ❑ Top of curb at the driveway
Earl, 0 ❑ Elevations of any existing adjacent homes
Proposed
e`" ❑ ❑ 0 Garage floor
❑ ❑ • First floor
d r"❑ ❑ Lowest exposed elevation (walkout/window)
❑ ❑ 0 Property corners
dF ❑ ❑ Front and rear of home at the foundation
PONDING AREA (if applicable)
o ❑ • Easement line
t) ❑ ❑ • NWL
[3" ❑ ❑ • HWL
❑ ❑ Pond # designation
❑ 0-- ❑ • Emergency Overflow Elevation
DIMENSIONS
❑ • Lot lines/Bearings & dimensions
❑ o ❑ • Right-of-way and street width (to back of curb)
BI-- ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
[a- ❑ ❑ • Show all easements of record and any City utilities within those easements
a-- ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ t~ ❑ Retaining wall requirements -1 any
Z 5.
Reviewed:
Na e r /Date
January 1996
CRAIG 1998BL DG PRMT. F M
y y
a ,
I
i
I
\ i
I
\ \ IN'v = 894.C
INV = 896.,D 60.5
\ CO. \ 11 63.0
'NV 895.0 3 47. 1 1
3.5
L41.E TV-
CAN TRUCT LXC
CI 52 WA TERrv
19.0 li
CONSTRUCT HYDRANT
INV = 894.0 L1
26.0
VOTES: i. SEWER SERVICES TO BE 4" PV C S 20.0
2. ~vATER SERVICES TO SDR 26 v ~
BE 1 " TYPE K COPPER IN J - 894.C 35.5 61.0
3. CURB BOXES TO BE PLACED ON PROPERTY LINES IN1" = 89
4. EXTEND SERVICES 15' INTO PROPERTY
5. VERIFY LOCATION OF SERVICES IN
THE r r ItrL'D PRIOR TO CONSTRUCTION
b. SANITARY SEWER SERVICE
IS AT THE ENDOF~NSTg
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER -
SITE ADDRESS
CONTRACTOR DATE PHONE
Determine working square footage of each
1. Total exposed wall area ....t J sq. ft. x .11 = ZS • Q 3
2. Total roof/ceiling are sq. ft. x .026 1 .
Total exposed wall area above floor = _ ,xt
a. Total wall window area b. Total door area i
c. Total sliding glass door area 7 4
d. Total fireplace wall area W OOD F FLJIf~ Z<3un3D f- 5l-T.
e. Total wall framing area (average 10%) d
f. Total net wall area above floor
g. Total rim joist area
Total exposed foundation area =
A
h. Total foundation window area . c~z l... I f....
1. Total net foundation area above grade atO
Determine "u" value of each wall segment, X 'lull Z4
b. 54 x „U,. %3
x „u„ R - ~2 . q 2
c. -7-1
d. X
e.~- X ..U„ 4 ? 7 .
-4z -3 1 x 'lull
32.5 X„u„ R~ ►3,n~
9•
X „u„
X -u-
. Total
It Item #3 is the same as, or less than Item #1, you have met the Intent-of SBC'60?Q(c02.
Total exposed roof /ceiling are
Total skylight area
k. Total roof/ceiling framing area (average 10%)
1. Total net Insulated roof/ceiling area
Determine "u" value of each roof/ceiling segment,
k. 21- µ7 14 X „U„ a 4 ~ ~n ,Qy ~
1.
4 . Total; t~•~
If total of #4 is the same as, or less than #2, you have met the infent_4f SBC_6006(c)1: r r
Alternate Building Envelope Design
1 + 2. _
_
3 +4.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER_
SITE ADDRESS
CONTRACTOR DATE PHONE
Determine working square footage of each
1. Total exposed wall area . . sq. it. x .11 = 6 z e • 43
2. Total root/ceiling are sq. It. x .026 =
Total exposed wall area above floor =
a. Total wall window area .
b. Total door area
c. Total sliding glass door area 7 4
Wo~aS> r fL~ C A2o~t Q
d. Total fireplace wall area
e. Total wall framing area (average 10%) 2 I
t. Total net wail area above floor 4231
g. Total rim joist area
Total exposed foundation area =
h. Total foundation window area r.`~ . N ,O ' - -
1. Total net foundation area above grade .....................................c3io
Determine "U" value of each wail segment, r
a. _ X "U
b. x 'lull
C... -7X ..u„ - -5A 42.`12.
d X „u„ _
x -u- z4
f.
37-45
9. X „u,.
-
h. X „tl„
3. . Total' #
If Item #3 Is the same as, or less than Item #1, you have met the Intent ofSBG'60?6 c02.
~ ~
Total exposed roof/ceiling are
1. Total skylight area
k. Total roof/ceiling framing area (average 10%)
1. Total net insulated roof/ceiling area
Determine "U" value of each roof /ceiling segment,
i X.,u„ _
4 . Total r .
If total of #4 Is the same as, or less than #2, you have met the Infent..of; StiC 6006(c)1:"'"'
Alternate Building Envelope Design
-
1. +2.
-
3. +4.
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING t~
HVAC f`I V f-T y 5 783-cl/a
Inspection Date Insp. Comments
FOOTINGS "0 7
FOUND
FRAMING
ROOFING
-mil ~1 e, ,
ROUGH
PLUMBING ~~ff
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC , p y p 9
TEST f`~'l1F t~ COY,'( -tt6.1
INSUL 44 G
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
F
Wtrfi f icate of CccupancC
pagan
(00 of
Zoartraent of 13KOiK% 3ndOcction
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: Sf DWG Bldg. Permit No. 30874
O-Pancy Tyl- R-3g U-1 Zoning District R-1 Type cont.
WEIKLE & SONS 2514 24TH "E S. MINNEAPOLIS MN
O,*o of Building Address
76 BEfiTi LANE L3, B1, WESSEL POND
Building Address Locality -
ul
` Date:
Building OFfiCW
POST IN A CONSPICUOUS PLACE
Address ' 876 BETTY LANE Zip 5512
Lot 3 BIk 1 Sub WESSEL POND
THESE ITEMS WERE WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3 / Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
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 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB IUD
EAGAN, MN 55188
(618) 681-4675
Please complete for: ➢ single family dwellings
➢ town homes and condos when permits are required for each unit
➢ backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 X _
Water Closet 3.00 x
Bath Tub 3.00 x = & QQ
Lavatory 3.00 x .S = 7. ey
Kitchen Sink 3.00 x _
Laundry Tray 3.00 x = _3G
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
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 * Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL L .50
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: 876 Betty Lane
OWNER NAME: Vince Crouch
INSTALLER NAME: Bredah 1 Plumbing, Inc. TELEPHONE 424-2646
STREET ADDRESS: 7916-73rd Avenue North
CITY: Brooklyn Park STATE: MN ZIP: 55428
6A A
SSICIWATUW
PERMITTEE
CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997
l
CITY USE ONLY
LOT BL RECEIPT
SUBD. RECEIPT DATE: ~7 l` 0
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN Iii 55122
~j, (612) 681-4675
Date: I / A~C -r f g
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
~ V C_ 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) - Z• G---,:fj
• State Surcharge: .50
• TOTAL: S`Cj
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: G/ l
OWNER NAME: 1/ j ✓L.c .E I'~ uc'l PHONE 7i d /
INSTALLER NAME: PHONE 7, 22
`>~lo
STREET ADDRESS:
CITY: ' ✓ ~/c~~ STATE: ZIP:
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of Permit fee due on all permits.)
TOTAL
- - - - - - - - - - -
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (impROvEMENTs ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
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S 7~° 5 (5a -o) DENOTES EXISTING ELEVATION
~ g7~, - - o~,o F - ~893,Z (9 ) DENOTES PROPOSED ELEVATI® _ _
1 INDICATES DIRECTION OF SURF
~ o , 3 ~ 9 6 ~3 =FINISHED GARAGE FLOOR ELEV
_ ~A~ , P`' ~ - ~ Pt G _$9~~ -BASEMENT FLOOR ELEVATION ELEVATION
0 P o a 0 6 ~66 =TOP OF FOUNDATION ELEVATIO 0 ® ELEVATION
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DESIGNED CHECKED
I HEREBY CERTIFY THAT THIS PLAN WAS PREPAI I~ ~ 7
T Y M R NOER MY DIREC ~ i A AT PREPARED ® E 0 U ~,~la OR WN D E
C®NSUlTIN~ ENIkEE~S, f, ~ ?I ~ ! ~ ~ E ®61d LAND ~UAVE4®~s SUPERbIS10N AND THAT I AM A DULY ' ~ ~ RPQ
41-~.:~ ~i,~~~We, PLRNN RS REGISTERED InrJnsuavEVOR I.. CC, {
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-`.Il'. NO DATE ®Y REMARKS ~ 8083•QQ o 6, AT p'Z4''91REO,N .19486
® D Et_- 0 REVISIONS - I~00 EASY 1~61h STREET, ®URNSVILLE MINNESOYA a333Z _.P_H 432-3000 - -
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L I ,
Permit
I I
City of Eanan
I Permit Fee: I
3830 Pilot Knob Road _
Eagan MN 55122 Date Received: ~2 I
Phone; (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: 7 I
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: , f Site Address:(' ! G%~ Unit
Name: Cro u c_k Phone:
RESIDENT / 4
OWNER Address / City / Zip:
Applicant is: Owner Contractor
Description ofwork:
~
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes / No
' j Company: Contact:
CONTRACTOR Address:'~Z cCP ~ City: lLr YYA7l j !
State: Zip: ~ E ! Z o Phone:
License 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:
e..,-,M-m
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 uilding Code must be cAmpleted within 180
days of peEmit issuance.
x ~Vl G`~V~(' Cit V` V 1 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148638
Date Issued:04/11/2018
Permit Category:ePermit
Site Address: 876 Betty Lane
Lot:003 Block: 001 Addition: Wessel Pond
PID:10-83623-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Xu Bing Wang
876 Betty Lane
Eagan MN 55123
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164446
Date Issued:09/29/2020
Permit Category:ePermit
Site Address: 876 Betty Lane
Lot:003 Block: 001 Addition: Wessel Pond
PID:10-83623-01-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Xu Bing Wang
876 Betty Lane
Eagan MN 55123
(952) 228-3989
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature