892 Sudberry LaneCity of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
Permit Fee: o
Date Received:
Staff:
L
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENT / OWNER
i
Name: I k 1--&. 3-4111IG--�
-1 Phone:
Address / City / Zip: SVN S\SN3(. \c---sr`t's-\ \%'
CONTRACTOR
Name: � '..\\---1.-^-v".--1 License #: `J g L) 9/ L
�7'c�-S�r^z:).
Address: O\e`\\ \ \\ ,. City:' ' C_ -`c-\\
State: lk---" � Zip: a Phone: 7 �'� a? -1 5 1't"1
Contact:' -,JL 1:)\‘. \ o1'+SEmail:
TYPE OF WORK
New VReplacement Repair ✓ Rebuild Modify Space Work in R.O.W.
_ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
r Water Heater
Add Plumbing Fixtures (_ Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
_
Water Turnaround
_
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and
Softener (includes $5.00 State Surcharge)
(includes $5.00 State Surcharge)
$5.00 State Surcharge)
$5.00 State Surcharge)
TOTAL FEES $
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround*
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and
burned out appliances, ductwork, etc.) (includes
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 approypl of plans.
x
Applicant's Printed Name
Applicth is Signature
* 55°
Cit
of aan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit*: 9L 7e7,6'
Permit Fee:
Date Received:
Staff: 4=
557 00
2010 MECHANICAL PERMIT APPLICATION
Date: Z q v 10 Site Address gC Z St't:AYSZ.v.2i
.3aeve.41,ej f tc j56�"
Tenant:
Suite #:
J
RESIDENT / OWNER
Name:
Phone:
Address / City / Zip:
CONTRACTOR
Name: (I- TIA7b )' NC Vic- • License #:
Address: (1303 PLY op -f r \ NVQ. 1J . City: bot-btiJ UfL.L4U1
State: IVO Zip: Phone:
VIVO
Contact:
Email:
TYPE OF WORK
New Replacement
Additional \/Alteration--' Demolitipi
Description of work:
NOTE: Ro
Code...: -
mounted,
e conta
and mounted:mecha nical equipment.is 1 tii+red ti
chanical Inspector for; information on.permitted f
PERMIT TYPE
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
_ Heat Pump
Other 0C -T (O Q K
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install /_ Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 55 '� TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
OR Contract Value $ x 1%
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ Permit Fee
= $ 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.gopherstateonecali.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 wit r = . a permit the work will be in accordance
with -the aoproved plan in the case of work which requires a review and approval of plans.
-+�iU1S I Roo \PSori) x
App icant's Printed Name
FOR OFFI
Applica
VAC Screening Inv
City or8tan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit it:
Lig q5.
Permit Fee: 5-41/4
Date Received:
Staff:
2010 RESIDENTIAL BUILDING/PERMIT APPLICATION
Date: 6/%/Zd/U Site Address: r✓/ 92 f i7 d1 d (t A7 r► e.
Tenant: Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: ea 6 r ,CL ` u C Av1'1 /kikh. 6eelr/vd4/
Construction Cost le, OM, 115 Multi -Family Building: (Yes / No )
CONTRACTOR
Name: 70'i71i n F., AY, YJ'c. License #:
///��5
Address: 6B 6 Z / Z- /7 rd AT. City: I -vv 2' i, h4,v-
State: /14/V Zip: S31/Y5 Phone: 70 V2 V - rz Z Z
Contact M4. -k 4'7k1€3 Email: / 69 /2- 4C1.) -- 9q3
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan Issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are idered to be public inti rrnetion Potrtiions of
the information may be class' non-public if you provide specific taluid i the City to
conclude that they are trade secre�
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.aooherstateonecall.ora
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.
x 11144 '.v�le41145 �ili x
Applicants
/J Printed Name Applica ignature
Md"-- 117 ill Am,/
JUN 8 2010
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
Si; Ei TYPES
Foundation
Single Family
Multi
01 of Piex
Accessory Building
WORK TYPES
New
Addition.
Alteration
Replace
— Retaining Wali
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
jc—rre tt W Tl6f,f c.
_ Siding
Reroof
Windows
_ Egress Window
Interior Improvement
_ Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
)G Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
7(4 Framing
Fireplace: _Rough In Air Test Final
)C Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
— Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final 1 C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
S •�iZ
c///S-3z2
Thif-=
)L/)( c/7
ram; ,x)
dq x 501 00
%z,16s i e
Page 2 of 2
3Ltl,7
Certificate for:
Joe Miller Construction
18133 Cedar Avenue South
Farmington, Minnesota •
55'")24 LiLiq
DELMAR H. SCHWANZ
F�Ar.J c)401es P-k-%vvcp
ND SURVEYORS 113.,
Req,stereo er Laws of The State of Minnesota
2978 — 145TH STREET W. — BOX k
QSURVEYOR'S CERTIFICATE
� -JC
Aeogilt.isel()Zceg
EMOUNT, MINNESOTA 55068 PHONE 612 423-1769
G
i
1�
`)09.3 Proposed garage floor elev.
9D3.7 Proposed top of blo,,k elev.
,.:3 -Proposed basement f l (Jor elev
9o2 roposed lowest basement
floor elevation
e Denotes iron pipe monument
® Denotes setback monument
905.5 Denotes existing elevation
Denotes proposed finish grade elev.
Denotes direction of surface
drainage
todixop 5pwO441'z5p
I hereby certify that this is a true and correct representation of a
survey of Lot 2 , Block 2, SHEFFTELP as on file and of record in the
office of the county Recorder, Dakota County, Minnesota.
Also showing the proposed location of a house not staked thereon.
As surveyed by me this 1R day of May, 1983.
t.
MINNESOTA R661STRATION NO. 8625 _'j
~ 'ZIT; %.F EAGAN OyU SI&yICE pUMIT
3830 Pilot Knob Road GO b2
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 89-83
-
Zoninp: R1 No. of Unlts: 1
pwn,r. Joseph 41111er const
Address:
srr. Addmss: 892 sudbarry Lane L20 82 She eld
Plumber. tiCGuiie Me
7-2 - 3 37490 100.00
I .on* to .enwy wMU d. Cih? .i g.oo¦ CorY,ection charp.: 425.00A2
A'AiM11aN. ACOOUf1L D!pOSIt:
Psrmk F.s: - 10.00 pd
Surchorge: .50 vd
By Misc. CMrpes:
Date of Insp.: Total:
Insp.: DoM Paid:
, ~F EAGAN WATER SERVICE PERMIT
CIti
49 15
3830 Pilot Knob Road pERM1T NO.: 8_9_63
P. O. Box 21199 1 DATE:
Eagan, MPl No, of Units:
Zonirg:
ownerff1 ~1
8g2 Sudbe Lane L20 E~Z
5ft Addrmem' McGuite Mech ~
Plumbernnection Charys: '~~n OQ pd
Mster No.: qaount Deposit:
OOvd
51ze: p,em,+it Fee: OO. -
d
Reoder No.: 0
~f L~Y~~ Surchor9a: ~ er
1o!m t° °°'n~1~1 v"'l~ N~ C~ Mlac. C1+oroes:
Odi""Gm TaRal:
pate Paid:
BY InsP.:
pate of insp•:
~ • , CITY OF EAGAN ~?^r~
• 3795 PIlot Knob Roed Eagen, INN 56122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be ut~ for ST' JWG/GAR Est. Value $7 , 000 Date JUly 2 7 I 9 ~i ?
Sudberry ane ~-3
$ite /lddrcu Erect i~J Occuponq
Lot 20 Block 2 Sub Sheffield Alter C] Zaning ; -
~j
Pa~l # 10 ~ 02 Repoir 0 Fire Zone ` `
I1
osEp M. er onst., nc. Enlaroe ? Type of Ca,sr.
~ OTe 1313 Cedar Ave. So. ~ve ? # Stories
Addre~ssarm_ ii~ on Demolish Length
Ci Pho,M 5 -753 Corode ? Depth Sq. Ft.
~ @T APpeovals Foet
~p Name
Addrass Assessment Permit 28:
~ Ci Phone Woter & Sew. Surchorpe
Police Plon check~
Nome Flro SAC 525.90
F W
Address Enfl. Water Conn. 450.00
~ W Ci phorm Plunner Woter Meter
Council Roud Unit
I hereby acknowledge that I hove read this applicotion ond srate thot gldg. Off.
the inlormolion is correct and egree to tomply with all applicoble APC Total
Stote of Minnesota Statutes ond City of Eagan Ordinonces.
SiynOture of Permittee
sepn : . .._iller Const. Inc.
A Bullding Per?nit is issued to: ' on the express condition thno
a11 work sholl be done in accordonce with oll opplitabte Stote of MlnnewtQ-5t'a-fu-tes and City of EaQan Ordinonces.
Bulldirp Official
E P~rmit No. Psrmit Holder Misc. Psrmit No. Holder
Plumbiny ~~f~s ~~lll Y~ VT'83
H.v.ac. 3$7o co?1~ (t p-14-8',3
w•ii
W~tar
Disp.
Sewar
Ehctric WD -l N; 16AO q -q -;~3
Irapoction Date Insp. Other
Footings
Foundation
Framinp
Rouan Pltw.
Rouph HVAC
Inwistion I?
Final Plhq.
Final HVAC
Final
Water Dftcribe Loestion:
YVsU • -
Sowsr
Pr. Disp. ~
Recsipt MECHANICAL PERMIT Permit No. -J ~
; CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egib/y Tot. • '
1. Date 2. Installation Cost
3. Job Address Lot~ ~a Blk. 2- Tract ~ ` ~
;
4. Owner
5. Contractor Phone '
6. Address '
7. City State Zip ' - - l- "
8. Building Type: Residential D' Commercial ? Institutional ?
9. Work Description: New Cl Add ? Alter 0 Repair O
10. Describe Fuel Type 11. No. Eauioment STU - M. Ea. No. Equipment CFM
-T Forced Air ! Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg,
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 work.
Signed : - for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
C I ~
Reaeipt 3 PLUMBING PERMIT Permit No.
GTY OF EAGAN a a v
Fee
` Fill in numbered spaces S/C
Type or Prinr legibly r~
Tot. U
1. Date 2. Installation Cost '
n Y ~ CA
3. Job Address Lot o. ~ Blk. Tract
. f
4. Owner
v
5. Contractor~/c Phone
6. Address o ~ZI.67
~ p
7. City State Zi 5 i
8. Building Type: Residential ~ Commercial O Institutional O
9. Work Description: New I!y Add ? Alter 11 Repair ?
10. Descri be
11. No. Fixtures No. Fixtures
; Water Closet Cess
pool/Drainfietd
! Bath tubs Septic Tank
_,me_ Lavatory 5oftner
/ Shower Well
Kitchen Sink
Urinal/Bidet Other b.J1 S
Laundry Tray &
~ Floor Drains
Drinking 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 work.
Signed : c for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
I~~_
CASH RECEIPT '
.
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wceeRveo
FROM
AMOUNT $ I
~
& DOLLARS
~oo
? CASH ? GHECK
POR
FUND CODE AfAOUNT
Thankr
' SY
J White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
, CITY-OF EAGAN (Ij ~
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 4548100
BUILDING PERMIT Receipt~
To be used for E C!" Est. Value Date t = i ,19
Site Address 1A~~ Rc• OFFICE USE ONLY
2 ;i.FFIL.Lu Ai;D. OnSheSewaye Occupency
Lot / Block Sec/Sub. h1WCC Syatem Zoninq
Parcel No. On Slte well (Actual) Conat
a Name ~ jANLTTE ON CityWeter (Alloweble)
= Address A PRV Requfred * of Storiea
o - Booster Pump Length
City Phone
Depth
o Neme $M'•F S.F.Total
~ ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
Engr./Assess. Permit
~ W Name •
Addreae Planner Surcharpe
City Phone Council Plan Revlew
W Bldg. Ott. SAC, City
I hereby acknowledge that I have read thie application end atate that the Variance SAC, MWCC
information is correct end agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Sianature of Permlttee Road Unit
A Buildinp Permit ia issued to: Treatment P1
on the express conditfon that all work ahall be done in accordance with all
applicable State of Minnesota Statutes and City of Eaqan Ordinancea. Park$ ---T-
Buliding Official TOTAL '
Parmit No. Parmlt Holder Dats Talephona it
Plumbing
H.V.A.C.
Electric
Softener
Inspaction Date Insp. Comments
Footings I 7 41 D -
Footings II
Foundation
Framiwg
Roofing
Rough Plbg.
Rough Htg.
Isul_
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 20 Rlk 2 Parcel lo-67600-pnn_na
Owner Street 892 SUDSERRY LANE State EAGAN MN 55123
Improvement qate Amount Annual Years Payment Receipt Date
STREETSURF. 1981 28.68 1.4 20
STREET RESTOR. 178.09 17.81 1 178.09 5 9-19-83
5if / 1981 91.10 6.07 15 72.89 A012791 9-20-83
Sewer Lateral 7 1981 152.98 10.20 15 1 122.41 of o'
SAN SEW TRUNK 1981 63.30 4.22 15 50.64 IV it
SEWER LATERAL 593- 1981 96.50 6.4 15 82.04 tt is
Sewer Lateral / 1982 6.06 4.34 1 40 A012797 "
WATERMAIN 1981 128.O8 5.54 15 102.49 A012791 9-20-83
• WATER 4ATERAL Z. 1982 48.16 3.21 1 41.74 A012797 «
WATER AREA $fl 1981 63.30 4.22 1
* Powerline 1982 15
STORM SEW TRK 1985 456.09 91.22 5 4G-6-0
g C'oO Lo
1STORMSEW LAT Drain e 1984 91.75 9.18 10 91.75 C 003530 9-19-83
v2lo 0 .0 061093
CURB & G-ITPYERGS'
SIDEWALK
STREET LIGHT
2 -3
WATER CONN. 450. 00 ot tt
BUILDING PER. - 6296
SAC tt n
PARK
Certificate tors
3oe Mil~er Construction
18r33 Cedar Avenue S6uth R~,J ~cFo't~ F~~ ov~D
Farmingtan, Mifteeota
55!?24
DELMAR H. SCHWANZ
LANOSURVEVOR fe Iyt, ,
RpiltNNl UndH L&Wf Of The State Of MinnlfOta
7976 - 1467H STREET W. - BOX M iiOSEMOUNT, MINN6SOTA 66068 PHONE 612 423-1769
SURVEYOH'S CERTIFICATE
u o ~ QQY ,
A N
~ E ~
60.00 IJ ~9°57 qD wl , =
~°~.6 0 oRA~~.1?~,~ ~ ~q ~?~IT( ~i~EMEU4 -
e/ll
o
~
.q
*
m~~y,~ i ~ 2Z 33 9pq.3 Propvsec~ garage f loor e lev .
aq~, Z P r o p o a e d t o p o f D 2 o c k e l e v.
qo(o•3Proposed basement flanr e3e
~t_~DProposed 2owes± t)-i3f_'I*1f'?"'.t
Gw I~ f l oor elevation
~
0 Denotes iron pipe merl~.trent
- ~ _ '4°° 13•~ p~ Denotea setback momimert
-
905.5 Denotea existing elevaticn
°
o M ' , I
a Denotes prcpoaed fini ah grade ele-:~.
Denotes dirertion of surf3ce
2 I' ~ drainaRe
- J
~ ~ ~
e~r 4a 85 yJ
I hereby certify that thie ia a true and correct repreder.tation of a
survey of Lot 21, Black 2, SHEFF7EI.D a8 on file and of re-•rrd i.n the
office of the C,ounty Recorder, Dakota "ounty, Minnesota.
Alao showing the propoaed loc;ation of a houae not staked thereon.
Aa surveyed by me thia 18 day of M3y, 1483.
,r . . ~
. t ` , f ; ~ ~
~ :
MINNESOTA REGISTRATION NO 8625
/
;s"'~°~~;~`° T 9R~S ' 3/~1g5
A~, 079625, D a an'%
:
Nequest Date Fire No. fbuph-:n t "
Nequiretl? QflnM Mowr ~11 No~:ty. Inscec-
Yes ?No br WLen q¢adY
Licensed Eleefrical Canractw ~ heieb, na,mai ~4es of a~e
Own¢r . eleeryiaiavork:mblbdat
Sveet Address, Box p Foote Na Ciry
Z ~ n
ecuon o. otans ip Nanvc~ft Na iqe No. Camlv
Occupant IPIIINTI f7me No.
ro„,e, suvol;e nmreu
Elecvical Contrector ICanPanv Na.rei Cm4aclor s License No,
Mailin9 Address (C~ a Ovmer Makinp Insu{lation)
AuMorizeA SiBm ture (C.amraemr/U+mer Yakinp InatalWtim) Rnne Mumber
NINNESOTA STpTE BpApD Of EIEC7111CfiY Tx~ SUSPEGTION BMUBf tILL NOT
Grigps-MiEwaY Bldp. - Nom N-797 BE ACCEPIED M 7HE SfA7E BOABD
1821 Universih Avs.. St Paul. YN 66104 1,MlEW AOI'EB IMSfECTON FEE B
PMm 18127 2972711 ENCLOSED-
P,l~~- I~nuESr ron e.ecrwcnL m~PECnoN Ea-0000,."•
' Sea i~oT(uctions for w"'abtinp thia farm m Wk 01 rella copY. 31c' 5~
07.q 'X"" Be/av Work Cov'eTE.i by This Request
A' ,p- 1
4 5
aMv4AddjReP-j rro. o+ aluuinc awtinm.. w:..e Easioele.. w:.ea
Hwne Range Tenyaary Service
Dupiex Water Heater li Ong FixMes
Apt Buiiding Dryer Electric Neatin
Camvercial Bidg. Fumace Sila Unloader
Irdustriai Hldg. Air Caditioner Fkik Milk Tank
Fam OMer cec~ Oiher ISOecihl
t r Spncl 01 e~ O~her
ompute lnspection Fee Below
p Fee ServiceEntrairsSize A Fss Feeders/90Wesde.s i fee Cireuits
0 to ZDO Arrips 0 to 30 Anys D hr 30 Antrs;
Above 2011 31 to 100 Amps 37 tp lOQ Affw
Swimmi Pool A6ove 100_ Ahove tOD~m .
Tramformers IrtiyTation Buars Partial'Other Fee
Signs Special ImpeC[ion
flenrerks 5~ TOTAI. f~
~ (J
Houph-in 1. thp Electriml
Inspecte.. h..ew
, mRih U.< <b above
Finel DeG ~ ~peecim haa been
~ ~7 oda_
1MSrqUIe[roW tBmoMhham
This request void
78 mpnths from
W078784
fieqvest Date Pire No. RouBh-in InsUerjion
ry R qu eA? ]Ready Nuw W1II Notifv Iespec-
Yes ?No Io~ Wh¢n ReadY
~Licensad Electtical Con[rflctor 1 hereb
y request inspec[ion ol abova
Owner elacVical work installed aU
SVeet Address, Box or kp ute No. City
' S~:td f H. LAv%.I 4E~q P.n
ection o. Township Name ogViT. Aange No. !Pr
Occupnnt (PRINT) f ~ / Phane No.
f N COYI lf' U c7`/10 A/
Power $upplier Addre s
t
lec igal onVactor ICO pfny Nem I ~ Cprytrctor"s~License No.
\
Z Ld-
Mailinp AdJress (COntracmr or wner MakinB nstailatioN
ut i ed ien mre Contrac[ O r Makine insiallation) Phg Number
-5911~
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION HEQUEST WILL NOT
Griggs•Midway Blda. - poom N•197 BE ACCEPTED BY THE STATE BOARD
UNLESS PPOPER INSPEGTION FEE IS
7821 Univarsitv Ave., St. Paul, MN 55104
,,e 11.1 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00007-04
w;
, See inatruetiona for completing thia form on back ot yallow copV.
""X'" Re~n~WOrk Covered by 7his Request q7.q
AAd flep, Typa ot Building Applianens Wired EquiOmant WireA
Home ange Temporary Service
Duplez Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatm
Commercial Bldg. urnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm +n», oeci y mo. (sue,.ifv)
t e. Suec7y Othe. 01he:r
Campu2e lnspection Fee 8elow
k Fee Service EntranceSiza b Fee Feeders/5a1bteadars b Fea Circuits
ME17 U to 200 qm s 0 to 30 Am s S 0 tn 30 Am os
Above 200 q~n ~5 31 to 100 qinps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Boorc~s p Partial%Other Fee
Signs Speciallnspection 5
Hemerks j/tj,5a TO E
10 1
flough-in / Dace the lechical
nspector, M1erabV
certify ihet the above
Final D"~/ inspec<ion hes baen
made.
TFix rneuaxt vole 1B monthe trom
CITY OF EAGAN NO 82(,~s
„ 3795 Pllof Knob Raad Eagan, MN SS122
~
BUILDING PERMIT YHONEi 454-8100
2eceipt #
Te M wed 1er SF DWG/GAR Esr.Volue $57,000 Date July 27 1 q 83
Site Address 892 SudbOrxy Lane Erect X-Q Occuporrcy R-3 ;
Lot 20 Block 2 Sec/Su6. Sheffield Alter ? Zoning R-1
parcel # 10 67600 200 02 Repair ? Fire Zone NA
Enlorge ? Type of Consf. Vn
z Name Joseph M. Miller Const., Inc. Move
W ? Stories
~ Address 18133 Cedar Ave. So. pemolish ? Length-
Farmington ~o~ 454-4753 Grode ? Depth Sq. Fi.-
p Name OwnBT AVVrovala Fees
o~ Addresa Assessment Permit 304.00
u~ Ci Phone Water & Sew. Surcharge 28.50
Police Plon check 152.00
Q
~W Nome Fire SAC 52$.0
Address Eng. Water Conn. 4.5.0....40.
iW Ci Phorw Planner WoterMeter 60•04
Council Road Unit 250.00
1 hereby ocknowledge that I hove read this oppiicafion and state thaf Bldg. Off.
the inlormotion is correcf ond agree to comply with all applicoble APC Totol $1769.50
State of Minnesota $totutes and City of Eagan Ordirwnces.
Sipnoture ofPerminee
A Building Permit Is issued to: Joseph M. Miller C inr on the express condition thnl
oll work sholl be done in accordance with all oppl" oble S1Lt in so es and City of Eogan Ordirwnces.
Building Officiol 9
I . . `V
_ O 3 '
3 ci~'~-a~ wae a,.e. ot plo+.. ;
, • . • ~ ~ i dt~ pLn M/s]~vaeion~ i .
BUIIDING pE[i~T A4'PLICATi~ ,Ti aee oP ~e~( aslaul+~~as' ,
- S Dw`~-(B a~
Zb He Ueed Pbr Valualion ,
Qlit~ U96 Q~.Y
Site Ad9resss n ~ OooWency _
Wt Alter
rar~el w~~ n c) ~ d n~ l~air Pl,r, Ecns
rim Cf . 1l V~ .
zraazge
Gwr~ezt ~ ~ ~ ~ F9ol~b ~ - '
lddtew , " ~ SSDai~ esr'd' aPth
City/ZiP Oode• APPAONAtS ~ :
pl,a,e 1: 5 - 9S ,
swmst
oontraceors OPater/BewsY
AdBrpss; Po11ae PlaR
IY ~,s ~z.c o c
LY/ZiP aode° ~ 9c
9lsblrt QOm?• ~/,o~ ;
Pham Plarfnes
counc1 .--Rod UrAt
nrch./Ehy. aw.
Aaarese: AIPC
City/ZiP 013de:
ptxm r: s
.
CITY OF EAGAN No 15042
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
~ PHONE: 454-8100 ~ 3 ct ~-'7
BUILDING PERMIT Receipt# ~
Tobeusedfor DECK Est.Value $1,000 pate MAY 19 ,1988
Site Address 892 SUDBERRY LANE OFFICE USE ONLY
Lot 20 81ock 2 Sec/Sub. SHEFFIELD ADD. On Site Sewage _ Occupency
MWCC System _ Zoning
Parcel No.
On Site Well _ (Actufll) Const
: Name MICHAEL & JANETTE NELSON City Water _ (Allowable)
w SAME PRV Repuired _ # of Staries
z Address
° City Phone 452-5634 Booster Pump _ Length
Depth
, a Name SAME s.F.7otai
oa AddfBSS FootprinlS.F.
~ City Phone APPROVALS FEES
~w Engr./ASSess. Permit ~24.00
w W Name
~i. Address Planner Surcharge
a w City Phone Council Plan Review
Bldg. Off. SAQ Ciry
I hereby acknowledge ihat I have reatl this application and state tha[ the Variance SAC, M WCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan~ es.~ e~ Water Meter
n
Signature of Permit[ee 't Road Unit
A Builtling Permit is issued to:A.-&-.T-.NFLWN Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota tatutes and Cit of Eagan Ordinances. Parks
70TAL $24.50
Builtling OMicial
(VK ~
'T~Txttfirtt#r of Jv""V'rrupttnry
Citp of eagan
I ~
igrpttrimrni of Build'mg 3nspertinn
S I This Cnii fitate ittHed purauaat io tbe reqHiremenu of Sertion 306 0f the Uniform Building
Codr rrrtrfying that at 1he time of ittuance tbir rtrurturr wus in complianct witb thr variour
t
ordinaruet o( tbe City reguloting brulding ronmuttion or urt. For the follouang:
~
SF DWG/GAR 8296
U. cwen~.uon Blde. Pemnt Ho. ~ i
oawnq7YwR3_'hrocomuu«W Vn Fi.Z. NA zoniQ m.trin Rt
Josepfi M. Miller Add,m18133 Cedar Ave. So., Farmia -
F] BuedloQAddrtvg9Z Sudberry Lane ~il;,rLnt 20.Slock 2.Sheff1eld
By September 4, 1983
. ~ .
, , . . . ,
,
. . . .
. _ a.::.,> •r.. _ - - . . - .
, 5fi 9
cl: ! s
1988 HUILDING PERMIT APPLICATION - CITY OF EAGpN vS
S/ao
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS Ofi PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIO ~
NOTEt DRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER GNATE WHICH ADDRESS
IS ED. NO CHANGE3 WILL BE ALLOWED ONCE NG PERMIT IS ISSUED.
MULTIPLE DWELLINGS RE TS-- FOR SALE UNITS # OF IINITS ,
.
INCLUDE 2 SETS OF PL TIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF E CULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENEftGY CALCULATIONS
To Be Used For: -L)e-c--AC. Valuation: Date:
Site Address 81z .~,411r,r.-o Zan e, OFFICE USE ONLY
~ ~ Uoo ~
Lot ZO Bloek Z On site sewage_ Oceupancy
MWCC system _ Zoning
Parcel/Sub S/~e.7&41 On site well Aetual Const
City water ~ kllowable
Owner 115oq PRV required _:i of stories
Booster Pump r Denghh
Address (r,l ~ p
S.F. Total
City/Zip Code Tl /yn Jrs~Z 3 Footprint S.F.
Phone APPROVALS FEES
Contractor Engr/Assess Permit o?y.oa
Planner Surcharge . Su
Address Couneil Plan Review
Bldg. Off. ~5/1$ SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Mch./Engr. Treatment P1
Parks
Addresa Copies ~
I TOT6I.
City/Zip Code
Phone !1
CertiPi--ate for:
Joe, Ml,lier Conatructlon
16133.--ed1r Avenue South 940"10 ~j._kvvCp
Farmin¢ton, MinneeoCa
55124 5.
DELMAR H. SCHWANZ
LANOSUAVEVORfj IUC,
Req•stoea V naer "ws oi ina State of M,nnyob
2978 - 146TH S7REET W. - BOX M ROSEMOUNT, MINNESOTA 55088 VNONE 672 4231769
SURVEYOR'S CERTIF{CASE
s u U gEQr->Y ~ANE
6
o,oo Ki s9%-7 46 VJ 1+ n~,} l
,'~1.6, o ORR~n10.4E o 90~.9,
~ 1A-su~~r( EAIEMFJ~{t' ~
CO1
o ~
a 7 ? m
~ Z~;3 ,.J~ m 9tY3.3 r^roposed karage floor elev.
- ~ ti ~`m °roposed top of b.o-^.K e:ev.
m ~ 4.i J ~.3'roposao baseinent fluor eke,
zt,33 Im ~'oZ,&ropoaed lowest basemeet
'n floor elevation
~ 04 '4V
~
~ :~o N 0 Denotes iron pipe momanert
_O I ~
ul -~0 Denotes setoack mominent
~ 905•5 Denotes existing elevst.ior.
0 Denotea prcpoaed finish grade elev,
o ~
0 Denotes direction of surface
Z 11 ~ ~ Z drainage
~
5?"°4a'a5'1Fl ~
I hereby certiCy that this is a true and correct representation of a
stirvey of Lot 21, B2ock 2, jvHr.FFIEI.r sa on file and of record in the
office of the County Recorder, Dakota County, Minnesota.
A]eo showinE the propoaed 1o,:ation of a house not ataked thereon,
As sur•reyed by me th3S 18 day of May, 1983.
~
„
, y
~
' 1 ~f;yrr i~~•.~.i!.Il !
! C I l.~,•
MINNEfSOTA R6Fi15TRATION NO 8625
i',~ /
1 - 1
LOT BLACK SUBD. - ~-~.~~r
RECEIPT #
CITY OF EAGAN
UNDERGROUND SPRINHI.ER SYSTEM PERMIT
1993
Date: f}Rrz i L a -71 i y y r
_ Commercial project
i! Residential pmject
_ Existing residence
Area/address to be sprinklered: cS 7~ Su;~ J3 E2 n~( L,~rti E
Installer: U/=i z- i3 ~ cm N G
Street address: 2 i a ~-4 S t- 9 y TW S T-
City, state & zip: 13 L vorn iN6"i'G/? rn N S S vaS
Telephone ~r t i `6s& k
Owner name: t~ o~: 6 o a~ i,,, ~ L L
screec aaaress: ,L6"-'
City, state & zip: ~ 6
Phone#: ~ t~--,;?ya(
Irrigation rnntractor, if different: /q'QUR- crTY T221 G /1 -n c,nl
Phoee ~a a -I I od
I hereby acknowledge that I have read this application and state that the information is conect and agree
to comply with all applicable City of Eagan ordinances.
)`''110-67-3
~j,L" 720-/V
/0 i/ ~ z k Signature of Permittee
Y
New service required !'10
Fee due: Calculated by:
,
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. 1f digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall,, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 plumbing permit
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by Ciry. Please consult with
engineering department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential proiect: $ 15.50 plumbing permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
$324.00 per connection - water treatment plant.
c. Existing residence: $15.50 plumbing permit -(not required if backflow
preventor previously installed) however plan must still be
presented for approval and an application must be filled
out.
4. Once meter size is determined, building inspections clerk typist will contact utility
billing clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections am complete on a new
service--(engineering department will advise utility billing clerk when meter can be
. sold). Receipt will ` be coded to 20.3716 (meter portion only) with pink copy
. forwarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, M6nday through Friday. Requests for AM inspections should
be made on tthe'preceding work day. Requests for PM inspections wil] be accepted
untii 12i00 noon that day.
- I
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 892 Sudberry Lane
Lot: 20 Block: 2 Addition: Sheffield
PID:10- 67600 - 200 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments:
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Quesetions regarding electrical permit
952- 445 -2840
Cindy Lilienthal
21210 Eaton Ave
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Janelle M Lawler
892 Sudberry Lane
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA079635
09/06/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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~ 0T. Ids 33
Use BLUE or BLACK Ink
F-----------------
For Office Use I
C G~~l
City of Eq I Permit#: I
Permit Fee: l v~ I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff. 1
I I
2013 ~2RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I l) ~ 11J Site Address:
Unit
IT UL-e., C-
Name: 09f aw) Phone: ~osi°"
Resident/
Owner Address / City / Zip:
f Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / Nol,!~2)
Company.- ~C.t a he\egm { C ns U r-Ar Contact: I I
Contractor Address:.J~ I M Yt c~.] p. City: S44 1lux4enr
I State: MN Zip: S50aa Phone: (2)c5 I L! 9o( ` L1'3 9Q
t ~a
License Rce 2k;;t /y Lead Certificate
I -
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.oooherstateonecall 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.
x
Applicant's Printed Name Applic nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131849
Date Issued:07/10/2015
Permit Category:ePermit
Site Address: 892 Sudberry Lane
Lot:20 Block: 2 Addition: Sheffield
PID:10-67600-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Janelle M Anderson
892 Sudberry Lane
Eagan MN 55123--193
(651) 405-0962
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149764
Date Issued:06/08/2018
Permit Category:ePermit
Site Address: 892 Sudberry Lane
Lot:20 Block: 2 Addition: Sheffield
PID:10-67600-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Janelle M Anderson
892 Sudberry Lane
Eagan MN 55123--193
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159653
Date Issued:01/07/2020
Permit Category:ePermit
Site Address: 892 Sudberry Lane
Lot:20 Block: 2 Addition: Sheffield
PID:10-67600-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janelle M Anderson
892 Sudberry Lane
Eagan MN 55123--193
(952) 924-1461
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173582
Date Issued:11/18/2021
Permit Category:ePermit
Site Address: 892 Sudberry Lane
Lot:20 Block: 2 Addition: Sheffield
PID:10-67600-02-200
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Janelle J Melgeorge Anderson
892 Sudberry Ln
Eagan MN 55123--193
Schaffer Window & Siding Inc
2760 - 232nd St E
Hampton MN 55031
(651) 248-4695
Applicant/Permitee: Signature Issued By: Signature