1775 Kyllo Lane
Use BLUE or BLACK Ink
q -7 r16 V
Permit
I i
'
CitY of Eaa~
I Permit Fee: 0
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I j
Fax: (651) 675-5694 t j Staff:
2010 MECHANICAL PERMIT APPLICATION"
Date: Site Address: r '71E) Tenant: a Suite
Cl~ SI `7 - d °
RESIDENT /OWNER Name: Lill Phone:
Address /City /Zip: ,L.
CONTRACTOR Pkeme; 6 . / C i en~e .
Address: D l it-X /
State: Zip: Phone:
Contact: Email:
TYPE OF WORK New Replacement Additional 4-- Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace _ New Construction _ Interior Improvement
Air Conditioner Install Piping y Processed
_ Air Exchanger _ Gas Exterior HVAC Unit
_ Heat Pump _ Under / Aboveground Tank Install Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)] (l
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ✓ " C) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- Ifthe Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010 $11,010 Permit Fee requires a$ 5.50 surcharge)
TOTAL FEE
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.aoaherstateonecall.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 start without a p, rmit; that the work will be in accordance
x x
with t approved pla in the case of work which requires a review and approval of plans. '
Applicant's Printed Name__ Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground _ Rough In Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
For Office Use I
y, I
j Permit
City of Ea
I Permit Fee: 11 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
----------------1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ Site Address: , Lali~
4.
Tenant: Suite
RESIDENT / OWNER Name: Lj1 Phone:
Address / City / Zip:
11~ l
Applicant is: Owner Contractor 1
Y lQ~
TYPE OF WORK Description of work: 1A 0 A'n) cwzxuk op o Lam, Alo
tYES ll `tip l• I; v p S S.n .v c Gi S W1-4_) l4
Construction Cost: 40 Multi-Fam~y Building: (Yes / No )
CONTRACTOR Name:' `icel+ee _
Address: CA 127 k Citylk` ~•V f ISV y✓
State: ip: ? Phone: Ll a ` 9015 -t-) -l
Contact: V.Email:
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 8 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 434-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. ~vw - op herstateonecali.org
I hereby acknowledge that this infbmudlon Is complete and accurate; that the work will be in combr mane 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 .
x~ ct 16~il 'r
Lt , i ~ IIILL_~
Applicant's Printed Name Applicants Signature
Page 1 of 2
CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
wccswea ,
FROM
AMOUNT
? -
a eoLLwes
,oo
? cwsH _,Q-cHECK
, --• i?
FOR ?f
j ?• , , . • ? - ?
FUNG CODE AMOUNT
Thank You
,
sY " `-
White-PaYert CoPY
Yellow-Postiny Copy
Pink-File Copy
BUILDING
CITY OF EAGAN
3$30 Pilot Knob Road. P.O. Box 21•199, Eagaa, MN 55721
PHONE: 4548100
:a
.,
Receipt #
90371
? . ,. .
Site Addresa Erect U Occupancy
at Bloc
l -?
k SecJSub. u i?. F:;Qemodel ? 2oning ,.
. Repair ? Type of Const. ;
Parcel No.
Addition ? No. Staries
? .: ?!= r::,;?,?.• Move ? Length
°i Na^B li
h ?
'
`? Demo
s Depth
Address
f
.
• Int Impr. ? Sq. Ft.
, [
Citv ^ ne 5 -5 V r t'
Pho Install ?
me
=o Name
% Addreas
1- City Phone
Une
I!W Name
_o Address
u
1 W City Phane
Assessment
Water b Sew.
Polite
Firo
Enp.
plonner
Council
I hereby acknowledga that 1 hove read this oppliwtion and stote that gldy QffVJ43:i
the inforrrwtion Is Correct and ogree to wmply with oll opplitabie APC
Stata of MinnewM Stclutes and City of Eogon Ordinanus.
Var, Oate
${pnoture of Permittas
/1 Buildiny Permit Is issued to: .? 1 , i ` •.
oll work shall be done in acaordonte with all appliooble State of Minnes
Buildinp Official
ond City
Permit
Surcharge
Plan Review = + =?
SAC
Water Conn. ?
Water Meter
Road Unlt
Tr. PI, ?
Parks
Copies
_ . . ti
. . - .. . ' -
Pe?mit No. Pmnit Floider pow Telephone ?
Plumbinq
HMA.C. 5 ?? D -W , ? y
EIectHc
?- ? ? ?r
Softanv '
Irqpeetion Date Inap. ather
Footinys 1
Footings U
Foundation
Framing ?Mp
fi00flng ?s (i) ?
Rough Plbg.
Rough Htg.
Insul. 7
Firep(ace
Final Plbp.
Final
Cart/pcc. ? CQ
?
•?t . -
Water Dfta'ibe Location:
Well
Sevrer
Pr. Disp.
Cities
iRital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Reaaipt
PLUMBING PERAAIT
CITY OF EAGAN
Permk No.
FM
Fill in numbered spacea S/C ,?,__ '• I
Type or Prini legibly Tot
1. Date 2. Instaliation Cost
3. Job Address . ' ` . ,!i ? + • Lot ' Blk.? Trect
4. Owner
5. Contractor
6. Address 7. City '
8. Building Type: Residential ?t
9. Work Description: New 1b
10. Oascri be
11.
Phone
State Zip _
Commercial O Institutional O
Add ? Alter ? Repair ?
No, Fixtures
Water Closet No. Fixtures
ol/Draintield
Ceas
Bath tubs po
Se
tic T
nk
Lavatory p
a
Softner
Shouver Wel I
Kitchen Sink
Urinal/Bidet .
Othar / C. ?
Laundry Tray ._
- Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I apree to
oomply with all ordinances and codes governing this type of work.
Signed : for
Rough F insl
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recsipt MECHANICAL PERMIT
CITY OF EAGAN
FiII in numbered speces
Type or Prini /egibly
Psrmit No.
Fas S/C
Tot 1. Date ? 2. Installation Cost
3. Job Address , Lot Bik. Tract
4. Owner.
5. Contractor 6-1? Phone
a ; ..
6. Address
l. City State 2ip
8. Building Type: Residential Commercial O tnstitutional ?
9. Work Description: New 0 Add 1:1 Alter ? Repair O
10. Describe Fuel Type,, '
11.
No.
' Fquioment 8TU - M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
,
Air Cond.
Mfg.
Ges. Pipiny Outlets
12. I hereby certify that the above information ia true and correct, and 1 agree to
wmply with all ordinancas and codes governing this type of work.
S+gned : for
Rouyh Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
CITY OF EAGAN Remarks- Y':" rj. "
Addition Ridgeview Acres Lot 9 Rik 4 parcel 10 64000 090 04
Owner ?JCtrI ! p jp,AIQ(1?44,..o screet1775 Kvllo Lane state EaQan, MN 55122
?vrnr_ iJn._/ ? ni._I ?
Improvement Date Amount Annual Years '115Payment Receipt Date
STREETSURF. 3 5 1977 2329.90 232.99 1o 232.99 A015 3 6-19 85 ?
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 100.00 3.33 30 40.06 It it
*SEWER LATERAL 20
WATERMAIN
*WATER LATERAL 1972 20
WATER AREA 19 64.06
STORM SEW TRK 1983 6
E 448.80
3 STORM SEW LAT 1972 $4285.30 $2I4.26 20 1 1285.66
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
500-00
BUILDING PER. 10171
SAC
PARK
OFFAGAN
Pilot Knob Road pERMIT NO.: _
..199 7-
I D/1TE:
No. of Units: _
ie Witan Co
ta ...oy wtK eM. Ci1Y .F s.v¦
Con?NC.tion O+aroe:
Account DePOtlt: _
Pormit FM:
Surduaoe:
Mlm Chorom -
Torol:
Dob Poid:
,e?s; J ? ? , , ..r , •
/lddress:
No.:
te emrhr wkh !Iw Ciry go a4'•
Connecrron %?r,o•y-.
Aooount DePosit:
permit Fee:
Surd,aror 1 3'' . ?t1 ?;1
Misc. Charoem me?er
Total:
pate Poid:
CITY OF EAGAN WATER SERVICE PERMR
3830 Piiac ICnob Road
P. O. Box 21199 PERMIT NO.:
Eagsn, MN 55121 DATE: -
Zaninp: Na of Units: ?
O
wna?:
/lddress:
Sk+ /1ddreu: - - ' '- ' _ ` • ?,, r u
Plurnbrr. 500. i.10 n ci
? ?on Chape:
Meb? No.? ?5. QQ
Slze: lkco?? ?t:
n' P?ermit Fae:
,JO
lU
1 qnw !o ?wph wilh tIM Cfh' of dlrw SurcfiarQs: u
5 132. ,? J
AAI?c. Chorges:
?
?
Totol: pci meter
B ? Dab Paid:
Date of Insp.: I^ap.:
S
CITY OF EAGAN WATER SERVICE PLRNIIT
3823 Pilot Knob Road pERMIT NO.:
P. O. Box 27199 DATE:
Esgan, MN 55121 - - + No. of Units.
-
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Recelpt #
p 103 '
Te 6e uwd hr SF DWG/GAR Est. Value $113,000 Doee .7[7NF. 7 , I q_$y
1775 KYLLO LN
Site Address
eract ?{l
occupency
R3
Lot 9 Blxk RIDGE VIEW
4 Sec/Sub ACRE§emodel ? Zoniny Rl
. Repair ? Type of Const. V
Pareel No.
Addition ? No. Stories
THE WITAN COMPANY rnove ? length 76
W Nar^B ?
=
V A AVE SO Demolish Oapth 4 ?
? Address Int. Impr. ? Sq, Ft.
citv ST LOUIS Pgone 925-5056 Install ?
w&„a
SAML,•
AppovaM
Fus
?r
u
Addrese
? ct.,,
Name _
Address
City _
Phone
Phone
I herebv ockrawtedga that I
fha informotion is torrect Stata oi Minnatota $tatute
Siqnoturo of Parmittes -4p
A 8uildinq Permit Is issuad W:
oll work shall be doro in xco
Buildfrq Oflicial
Asseument _
Woter 8 Sew.
Polica -
Firc
Eng•
7lonner _
Council _
this o i ation and store thaf BId9. Off. 6 $
t I witly7oll apDlicoble APC
E Or?1?nca3.
? i Var.Oete
WITAN COMPANY
applim6la
Permit $ 4 6 5_ 5 0
Surcharge 56 _ rj0
Plan Review 232- 75
SAC 525.00
Water Conn. 500.00
WaterMeter ??00
RoadUnit 280_00
Tc PI.------ 132-00
Parks
Copies
I 7otal $2. 254 _ 75
_ a+ the expres conditlon thai
ond Ciy o7 Eupon Ordinoncas.
REQUEST FOR ELECTRICAL INSPECTION Eg000D1'9'
' See instructions lor eompletiM [hia form on back ot Veltow copy.
44232 "X'" Below Work Covered by This Request O Ie
PJwA Ana neo. Tvoa ot a,oiene Aoplienees Wired Ea.io.i w+.ea
Home Range emporary Service
Duplex Water Heater Lighting Fixmres
Apt. Building Dryer Bec.Vic Heaun
Commercial Bldg. Furnace Silo Unloader
InduStnal Bldg. Air Condinoner Butk Milk Tank
Farm Othe, peo y Mer ISUecrtyl
t1?r Suemly Olher Other
Comuute lnspection Fee Below
# Fee ServittEnVenceSiza k Fea Fexders/5ubteetlero # Pee Cimuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am
A6ove 200 qmps 31 to 700 qmps 31 to 100 Amps
Swimming Pool Above 100_Mi = Above 100_Artqis
Trenstormers Irrigatfon Booms Partial."Other Fee
? ? ? Signs L1 'Special Inspec!ion ?S
Nermrks v±vy ?a?? ]_o .?'j0 TOTA F?E ^
/. ...? ? ?
flouBh-in c ??? Datx 1. Me Elecbifal
Inspector, herebv,
r-ifY thnt the abova
Final ate icipection 1ns been
I ?`3 ?de.
mia reQUeat vaitl 18 montlm Irom
ihis request voitl ?
u
1e ?,??? ?3K7 1- I- o,
? Q I A/;k u PucB.a,, U I* .¢&-r' r-
Reque?t Date_ , Fve o. floug Inspection
q
m
r.M?
pe
?Ready N??y 11 Notify loscec-
1 6-27-1985 y
y
'
v+es ?NO TAr WM? ReaAy
3ffLmensed Elecvical Con[ractor 1 hereDY ?equest inspection of abova
Ownor elechicai work installad ac
Street Address. Boz ar Houte No. Gtv
Dakota
Occuoant (PRINT)
Witan Company
Dakota Cty. Electric Farmington
Elec[rical Contractor iCompany Name) Convactur's Lir.ense No.
O.B. Thompson Electric Co., Inc. A40602
maump nouress u,omractor or Vwnar maKinB instauauonl
12201 Mtka.Alvd., Mtka 55343 _
933-2521
MINNESOTp STATE BOANO Of ElECT1i1CITV (J THIS INSPECTION REUUFST WILL NOT
Grigvs-Mitlway Bldg. - Noom N-191 BE ACCEP'IED BY THE STA7E HOARD
VNLESS PROPEN INSPECTION FEE IS
1827 UniversrtY Ave., SL Peul, MN 55104
Phona (612) 297-2111 ENCIOSED.
453Y q•""`UEST FOR ELECTRICAL INSPECTION *Vk Ell-00001'04
a ' See i-tructims far mvqbling Mis form on back ol vellow cooV. ?/
O4'# 2? ""X'* Be/ow Wnrk Covered by This Request ?Q
AAd ReD- TYpe o( BuilEiag Appbancea Wired Equipmen? WirM
Hpne 5.00 ?nge Temporary Service
Duplex Waier Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Crnmiercial Blda. x Furnace 9' q8 Sifo Unloader
p Fea ServicaE?rtra?eSize b Fee Feeders/Subfeeders N Fae Circuits
Gl ? Affq? o co 30 qm s 1 32 5 o co 30 nm
Above Za1 Am?n 31 io 100 Amps 31 to 100 Afflf?
Swimming Pool Above 100_Amps Above 100_A
Trans:ormers Irtigation Booms Partial: Other Fee
' 'Sigti, - - --1 ? -- Specfal-Inspec!ion ?S
R! r?
Dic Hall 62.$0
r
TOTA E?.or_?
Rouph-in Date
?
? tha Eleat[i
I ?? Inspectm, hereby
cerHh the[ [M above
Final Dt? ' pection has been
(e
Thns request wiE C? -3 Y,
?84? ? Q..2 LA 8
6-27-1985
Yes ?No
7?Id-4? S
(4Z,o 0
Now7Sj1l'iil NoGty.lnsp¢c-
to. wnen qeaav
iceM'+ed ElecviWl Con[rac[or
1 hembV request insDection ot above
? Owner elec[rical waric insIelled at:
Sv¢e1 Atldress. Box or itou[e No. C nY
1775 K llo Lane Eagan
ecLOn o. Towmshio Name w No. H:?nge No. County
Dakota
oCcuoa"t (rniNn Pnone Nu.
Witan Company
Yower Suppliel Address .
Dakota Cty. Electric Farmington
Elec[riral Contracta (Conpanry Name) C?nIranur's License No.
O.B. Thompson Electric Co., Inc. A40602
Mailuq Address IContracmr or Owner Makiop InstailavoN
12201 Mt •Blvd., Mtka 55343
AuMwizetl SipnaxT?r?' ontracmr'Ow7r Mbk?i!'??lJ nstall n
?J Phone Number
t.?1r?
MINNFSOTq STpIE BppRD OF ELECTIIICIT' ? THIS INSPECTION flEQUEST MILL NOT
Gripgs-Yid+ray Bldp. - Ibam N-197 6E ACCEPTED BY THE STATE BpARD
1827 UniversiryAve..St. Peul. MN 5510I VNLESS PROPER INSPECTIOM FEE IS
PIqne (BI21Z97Z111 ENCLOSED.
4 `pq 1 Oq
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
$30"C)O
Date _-2_ I -7 1
Site Street Address Unit #
Property Owner Telephone # f, 12 ) 33a - 6'T'2 -3
/U• Telephone # (f?? ? ?
Contrector Zea.l / y0? ??G?rn ? "Y
?
Address ?-7T City S StateAL12--_ Zip 5;;?Y5
-? ,
The Applicant is: _ Owner Y Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener andlor water
heater at the same time. !f ?Lou are insta!lrna only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
? Lawn Irrigation _RP2 ?_PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 30 ' S'Z)
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordanpe with the approved plan in
the event a plan is required to be reviewed and approved.
A IicanYs Printed Name? Appli r
PROD= ADoRESs:
r.FraI. DE.SGRIPTZC:I:
(Lot/Hlock/Su:ciivisicn or Tat Parcel I.D. VL:.zer)
?' =:I"=:G E. DelT:' OF Cc2TGL1Ai, `tiIIDL.G ISS?.-\G:
?:•i= :?» ?z?+-!
PPESr 't ::^;TS:r'/?P.OPOSJ L:.S: ¦ R-1 SINM.:. FP?ffI:? .
? R-? CUP= LNi:S)
L3 R-3 M.-oZE?TSB ('!?':°^ + GNI:S) ! W. I'T_'S)
? ?-4 A^rnPW'?
`
:T
/
CC:?C_.?r?Il;,?i ? LTNI`IJ?
/
n
?.
n
? CQ1'1'..CI.?./ Y.'+c?.I2?CL:,ZCz-
? MTiL.S=AL
Q L?ISTI:LTIC%AI./G"v'E:-'J: f-PtiT
2) AmP_T.IC.2T 1 (PlE`5E PRi7it)
NAPtE: v I U .)
ACD:2ESS: 21 A( ?
crrz, sr.,TE, zIP: S{-. LouiS %rL, mn] 55!!41(0
--
r
PfiONE: 9225 505(a '
E„SE P
lt{i) ,
3) pu:?Ep.
FOR CZTY USE 04LY
UME.
lmne
- - -
ADDRE55:
-
• PlUH8ER5 lICEB
? Activ
' CITY, STATE, ZIP: -
N?icr.
PHOJtE: pLUKBER LFCENSE N Ei- ' d
le
d
dt nict.3
4) pC(.U?p,NT/CrrT;ER NFME(PLEASE PNiNi)
:
PJD?tESS: ? aS
CTTY, STATE, ZZP:
PIi0:1E:
5} INpiMTE ;,][-IICH PERi•lIT IS BEII`L; RDQUFSTLU:
? CC:.".VECPZON 'I17 CZTY SETr1ER
? COCTVFCfI0:1 RC) CITSt T,IATETt
? a,71E2 (PLG'15E DFSCRIBE)
6) U:DIG C:.?.:
,:-. •
. ? PI..°..1SE E?OLD r1PPP,WID PER.M.IT FOR PICI:-L'c BY 0:7E OF ASM'E
.? PL-r-M,Sc ?AIL APPROVID PEF.•LLT T'J 1. 2. 6) 4 AEC7vE
(Circ2e one)
?
7) SICi7.2[,nr: ?, I DATE: I/1 •!l)'Tl?
? w ola?rr?.?ss nr a .a rk ?:aa aar s.?sar.a:ar s a.e r.?ri.nrsi. s? ? rs ??
i
F 0 R C I T Y U S E O N L Y
PEB}tiT ° ISSUE
;----?
l
F°_ES:
$
/YJ,527 ?
?n
E3?trT (I`_ICL::DE SU....__r.?,.?
.GE)
$ /D, 57J WATER PERPtIT (IPICL'uDc SliaCHAaGc
)
.
$ wazER METER/COPPERHORN/OUTSIDv REi,DER
$ ' WATE.°. TAP (INCLUDE CORPORATIOJI STOP)
+S SET.dER TAP
$
$ /5 ACCOUNT DF.POSIT - PJAT°_B
$ wac
$ s- a s?" sac
$ TRGNK t4AT°R ASSESS:+.E.:T
$ TRli?IK SES•]ER ;SS :55.•?E:iT
+S L`niEP.AL BE:iEFIT/TRUNK SEWEFt
$ La;ERAL BEVEFIT/TRU.:K [IAT°R
$ WATER TREATMENT PLANT SURCHARGE
$ - OTHER: -
$ TOTAL
$ . .. ??
N
k
!OU::T PAIDjREC°IBT ? .S3a60
DOES UTILITY CON.I ECTION,.REQUIP.E EXCaVATION IN PUBLZC RIGHT OF WAY?
L, YES IF YES, THE:I A"PERMIT FOR 'AORfi WITHIN
NO PUBLIC ROADWAY" MUST 8E ISSUED BY THE
ENGINEE RING DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS:
..'
APPROVED BY:
TI:LE:
DAT_°:
w w? ?i? ? ? ? ?? ?c ? ?e ??r ?c.? w ? w +?rt w? w?+ ?c? w ?w? ?.s? ?? ? ?r sa ?i+ w? ?t? r? sr? ? ?.
.
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: 5•?' DW(?. (?P(L. Valuation: I13,GCO. 60 Date:
Site Address :`7 7?- K YLL? ba?m?- OFFICE USE ONLY
Lot: Cl Block 4 Seet/Sub ?
Parcel # v? ? kpz-> .
Owner M(Z HP PRf,114bfCdC41dJ0V1
Address 3q00 tu(2QV013E- YI.
City/Zip Code E/ktr4`tIJ vl 5-,v 122-
Phone 4Sg - (D 6g I
Contractor'-rF?? l1JITA1J &vup,4nly
Address 2iq2j Neo"A- A)E % -
City/Zip Code $T" WI,??3 Ar-, s'T?[ up
Phone ?I Z,S ? JD S10
Arch,/Engr.
Address
City/Zip Code
Phone #
Erect ?
Remodel _
Repair
Enlarge
Move
Demolish _
Grade
APPROVALS
Occupaney
Zoning
Type of Const
l1 of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off;- Parks
APC Treatment P1
Variance
TOTAL
?-3
?
40
(05,
5Co. So
23Z Is
S Z5 °a
500?-
ro3
,L 60 w
132
a a?S??s
Z? x[?o ' I ooc? +c ? 4S4cx:)U
= I ?8 x - ??7Z
14 x ?2- 54
Zo? ?S " 'loc? ? 54- = 3-]scx?
? 4 x 22 " ? 48 x t c °? 2z8
1123?0
+ SIGMe4
g UqVEye NG House Certific ate For:
seRvocEs ?r Robert Jullus
.
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone. (612) 452-3077
-'-230.0 -- _ ea'f - , ?,e
S.i ? 2
" ? t Z
ek 6?3 P
I
? ? S, t p . ?
0,? e
,
C
^J I
I P
9 ' io
ol
r` t0 it r o' 9e? Q"? ia.o x ?6-D x__ 3z o ? O
?•-
?•/
J /
?y, - r ,F ? ao G 34.D
?^5,k
h
.i? i 0 O ( I I5 °M?
e, i
F.L. -- 230.0--
.a..
3
? a^a 5
itg/LL0 LANE
.`l
,A d - -
.
t;4 ?y \?e
?eQ bb 4.?,.
L?
NJAYNE D.
CCRDcS
- 14675 -
- LF?-
0 Cenotes lrcn Monument
p Denotes Wocd Hub Set
fknotes Exrstirg Spot Elevat+on
Lenotes ProµosEd Spot c"!evatiori
,,.--Denotes Drainage Drrection
-PROPERTY OIESCR I Pf I OPV -
LOl -a- , BLCCK q
R10c.e- v,Ew kc,aia's
accordirg to the recordtd plat thereof,
L Uc.+46?a. County, M+nreseta
N
pFl
PROPOSED GARAG£ FLOOR ELEVA 110N= k-+'81.5
PIXJPOSED Top of ?waiE ELfVAT ION= 881.8
PROPOSED BASEMENT FLOOR ELEVATION= ??38
NOTE: Verify a!1 f(oor heights with Frry! House Plans.
-suraVcurs cERriFrc,atrau-
! hereby certify that thrs survey, plan or report
was prepared by me or under my direct supervision
arrl that i am a duly Regrstered !aM Surveyor
urder the laws of the Stafie of Mrnnesota.
1j?? ?. Q-av- Date: /31 186
/
Wayne D. Ca-des, Yinn. Reg. No. 14675
,
EXTERIOR ETNF.'LC^-E AVERAGE 'U ` C011?JTATI0:1
OWNER
0A)
SITE ADDRESS
CONTRACTOR 77,5 W1774N LOru/444'/ DATi ???PHOI?IE 2??? Determine rrorking square footage of each.
1. Total exposed wall area .. .. 7_530.?.S- sq. ft. x ,11 = Z78-31(r-1
2. Tot31 roof/ceiling area .. ..2K4f3•? sq. ft. x .026 = '? ?•?q Lp I
Total exposed :rall area above floor = Z53o.)S
i
a. ^.'otal wall vrindc,,r area .. . . . . . .. . . . . . . .. 31`I•1Z R
b. Total door area ....................... 4--U•o6R?
c. TotaZ sliding glass area .............. kxn,t
ta?}a'
d. Total °ireplace orall area ..............
e. Total wall framing area (average 10%)... l73:'751a
f. Total net wa1Z area above floor ........I.S(o3.7b4.
g. Total rim joist are2 .................. 2+l•sA'
Total exposed fou.^.dation area = I(n2•4v Q?
h. Tctal foun3ation r:indow area ......... NvKCj ?
I. Total aet foundaLion area above g^ade . Ibt.4o R
Determine 'U' value of each wall segment.
a.311,7z X „U': ?? _
- lSz,s3
b . o, oz X "U" --37
° ? Z , '40
c. -
D. tod
X
X t,
U•
"U"
.2cv
e. 173..?; X 1.Uel .DIo4'S = 12:07.
f. ,I,Sti3.7w X "U` ,037' = S=8%?
g 2
. 11.5
X
"U?
.D3s-7 =
7,5?
h. - X "U`
3. ?1c2..0 g uU'' D4bQJ
3 .................:..........................Tota1 = 2_'76.0YvS'
If 3ten #3 is the same as, or less than item kl, you have met the
intent of SBC 6006(c)2.
?, I 1., • t ? .
Tota x?LOSed roof/ceilin ar Z`t
J . :otal &??area Vr,1?1L? nr2? . ?a
. ioNo .o
k. Total :oof/ceilin? framinJ erea (average 10% fI1,S q'
1. lotal net insulate3 rcc:/cellir.C area ....... ?oo?,SJY
?A•? TOTl4{.. NET tkSit.l.h-TEq UlFU'7 Jtc&r C6luNq /44t'A-f
Determine "U; v211e £er each roof/ceilino segr.: ntl
i . 8U g'.U,: , 09q _ -1, 34l Z
k. lll•S g ,U"
f X ,.U
4 . . . . . . . . . ?. 7 4,Z. , ?, , U?,
t
,0203 ? Z, 2cv3
. 0/6-5- /
•022I _ ?"?.1??0
..............Total
_ 41• ?
If total o: f.'4 is the same as, or less tnan ?'2, you have met the
intent of SBC 6006(c)1.
Alternate Buiiding Envelope DesiF,n
To utilize Lhe total envelope syster, nethod, the values established
by the sun of items #3 and il4 sh21i aot, be greater than the sur.: o:
itens ,','1 an3 ;i2.
- 1. 278.3/(,0 + 2. 77.9c0 I
3, Z98.0cvr+ 4. 4/.'>/
= 33-zo, z7?
CITY OF FAGAN •
PIINIrNM "U" VALUE Ai\*D A-FACTOR AT ROOF, WALL, RIM AiND CO\CRETE BLOCI;
!
?
?
ROOF I C`ILIN6.
(R) VA?
iQ ??STe?lo? ?;iR F[?^?? . ??
Q3 (NSULA?IoN 52?+?0
C41 .
O EXI6910 AlF FIU1 .(pl
1006
tliZ =. _oZs TbTAL (rz?= s3:2e
WALL '-
(Tz) VALC
QQ {r" lc P-lof= Alil F1LI l ,Cc$
o '12' (,,Nf P--BD.- .45
OO a;?'` tr?su?AT?o? siz'' ? 9; o0
a ' uMoA..
u ?X ;_, ?ot= Atz FILP'1
ToYAL (9) =2LP.s?
= ,0377
?IM u?
. - ' ?R) Vr1lU
?L I11TCI'-lorc Alf? FIu-1 : (n6
t3 51/i 1NSUU?71cia , [ R, o0
0 'Z FIR- Rttrj .SotsT
is 3/4"TUFF i2-' " ip
N• wr?oD. _ _ GIniN/' . . ?,1
O . EXT,?_RIDR A1R fll.M
u Ull .1-oTPj (t??=27•4s
ww F -FOJNDATI00
. Ctt? V?LU?
0 ,N tEt7t?t? alrc FILt1 ?06
S'(z iKSuLA7(M. . lq-oo
.& Z
-e - . . . -
E !'.102 AIR FtCM •-)7
U l [Z= j ? T?jA? (C<?= 2??7
Floors ove; unhea[ed spaces iaust have mininu.-n R-factor of R-20 (tuc.L'-undeY garages).
Floors over outdoor air (overhangs) aust liave a minimum P,-factor af R-33.
pcop 7-?vl? W VAwe'
? In)-cjgQ4 o2 A+2 J=iL6q , lo I
g 3 _/ ??? UYP A? .?
? I N svLh-rc ort) 3 S. DO
? 15_?TeR-co2 AtR AL-wi 'co f
HOrtwl 8Et.ovv .'Dwt
s.4
45, i? u= ?pzZ/
7. ()i' o--Yn )?>h 4 ?
?s 2YtD Siu PA-
3/4° PF
? (
!? kJbt)4 S IQrMG- •
\/,?t,c??-? 12oor &AI'?
Aq2 p.tm ?
'1D" G-'lA .
? tlcr /?a.. F ?-?? ? io !
Aew.u 36jr S' `F
l1L`'0160,g,z4- , c? co
srr-lpJ(-c.E?> . 49
2b•o3 U? ,o9q?
92a41n"E
? I NT A12 FI l1+'l
Q o?0`? W(p
? zx& Bora" ?croaa
t?T Yk 2. PI LN4
al b0i+24
. in I
?L?Op
.Co) .
•ln(p
.41
-
49 .2-3
(i{ :=- . 0 Z L?. ?J
.?
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA089755
Eagan, MN 55122 . Date Issued: 06/18/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1775 Kyllo Lane
Lot: 9 Block: 4 Addition: Ridge View Acres
PID 10-64000-090-04
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Home Depot At Home Services Ralph A Dickinson
656 Mendelssohn Ave. N 1775 Kyllo Lane
Golden Valley MN 55427 Eagan MN 55122
(763) 542-8826
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
Use BLUE or BLACK Ink
r
For Office Use / I
Permit t V
City of Ea
Permit Fee:
3830 Pilot Knob Road I , I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ! 7 7 Unit
Name: I J I t Phone: `YS V_' O
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: f l C P60
Construction 'Cost: ~5/ 00c) Multi-Family Building: (Yes / No )
Company: /C~ Contact: /J
Contractor Address: City:
State: /U Zip:. Phone:
`Z F) 3
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of/permit issuance. P,
Applicant's Printed Name y(1 ~~i( Applicant's Signature
Y~J Page 1 of 3
.'Jan 07 14 04:06p Victor & Kath Berke 507-625-3343
p.2
City of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675.5694
IAN 0 7 11114
Use BLUE or BLACK Ink
For Office Use
Permit Si: 1 U (-6.1
Permit Fee:
Date Received:
Staff
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1— I L L1 Site Address: 6 K -\I [1 o Ly
,..... ... _. ,.... ... __.._.. Unit#:
Resident/
Owner
Type of Work
Contractor
Name: Roil l pI L Dt r or)
Phone:
4,15' -4154-68,s I
Address / City / Zip: f i S 16•01t) LteEat i � M
Applicant is:
Description of work:
Construction Cost e.� Multi -Patrol Building' g' (Yes / No
Company: tDr1Qfri}t "gastrata Sys &I4 Contact:
Address: 5tLtibi-t Lore__ Dt- City: FlanVG*7')
State: MN Zip: 6uao Phone: 501 35i1 BSo7)
Owner )( Contractor
License #: 0C--‘4331.1 Lead Certificate #: NAT I0`S C11-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
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 1 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 authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
? Zr-rW-Cr ,C/t4
x
Applicant's Printed Name Applicant s Signature
Pana 1 nr t
Jan 07 14 04:06p
Victor & Kath Berke 507-625-3343
1775 Kj110 lh
DO NOT WRITE BELOW THIS LINE
p.3
/fags/
SUB TYPES
Foundation
Single Family
Multi
01 of_ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
— Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
_ Move Building
Fire Repair
le Repair
5ayae Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
74
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies fy Q fir¢
TOTAL
741=
Siding
Reroof
Windows
Egress Window
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
'Demolition of entire building give PCA handout to applicant
.2.007
R"I
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC____ Gas Service Test
Pool: _Footings _Air/Gas
Drain Tile
Siding: _Stucco Lath St
Windows
Retaining Wall: Footings
Radon Control
Erosion Control
Other:
Gas Line Air Test
Tests _Final
one Lath Brick
, Building Inspector
Backfill — Final
Pans.9 ni%
Date:
C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2f
r
RECEIVED
JAN 2 1 2014
Use BLUE or BLACK Ink
For Office Use
Permit#: d•AO't
ISa
Permit Fee: 14-1 ' '3
Date Received: 0-1 f 2I''
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
zai t17 75 K7 // L �t �� 4 �,
Site Address:
Resident/
Owner
Name: Ra I f 4. i 1)/Sc:77
Address / City / Zip: / 7 75— by
Applicant is: X Owner Contractor
Unit #:
Description of work: 49l/1 S4ruLT /11y1e--✓' ti./4 r'i 4. Cd v er- 144/l Pe/Pi-f,_46( e -JS
b Ca Oay 591 (/
55 . 4_1 5t-rcvack)
Construction Cost: -1 / Dya ,"i c La.Multi-Family Building: (Yes / No X )
CC
Company: 5 e I -c- Contact: O W 14 e -r
Address: City:
State: Zip: 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
CALL BEFORE YOU DIG. Call Gopher State One can 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.00pherstateonecall.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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Cede must be completed within 180
days of ermit issuance.
a I cl'�/'
I Vi 5lS'Vl
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
ce/(
775 /Cv !/a La,/
DO NOT WRITE BELOW THIS LINE
a& iso
SUB TYPES
Foundation
Ak Single Family
Multi
01 of _ Plex
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition Move Building
Alteration _ Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation 3ia49°- Occupancy
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Plan Review Code C d Edition 1.497
(25%_ 100% ✓) Zoning
Census Code 11.31{ Stories
# of Units / Square Feet
# of Buildings 1 Length
Type of Construction g1/ Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls _�-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
IA Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: ! Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
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:EA132065
Date Issued:07/23/2015
Permit Category:ePermit
Site Address: 1775 Kyllo Lane
Lot:9 Block: 4 Addition: Ridge View Acres
PID:10-64000-04-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Ralph A Dickinson
1775 Kyllo Lane
Eagan MN 55122
(651) 233-3374
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature