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3892 Princeton Tr Use BLUE or BLACK Ink For 01 fce`Use 1 Permit ~7b(!o 6 City ofEa~an l hermit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: 2011 RESIDENTIAL PLUMBING PERMI_T9 APPLICATION Date: Site Address:~ c e. ' (°L•-i .~v, Tenant: Suite RESIDENT/OWNER Name:..j?V~~ y J Yl Phone: Address /City /Zip: 111c 61"~n1~1 L'c~, 7 q S I ;2 3 6 CONTRACTOR Name: X11 C;J-0 License Address: L 1q i:s y^ J' C ~ L--~ City: rie. 46n ; • h ~w- State: Zip: S S'l Phone:, Contact: _ ! ci Email: c7 +?n TYPE OF WORK _ New Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W, Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5,00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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 ermbut only an application for a permit, and work is not to start without a permit; t the work will be in accordance with the approved plan i case of work which (Crequires( a review and approval of plans. x 1 r9 J'"'~; C/ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final SR , "Ira CITY OF ERGAN SEWER SERVICE PERMR 3830 Pilot Knob Rosd P. O. Box 27199 PERMIT NO.: Eagan, MN 55121 pATE: Zaninp: i . No. of Units: Ownar, , l.i ...- ' ._.. . Addrcss: Site Addi Plumber: 1 pn. te eaepy wpli tin Ghr .f E.ps Connsction Charpe: - 4 'L 5,?`n P,: Ordiugwa?. Ilccount Deposit: Pannk Fee: Surcharge: BY Mise. Charpss: Dote of Inap.: Totol: Insp.: DoM Poid: 3830 Pilot Knob Road WATER SERVICE PERIIAIT P. O. Box 21199 PERMIT NO.: Eagan, II11N 55121 DATE: Zonirq: _ No. of Units: Owner, Addross: SiM llddrcss: ' . ? .. . _. . Plunber, Mettr No.: Connettion Chorgp; ` p. 51ze: A D ccourrt eposit: Reodsr No.: Permit FeB: 1Ger" te amply wilU !w Gry of EOqrN Surchorge: Oai?e?as. Misc. CF,aroes; - - - Total: BY Dots Poid: Dote of Insp .. i,,? - CITY OF EAGAN 3830 pilot i(nob Road WpTER SERVICE PERMIT P. O. ¢ox 21199 PERMIT NO.: 7')4 Eagaiv, MN 55 1 DATE: 12--1 '-•: ' Zoninp: _ No. of Units: pN,ner, e on s t. AddnlSS; h Site Addrcss: Princeton r. -4 ex gton r!• Plumber. `?ruck.mueller P - AAeter No. S/ ?o /1 ? SlZE: i1 p? ' " . ., p<, - JCwei6L ss.Ic •r . _ .. der No.: D •?'j,it? Fee• Nm to eompyr +.iMi Hw Cirr ?t???l3or$, . 50 Pd %E? ?ry1?Tsc. Chorwr. 132.00pd Totcl: _ 6 .`?0pu ?retrr ay ? Doh Poid: i Dote of Insp.• Intp.: 3-".3 -0 CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-6100 ? BUILDING PIERMIT Receipt# i 31 13 l SF DWG/GAR Est. Value $68,000 pate NOVEMBER 19 19 85 SiteAddress 3892 PRItdCETON TR tot -4 Block 5 Sec/Sub. LExINGT4N 5Q Parcel No. w NBLYLIE CONSTRUCTION CO 3 Address 644 SUPERIOR CT ° ..:,. FAGP.N ??--- 454-1438 Z o Name S?'?E ? ¢ Address ~ City Phone ra F ? Name ? ? Address i W Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with afl applicable Siate of Minnesota Statutes and City of E&gan Ordinance&. , Signature of Permittee ? A Building Permit is issued to: all work shall be done in acco Building Erect L]- Occupancy Remodei 0 2oning " Repair ? Type oi Const V Addition ? No. Stories Move ? Length 44 Demolish ? Depth d b Int. Impr. ? Sq. F+ Instafi ri Ikssessment Water & Sew. Police Fire Planner Council Bldg. Of Var. Date Permit ' 0 0 Surcharge 34.50 Plan Review? ?? SAC , 00 Water Conn.?T- 0 Q Water M eter -??. 0 0 Road Unit Tr. PI. JL32 • 00 Parks . 00 Copies , a0 Total ? BLILIE CONSTRUCTIDN CO all applicable State of and City of Eagan Ordinances. candition that PermH No. Pwmit Hoider Data Telephont N Plumdin§ ! -%-/ - H.V.A.C. i? Softe,.. Inspecgon Dste Insp. Comments FooNnga I Footinys II FoundaNon Framiny j ?9 . LL) Rooflng RouyhPlbp. . D'oo' 13 $G I!/S L -G Rough Hty. „ s Iniul. Fksplac* FMai Hty. 6 Ffnal Plby. Bldy. Final Csrl. Occ. Deck Ftp. Deck F?mg. Wall Daac?f6e Locatlon: Pr. Ubp. Reaipt ' J" lilo? , 1. Date 3. Job d Permit No. FN ' S/C • Tot ' Ik. Tract 4. Owner ; . ? , . 5. Contractor Pha?e 7 8. Address - 7. city" State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair 0 10. Desaibe .• i= ? Fuel Typa 1 11. No, Eouioment BTU - M. Ea. Forced Air '? ,• No. Equipment CFM Air Handling: _ Mfg. 8oilers E Mfg. Mech. xhaust , 1 Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby comply ? Signed : that the MECHANICAL PERMIT CITY OF EAGAN FiII in numbercd spaces Typs w Print /egibJy ?S 2. Installation Cost is true and correct, and I agree to ning this type of work. for c???i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 • ?' "' PHONE: 454-8100 BUILDING PERMIT Receipt ? _ To be used for Est. Value ? 1+00t' Date Site Address s"Y'l :! - t<<<. r. t:''i, TA Lot ' Block 'j Sec/Sub. >>l'x1MCT0N S1;l'ARE Parcel Q Name ' '?t•? z Address :s,FT?)Ei 2; ? City Phone 11 S` 1 Name Address Name City 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 Permittee A Building Permit is issued to: • ' `L?.h on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFIC E USE ONLY On Site Sewape MWCC S stem Occupency Z ni y On Site Well o ng (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Qepth S.F. Total Footprint S.F. 15057 19 APPROVALS FEES Engr./Assess. Permit 4 `+ • ` U Planner Surcharge • ? ? Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Aoad Unit Treatment P1 Parks TOTAL ??? I Permit No. Parmit Holdar Date Talophone Plumbing H.V.A.C. ElectriC Softener Inspeetlon Dste Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Q)4, Deck Final Well Pr. Disp. Receipt PWMBING PERMIT Permit No. , CITY OF EAGAN fill in numbered spaces Type or Print /egib/y FM S/C Tot 1. Date 2. Installation Cost ' 3. Job Address Lot Blk.? Tract ; ? 4. Owner ? i 5. Contractor Phone i r , 6. Address ; 7. City /, /115, 8. Building Type: Residential 'D 9. Work Description: New ? 10. Describe 11. State ? Zip Commercial ? Institutional ? Add ? Alter ? Repair O Na, FixWres Water Closet No. Fixtures Cess l/Drainfield o Bath tubs p p S k i T Lavatory ept an c f S 5hower o tner Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of wosk. Signed : " for Rough F inal Inspections: Date Insp. pate Insp. This is your permit when numbered and approved. Approved C1TY Of EAGAN 464-8100 CITY OF EAGAN Addition LEXI' Owner Remarks 3N SQUARE Lot 4 131k 5 Parcel 10 45075 040 OS _ street 3892 Princeton Trail scate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. ' GRADING SAN SEW TRUNK 254.53 C009769 10-12-84 - SEWERLATERAL ben trk 1986 173.6 11.58 15 173.65 C010114 1-28-85 WATERMAIN ffr 1986 68.33 4.56 1 68.33 C010114 1-28-85 WATER LATERAL WATER AREA f 8 286.43 C010114 1-2$-$5 STORMSEW TRK 1986 501.2 33.42 15 501.29 C010114 1-28-85 S70RMSEWLAT 1986 513.8 34.25 15 513.81 C010114 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Raad Unit $280.00 57636 11 19/85 WATER CONN. SOO.OO ?? ?? BUILDING PER. O SAC 595-00 PARK k4 ? ? 0 ?-- RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 l a g- 7r -- ? 651•881•4675 NewConsWCtionReauirements RemodellReoairReauiremeMS -C) / • 3 registered ette surveys showing sq, IL of bt, sq. R of house; all roofed areas . 2 oopies of plan I (2(1% manimum bt coverage aWwed) . 1 set af Energy Cakulations for heated atlditbns • 2 copies of plan showing beam 6 wlndow sizes; poured found design, etc.) . 1 site survey tar erter'ar add'Abns & dedcs • 1 set ol Energy Calculations • Indicate H home served by septic system for adtlNOns • 3 copies of Tree Preservatbn Plan if bt platted after 717193 • Rim Joist Detail Options seiedion sheet (bMgs with 3 or less wils) DATE VALUA[ION '?'? JOB SITE ADDRESS 3:?9 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER JrI2 UOrtIG TYPE Of WORK ,?t% yG?JOt? FIREPLACE(S) ?_' 0 _ 1_ 2 APPLICANT t-UBE.cT- "?TTihlf-v'V' PHONE# ADDRESS /y57f ?NSl?4N? /Ill A-? ZIPCODE )7-3?Z PAGER # CELL PHONE # 611`SlJ' 2.35_72 FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Meehanical Contractor: Mechanical System Includes: Sewer/Water Conhactor. Phone Fee: $90.00 All above infortnation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the infortn tion is covect, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordina Signalure W Applicant - r Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ " Updated 1101 _ Water Softener _ _ Water Heater _ _ No. of Baths _ Air Conditioning _ Heat Recovery System Phone Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY O 01 Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pooi ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 SWrtn Damage ? 06 04-plex ? 12 12-plex Pobg_Y or _ N O 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bidg)" O 43 Reroof O 46 Windows/Doors ? 34 Replacement •Demolitton (Entire Bidg only) • Give PCA handout to appltcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W fdth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Finall Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ AidGas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & SWrage S8W Pertnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copfes ' Other Total FinallC.O. _ No C.O. _ Plumbing HVAC Tbis reques[ void a..0 18 mmths Irom ?p a `?l-8 2"14 9 (a D (') / vav - Req>oet Data' p? ?7 ? Fire No. Fouph-in Inspuctmn flo ireA? ?es ?NO ?R p/ 'Qeady Nuw pQWill Noufy Inspec- ???or When Ready Licensed Elec[ncal Con[rector Owner I hereby request inspection oi ebova electncal work instelled at Street Atldress, B o? Route Nu. , _ ? Crty tC 1G 5 i . z L , ? / ectmn o. ownshiD Name or No. FTnye Nn. County Oc(ut t IPRI 1 y ? n Pho Nii. ? Po 5 pp er ^ ' Atldress ? L "t4 Zt..'? ?LC? 'L/ti cal nn(raclo'y'pr1 dny NyIme) C mhactor/? License No, Mai 1nA ?+ddress ICo actor or Owner Making In ilr uonl ? - , ? ? Auth zetl Sign [ re IContractnr Ow y : tallatin PIN; er ; v?-? Q - 3 MINNES`5 q7E BOAHD OF ELECTNICITV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Hoom N-191 / BE ACCEPTED BY THE STATE BOAHD 1827 Universi[y Ave., St. Paul, MN 55104 UNLE55 PNOPEN INSPECTION FEE IS Phona (612) 297-2711 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?-. ea-oucrot.oa u: Q ? ?See instmctions for comoletinB 1hes form on bnek o1 vellow copy. 570 , R 2,14 "X" Below Work Covered by This Request ? 4Ad Peo. Tyoa of BwlAmg Appbances WireC Eqaioment Wiretl - Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt Buildmg Dryer Electnc Heahn Commercial Bldg. Furnar.e Silo Unloader Industnal Bldg, Air Condrtioner BWk Milk Tank Farm Otbe. Soe.u y thor i5no11AY) t er ucufy ther Oiher ompute lnspection Fee Below N Fee SarvicaEntrenceSize Y Fee Pexders/5ubfeeders N Fne Cimuits 0 to 200 Am s 0 to 30 qm s 0 to 30 F.m s Above 200 qmps 31 to 700 Amps 31 to 70D Am s Swinvnin Pool Above 100-Amps Above 100_Am s Transrormers Irrigation Booms SU PartiaL'Other Fee Signs Special Ins{jection $ 70T Ne AL Di Rough-in Final ,-?? ? D17??( ,t?? Dnte [?? I the Ele soector, herabV certdy that the above pecUOn hes been made. Tnbrepuesivoitll8manlhelrom _, '_i. „ ihis request void 18 months from 0 ^ 0 iJ S 93Yt, ? L- C ! , 1-e,4 5 , Fequesl_{Date -? FrteNo. Rouph, 'r.-Insoection qequ?r tll El FeoAy Nuw ill NoviV InsOer.- Wh ? R T? es ?No r en eady mensed Electnwl Contractor I hereby requasI insOectron ot above Owner elactrical work installed at: Svee[ ddress, Boz r oute No. ,J" Crt ecuon o. Township Name or Nn. Ranqe No. Comny OccuP (P INT) Phune No. ow li r ^ ? Addres Ele Con racto`, LCmpany N e) ? Cunvacinr's I.icenseNo. . MailipB A 3 ddress IConV t r or wner Maki p In ss lauonl Aur gnature 1'ontr Br akmg InstallaLOnl Phone Numbr? / 7 Q J Y _ .:.4'_ MINNESOTA STATE BOARD OF ELECTCITY / THIS INSPECTION REQUEST WILL NOT NI Griggs-Midway BId9. - Noom N•19'I gE ACGEPTEO eY THE STATE 80ARD 1621 University Ave., St. Paul, MN 55704 UNLESS PflOPEP INSPECTION FEE IS Phone (612) 297-2111 ENCIOSED. NEQUEST FOR ELECTRICAL INSPECTION EB-00001 -U4 5$3. ?,. See instrucpons for comple4n9 this form on bsck of yellow copy. 101, o 2E "X" Below Work Covered by This Request 1a-{ (o -g S AAd ReO. '-TYVe of Bwltling ances WireE Epmumenl Wired .NM Home Range Teinporary Scrvice i Duplex ater Heater Lightiny Fixtures Apt. Bwlding Dryer Electnc Heatin Commercial elda. 'Fumace Silu Unloader Farm # Fa ServiceEntranceSiia q Fee Feedars/Subfebders # Fee Cvcwts U to 200 Am 5 0 to 30 Am s 0 m 30 Am>s Above 200 qii?py 31 to 100 Amps - 37 to 100 A 5 Swmuning Pool Above 100_Am s Above 700_Amps Transiormers Irrigation f3oorc?s Partial-'Olher Fee Signs 1 1 jSpeciallnspection ?5 i1"'?) J? ( in ?the Electlneal p Inspactor, 1a1aby artdy that the abpve insoection has been TNS reduesl voltl 18 CITY OF EAGAN n? 11310 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I? 2 ? PHONE: 454-8100 BUILDING PERMIT ReceiptN 7o be used for SF DWG/GAR Est. Value $ 68 ,000 Dete NOVEMBER 19 19 85 SiteAddress 3892 PRINCETON TR Erect CY'J Occupancy R3 Lot 4 siock 5 Sec/Sub. LEXINGTON SQ Remodel ? zoninq Parcel No. Repair ? Type of Const. V Addition ? No.Stories w Name BLILIE CONSTRUCTION CO Move ? Length 44 644 SUPERIOR CT Demolish ? Depth4?Q o Address Int Impr. ? Sq. Ft. city EAGAN phonB 454-1438 Install ? a Aoorovals Fees o Name SAME i ? a Address a ? City PhOne a w w Name ? ? ? Address < W City Phone Assessment Water 8 Sew. Police Fire Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. information is correct and agree to comply with all applicable State ot Minnesota Statutes and Cit?f aaan Ordinancas._ - APC. Si9nature of Var. Date Permit '' '''' • • "" Surcharg?50 Plan Review?50 $AC 525.00 Water Conn. 500.010 WaterMeter 63.00 Road Unit 280.00 Tr. PI. 132.010 Parks Copies 1.0( 7otal 52.041.D( A euilding Permit is issueA t? IBLILIE CONSTRUPTZON CO on the express condition that all work shall be done in accordance ith all applic,?¢le State of M nneso _ es and City of Eagan Ordinances. Building CITY OF EAGAN N° 15 0 5 7 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55721 • ' PHONE:454-8100 BUILDING PERMIT Receipt#0 Ij Tobeusedfor DECK Est.Value $1,000 Date MAY 24 .19 88 Site Address 3892 PRINCETON TR Lot 4 elock S Sec/Sub. LEXINGTON SQUARE Parcel No, s Name JIM WEBER w ? Address 3892 PRINCETON TR 3 ° City EAGAN Phone 681-0581 o Name o a Addre ? City_ City I hereby acknowledge that I have rea his applicahon and state that the information is correct antl agree to ply wrth all a plic le State of Minnesota Statutes and City of Eag n rdinances Signature of Permitiee A Builtling Permd is issued to: M WEBEA on the express condition that all work shal I be done in accordance with al I applicable State of Mmnesola Statutes and City of Eagan Ordinances. Building Official (91A &41k ??. OFFICE USE ONLY On Ske Sewage _ Occupancy MWCCSyatem _ Zoning On Site Well _ (Actuap Cons[ City Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge _SO Council Plan Review BIdg.Of(. SAC,CiIy Variance SAC,MWCC Water Conn. Water Meter Roatl Unit Treatment P1 Parks 24.50 TOTAL o i ••• ? • i o? u i?• • u r. a• •?• • ?1' 1 • • I ' • ? ? ? • • • ?1' • ' ?1? ? 1 1 ?1 ? ? I CITY OF EAGAN APPLICATION FOR PERMIT SEWER AN[}/OR WATER CONNFdCTION iJ PRorEaTY r,oDREss: S,3'C! ? LE)GAL DFSCRIPTION: z- L/ ? kLOC/tslocx/aunaivision or rax rarcel iw IF EXISTING STRC'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DC'PLEX (Trro C'nits) R-3 'IbwNHO(:?SE (Three + L'nits) R-4 APARTMENT/COTIDOMINIL'M CONA9ERCIAL/RETAIL/OFFICE INIDCSTRIAL INSTITL'TI ONAL/GOVERDR'fENT ( Lnits) ( Lnits) NAME: ?/ .- ADoREss: , ?p.-, n ? T?U,,..f CITY, STATE. ZIP: PHONE: 3) • c?' r?: ? j ?/? f For City Ose y Plumbers Lic ADDRESS: 3i-t? lI?'P " CITY, STATE, ZIP: 1.?,?? t e ired PHONE: Zj ?j 7 - / 5Y ? MASTEE2 LICCERVVSE # 3 2 3? t Recor? ta f Initial ? • . ?, 4) ?. NAME: ADDRESS: CITY, STATE, 2IP: PHONE: 5) i? • ?? • o• tXCOiVNECTION TO CITY SEWER j? CONNECTION TO CITY WATEF2 p oTf-IER (Please Describe) 7) (Nbnth Yeaz) 6) u • ? i ? PLEIISE HOLD APPROVID PERNIIT FOR PICK-L'P BY ONE OF AHpVE PLEASE MAIL APPROVF.D PERMIT TO 1, 2, 6? 4, P,&OVE (Circle one) F 0 R PE2hIT °- ISSUED I T Y U S E O N L Y Fcrs' 5 S $ $ 5•GU f $ .? ' J"U-uv $ $ $ $ $ $ $ $ $Ei'iG.fl. nEB51rT (I`7CL;:DE SURC::?RGE) WATEZ PE:?MZT ( INCL'JDE SIIRC:iA<2Gr. ) Wi.TER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLCIDE CORPORATIODI STOP) SEWE3 TAP ;r??,i:::•r ..:.:CSi'=' - :._:.?? ACCOliNT D.F,PpSIT - PlATER WAC SPC TRGVK WAT°R ASSESS.IE:1T TRli:d:C S%SIER ASSESS.L:iT LnTE?.?L BE:IEFIT/TRUVK SE:i :R LA;c,RAL BENEFIT/TRU:IK S4ATER WATER TREATMENT PLANT SURCIIARGE OTHER: TOTAL AI•IOL'NT PAID/qgCEIPT n Z DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIG'riT.OF WAY? ? YES IF YES, THEN ei "PERMZT FOR TRORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SUEJECT TO THE FOI.LOSVING CONDITIONS: APPROVED SY: TI;LE: DATi': • '.'?$ 4:_'r .,,',yi'.w .' ' _„ _ . . . - "" _ .. c _r.;.v._?5. .s.'sl ? . ' •. " ?crxC . ,. '. ,- ? _ .:''7":tz?,`.=:ti?- __ l 1?98&aQILDffiG _ P8AME2 ' APPLICATION "_ CITY OF EAGAN • •? 'Y'? :a .?a'?,;??'ti-?',:n - I ' -. ; _ f n r?y.• y°#t ' ;_ ?•"," ? ??I ? I 3ZNGLE: ' ,,}? n??•'n . M1:_..'s4.".. INCLUDEo 2:,36T3`LaOF°. ????s! ERTIFIC9TFS OF SIIRYEY, 1 SET OF ENBRGY CALCULATION3 % NOTEr dDDHESS&3= FOR ^COANER_` LOT$ - CODiTRACTOS/HOmEOiiNEH M03T, DF3IGN6RII WHICS ADDAFSS 3 I3 DS3IR1W.'-' NO= GBAN6E3 wILL B& 9LLOWED ONCE BQILDT.2iQ PEAMIT IS ISSIIBD. ? MULTIPLS DW6[,LING3 RSNTAL i1NIT3 FOR SALE III1IT9 # OH ULV'!RS' INCLtTDE 2 SETS OF PLANS, CERTIFICATS OF 30SVEY - CHECS %ITH BI.DG. DEPT. t 1 1 SET OE ENERGY CALCIILATIONS ? COMPll:ACIAF.. ENCLDDE 23ETS OF AACHITECTDRAL & 3TRUCTURAL pLAN3` t SET'. OFSPECIFICATIONS_- AND 1 3ET , OE 6NERGY CALCOGATION?Sl'?"?F=,; ;?`-', ?? =;r ?`?• -?"'? ?,' To He Used:Fors Valuation:? Dsh? 3?9? . , 4 . • . ,r; Site. Address OFA'U8`:? OSSl? ; ? r .,r.'-'-w ; . Lot Bloak 5 On sitie seaag?. ,' QaciiPan y???(?? SYH ,. `', L `" 1'II?W YBmL'..+r'? Zoninzz. c.:?:K:X'H^••e=J9? `T?°T.' ... S1'.[f'. Pareel/Sub °On: site welk:Aotual• Const?-% ' ;; City water - 911oxa61w Owner 7T, M l.jiLtf' PRV required '-%_ _t Hooster Pump;- _ Length - Address 3 jw),x- ???•rc«r.? ?: ? Depth 3.F: Tota2 r '. City/21p Code N.V Footprint S.F. Phone ?PI - OS?? I 6PPAOYAI.S FEES - 0 Contractor Engr/Aasess Permit ? Planner Sureharge? a Address Counctl, Plan Review= , Bldg'. Off: SAC,. City.. ' City/Zip Variance SAC, MWCC Water Conn ? Phone h°Y Water Meter Road Unit ? Arch./Engr?:' Treatment P1 Parks ? Addreas Copies 3 TOTAL. - ,? 9.50 ; City/Zip Code ' ? Phone 0 - p< * ?37-';,Ej + 34^50+ 168°50+ ti°C0+ 5,„ ,:0+ 63^00+ 280=30+ 132^C0+ 7 ^:,0+ 2YD41??0* 1 -7 L 11-310 1985 BUILDING PERNIT APPLICATZON - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND r To Be Used For :?!' S? r!4 C.- Valuation : Site Address ? ca- Tti Lot ? Block `'? I Parcel/Sub Owner - Address City/Zip Code Phone Contractor ?t Lo Address (o e?1 I„? C? City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 1! SINGLE FAXILY DWELLINGS INCLl1DE 2 SETS OF PLANS 3 CERTIF'ICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS . Date: Erect Occupancy Remodel ? Zoning Repair ? Type of Const Addition Il of Stories Move ^ Length Demolish ? Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer ' Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment Pl APC Parks Variance Copies (z, TOTAL 2-I x 4b - IOgo x s8 ?(?Z(,4o . ? I2 `? c? K 2'2>: - - - q o 5 28 a Co79zo p !o g lo ?? ?.,oT A{ 81oc1C' S Tf 0 115 nlq4ti7 ?,e. PLOT PLAN a)iozs ???o2s ?? qq s `)ibl ? 98 {r _- '.i t ? Scale - 1 inch - 20 feet Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and building si[e areto be staked before appraisalis requested.) RECORD OF COMPLAINT DATE: r-_2) - 9? - ? C04'1PLAZNT TAICEN BY: NAME:- r. ADDRESS• PHONE NO.:. L ? -- ? - -- ---1?C------- COMPLAINT:----- oa.fer_ 1$--- ACTION_TAKEN: ir ` -- ?0-7L-- n- -?- - tuif?i ----- ?%-??'-?-?r_Q.c_-_ ------------ ----- ----- ---- --- - COhQ1ENTS: . ? ----------- TYPE OF BUILDINGi LEGAL. DESCAIPTION: t SIGNEDi &"- - - ------ ------------- -- ------ --- ----- ..?' F? ----' `- -----= - -- ---- --- ? ?-"--- --- ---- - ------------- --------- ---------- ----- - -- - - - -- ?,_? EXTERIOR ENVfL'OPE AVERAGE 'U' COMIPUTATION ? ONNER SITE AOORE55 CQNTRACTOR XL/Lfl•' <D?T7/?vCy /oA/ pATE PHONE 4 SY ` 1 43? Determine worktng square footage of each, o`f 1¢g 1. Total e,cposed wall area ......3. & a SQ. ft. x_?? 2. Total roof/c.e4lin-7 arer. ..... IDSS-oo r $q. ft. x? •? Total expoted rrall area above floor ¦(2Cn•o0 ?Z? 2?ZI a. Total wail window area ........................... . g4 04r b. Total door area ................................. vz 7S/ c. 7ota1 sliding ylass door lorea ................... .d'a;o--L` d. Total firepiace wall area ........................ - e. Total wall frar;,ing area (average 10%),,.,.,,..... ?'- f. Totat net wa11 area above floor ................. ?0 g. Total riro joist area ........ ........ l12_od Tota1 e>;posed fourtdation area • yj.fa , h. Totai foundatio^ window area ..................... ?. 7 r i. Toal net foundation area above 9rr..le .......... .. 1 Detcrmine "U" value of each ::ail segment. U? ??° •(n'-?R a_ SG ov _ 7c "U" ? f 5'J • 47- Ro b 37-0/ _ z ou• ,13 • _4 9/ u C._ 4 O. O'L_.r. X ¦U^ ?L ._ f I d. ?- X °UN ? ¦ e. ( ? i. 3 fl x „u • • (z • ?G. t 4 W1L?-(Fk?'L? f. g 4 9 71 X NU• ? 07 . ?'9. 4L_ r , 9-_ I(2_d0 X "U' -OG . .?72= n.`?.y`i z °u• . SS . q.gZ i. f33.93 z"U" .? U7 ¦ 40-31`'. EAGAN REVt£TNE D BY DATE I I f 4`8? 3........ ?.? ........... .......... Total • O? Z If item 13 is the sama as, or tess than?item 01, you have aet tFK fetent of SBC 6006(c)2, , :1=SY..._.. c;?,?,. .... .=?i`co,._ • 'otal exposed roof/ceilin9 nrea ¦ i p S f oa j. Tota1 skyliqht area ............. ....... ..... k. Total roof/ceiling framinq area (average 104}... ? l. ToCal net insulate6 roof/ceiitng area........... /Og Determine "U" value for each roof/ceillnq segment. IOUw , k, X "U" •• ,. r?gr.oo ? X nUw or • s?/•zf- 4.......... ..l,O.?.S•,o o.......,..Tota1 If total of Ic fs the same as, or less than 12, you have met the inten? of SBC 6006(c)). , Alternate Building Envelope Design To utilize the total envelope system method, the vatues establlshed Dy the sum of items 03 and 04 sha11 rtot be greater than the sum of items #1 and 02. 1. 1=1?__._l ?8 ?'12 + 2 zaZI . ?- f F1713 3. Zor.2a _ + a,_ FL4•zf ° 2s3: 2 Y _ 5804 Melody Lens BumNille, Minnasota 896305! . 11 WEPJA CO. PL,AW SERVICE ED ANDER80N ?pGMIT[GTUILtL OLlIGN1N6 ANO ?LAMNINO 01fiCC »+nsare-.. 2)a nI& arh ReRFr Ofhca: Burnniua.Minnewte C/KCGdc M4636 i Use BLUE or BLACK Ink For Office Use Ed 11 j Permit#: City of Ea Permit Fee:v 3830 Pilot Knob Road 1 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff_ _ - - - - - - - 2010 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: ~Z, / Zci') Fee: $50.50 City Sewer City Water rA Repair Disconnect Description Of Work: Street Address for Proposed Work / Name: 1, .9 Phone: OWNER Address/ City/ Zip: ? )9fZ,,n./c e ,24. Applicant is: Owner Contractor Licensed Pipelayer uC Master Plumber Property Owner Name: Phone: 1S/~3 Address / City / Zip: Pipelayer Training Certification Card or Master Plumber License I acknowledge that the information is complete and accurate and 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. A ant (Print Name) plicant's Signature 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 D C,G~COM~' JUL 0 9 2009 --Fo-r O-f-c e -U-se I City V nnf Ej Permit Permit Fee:7 (L~ ` 3830 Pilot Knob Road I I Eagan MN 55122 Date Re 'd: ! j Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 1 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7-9-of _ Site Address: 389°2 P*A/cE'n a woa- Tenant: Suite RESIDENT / OWNER Name: TXUQA16t Phone: 1''415-2-311?1 Address / city / zip: 399 40micEnd 7xau- Applicant is: Owner X Contractor TYPE OF WORK Description of work: ( umb d'£re 4 0 sgwv kvadm Construction Cost4,/.3, 941) Multi-Family Building: (Yes No LC ) CONTRACTOR Name: C~iIA~tP~~at~~1,J1A1,0& 5 License :IDy*t9L7t Address::/ 46/-00 /'k*. 164 A .ST1~ City: APB State: MAJ zip: -43wgr Phone: 7L3~ u1► ~1-~~ Contact Person: J` 7&MC doAZICC, 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 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 ns. x eilk OGILtJE.it_ x Applicant's Printed Name Applicant's Signature Page 1 of 3 ~ t -T( DO NOT WRITE BELOW THIS LINE 96 l 7 SUB TYPES - Foundation - Fireplace Porch (3-Season) _ Storm Damage - Single Family - Garage _ Porch (4-Season) Exterior Alteration (Single Family) - Multi - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level - Pool _ Miscellaneous Accessory Building 1 WORK TYPES)' _ New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior - Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION t Valuation's Occupancy MCES System Plan Review Code Edition SAC Units (25%._ 100% V, Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water ^Final Pool: -Footings Air/Gas Tests ,Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 7,2, MCES SAC City SAC Utility Connection Charge, ~.r S&W Permit & Surcharge Treatment Plant Copies 1 TOTAL Page 2 of 3 aw 901 c `7 r4Tt©P1S u~ PLOT PLAN Scale -1 inch -20 feet IS ! C s - - } - - r 1 10 60 1 ~ V ~ '.t:~A ! r' , 1~ 111 i ~ i::~- •rF- - -F S + 1 - b 1 5 1 + HI-4411111 `~9 - a C-) 4,#:fft - I I . I 0 ,-f 1. - 't 1t it Js j Tti s f ji 1-1 14 J.Pat 14 +1 4 -;4 ♦1 w t 11}1 V II! .90 .r.y J w J -1 ,-r * X11 ' i { :l Z' n Wt -4-4 3 r - Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and building site are to be staked before appraisal is requested) • - 1 f r«ATLAS FOUNDATION CO. C Siace 1912 1173€3 Brockton Lane ti. • Osseo,'MN, 55369 (763) 128-2261 • FaX: (763)428 754 Helical Pier Certified Website: w-vvvv.atlasfound3ti0n.C0M Installation Contractor Project: 09155 Customer: Champion Windows 3892 Princeton Trail Start Date: 5118109 Foreman: Jamie Eagan, WIN n Finish Date: 8/18/09 Estimator: Brian S. 019 9 7 Base Length, ft. 5 Installation Information All foundations are SS5 11/27 Helical Piers as manufactured by CHANCE*M. Lead section helix configurations are 8"-10"-12" diameter, with a 5' nominal base length. All foundations were installed using a 4,000 ft-lb torque head. All material is galvanized per ASTM A153. Previous testing and factory recommendations assume a ratio of ultimate capacity to torque of 10:1. All foundations are sleeved and grouted for the top 5' and terminated with weld on bearing plates. Helical Pier Extensions No. of Final Final 3' Total Cut Off Final Ultimate Allowable Torque Length Length Capacity Capacity No. Size 5' 7' Helix PSI (ft-lbs) (ft) (ft) (kips) (kips) 1 1112. 2 3 2400 4900 15 2.0 13.0 49.0 24.5 2 1 112 2 _ 3 2400 49030 15 13 13.7 49.0 24.5 3 1 1 /2 2 3 2400 4900 15 1.7 13.3 49.0 24.5 4 11/2 3 3 2400 4900 20 1.0 19.0 49.0 24.5 5 1 1 /2 1 3 24070 4900 12 0.0 12.0 49.0 24.5 6 1112 2 3 2400 4900 15 1.2 13.8 49.0 24.5 Summary: No. Size 5' 7' Average Length `Total Length Final Length_ 6 1 112 11 1 15.3 92.0 84.8 6 Total 11 1 15.3 92.0 84.8 r GAN R,E WEU 11LDING IN pi- I NS DIVISION 1 of 1 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA076223 Eagan, MN 55122 . Date Issued: 12/19/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3892 Princeton Tr Lot: 4 Block: 5 Addition: Lexington Square PH) 10-45075-040-05 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952-881-9000 Crystal. Gemuenden @ServiceExperts.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $30.00 0801.4088 Total: 530.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Lap V Truong 8910 Wentworth Ave S 3892 Princeton Tr Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090107 Eagan, MN 55122 . Date Issued: 07/08/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3892 Princeton Tr Lot: 4 Block: 5 Addition: Lexington Square PID 10-45075-040-05 Use Description: Sub Type: e- Siding & Windows/Doors Construction Type: Work Type: Siding & Windows/doors Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary: BL - Base Fee $6K $132.75 0801.4085 Surcharge - Based on Valuation $6K $3.00 9001.2195 Valuation: 6,000.00 Total: $135.75 Contractor: -Applicant - Owner: Champion Window Company of Mpls Lap V Truong 5100 HWY 169 N, #B 3892 Princeton Tr New Hope MN 55428 Eagan MN 55123 (763) 574-2054 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139304 Date Issued:10/18/2016 Permit Category:ePermit Site Address: 3892 Princeton Tr Lot:4 Block: 5 Addition: Lexington Square PID:10-45075-05-040 Use: Description: Sub Type:Windows/Doors Work Type:Skylight Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Description:remove and replace one skylight Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Lap V Truong 3892 Princeton Tr Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139869 Date Issued:11/14/2016 Permit Category:ePermit Site Address: 3892 Princeton Tr Lot:4 Block: 5 Addition: Lexington Square PID:10-45075-05-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lap V Truong 3892 Princeton Tr Eagan MN 55123 (651) 442-6657 Cedar Valley Exteriors Inc 13501 Balsam Lane #120 Dayton MN 55327 (763) 755-2221 Applicant/Permitee: Signature Issued By: Signature