4026 Blackhawk RdCITY OF EAGAN .
I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
? PHON E: 454-8100
? BUILDING PERMIT Receipt #
r
j To be used for r ---Est. Value Date
i Site Address r' OFFICE USE ONLY
I Lot BlOCk SeGSub. On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No. On Site Weil _ Type of Const
City Water ` (Actual)
s Name (Ailowable)
' W # of Stories
z qddress
;
Length
? City Phone Depth "
' S.F. Total
p Name Footprint S.F.
' ?Q Address ppPRpVALS FEES
f City Phone Assessments _ Permit
Water/Sewer _ Surcharge
F W Name Police ` Plan Review
v? AddreSS Fire = SAC, City
Q W City Phone Engr.
Planner SAC, MWCC
` Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit
ihat the information is correct and agree to comply with all applicable APC _ Treatment P1
State of Minnesota Siatutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature qt Permittee TOTAL
' A Building Permit is issued to: on the express condition that
ati work shail be done in accordance with a!I applicable State of Minnesota Statutes and City of Eagan Ordinances.
Bailding Official
?
Permit No. Psrmit Hoider Date Telephone #
Pfumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I r
Footings II
Foundation
Framing a
c
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final ?1 p.<
J
Cert, Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
WeH
Pr. Disp.
CITY OF EAGAIV
Remarks
Addition Section 20 Lot
Owner_
Street
Ik Parcel 10 02000 070 75
State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
\' SAN SEW TRUNK 1970 $720. 00 $28.80 -wJ
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATERAREA c.veT 1C?e v'4,:+°?
STORM SEW TRK
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUII.DING PER.
SAC
PARK
i
J??
?ARUT.rcE
CZmY oF Et8CFt9.rr
3795 PnoT x tOB RoAD
EAGAYi, I?? ?1 'ESOT,A 55122
The Council of The C3.ty of Eagan herebsr grants a variance
pursuant to app,7.3.cation ?f Eric I,aveera ??.?,Mk Ma3' $, 1978 for the fo3low3.ng purpose tO 4ceep
two Qats on 4acaes of r°esidential zoned propert-y, at 4026
Blackhawk Roaclo
Date approged.: 6-6-78 F??s Paid.a 50. o0
.
??-¢'--?-r--
- .??...+..,
er
EAGAN TOWN S H 1 P
BUILDING PERMIT
Owner -•---?--? ..--• .......... ---------- ._.-----------•----------•---•-•--._.,.,.._.
Address (presen!)•z-(o
0,
Buiider ------- s2C.?. .
............... ------........ ._.......... _..._.._._._._...------•----•---•-- -•-
Address ......... ...............•------•-...-•--------.._._._._.__._.....__._._._...----•-••--
DESCRIPTION
N° 13'78
Eagan Township
Town Hall
Date _. ??/--?'„t -L.?'?A?
Stories To Be Used For Front Depgh Height Esf. Cost Permii Fee Remarks
v?!
/ LOCATION
Sfzeef, Road or oiher Descripfion af Locafion I Lat I Black 1 Addiiion or Tract
_..
??? ??
? V
This permit does not authorize the use o# streets, roads, alieys or sidewalks nor does. it give fhe owner or his agent
the sight to create anp situation which is a nuisance or which presenfs a hazard to the healfh, safeiy, convenience and
general welfare to anyone in the commurii3y.
THTS PERMIT MUST SE KEPT ON THE R-EMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that--1-2Z-----._. ? .. ...... ........ .------------ _....... has permission to erec3 a-•" ------.~ _._._..._.._......_.upon
Yh e above dESCribed premise subje6t to the ovisions of 3he Building Ordinance for Eag" Townshd April 11,
1955
_.._._..-•••---•--._X.?......:tr!...... ?....... ------._.. Per
....... ---•--
..... ........ .....__._.--••--° 9----•-----........_._...__._._...-•---_.
Chairman of Tnwn Board Buildin Ins pettor
4:A
/
EAGAN TOWNSHIP
BUILDING PERMIT
ow"e.??fG?'t?`ti ?
.............
--. --------------- - ---- ------ ---------- >---------- --
Address (pre ni --• --• • - -- -- •• ?? °? ` - - - ? /
= • r - ---•--•------•-•• ----
?
Builder •- • • -• •- ----- == ;- - - - - - --fi,<...........................
-- -
Address --- ---- -• ........ ... .. ..... ?--------
DESCRIPTION
N° 558
Eagan Township
Town Hall
,.?- 0
Date --..?--------.........................
53ories To Be Used For Front Depth Height Est. Cosf Permit Fee Remarks
47 LOCATION
Street, Ro or ot escription of Location I Lo3 lEllock Addition or Traci
G
Thi ermit dces not suthorize . he use of streets, raads, alleys or sidewalks nor does ' iv owner a ent
ther ght to create any situation which is a nuisance or erhich presents a hazard to the h ih, . s ety, conv ni e nd
general weifare to anyone in the community.
THIS PERMIT MUST BF,,*EPT HE PREMESE WHILE ?°HE WORT? IS IN PR G
This is to certify, that--------?----- - -??-- --•---------------------------- has permission to erect y??- .---? -------• --------- on
------------------°
the above described premis- ect o he provisians of the B.ruildin Ord"anance fox wnshap adogted Papril 11,
------------- -- ----- -- ..
Wwn ---------------------
-- --Chairman of Board Buil in ectori
?
CITY OF EAGAN Na 14 0 3 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDINGPERMIT ? '`rWONE:454-8100 Receipt# 2 ?.-3 t) 7'
To be used for GARAGE Est. Value $10, 000 Date AtiGUST 11 19 87
Site Address _
Lot 7 Slack
Parcel No.
4026 BLACKHAWK RD
75 SeclSub. SECT
? Name D.A. LOKENSGARD
z
? Address SAME
City Phone 698-5686
°C Name SAME
,o
? Q Address
? City Phone
?- x
W W Name
_ z. Address
Q W City Phon
I hereby acknowledge that I have read this app
thattheinformationiscorrectanj agreetoCOmply
State of Minnesota Statutes aj(i City o/ Eayan,G
Signature of Permittee?.4x_&4?1e?'' 601/
A Building Permit is issued to: D.A. LOKI
all work shall be done in accordance with all appl
Building Official
on and
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well T Type of Const
City Water , (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit 93.50
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
70 Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment Pt
Variance _ Parks
Copies
TOTAL 98.50
on the express condition that
Minnesota S ?utes d City of Eagan Ordinances.
, ?
?k v
1133895
DRAINAOE AND IITILITY EASEMENT
IN CONNECTION WITH EAGAN CITY PROJECT NO. 93-A
THIS EASEMENT, made this ;?/ day of 1993, between
HELENE R. ZGURICH, a single person, herein re rred to as pLandowner"
and the CITY OF EAGAN, a municipal corporation, organized under the
laws of the State of Minnesota, hereinafter referred to as the
"City".
W I T N E S S E T H:
That the Landowner, in consideration of the sum of One Dollar
($1.00) and other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, does hereby grant and
convey unto the City, its successors and assigns, the following
easements:
A perpetual easement for public drainage and utility
purposes over, under and across the following described
premises, situated within Dakota County, Minnesota, to-wit:
That part of the Southeast Quarter of Section 20,
Township 27, Range 23, Dakota County, Minnesota
described as follows: Commencing at the northeast
corner of said Southeast Quarter; thence South 89
degrees 39 minutes 34 seconds West (assumed
bearing) along the north line thereof a distance
of 831.82 feet; thence South 0 degrees 20 minutes
26 seconds East a distance of 390.00 feet ta the
point of beginning; thence continuing South 0
degrees 20 minutes 26 seconds East a distance of
331.66 feet; thence South 89 degrees 39 niinutes 34
seconds West parallel with said north line a
? distance of 204.90 feet; thence South 0 degrees 20
minutes 26 seconds East a distance of 233.82 feet,
more or less, to its intersection with the north
4i line of the recorded plat of HILLAAtDALE ADDITION
? NO. 1; thence North 89 degrees 57 minutes 18
? seconds East along the north line of said plat a
distance of 511.68 feet; thence North 25 degrees
48 minutes 14 seconds West a distance of 429.88
feet; thence South 89 degrees 39 minutes 34
seconds West a distance of 92.95 feet; thence
North 0 degrees 20 minutes 26 seconds West a
distance of 180.00 feet; thence South 89 degrees
39 minutes 34 eeconds West a distance of 30.00
feet to the point of beginning.
Said easement being described as follows:
Tftndar Thi., n 7 08 93f
day ot ls '
CouatyA 1. Dakota Co.
?y
That part of the Southeast Quarter of Section 20,
Township 27, Range 23, Dakota County, Minnesota
described as commencing at the northeast corner of
said Southeast Quarter; thence South 89 degrees 39
minutes 34 seconds West on an assumed bearing
along the North line of said Southeast Quarter
831.82 feet; thence South 0 deqrees 20 minutes 26
seconds East 730.66 feet; thence South 89 degrees
39 minutes 34 seconds West parallel with the north
line of Southeast Quarter 204.90 feet; thence
South 0 degrees 20 minutes 26 seconds East 233.82
feet to its intersection with the north line of
the plat of Hillandale Addition No. 1, according
to said plat on file and of record in the office
of the County Recorder, Dakota County, Minnesota;
thence North 89 degrees 57 minutes 18 seconds East
along the north line of said Hillandale Addition
No. 1 a distance of 44.13 feet to the point of
beginning af the parcel to be described; thence
continuing North 89 degrees 57 minutes 18 seconds
East along said north line 467.55 feet; thence
North 25 degrees 48 minutes 14 seconds West 306.00
feet; thence South 64 degrees li minutes 40
seconds West 20.00 feet; thence South 4 degrees 31
minutes 51 seconds East 219.80 feet to a point to
be hereinafter known as point A; thence South 34
degrees 57 minutes 18 seconds West 40.00 feet
along a line to be hereinafter known as Iine A;
thence South 89 degrees 57 minutes 18 seconds West
180.76 feet along the continuation of line A;
thence North 78 degrees 13 minutes 49 seconds West
132.85 feet along the continuation of line A said
point being the termination of said line A; thence
South 0 degrees 02 minutes 42 seconds East 42.20
feet to the point of beginning.
Together with a temporary construction easement
being 10 feet in width lying Northerly of and
adjacent to previously described line A. The side
line of said easement is to be extended to
terminate at the previously described perpetual
easement. Said temporary easement to expire
October 1, 1996.
See also Exhibit "A" attached hereto and incorporated herein.
The grant of the foregoing temporary construction easement and
permanent easement for drainage and utility purposes includes the
right of the City, its contractors, agents and servants to enter upon
the premises at al
inspect, repair and
further right to
obstructions. After
repair or removal,
condition in which
actions, save only
undergrowth and other
1 reasonable times to construct, reconstruct,
maintain pipes, conduits and mains; and the
remove trees, brush, undergrowth and other
completion of such construction, maintenance,
the City shall restore the premises to the
it was found prior to the commencement of such
for the necessary removal of trees, brush,
obstructions.
And the Landowner, her heirs and assigns, does covenant with the
City, its successors and assigns, that she is the Landowner of the
premises aforesaid and has good right to qrant and convey the
easements herein to the City.
IN TESTIMONY WHEREOF, the Landowner has caused this easement to
be executed as of the day and year first above written.
?-r..e. /L • ? ?y? ??
Helene R. Zguiic
STATE OF MINNESOTA )
) ss.
COUNTY OF ??? )
On this day of ?tt-, 1993, before me a Notary
Public within and for said County, personally appeared HELENE R.
ZGURICH, a single person, to me personally known to be the person
described in and who executed the foregoing instrwnent and
acknowledged that she executed the same as her free act and deed.
- MARIE C. FREITAG
NOTARY ?UIIiC - MINNLSOTA -,?---
? DAkOTA COUNTY
My eemmiidon expims 6-17•98
Notary Public ?
APPROVED AS TO FORM:
6
City rp ey 's Office
Dated: o1?n?:1 Z3 6113
APPROVED AS TO CONTENT:
G Public Works epartment
Dated: 14v? : 1 Z? , 19 g 3
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
SDJ
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TACONtTE TRAIL
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HELENE ZGURICH
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'wnorar cesuwene cwtans 3.`74 se r•.
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10-02000-070-75
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? -• - ?er*owory Corsstruetior Eosrmen! ?
Perpl:UOI L7rOin00! Z[ U91i!y EOfGTln!
Oroi+oqe ! Uteit Easement
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PrC
Exhibit "A"
4- hi'et:y Ce?ti*y +hAt this -:u?vey, pion, or reDOrt
R f YE?? 8Lv
<
? i
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SiJRVEY, 1 SET OF ENERGY CALCULkTIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSDED.
M[1LTIPLE DWELLINGS - RESIDENTIAL RENTAL UATITS FOR SALE tJNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OP` StJRVEY - CHECK GTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For• / Valuat ion: Date: ?
Site Address
- OFFICE USE NLY
L
t ?
o
Bloek On Site Sewage Oceupancy
MWCC System Zoning
Parcel/Sub ? On Site Well Type of Const
?
City Water
(Actual)
Owner (Allowable)
Address # of Stories
Length
Depth
City/Zip Code S.F. Total
?
Footprint S.F.
Phone gPPROVgL.S FEES
C? 1'Yi
Contract -,
Assessments j0
Permit
' Water/Sewer Surcharge S,
Address 42 Police Plan Review
' Fire SAC, City
City/Zip Cod Engr SAC, MWCC
Planner Water Conn
Phone - °
- , ..1 Couneil Water Meter
Bldg Off Road Unit
Arch./Engr.
-- , APC Treatment Pl
Varianee Parks
Address Copies
TOTli.
City/Zip Code
Phone #
-?"?G`'-------------
f IU `?
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S
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Y
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1?4D 1? z
F110
?-? -,
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-?
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Rec* Date:
?
cirY oF EAGAN
2001 SEWER AND WATER CONNECTIOId AND AVAILABILITY CHARGES
exisriNG RESIDENTIAL PROPERnr
Ad OF? _ ??
dress ?
?C Irt w-?. ? ?
Property Owner U 0.U \ C? Y? S q o, Y('y 4 PRV requireti
Telephone # (r S l - ? 514 - ;-i5 ?-3 plumber /?/Q City A County R-O-W Pennit
Sewer Water
Lateral charge 22.851ff $ Lateral charge @$23.05iff
Tnu?k @$925/co tion Trunk @$965/connection pn?
City SAC .00 Water supply & storage 860.00
Base SAC 1,150.00 Date paad
Date paid Receipt #
Receipt # Treatment plant 516,00
Account deposit 15.00 Water meter **Inspectiona req'd prior 115.00
Septic abandonment 50.50 ? ?suing
Sewer permit & surc e 50.50 Account deposit 15.00
Water pennit & surcharge 50.50
Plumbing pennit required
Total $ Total
Sewer and Water
.
? Sew teral charge @ $22.85/ff
Water la charge @ $23.05/ff
,
Sewer trunk 25/co:
Water trunk @ $9 coi
City SAC
Base SAC
Date paid l
Water supply & storage
Date paid 1
Treatment plant
Watec meter * 'on
Account sit
100.00
1,150.00
860.00
516.00
req'd prior ta issuing 115.00
30.00
50.50
and water peimit & surcharge
ng permit required
Total
S?
cc: Carolyn Krech, Finance Department
city oF eagan
o9c - ?;75
THOMAS EGAN
Mayor
PATRICIA AWADA
SHAWN HUPJTER
SANDRA A, MASIN
THEODORE WACHTER
Council Members
January 4, 1994
THOMAS HEDGES
City Administrator
E. J. VAN OVERBEKE
City Cterk
MR DAVID LOKENSGARD
4026 BLA???? ROQ
EAGAN MN 55122
Dear Mr. Lokensgard:
Councilmember Ted Wachter asked that I forward to you copies of the material provided
to him by the Community Development Department regarding your questions concerning
Taconite Trail.
If you have further questions concerning this matter, please contact Jim Sturm, City Planner,
at 681-4698.
Sincerely Yours,
?
A Aal?
Peggy A. Reichert
Director of Community Development
PAR/js
Enc.
UNICIPAL CENTER
3 30 PlLOT KNOB ROAD
E GAN, MINNESOTA 55122-1897
P ONE: (612) 681-4600
F X: (612) 681-4612
T D: (612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH !N OUR COMMUNITY
Equal Opportunity/Affirmative Actlon Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN, MINNESOiA 55122
PHONE: (612) 681-4300
FAX: (612) 681 •4360
TOD: (612) 454-8535
CITY OF EQGAN
1993 SEWER & WATER CONNECTION CHARGES
_ EXISTING RESIDENTIAL PROPERTIES
Sewer connection charqes
SAC $850.00 (assessed)
Date previously paid
Receipt #
Account deposit 15.00
Sewer permit and surcharge 50.50
Subtotal
+ tap
Total
.. Property owner
Telephone no.
Sewer & water connection charges
SAC $ $50.00
Date previously paid Receipt #
Water connection 695.00
Date previously paid Receipt # 1„
Account deposit 30.00
Sewer & water permit and surcharge_100.50
Water meter 1 Q5.00
Treatment plant fee 324.00
Subtotal $2,104,50
+ tap, if app?licable Total ,
'** (Plumbing permit required) Note: Homeowner may acquire plumbing permit only if actually doing the
work themselves. tf plumbing contractor is hired to pertorm the work, then
the permit must be applied for by a licensed plumber.
-------------------------------- - ------- - - - - - ---- --------------------------------------------------------------------
OFFICE USE ONLY
PRV -?A
No. of taps ?
Assessmentr:
Waiver
?
Address
$915.50
$ 65.50
S & W Permit #22291
10/22/93
Receipt #C22616
Water connection charqes__--?'
1
Water Gonnection ,$ 695.00
Date preariously paid
Receip#
Account depo§4 15.00
Water permit & surchar.ge 50.50
Water meter 105.00
Treatment plant fee 324.00
Subtotal $1,189.50
+ tap
To?i ?
(Plumbing permit reqwred) ?
,?a44
Lot Blk Sect -;?0
P I D # 10-02000-07-75
Y
•
SPECI.AL ASSESSMENT SEP,RCH SUMMARY
AS OF: 10/12/1993
PROPERTY ID: 10-02000-070-75
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL
100125 SAN SW TRK 1969 25 8.0000 720.00
P99999 POSTPONED ASSESSMENT 0000 10 0.0000 0.00
--°--- SUMMARY OF LEVIED 720.00
****** 1993 P&I CERTIFIED 33.40
------ SUMMARY OF° DEFERRED 0.00
------ SUMMARY OF PENDING 0.00
------ SUMMARY OF CLOSED 0.00
ANN.PRIN.
28.80
0.00
28.80
0.00
0.00
PAYOFF CD
28.80
PN
28.80
0.00
0.00
Press ENTERe or E'1, F4, F5, F7, F'8
PROPERTY DATA SYSTEM
. OWNER NAME AND ADDRESS YIdQUIRY :CURR 302 :
: PROPERTY ID Owner Change Date :NEXT e
; 10-02000-070-75 00/00/0000 Aiiiiiiiii2
e OWNER .
e LAST IJAME FIRST M CORP TAXPAY ADDR .
s Owner: LOKENSGAI2D DAVID N Y Y .
: Acldrl: 4026 BLACKHAWK RD Addr2: EAGAN MN 55122 .
e Addr3: Addr4: .
: Owner: LOKENSGARD SHIRLEY N X Y .
: Addri: 4026 BLACKHAWK RD Addr2: EAGAN MN 55122 .
. Addr3: Addr4: .
. owner: .
: Addr1: Addr2: .
. Addr3: Addr4: .
e Owner: s
s Acldrlm Addr2 t .
: Addr3: P,ddr4: .
e
oiieieiiiiiaiieiiiiiiiiiiaiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiitiiiii?iii
Type PID: press ENTERs or F1, F2, F5, F8
WAIVER OF HEARING N0. 445
SPECIAL ASSESSMENT AUTHORIZATION
I/We hereby request and suthorize the City of Eagan, MN (Dakota Co.) to
assess the following described property owned by me/us:
10-02000-070-75
for the benefit received from the following improvements:
ITEM QUANTITY RATE AMOUNT
SAC Charge 1 Each $850.00 $ 850.00
TOTAL $ 850.00
to be spread over 10 years at an annual interest rate of 6'fiX against any
remaining unpaid balances.
You may pay any portion of these special assessments within thirty (30) days of
signing the Waiver without interest at the Eagan Municipal Center. If you pay
after the thirty (30) day period, interest will be charged from the signing date
to December 31st of the current year.
The undersigned, for themselves, their
successors and assigns, hereby consent to
further, hereby waive notice of any and
objections to any technical defects in
assessments, and further waive the right
assessments made pursuant to this agreemen
Dated:
STATE OF ?/ ? Jj'•??? )
)SS
COUNTY OF
X
heirs, executors, administrators,
the levy of these assessments, and
all hearings necessary, and waive
any proceedings related to these
to object to or appeal from these
t . ir /I / 1
David L kensga
'4- _
??G ,?-•° ll-
Shirley Lok? sgard
;
On this ? day of
for ?efore me a Notary Public within and
said County, personally appear
?
personally known to be th ?,..
instrument and acknowledg?dw?t
StJT?1
act and deed. ? ° re'?H.21'
u?? ??? i FOR CITY USE ONLY
d to me
o exe uted the foregoing
ted ?he same as free
Reviewed:
-ow " 9" 1lt'?? jo A
Eagan Public Works Department
?
?
?.,75 t. } #"?^ ?
C I T Y O F E A G A N
CERTIFIED LISTING OF POSTPONED
SPECIAL ASSESSMENTS
LEGAL DESCRIPTION:
Section 20 Twn 27 Range 23 Pt of NZ
S& 259.87 Ft W of NE Cor N 500 Ft W 150 Ft S
Ft S 25D 27M 48S 465.19 Ft E 250 Ft to Beg Subj
COUNTY IDENTIFICATION NUMBER:10 02000 070 75
POSTPONED SPECIAL ASSESSMENT:
of SEa Com 990 Ft
75D 4M 7S W 310.48
to Rd Esmnt
Water Area Assessment
Pursuant to M.S.A. 429.061, Subd. 2, as amended by the
1980 Session Laws, Chapter 560, Section 5, I hereby certify
that the City of Eagan has approved the postponement of the
special assessments as set forth above on the property described.
Dated this a-'l '(' * day of TU yi Q- 1984
EXEMPT FROM STATE DEFD TAX S'!'AMPS
This Document Drafted By:
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Exem t#rom State Deed Tax
,
...??--1:???G(Cr?,,,
Q?kota County T rer
E. . anOverbeke
Cit Clerk/Finance Director
.. Certificate
VanOverbeke, City Clerk of the Cit of Eagan do Hereby
cert'ify' that :the foregoing is a true and o re t co y.
V
E. anOverbeke, City Cler
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STATE OF MINidESOTA
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DES/GNED REVlS/ONS S1TE PLA~bNlNG ' ENGINEER/NG I hereby certify tha! this plan was prepared by me or under ' ° a~~i~
5 /7 ~93 m direct y supervrsron and fhQf / am a duly regisfered pro- g ~ ~ ~ ~ ~ DATE ~ t ;
DRAWP/ fessiono/ en i;~eer 1 _ g, under Ihe laws of fhe Slale of M~nnesoto. FF T~~l~; H~RiTaG~-.~ ~EVE~c~~~~Nr ~TrLITY~ PLAN ~z~ z3 9~~ ~
CHARLES W, PLOINE CONS~LTIJU ~ G ENGINE~R HOMES 7 , x ~ 450 FAST CQ. RD, D =
! a a CIT P , Y ROJECT N ~JECT N0, 93°A SAIN~f~ PAUi., ~~N 55~~7 sN~~~r ~ r t~,~
CNECKED ' 9180 LEXINGTON AVENU,E N. E. ~ ,
- EAGAN, MINNE; CIkCLE 1'INES MPJ 550t4 (6!2)785 DATE~ D~ ~3 f q92 REG. N0. ~BZ Z~ , 1043 , ; V, MINNESOTA T~;. 4e?- ooi~ 3~
, , 5
,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122918
Date Issued:05/22/2014
Permit Category:ePermit
Site Address: 4026 Blackhawk Rd
Lot:007 Block: 075 Addition: Section 20
PID:10-02000-75-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jill Sorensen
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 -
Jill M Sorensen
4026 Blackhawk Rd
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA124180
Date Issued:06/24/2014
Permit Category:ePermit
Site Address: 4026 Blackhawk Rd
Lot:007 Block: 075 Addition: Section 20
PID:10-02000-75-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Jill Sorensen
4026 Blakchawk Rd
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill M Sorensen
4026 Blackhawk Rd
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124181
Date Issued:06/24/2014
Permit Category:ePermit
Site Address: 4026 Blackhawk Rd
Lot:007 Block: 075 Addition: Section 20
PID:10-02000-75-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jill Sorensen
4026 Blakchawk Rd
Eagan, MN 55122
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill M Sorensen
4026 Blackhawk Rd
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153667
Date Issued:01/11/2019
Permit Category:ePermit
Site Address: 4026 Blackhawk Rd
Lot:007 Block: 075 Addition: Section 20
PID:10-02000-75-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Benjamin S Ptacek
4026 Blackhawk Rd
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature