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4171 Pennsylvania Aver C1ty 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675.5675 Fax: (651) 675=5694 Use BLUE or BLACK ink j For Once Use I i I Permit t) 2 i �to3 i Pero Fee: \o5 a5 I III Date Received: t% l a t I1 ` t l t i Staff: 1 L i? I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: .. , r: °. � ILS Phone: 6.STj' 2 � V i S t Address / City / Zip: _ 'j/ )) /3-61i y 51/v414 ; CASH RECEIPT ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE i f }?ea. / ?G??f'.;:???i. ? t..t` t"l ! ?!'-' Z..t_r. • AMOUNT S 1 a?j'?r . `=. U / 7`.a oow?as O CASH ? CHECK f ! ? i ( mo C 12354 '^N°-°&Y- COPY Yel??cm PW*--Fle CW„ Thank You BY RE. _ DATE: MAR 5, 1991 4171 PENNSYLVANIA AVE (MITTELSTAEDT BROTHERS CONST) x four Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS {454-5220} FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Wafer Permif for the above property has been completed, but the meter cannoi be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARN(NG: BEFORE DiGGING, CALL LOCAL l1TfLITIES - TElEPHOME, ELEGTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, 8uilding Inspeetions Dept. ,. :.. ,z; X`t' y`` --r ;.•:^TIVA'I't` r(TR??ASEMENT - - ? ? LTTELST,A,EDT BROS CONST CITY OF EAGAN 56=9445 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT . , Receipt # To be used for SF ?/Ga Est. Value :98,000 Date FEB 2s Site Adlrl ss iFLXCLr- Lot Block Sec/Sub. Parcel No. occupancy lfITfEL82A19DT nRO'lHERS COpST zoning W Name (Aciual) Const ; Address (Allowable) 0 City EAVAN Phone # ot Stories ??? lergth p Name Depth , OU ?K Address S.F.Tolal cc Clty PhOfte S.F. Footprints On Site Sewage W Name on site wen , ?m AddreSS MWCCSystem i W City Phone a?y wace? PRV Required i hereby acknowlege that I have read this application and stale that the Baoster Pump information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ' - --:.J....-? -•. ? _. ?...? x- •` ` "'-?T_" ' ?• APPROVALS Signature of PeRnitee A Building Permit is issued to: MITMLBTAM DWTHgRS Planner on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Stalutes and City of Eagan Ordinances. Bldg. Otf. Building Official Variance OFFICE USE ONLY R-3 M-i 1?-7 Y-N 18738 _.1991 FEES 631.00 ?? Bldg. Permil ?- ? Surcharge Pian Review SAC, City SAC, MCWCC Water Conn Water Meter acct. Deposit S/W Permit S/1N Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 49.00 ' 410.00 ? ??.00 ' 650.00 ' 65A_00 Vv. w 30.00 30.00 •50 , 276.00 4 rv.w ?30 Permit No. Permit Md dar Date Tel ephone # WATER 3 "Has. !0 9 -? V s?? aLuti+siNC ?? ? ? S' ? 35 33j ? ?• 117kil 0 ? H.V.A.C. ? s" a ? ELECTRIC ,?3 5 3 9 ? s 9 hspectfon Da1e Insp. Comments Foofings I fa,ndacion Framing ? - / y Q S Roo,ng 3 i?-s? Ds Rcx* Pibg. R-* m9• Isul. f • /? S / U ?' Freaace FwW Hig. Finel Plbg. •? (p ? L < Const. Meter Plbg. Mspeclor - Notify Plumber Ergr.lPlan Bkkj. Final 3 J DeCk Ftg. petk Fnal Well Pr. Disp. JV/ , :.:, ;-:,...- . . _ . • `, ? RBACTIVATB P'OR PIBB?LA B- 6/91 y ? 4 ?? : ? ; • : ?r (ger#i#iraft u# Orrupariry ?. ?,- Citp of (Cagan lomatum of 1wdmg.%wdtM This Certifccate issued pursuant [01he requirements of SecHon 306 of Ihe Unifor?n Bnilding Code certijyfng that ar tJre tirne of issuance tbis strucber+e mas in canrpliance witlt the various ordenances of the CitJ' ngulaun8 buildirtg construction or use. For tlie following.. SF ?WG/C? 18738 uK a.?r? ma?. ?? ?. O-v.uxy 7Yvc -1i , SUNM TgigEAf'aArT owner or eu7 ? ' ,?dd,s ' ETTI-M-1 SLUM PLACE Addnae--'?-- [,odiry ? 4/S/91 . n.w ftldmt O&W 7 PpST IN A CONSPICUOUS PUCE lcl? SEWEA & WATER PERMIT CITY OF EP aAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 25. 1991 ADDRESS ?' Z 71 PE!dNSYLVANIA AVE [ITE OT 17 BLOCK 2 SEC/SUB STAFFORD PLACE APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP OFFICE USE ONLY METER # 4 ? D/°? pERMIT DATE 03105/91 CHIP # ? - ? v PERMIT # 11840 METER SIZE B.P. RECEIPT # - c 12351+_ ISSUE DATE r B.P. RECEIPT DATE 021281 91 _ PRV - BOOSTER PUMP PLUMBER: ?McD°nald'$ Plurnbina Inc. ADDRESS: 182.71 KenwoocY Trai1. CITY, STATE Lakevi ie, ni:a 350 4":%:i=3334 PHONE: OWNER: MITTEL.iTAEDT BAOTHERS CONST ADDRESS: 785 SUNSET 1!R . CITY, STATE EAGAN MN ZIP 55123 PERMIT REQUESTED X SEWER x WATER - TAPS _ COMM/IND X RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN OROINANGES1 GNATURE WHEIV METER ISSUED i. GALL 4545220 FOR INSPECTIONS. FOR STORM --r-'"k^?+r'r' ?? . _.qa?,a...:.p-AyTt?•?•r.? a3.v?..sei:. .. S€'""fi-.iAWATER PERMIT CITY OF EPCaAN 3830 Pilot ?riob Rd. Eagan, MR 55122-1897 DATE PEB 251 1491 OFFICE USE ONLY METER # PERMIT DATE O? /05I91 CHIP # PERMIT # 11840 METER SIZE B.P. RECEIPT # C 12354 ISSUE DATE B.P. RECEIPT DATE 02128191 _ PRV - 800STER PUMP PERMIT REQUESTED X SEWER x WATER - TAPS , STATE ZIP PLUMBER: ? ?c Dona1d' e Plumbing Inc. ? ADDRESS: 18271 KenFrood Trail ? CITY,STATE r,ahedille, MN 550 li PHONE: 1 ~ -' = -=. ; ?' ?-' COMM/IND _X_ RESIDENTIAL _1L NEW EXISTING Lawn Sprinkler Meters are to be Instatied Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES , STATE ??AN 1-10 ZIP 55123 NE: 456-9125 SIGNATURE WHEN METER 15SUED ASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR iNSPECTIONS. FOR STORM fER PERMITS, CONTACT ENGINEERING DEPT. . 117416 BUILDING PERMIT To he used lor $F D CITY OF EAGAN 3830 Pilot Knoh Road, P.O. Box 21-799, Eagan, MN 55127 . PHONE:454$700 Receipl # Est.vaiue $98,000 Site Address 4171 PENNSYLVANIA AVE Lat 17 Block 2 Sec/Sub. STAFFOR? PLACE Parcel No. w IName MITTELSTAEDT BROTHERS CONST o Address 785 SUNSET DR City EAGAN Phone 456-9125 o Name SAMF. I ?? Address ? City Phone Name - Address CiIY - Phone I hereby acknowlege that I have read this application and state that the informalion is correct and agree to comply with all applica6le State ol Minnesota Statutes and?? C/ity o?l Eagan Ordinance?sy.? Siqnature of Permitea?-LF-y'? A Buildinq Permit is issued to: MTTTFT STAFDT RROTHFRS on the ezpress condition that all work shall be done in accordance with all applica6le State of Minnesota StaWtes and C?ity o/f Eagan Ordinances. Building Official 1 ? ! ?.q ?811k 1 ? L 1LLLJ N°_ 18738 OFFICE USE ONLY 19 91 Occupancy R--?L-NI-1 FEES Zoning R-1 (ACtual) Const V-N 0 Bldg. Permit 631.0 (Allowa6le) y l7 5urcharge 49.00 d of stories - Length Plan Review 410.00 Deplh 46 ? SAG Cdy 100.00 S.F.TOtal - n SAC,MCWCC 650-0 S.F. Foalprints - On Site Sewage - Water Conn fi 60 _ 00 On Site Well - Waler Meler 90.00 MWCCSystem x 3 City Water ? ?.0? Acd. Deposit PRV Required - S/W Permit 30.00 BoDSter Pump - 0 5/W Surcharge .5 Treatmen[ PI 2 7 fi_ 00 APPROVALS RoadUnit 370.00 Planner - Park Ded. Council Bldg. Off. _ Copies Vananca - TO7AL 3,296.50 1003 C17 335 39 , ? Repuast oate - FIIe Rough-in Inspection Required ? ? Reetly Now / Jill Notiry Inspector n q Wh ad ? / es No ? e e y I licensed contractor O owner hereby request inspedion of above electrical work at: Job AtlGress (Sireet, Box or ROUte No.) , ? S!? 7 A Ciry Av / VA/StZ . V , Sedion No. Townshi0 Neme w No. Ran ge No. Couny Oc/cJu?pa?nt?PRINT) ,? PJho?ne No. Pawar Sup0lier Atltlress Eiecvkal Con(reaor (Canpany Name) Contrecmr5 Licanse No. 9 r ??/?SOs? CT?lG G D ?? ? o Mai/ling Atltlress ?Conhac?or?for Ownar Making Installa?ion) /? , / ?j ANhorizetl - nature (COnVatlorlOwner Making Ingtallafion) - Phone Num?er o MIN SOTA STATE BOAHD OF ELECTAICITV THIS INSPECTION REQUEST WILL NOT GrigqrMitlway BIEg. - Poom S99 BE ACCEPTED 6Y THE STATE BOAFD 1831 IlnlversHy Ave., Sl. Pou1, MN 551041 UNLESS PROPER INSPECTION fEE IS Plpm (812)642-0B00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? EB?00001?08 S. insvucti?s br completing this lorm on back of yellow copy. ? ?/ao,3 c,i? m "qq?i qQ '_QC Below Work Covered bv This Reauest ew w Atltl ...? Rep. av v TypeolBuilding AppliancesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Eledric Heating Apt. Building Oryer Other (Specify) Comm./Indusirial ' FUrnace . 9 Farm Air Conditioner Olher(speCiN) Conhector§ Remerks'. Compute Inspecfian Fee Belaw: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimminq Pool 0 to 200 Amps o 70 700 Amps 7ranslormers Above 200 _ Amps Amps Signs InsPennaSUSeOnly. L T Irrigation Booms ? ? Special Inspection AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPlE7ED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby ROOen-'" oare certify that the above inspection has 6een made. Final oaie -u ' OFFICE USE ONLY This repuest wid 18 monihs from (0/4/o/5/ /0/47 9 y p Q1784 Reduest Date ? Fbe N Rough-in Inspection Re uired? Reatly Now ? Will Notity Inspector Ves = No When Ready? I lcensed contractor ? owner hereby request inspection of above electrical work at: ob AOtlress (SlreeL Bov ar Paute No.? ?? Ciry Sedion No. iownsnip Name or No. Range nlo. County OccuOand (PRINT) Ppone No. Power 3upPher Atltlress Eiecincsl GonVacmr COmpany Nama) ConVacror5 License No. c/z?/US?.? G ? ?' / c?'.t/ !_ n?i?Z ? 1?C Maihng qodress ?ConVactor or Owner Making Installation) y ZA? IAUthorizetl gnature (Contdct? rMaking ^tallatron) P?one Number - y ?lvo- _y8? MINNESOTA STITE BOAflD OF EIECTpIGITY THIS MSPECTION FEQUEST WILL NOT Griggs-MlEway 81tlg. - Room S-073 BE ACCEPTED 6Y THE STATE BOAPD 1821 Unlverelty Ave.. SI. Paul. MN 55104 UNLE55 PROPER INSPECTION. FEE IS Vhone (612) 642-0800 ENCLOSED. /./j,/G/ REQUEST FOR ELECTRICAL INSPECTION ?? ?? 7 0- See Insiructans tor completing Nis lorm on beck ol yeliow capy. ?(11 7 R fl °x° eeil work cove.ed by rnrs aeQUesr ee-oooo, -oe ke.ue.r ew Rtltl Rep..i TypeoiBUilding AppliancesWired EquipmemWiretl " Flome Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other(il Convactors Remarks: /? Co F?/??? ? :CJ?I ?%??-?f? mpute Inspection Fee Below S : # Other Fee Servic eEnirance5ize Fee Circuits/Feeders Fee Swimming Pool l 0 to 200 Amp 0 ro 100 A (-2' I Translormers Abdo. 200 _ Amps 10) _ Amps Signs Inspecmr's Use Oniy. TOTAL ? Irrigation Booms ? g• OG 3?j , .5 z% Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. f 1. the Electrical Inspector, hereby Rough-in ? certify that the above inspection has been made. Fmai ? Date OFFICE USE ONLV ? This request vaitl 18 momhs irom Address: 4171 PIININSYI.VAN7A AVE. Lot 17 Blk 2 Sec/Suh STAFFORD PLACE These items were/were not complete at the time of the final inspection. Date: 4/5/91 Yes Na S Tngnprtnr: Final grade (6" from siding) Parmanent steps - garage ? Permanent steps - main entry LI-l' Permanent driveway Permanent gas ? Sod/seeded grass Trail/curb damage Porch f Basement finish ? Deck Please verify vith the builder the removal of roo£ test caps from tha plumbing system and the shut-off of water supply to the outside lavn faucet befora freeze potential exists. ? uoamr.h. White --City copy Yellow - Resident copy Pink - Contractor copy =jj IVu;4.."f ? 12,, r, l ? ? ?, ? _•' Roofng • Siding • GuLCers • Window.c 5641 Memorial Ave. No., • Stillwater, MN 55082 • Phone: 651-439-4320 • Fax: 651-351•2096 April 13, 2009 City of Eagan Building Aepartment 3830 Pilot Knob ftd Bagan, MN 55122 To Whom It May Conccm, J. am canceling permit # EA0867$0 address 4171 Penns Ivania Ave due to tlae project beins caiicelled. Plcase send a reimbursernen or ttus permit. Pleaseinclude the addresses fortracking purposes. If you have any questions or need clazification rcgardiug this request, please feel free to eontact me at (651) 439-4320. Best Regards, G4?A?dua`h Antinia Lindroth a ?- ? wi E? ? ? 1991 BUILD NG PEA PLICATION CITY OF EAGAN ,ip SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DWELLINGS 0 Ti COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WRICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: S&t f-(fYyLii_y' Valuation: Date: / Site Address 'Y J7i u,qxy,¢ Lot 1-7 Block ?. /IV e Parcel/Sub 5tjq-Fr-,n/LA PLR26 Owner Address City/Zip Code Phone Contractor ?1(?ry'6L?i77?EA7 /?q?z? Address '7$/? City/Zip Code 4Cq?„W,,2 /?j,=/, Ari /Z-3 Phone 41?<L Arch./Engr. Address City/Zip Code gy? - OFFICE USE ONLY ? t? 10 Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F R'3 M`? 7 T-- -1 V-N V_ha On site sewage_ On site well MWCC System ? City water PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. bS Variance FEES Bldg. Permit (?31,D D Surcharge p Plan Review 10, 00 SAG, City G 100,0 SAC, MWCC 59 v0 Water Conn. (04 (J•"Up Water Meter 90,00 Acct. Deposit 30,00 S/w Permit o DO S/W Surcharge 5-b Treatment P1. ? Road Unit o,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Phone # agrees that all work shall be done in accordance with , (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VAL 41`?!. GaR?G? 3ox 2z _ G6n ., ?nxz = C.?) ?14 0 0t) 55M7, 214 x s I = /22?I ti x z?? ?y .__--- r3o3 X ?y- 18312- 1sf i -ouiZ bsM-r = 1308 2 Y-1 b = ,11Cj I+-75X ',61 1? ? . ?- - C.9 3 nc:t 97Z21 ?aK q?SOo ? ? r ?-. , . idye i ui i EXTERIUR ENYELOPE AVERAGE "U" COMPUTATION ?7LgZ , ! HF D?r, L;;QEX7,t? OWNER: DI1TE;?,?/Y??11 _ SITE FlISDRESS: '?/ ?c?,?//?5?/??Rui?¢ ?(7? PHONE: ?fSLQia_ir CONTRflCTOR:_ YYL I-rrEL,. ?j'M%Egg- $p?0 . . Determine working square footare of each 1. Total exposed wall area..... Iq43 sq. ft, x.11 2. 7oia1 roof/ceilina area..... sq. ft, x .026 = 7-7• 1 ' Total exposed wall area above floor= I V7V a, Total wall window area ........................................... ?19•39 ; b. Total door area .... . ........................................... c. Total sliding glass door area .................................... q. ! d. Total fireplace wall area........................................ ? e. Total wall framing area (average 10%) ...................... ... j f. Total rim joist area ......................................... . 134 ? 9. net wall area above floor ..................................... 134(e•01 h: wall area above floor ..................................... i. wall area ebove floor .. ............................... J. frame wall area at fowidation ................................. - . . , s Total exposed foundation area= (.01 ? r.? . ; .. • I ? kTotal foundat,ion window area....................... Total net foun8ation area above grade .............. (o 7? '-.. , ... determine "u" value of each wall segiiient -- . (e.g. window, door, each separate wall section) ' a. t19?35 x -full .49 '= 585 b. A-2 x „u„ .31 = ?3•oZ C. 4L x „ui, A9 = L6•So , d. - x . ?full ` J _ e. 197 40 - ? , X ?lull , Q9 - ?L • r X ?,r x „u„ •04. = 53•8 n. x „u„ _ ; . x „u„ _ x „u„ ' k. ' x ' 'lull _ x ?full .obL = 5?49 3. .................................Total ? 73 8 8'? C? i? If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) ior Lnvelopc Averaye "U" CcnnputaCivn Page 2 oE4 i,'? I'? I 1'otal expo,ed roof/ceiling area m. 7bCti1 s}:yli.yht area ? I I n. Total roof/cciling o. ToL•al net insulaLed Uel'ermine m . % n. (o'7•?j x o. G1ta 5•'S x ................. . . . . . . . . ... Eraming area (avcr.agc rooP/ceili.ng .itea........... i "0" value for each roof/ceiling segment ????? ???_ _.? - 5 I I , I,?II I i` i? j I I? • ii . I „?)" •OL? = Z•S$ ?? ! I ? ? ? ?? , „?„ .oz 1q.31 a ........................... Zbtal ?.--_ If tota.i of 09 is tlie sa+ne as, or less t:han AZ, yuu have met tho. inL-ent of S)iC 6005, (c) 1. - Alternate Buildiiiy Envelope nesign To utilize the total envelope'system method, the values established by tlte s:un of items fi3 and f19 shall not be greater. Clian the sum of itcros 41 and 112. 1. ? - ? 3. i 2_ + 4. t ). C- ? r ? ??[???///!!• 1991 BUILDING PERMIT APPLICATION / Y 7:3 CITY OF EAGAN ; '? ; 0 ? V SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERGIAL 2 SETS OF PLANS 2 SETS OF PLANS 2$ETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURUEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 5ET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS' 1 SET OP ENERGY CALGS # OF RENTAL UNITS # 4F FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE_ IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH AbDRESS IS DESIRED. NO CHANGES WI L BE ALIAWED ONCE BUILDING P IT IS I SUED PROCESSING PLUMBER ?ITS IS TWO DAYS ONCE A PERMiT HAS BEEN COMPLETED, PERMIT MUST SHOW A CT? ??N1 ? W?J ? ?o' r- N«k I ? . . To Be Used For: A?{}4;&,M1tdvr Valuation ? Site Address L(l 71 WC.wXYL MR-A/?i F Lot 1Z Block 'L, Parcel/Sub 6'r? leqLL' Owner Address„ '? City/Zip Code Phone Contractor 3/,26. Address "7e'5 400. City/Zip Code Lz 4,c,*V 7?i,dc Phone q?/ 5v/2:.( Arch./Engr. Address City/2ip Code ? Date: ! . ? Occupancy Zoning Actual Const Allowable # af stories Length Depth S.F. Total Footprint S.F On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. nS o?. -?? Variance IJNLI . . .. . . . .. EEES Bldg. Permii ? Surcharge Plan Review SAC, City SAG, M4TGC' Water Conn: Water Meeer Acct. Deposit S/w Permit 5/W Surchary,e _ Treatment P1;:. Road Unit . Park Ded, Trail Ded:. Gopies SUBTOTAL ' Renalty Lot Change- TOTAL Phone # ???114- agrees that all work shallbe done in aceordance with (Signature o Contractor) r all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1991 SIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMHERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. D$PT.) 1 SET DF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS 12EQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL SE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT M[JST SHOW A LICENSED PLUMBER. To Be Used For Site Address }-j jjLF pLi4r_6 Valuation: 2 -,A62;7*'ze- Date; "Y A, I7t /i°E2/•cl4{?LlJ.d.?A OFFICE USE ONLY Lot ? Block Q-_ Parcel/Sub S-?/J jogilQLe Owner Address City/Zip Code Phone Contractor Address 79':5 City/Zip Code C??v.?a?i,t, 6z/s//z-? Phone 7 ::r/e Arch./Engr, Address City/Zip Code Occupancy Zoning Actual Const Allowable 0 of stories Length Depth S.F. Total Footprint S.F 6n site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance _ FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Phone # Az,_ agrees that all work shall be done in accordance with ( ign°atvure of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3830 PIIAT 1CNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 agGk18mommm FOR CITY USE ONLY PERMIT # 424v2 RECEIPT # ?0 p a? SDATE : FI 9/ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST ADD ON _ REPAIR _ OWNER NAME : M I rMLS'r/?6?6-, L3le'9 S- N3 n/S 'f' - SITE ADDRESS: 4(7 ( P`l-Ve-J??YaA^?t 01? A-J?• IATJ?_ BIACK a- SUBD. S'rhffb" PLA-C-f-c-,1 TNSTALLER; ADDRESS: BUrnSVIIIQ Hga}It1g & A4C? lnC -MSl Rhode Island Ave. So, crTY: Savage, MN 553784122 894•0005 PHONE # FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.OOCG(-) ADDITIONAL 50 M BTU 6.00 GAS DUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $? STATE 5UiiCIiA1ZGE: .50 TOTAL: $ SIGN TURE OF P^ TTEE PLr.ASE COHFLETE i'HIS PORTIOT:T rJR ALL COi?'riEitc:iAi/IiiDuSTRIAi nUII.DINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK ` SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATF. SURCIiARGE a $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # I 7 ? 73 DATE: WIn1!IT:.;,:..,.q; PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMZLY DWELLINGS & ?!.. TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. -------------- WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: "/ /7I P._0/1?.{?m'wv, LAT:?7 BLOCK,-:2--SUBD. INSTALLER: ADDRESS: CITY? ZIP: PHONE #: OF PERMITTEE SUBTOTAL ST. SURCHARGE TOTAL S 3?f 5"O .50 S 3jo? ?OMME&Clf?j?E7DTT5'1'$TAL::: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -------------------------------------------------------_-_____----------_________ CONTRACT PRICE: FEES OWNER NAME: _ SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: ( S IGNA117RE ) --------------°--------------- COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 ? / WATER CLOSET 3.00 3- / BATH TUB 3.00 3 ?o LAVATORY 3.00 ? - / KITCHEN SINK 3.00 3- L LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 3 ? FLOOR DRAIN 3.00 ? GAS PIPING OUT. ? (MINIM[JM - 1) 3.00 3 ? ROUGH OPENINGS 1.50 ? _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 V"axrrknm FOR CITY USE ONLY PERMIT # "1k02' RECEIPT # 3-7 c7 DATE: <P S PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------------------'----------------------------------- WORK DESCRIPTION NEW CONST ,7'/J ADD ON ? ?yv/ . REPAIR OWNER NAME: IZ44L "/(4441&±-?U SITE ADDRESS: 4I / rn ?/?Q?j "W 12. LOT:L7 BIACK X SUBD. INSTALLER: J7`- f- ' " ' `X /i'/O!. II ADDRESS: II.27J1?Aii? 7?bv CITY: `-G?iAG(?YZA? ZIP: 550 7 COMPLETE THE FOLLOWING: N0. FIXTORES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 ? WATER CLOSET 3.00 ? BATH TUB 3.00 ? LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 WATER HEATER 3.00 FIAOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ? I SUBTOTAL . $ ST. SURCHARGE .50 15 o TOTAL: . s COMlfER?ZI[L il?DITSTHIAL?: PLEASE COMPLETE THIS PORTIDN FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND . ,A., MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES GWNER NAME: _ SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE $ TOTAL: (SIGNATURE) ?O?o 0 0 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. .z7/1; s= Date 1? 1 I? 1 Q S Site Street Address qJ 7I Ii1 r1 SY J VCCn-lcc AWf-- Unit # 1 Property Owner 6" Telephone # ( ?61 Contractor lr Address l'i City. ?LLrI Telephone # (?P D State r1/t/-\J Zip CJ (Q-3 The Applicant is: _ Owner ?Contractor _Other ' Alterations to existing dwelling _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment _Water Turnaround (add $125.00 if a 5!8" meter is required) Other: $ 50.00 Water Softener ',?Water Heater _ new ?replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00 State Surcharge $ .50 Total $ i 5 5 b 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 c ,? ??? Eagan and the plumbing codes; that I understand this is not a permit, but only r?) ?di?o?fbr"a permit, work is not to start without a permit and work will be in accordance with t)apw_8vA off b}in ? the event a plan is required to be reviewed and approved. l? 6 BY - Applicant's rinted Name ApplicanYs Signature I ?. 5-a ?? R-010,00 m of BapR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 67r-5675 Fax: (651) 675-5694 a 7 s ; ------ --- ; ? PwnA*- e(p 780 ? ? pemfd Fee: ; ?PAKWW&- , i I ? Sdtt: I ?--"-------------? 2008 REStDENT1AL BUILDING PERMIT APPL.ICATION DM: 101 glb9 $fte,?ddrow: -a2?- ?l iss RESIDENT I OWNER r?: S A n G?f /k? ??-????i Address ! City / Zip: AppGcantis: _Owner ?LCandactot TYPE OF WORK I Descrip6on <. (Z12-2oOF Coaspuc6on Cost ?- CpNTRACTOR Muld-PamilY Btdldin9: (Yes _-.! No wwress: ? • - .-:- 5=- 5^ ?y: _?ts: ? ? (Phone: ?n5i • ??1 I •?- C0ntac4 Person: _ Knre? CpMpLETE n{IS ppEA ONLY IF CONSTRUCTING A NEW BUlLDING Wlinnesota RufPS 7670 Cateaorv 1 Minn"gM Rufes 7B72 EnBrgy COdB • Residantld Vardenon.celegorY 1 Worloheai . • NOw EnoQY Code WWW'eac ca"ory gL&niWd submifted N su6mission type) • Enaw Eav°wa Catwa6am Subtniued In a+e bst ia momhs, has tha City of Esgan issusd a permH fw a ahnllar plan based on a mastar pbn3 _Yes _No If yes, deft and address of mflStet p1an: i.icensed PVumber: Phone' Meehenieal Conuactor: PhQw' Seuuer & Water COntractor. iftraby mqoiovnooge tlret uu. irdonnatlon is oao&e aru ecmats; nmt uie xqrk xiH oa in wnion1e000 w4h nhe aanmim aro ooues m aia ctW a °??'? m v? t0.s? ?oa?rt a?a: n? nb ? wm ce in ?,,;m ure apPmed ft a?+ a, a a ee?e ? ? ? mvisw aia x M:. CA NI M uk CA APPIicaM's Printed Name bPPlieanYs SignaW?e pag 1 of 3 952 935 9544 10/20/2008 07:54' 952-935-9544 MINNESOTA RUSCO PAGE 61/01 13W91F l 2oo6 RESXDENTTA.L BUYLDING ?ERmiT axrLicATzoN Ciiy OfEagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5644 ' N? ConshuctionReauimaitenls RemotldlRmei Rew'remenb OiHCeUcaOnlv r ?w 3 r¢gistgred slte surveye stiowiig sry ft oF lot, sq. k d houm md ell raofad arees 2 copies aF P1en shoxing foofirigs, bu'ams.)oists CeH of Survey Ratd _ (20%n+eLdmumlotceverageallw.ed) tsatofEnagy Calwfatiansforhaetedaddtions TreePresPlanRecd =Y -N Z wGas o( plen sFwwing 6eam & W6Wow 5izes: Paursd (OUnd dasi9^, etC. 1 si4e wrvey for atlditio.ns & decks Tree Prq ReCWred ?. 15ctofrnai9YC21tUI8fIMS ACddiDll-f=1c8t8iF?sda SeAUc SY' 0n-silaS6ptlCSyStem -Y -N 3 capias of Tree Preservation Plan H tat pletted aflar 711193 Rlm Jdst Oeteii Optims sekdian shaet Ibutltlings with 3 (x lars units) ? Minnegssco mechanical veatiiation form l O l ?U_ ^ - -- . ?0[33t1'uCti?on ^tA_ ? /v ; ??l -vo Date 1W (? SileAddress wti --- - 7 c.r7 7J ~ ? L? . Description of Work Muiti-FBmily Bldg N Fireplace(s) _ 0 _ I _ 2 YrOperigOwoer ? r TClephone#?I -7 ! CORlTBC{Of ?h,.,, " " -` ., ' . A.ddress 6ss CAa" State Z;p ?55S Telephone #(??? COMPLE7E TFIIS RREA QNLY 1IF GONSTRUCTBNG A NEIAf BllILD1N6 • -- Mineesota RaleS 7674(?atee,or 1 _ M[innesota Rules 752? Energy Code Ca6egory . ResiaBntlal VeMiletion Categary t WorkSheet • New Energy Code Wnc9csheet (J su6mission type) Sudmitted Submitted . Energy Envelope Calwlations Submttted in the Inst 12 monihs, has the City of Eagan issued a pe"it for a similQr ptar bosed on p mpster plan? _ Y - N If yes, dofe and address af rnas+er plan: Licensed Plumber Mechanicaf Contracior Sewer/Wpter Contrgctor ielephone #( Telephone #( Telsphone #( I hereby apply for a Residential Building Permit and acknowledge that the information is cGmplete and accurate; that the work wiil 4e in conformance with tlxe ordinances and codes of the City of Fagan attd the State of MN Statutes; i.understand this is not a permit, but only an application for a permit, and woirk is not to start vvithout a permit; thaf the work will be in accordance with the approved plan i Ehe case o£ work whioh rtquires a review and approval of plans. % ? ,?- vD Q?.1 Applican's Printed Name A.pplzcant' SignatuCe SUR V E Y O R' S C E R T I F I C A T E MITfELSTAEDT eRDs. CoNSr. \ NO7E: NO SPECFIC SOILS INVESTIGATION MAS BEEN COMPLETED ON THIS lAT BY THE SVpVEYOR. T!f SUT4CI:.RY Of ?(9lt.o SOILS TO SUPR'NtT THE SPqCIFIC FiOUSE PROPOSED 1E. NOT THE RESPONSIBILITY OF THH SURVEYOR /I ? c (i ? , , - tre, i' ?y/S.LJ ? e° 0 4 4r) ' (FV aD??? ? M ? /`/D1/1 esao p??S . \ ",y \ ?• S yr???4 \ L p /T ; r7, S z? ._\ I/ ' 'QO Z oR wqY? N \ ? \ ?3 _ 10 w N A FIXIAATION WMlpf10N5. 5?' NOTE: BUILDING pMENSIONS SHOWN 4RE ron ?+onaarraL s \VtTCAL ATION OI STRUCT ONLT. !fE ARdil7'ECfUqL ry,Allt i0q gU1LDING ? ? A/ ? ? O \ N / (? ?r l j/ / M ? ... ^„ ? ? iMry E?fy 9 ` ? \3?1 ? Go ' DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET * DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 6115.5 FEET X000.0 DENOTES EXISTING EIEVATION PROPOSED LOWEST FLOOR - 91t.7 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9 f 5.9 FEET WE HEREBY CERTIFY TO MITTELSTAEOT BROS. CONST. THAT THIS IS A TRUE AND COFiRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT IT, BLOCK 2, STAFFORO PLACE,ACCORDING TC) TME RECORDED PLAT TIiEREOF, DAKOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED 9.Y-.ME-OF?.UMQ&p !v!Y_CIREC7 8UocoV!SI^N THIS !3?H DAY nc FE9'A°Y '11991 • PROPDSED GRADES SHONM WERE TAKEN FROM THE GRADMG,OfiA1NAGE9ERD510N SIGNED: (MLL, INC. ? CONTNq. PLAN FC)R STAFFORD PLACE, PitEPAREO BY H£OLUND ENGflEERING, ? LAST DATED 8-31-87 BY_ JOHN C. LARSON, LAND SUfiVEYOR MINNESOTA LICENSE NUMBER 19628 m ? I I I m 11 z NO 00 1'O ? ? N v m ?m ? Om N (n - D a rn O m p ? Aa Z ? ? 2 ?m w - O ? n 0 A James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S• BLOOMINGTON, MN. 55431 • 612•884-3028 For Office Use - - - - City of Eaall Permit I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Li Phone: (651) 675-5675 Fax: (651) 675-5694 Staff- 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S= 7- e I 44i / Site Address: NS X L l/f, y,a Tenant: Suite RESIDENT I OWNER Name: f?'_-nJ Phone: Address I City /zip: ` ` f 7 I PeAwr y L'n~N , 4 Al t nac/ Applicant is: Owner _ Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes I No } CONTRACTOR Name: F, r, t A /&m0 tom License i 3 Address: 2 4O GA.f(PLn sa Jle /yo City: 1-y Al 00,4/0(C State: lWg!V Zip: _ SS 2~ Phone: 2s 7e/ 5 Contact Person: Se, btcf7- CeZ~&,Lq M~ 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category I Worksheet . New Energy Code Worksheet Category Submitted Submitted submission type) . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ^Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start ut a permit: that the work will be in accordance with the approved plan in the case of work which requires a review and apdT ai of plans. Xau SCHz1r r X Applicant's Printed Name Applicants Signature Page 1 of 3 6'd 6L8L-9Q -£9L 6ul;oo~j e}oseuuin 86S:01. 60 LO 5)nV 62,82 SoF- 29Z PERMIT City of Eagan Permit Type:Building Permit Number:EA157672 Date Issued:09/03/2019 Permit Category:ePermit Site Address: 4171 Pennsylvania Ave Lot:17 Block: 2 Addition: Stafford Place PID:10-72500-02-170 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 - Sang Jo 4171 Pennsylvania Ave Eagan MN 55123 (651) 274-4155 Ralow's Roofing & Remodeling Inc 8609 Lyndale Ave S Bloomington MN 55420 (952) 210-4988 Applicant/Permitee: Signature Issued By: Signature